Document Detail


Preliminary results of the duodenal switch.
MedLine Citation:
PMID:  9730508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The duodenal switch (DS), as a modification of the bilio-pancreatic diversion (BPD), is a 'complex' hybrid operation. METHODS: Sixty patients were operated on during the last 3 years. RESULTS: Two patients died early (3.3%); two late deaths occurred at 4 and 7 months, one due to liver failure and the other due to malnutrition and refeeding syndrome (3.57%); three patients required conversions (5.3%). The two early deaths and all the patients who required conversions had a previous vertical banded gastroplasty. Eleven patients had minor liver abnormalities corrected with medications, and one patient had severe diarrhea for more than a year. Eleven female patients have iron deficiency anemia that requires parenteral supplementation. Mean percent excess weight loss was 86% at 2.5 years. CONCLUSIONS: The DS has been, in our experience, an unsafe operation with unacceptably high operative and postoperative mortality. The conversion rate is acceptable. Weight loss, quality of food intake and life have been excellent. Inadequate follow-up can be dangerous if patients fail to report for regular visits.
Authors:
A Baltasar; J del Rio; C Escrivá; F Arlandis; R Martínez; C Serra
Related Documents :
15327528 - Magnetic resonance imaging in the evaluation of iron overload in patients with beta tha...
20538788 - Hepcidin is not useful as a biomarker for iron needs in haemodialysis patients on maint...
17683988 - Bloodletting-induced cardiomyopathy: reversible cardiac hypertrophy in severe chronic a...
1680448 - Once weekly subcutaneous erythropoietin is an effective maintenance therapy in the trea...
9630278 - Radiographic detection of achalasia: diagnostic accuracy of videofluoroscopy.
16864678 - Recent variceal bleeding: doppler us hepatic vein waveform in assessment of severity of...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  7     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-09-24     Completed Date:  1998-09-24     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  500-4     Citation Subset:  IM    
Affiliation:
The Surgical Service, Virgen de los Lirios Hospital, Alcoy, Alicante, Spain.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anemia, Iron-Deficiency / drug therapy,  etiology
Biliopancreatic Diversion / adverse effects,  methods*
Cause of Death
Diarrhea / etiology
Duodenum / surgery*
Female
Follow-Up Studies
Food
Gastroplasty / methods
Humans
Intraoperative Complications
Liver Diseases / drug therapy,  etiology
Liver Failure / etiology
Male
Middle Aged
Nutrition Disorders / etiology
Quality of Life
Reoperation
Safety
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Silastic ring gastric bypass: a comparison of two ring sizes: a preliminary report.
Next Document:  The influence of a new timing strategy of band adjustment on the vomiting frequency and the food con...