Current Outcomes of Laparoscopic Duodenal Switch

Annals of Surgical Innovation and Research
L BierthoSimon Biron

Abstract

Biliopancreatic diversion with duodenal switch (BPD-DS) has long been considered as the bariatric procedure with the highest peri-operative and long-term complication rate. However, modern peri-operative care, including laparoscopic and staged-approach, has significantly reduced the complication rate related to this procedure. The goal of this article is to provide an overview of the current outcomes of laparoscopic BPD-DS in a high volume centre. All patients who had a laparoscopic BPD-DS with a hand-sewn anastomosis performed between 2011 and 2015 (N = 566) were reviewed. Data were obtained from our prospectively maintained electronic database and are reported as a Mean ± standard deviation. The mean age of the 566 patients was 41 ± 10 years, with 78 % women. Initial body mass index was 49 ± 6 kg/m(2). There was no 90-days mortality. Hospital stay was 4.5 ± 3 days. Major 30-days complications occurred in 3.0 % (n = 17) of the patients and minor complications in 2.5 % (N = 14). Excess weight loss was 81 ± 14 % at 12 m, 88 ± 13 % at 24 m, 83 ± 14 % at 36 months. Total body weight loss (kg) was 57 ± 13 kg at 12 months, 63 ± 14 kg at 24 months and 61 ± 17 kg at 36 months. Hemoglobin A1C (HbA1C) dropped from 6.1 ± 1 % to 4.7 ± 0.5...Continue Reading

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Citations

May 28, 2016·Current Atherosclerosis Reports·Lidia Castagneto GisseyGeltrude Mingrone
Sep 30, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Jordi Pujol GebelliJoão Batista Marchesini
Nov 8, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Amin AndalibOlivier Court
Feb 18, 2021·Cirugía española·Maria SorribasJordi Pujol-Gebellí
Jan 7, 2021·Calcified Tissue International·Julien PaccouBernard Cortet
Mar 8, 2020·NeuroImage·Andréanne MichaudAlain Dagher
Mar 22, 2021·The Surgical Clinics of North America·William Cameron Maclellan, Jason M Johnson
Aug 1, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Benjamin ClappOmar M Ghanem

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