Duodenal switch: an effective therapy for morbid obesity--intermediate results.
BACKGROUND
The duodenal switch (DS) is a variant of the biliopancreatic diversion (BPD), with a vertical subtotal gastrectomy and pylorus preservation.


METHODS
DS was used to treat morbid obesity in 125 patients, with mean BMI 50, with 65% of the patients super obese (SO). Patients have been followed for an intermediate period.


RESULTS
The percentage of excess weight loss (%EWL) was > 70% at 1 year, and reached 81.4% at 5 years when 97% of the patients had a %EWL > 50%. Comorbidities were cured or improved in all patients.


CONCLUSIONS
DS was very effective for the treatment of the morbid obesity in the SO patients.
Baltasar
A
A
Surgical Service, Virgen de los Lirios Hospital, Alcoy, Alicante, Spain. abaltasar@seco.org
Bou
R
R
Bengochea
M
M
Arlandis
F
F
Escrivá
C
C
Miró
J
J
Martínez
R
R
Pérez
N
N
D000293:Adolescent; D000328:Adult; D000368:Aged; D015904:Biliopancreatic Diversion / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D015992:Body Mass Index; D004942:Esophagitis, Peptic / Q000209:etiology / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D011178:Postgastrectomy Syndromes / Q000209:etiology / Q000517:prevention & control; D011502:Protein-Energy Malnutrition / Q000209:etiology; D012086:Reoperation; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D015431:Weight Loss