Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy: proposed technique.
Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy is a new bariatric technique based on the biliopancreatic diversion with duodenal switch in which after the sleeve gastrectomy, the duodenum is anastomosed to the ileum in a Billroth-II fashion. A 200-cm common channel-alimentary limb is devised. Anticipating an appropriate weight loss, at least similar to that obtained after gastric bypass, theoretical benefits for operated patients are a shorter operative time, the performance of only one anastomosis, and no mesentery opening. A prospective trial is now being conducted to find out the results of the procedure and to compare them to those obtained with gastric bypass and standard duodenal switch.
Department of Surgery, Hospital Clínico San Carlos, Servicio de Cirugía 2, 7a planta, ala Norte, c/Martín Lago s/n, Madrid 28040, Spain. asanchezp.hcsc@salud.madrid.org
Andrés
A
Sánchez-Pernaute
Miguel Angel
MA
Rubio Herrera
Elia
E
Pérez-Aguirre
Juan Carlos
JC
García Pérez
Lucio
L
Cabrerizo
Luis
L
Díez Valladares
Cristina
C
Fernández
Pablo
P
Talavera
Antonio
A
Torres
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D015904:Biliopancreatic Diversion / Q000379:methods; D003974:Diatrizoate Meglumine; D004386:Duodenum / Q000000981:diagnostic imaging / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery*; D009767:Obesity, Morbid / Q000601:surgery*; D011859:Radiography; D017792:Surgical Stapling
D003974:Diatrizoate Meglumine