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.
Sánchez-Pernaute
Andrés
A
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
Rubio Herrera
Miguel Angel
MA
Pérez-Aguirre
Elia
E
García Pérez
Juan Carlos
JC
Cabrerizo
Lucio
L
Díez Valladares
Luis
L
Fernández
Cristina
C
Talavera
Pablo
P
Torres
Antonio
A
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