Derivación biliopancreática laparoscópica para el tratamiento de la obesidad mórbida. Aspectos técnicos y análisis de los resultados preliminares

Solano, Jorge; Resa, José Joaquín; Fatás, José Antonio; Blas, Juan Luís; García, Alejandro; Escartín, Jorge; Monzón, Andrés; Lagos, Javier

doi:10.1016/s0009-739x(03)72257-x

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…The bowel surgery of the BPD is easier in the SO patient than the infra diaphragmatic of the SFG. Spanish surgeons made signifi cant contributions on BPD such as Larrad [75,76], Solano [77], Ballesteros [78], Hoyuela [79], on the 90s. Recently Sánchez-Pernaute [80], proposed the now popular LDS of a single anastomosis (SADI).…”

Section: Ds Done By Stagesmentioning

confidence: 99%

A Switch to the Duodenal Switch

Baltasar¹,

Pérez²,

Bou³

et al. 2019

Glob J Obes Diabetes Metab Syndr

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Background: Duodenal Switch (DS) is a procedure that combines a Sleeve-Forming Gastrectomy (SFG) plus a biliopancreatic diversion (BPD) for the treatment of morbid obesity (MO) with a higher weight loss and resolution of comorbidities Objectives: Report our experience with 950 consecutive DS operations performed from 1994 to 2016. Setting: Mix of teaching and private institution in a county hospital of Spain. Methods: We report an observational, retrospective and longitudinal study of 950 consecutive morbidly obese patients treated by DS surgery. Results: We performed 518 open and 432 laparoscopic DS. Operative mortality was 0.84% (1.38% in DS and 0.38% in LDS), 4.84% had leaks, two had hepatic failures (0.2%) and malnutrition was present in 3.1%. At 5 years, the percentage of BMI lost was 80%, and percentage of expected BMI loss was more than 100%. Conclusions: DS is the most aggressive bariatric surgery (BS) technique, but with the best long-term weight loss. We describe operative complications and long-term follow-up guidelines.

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Section: Ds Done By Stagesmentioning

confidence: 99%