Total Gastrectomy for Complications of the Duodenal Switch, with Reversal

Abstract

TG successfully treated all 9 cases with life-threatening complications and difficult reinterventions after DS, without mortality. Restoration of bowel anatomy was done in all cases, with good final results.

The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007

“…One case of gastric atony was treated by total gastrectomy [48]. There were two cases of trocar-site bleeding out of 146 patients, controlled by suture.…”

Bariatric postoperative fistula: a life-saving endoscopic procedure

“…The number of stricturotomy and achalasia balloon dilation sessions ranged from 1 to 6, with an average of less than two sessions, which provided rapid closure of the fistula; rather, rapid resolution of the signs and symptoms of the fistula (average 18.11 days) with earlier hospital discharge than reported in the literature [1,16].…”

Four Decades of Bariatric Surgery in a Community Hospital of Spain

“…During these years, our publications described gastric emptying after DS [52], as well as pancreatocutaneous fistula [53], cardiac tamponade by central catheter [54], hepatic impairment [55,56], liver failure and transplant [57], total gastrectomy [58], and different types of DS reversal [59]. Thirty patients (3.2%) of the 923 DS patients studied underwent a bowel lengthening for malnutrition.…”

“…At the IFSO-2000 meeting in Genoa, Italy we presented our use of the 1 w non-removable stent [67]. At that time removable-ones were not available, and so we used a non-removable Wall-stent that saved the patient's life and that lasted 6 months until esophageal hypertrophy of the mucosa caused obstruction of the esophagus requiring a total gastrectomy with intrathoracic anastomosis [58]. Serra et al published our experience in selfexpanding stents [68].…”