A Clinical and Nutritional Comparison of Biliopancreatic Diversion With and Without Duodenal Switch

Dolan, Kevin; Hatzifotis, Michael; Newbury, Leyanne; Lowe, Nadine; Fielding, George

doi:10.1097/01.sla.0000129280.68540.76

Cited by 149 publications

(63 citation statements)

References 19 publications

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“…The DS diminishes the most severe complications of BPD, including dumping syndrome and peptic ulceration of the anastomosis [125]. Sleeve gastrectomy spares the lesser curvature, vagus nerves, and pylorus, in contrast to the original distal gastrectomy, although theoretical beneficial effects on eating behavior, weight loss, and side effects are not universally reported [125,126]. The laparoscopic approach decreases wound complications, pain, and hospital length of stay [127].…”

Section: Surgical Techniques and Outcomesmentioning

confidence: 97%

“…For example, visits at 2 and 6 weeks, then quarterly for the first year, biannually for the second year, and annually thereafter would be one acceptable strategy [126,131]. Assessments are made by both the surgeon and the nutritionist, and biochemical surveillance by complete blood count, chemical metabolic profile, and parathormone level is performed at intervals.…”

Section: Postoperative Assessmentmentioning

confidence: 99%

“…DS allows patients two-thirds of their preoperative BPD ± DS biliopancreatic diversion with or without duodenal switch, RGB Roux-en-Y gastric bypass, AGB adjustable gastric banding a 42 patients with 8-year follow-up and band not removed [146] dietary volume without specific food intolerances. Between 70% and 98% of the patients maintain normal serum albumin 3 years after surgery [29,126]. Diarrhea is a frequent chronic complication of BPD.…”

Section: Complicationsmentioning

confidence: 99%

“…Diarrhea is a frequent chronic complication of BPD. A common channel length of 50 cm is associated with reports of diarrhea in most patients [126], whereas a length of 100 cm is not [29]. Iron deficiency is common, with 6% of patients experiencing serious iron deficiency anemia (hemoglobin \10 mg/dl) [152].…”

Section: Complicationsmentioning

confidence: 99%

See 3 more Smart Citations

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Farrell

Haggerty²,

Overby

et al. 2009

Surg Endosc

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Section: Surgical Techniques and Outcomesmentioning

confidence: 97%

Section: Postoperative Assessmentmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Farrell

Haggerty²,

Overby

et al. 2009

Surg Endosc

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show abstract

“…Protein-calorie malnutrition is recognized by signs such as hypoalbuminemia, oedema, anaemia and hair loss. Hypoalbuminemia has been demonstrated in 3.4-18.0 % of patients post-BPD and duodenal switch [113,114].…”

Section: Potential Mechanisms Of Bone Loss After Bariatric Surgerymentioning

confidence: 99%

Bariatric Surgery and Bone Loss: Do We Need to Be Concerned?

Brzozowska

Sainsbury

Eisman

et al. 2014

Clinic Rev Bone Miner Metab

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Despite significant improvement in weight and comorbid conditions, there is growing evidence that bariatric surgery may exert a negative effect on the skeleton. This review has focused on the impact of bariatric surgery on bone health, with the concern that bariatric surgery may increase skeletal fragility and fracture risk by accelerating bone loss. We have highlighted studies evaluating changes in bone metabolism after three commonly performed bariatric procedures including laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass surgery and increasingly popular sleeve gastrectomy. This review has also discussed some of the technical issues faced in measuring bone in obese populations and during dynamic weight loss. There is limited evidence regarding potential mechanisms for the reported observations of increased bone turnover and/or bone loss after bariatric surgery. We have reviewed the evidence surrounding potential factors affecting bone health in bariatric patients such as rapid weight loss per se, nutritional deficiencies, effects of fat-derived adipokines and gut-derived appetite-regulatory hormones. Future prospective long-term cohort studies are needed to define how to quantify bone loss in individuals with obesity, particularly following massive weight loss, and for how long the bone changes continue. These studies will help clarify any negative clinical consequences of these changes, including future fracture risk in this unique group of patients. IntroductionThe prevalence of obesity worldwide has increased significantly in recent decades because of a complex range of environmental and possibly also epigenetic factors. Obesity is associated with increased mortality [1] with reduced life expectancy, especially amongst people affected from young adulthood [2], as well as multiple comorbidities including type 2 diabetes, hyperlipidemia, sleep apnoea, malignancy and decreased quality of life [3].The medical management of obesity is limited by the variable, limited response to treatment, suboptimal compliance and adverse effects of antiobesity medications. At present, the only effective, long-term treatment for obesity remains bariatric surgery, which results in substantial and sustained weight loss, significant reductions in comorbid conditions, and prolonged longevity [4]. In fact, the utilization of bariatric surgery as a therapeutic approach to morbid obesity has increased two and a half-fold worldwide between 2003 and 2011 [5].Although many studies have demonstrated the short-and long-term efficacy of bariatric surgery for weight loss, there are limited data regarding any long-term side effects of these procedures. Recently, there has been an increased focus on the impact of bariatric surgery on bone metabolism, with the concern that bariatric surgery may increase skeletal fragility and fracture risk by accelerating bone loss.The majority of research performed in this area has been cross-sectional and provides little evidence as to the possible mechanisms for any observed abnormal...

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Five-Year Outcomes After Laparoscopic Gastric Bypass and Laparoscopic Duodenal Switch in Patients With Body Mass Index of 50 to 60

et al. 2015

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A Clinical and Nutritional Comparison of Biliopancreatic Diversion With and Without Duodenal Switch

Abstract: DS does not improve weight loss or lessen the gastrointestinal or nutritional side effects of BPD.

Cited by 149 publications

References 19 publications

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Clinical application of laparoscopic bariatric surgery: an evidence-based review

Bariatric Surgery and Bone Loss: Do We Need to Be Concerned?

Five-Year Outcomes After Laparoscopic Gastric Bypass and Laparoscopic Duodenal Switch in Patients With Body Mass Index of 50 to 60

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