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Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Simplified laparoscopic duodenal switch

2007; Elsevier BV; Volume: 3; Issue: 5 Linguagem: Inglês

10.1016/j.soard.2007.07.008

1878-7533

Almino Ramos, Manoel Galvão Neto, Manoela Galvão, Andrey Carlo, Edwin Canseco, Marcus Lima, Marcelo Falcão, Abel H. Murakami,

Esophageal and GI Pathology

The biliopancreatic diversion with duodenal switch, with Hess and Hess [ [1] Hess D.S. Hess D.W. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998; 8: 267-282 Crossref PubMed Scopus (662) Google Scholar ], Marceau et al. [ [2] Marceau P. Hould F.S. Simard S. et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998; 22: 947-954 Crossref PubMed Scopus (538) Google Scholar ], and Baltazar as its pioneers, has been shown to have excellent and, even, the best results in terms of the magnitude and duration of weight loss [ [3] Rabkin R.A. Distal gastric bypass/duodenal switch procedure, Roux-en-Y gastric bypass and biliopancreatic diversion in a community practice. Obes Surg. 1998; 8: 53-59 Crossref PubMed Scopus (57) Google Scholar ]. However, it is considered to be the most difficult and complex procedure when done laparoscopically [ 4 Ren C.J. Patterson E. Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000; 10: 514-523 Crossref PubMed Scopus (438) Google Scholar , 5 Jossart G. Booth D. Rabkin R. A laparoscopic procedure for biliopancreatic with diversion switch. Obes Surg. 2000; 10 (abstract): 133 Google Scholar ]. We have used a simplified laparoscopic gastric bypass procedure (2005 ASBS video) in >2000 cases that has been reproduced in Latin America, Europe, and Asia, with similar results. Because the biliopancreatic diversion with duodenal switch seems to be more effective in super-obese patients, we have also developed a simplified and possibly reproducible approach for this operation using a double-loop biliopancreatic pylorus-preserving reconstruction with a common channel of 100 cm and an alimentary limb up to 200 cm after sleeve gastrectomy over a 36F Boogie.