Outcome of laparoscopic duodenal switch for morbid obesity.

Abstract

BACKGROUND:

The aim of this study was to determine the safety and efficacy of laparoscopic duodenal switch (LDS) as a treatment option in a selected group of patients with morbid obesity.

METHODS:

This retrospective analysis of a prospective database assessed the frequency of all complications and alterations in weight, body mass index (BMI), co-morbidity and quality of life.

RESULTS:

One hundred and twenty-one patients underwent LDS between April 2003 and March 2009. Median preoperative weight was 160 kg and median BMI 55 kg/m(2). All procedures were performed laparoscopically. The in-hospital mortality rate was zero. No ileoduodenal anastomotic stenosis was encountered. There were four clinical leaks (3·3 per cent) managed by laparoscopic drainage and placement of a feeding jejunostomy. Median percentage excess weight loss was 75 per cent at 12 months and 90 per cent at 24 months. Thirty-six of 40 diabetic patients had complete resolution of diabetes within 1 year. There were significant improvements in other obesity-related co-morbidity. Only a few patients developed postoperative protein deficiency, and fat-soluble vitamin deficiencies were easily managed with oral supplementation.

CONCLUSION:

The LDS procedure is a safe and effective treatment for morbid obesity and its associated co-morbidity in selected patients.

• Authors: C J Magee, J Barry, J Brocklehurst, S Javed, R Macadam, D D Kerrigan
• Journal: The British journal of surgery (Br J Surg) Vol. 98 Issue 1 Pg. 79-84 (Jan 2011) ISSN: 1365-2168 [Electronic] England
• PMID: 20967827 (Publication Type: Journal Article)
• Copyright: Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

Topics

• Adult
• Anastomosis, Surgical
• Body Mass Index
• Duodenum (surgery)
• Female
• Gastrectomy (methods)
• Hospital Mortality
• Humans
• Ileostomy (methods)
• Laparoscopy (adverse effects, methods)
• Longevity
• Male
• Middle Aged
• Obesity, Morbid (mortality, surgery)
• Postoperative Care
• Postoperative Complications (etiology)
• Quality of Life
• Retrospective Studies
• Treatment Outcome
• Weight Loss