Total gastrectomy for complications of the duodenal switch, with reversal.

Total gastrectomy for complications of the duodenal switch, with reversal. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Total gastrectomy for complications of the duodenal switch, with reversal. Abstract Text:

Carlos Serra,Aniceto Baltasar,Nieves ,Rafael Bou,Marcelo Bengochea,

BACKGROUND: Duodenal switch (DS) is one of the most effective techniques for the treatment of morbid obesity and its related co-morbidities, with mortality rates of <1%, but with 9.4% morbidity rates (6.5% due to leaks). We present our experience with 9 patients operated with a DS, who later underwent total gastrectomy (TG) for complications of the sleeve gastrectomy. METHODS: From 1994 to March 2006, 846 patients underwent the DS. 9 patients (1%) underwent TG; 5 were due to gastric leak at the angle of His, 2 were related to leakage at the doudeno-ileal anastomosis (DIA), 1 was for stenosis of the gastric sleeve, and 1 for a gastroparesis. In 3 cases, the DS was the second bariatric operation. Full restoration of bowel anatomy was attempted in all patients. RESULTS: TG has been the final solution for gastric complications of the DS in 9 (1%) of our 846 patients. In all cases, bowel anatomy has been restored, and there was no mortality. Postoperative courses have been difficult and hospital stays have been long in all patients (mean 4.5 months; range 1-10 months), with several episodes of re-do surgery after the TG. The actual BMI and %EBMIL are acceptable. CONCLUSIONS: 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.

Total gastrectomy for complications of the duodenal switch, with reversal. Publishing Authors By Initials

C Serra,A Baltasar,N ,R Bou,M Bengochea,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Total gastrectomy for complications of the duodenal switch, with reversal. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Obesity surgery

VOLUME: 16

Page Numbers: 1082-6

Journal Abbreviation:

ISSN: 0960-8923

DAY: 5

MONTH: Aug

YEAR: 2006

Total gastrectomy for complications of the duodenal switch, with reversal. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9106714

Total gastrectomy for complications of the duodenal switch, with reversal. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Total gastrectomy for complications of the duodenal switch, with reversal. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Total gastrectomy for complications of the duodenal switch, with reversal.

AFFILIATION: Servicio de Cirugía General, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain. serra_car@gva.es

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Obes Surg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Total gastrectomy for complications of the duodenal switch, with reversal Related Publications

• Clinical hepatic impairment after the duodenal switch.
• Comparative analysis of vertical banded gastroplasty and duodenal switch at five years follow-up.
• Re-sleeve gastrectomy.
• Total gastrectomy for complications of the duodenal switch, with reversal.
• [Plan for preventive dentistry]