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World Journal of Surgery

, Volume 22, Issue 9, pp 947–954 | Cite as

Biliopancreatic Diversion with Duodenal Switch

  • P. Marceau
  • F.-S. Hould
  • S. Simard
  • S. Lebel
  • R.-A. Bourque
  • M. Potvin
  • S. Biron

Abstract. In 1990 Scopinaro’s technique of biliopancreatic diversion with distal gastrectomy (DG) and gastroileostomy was modified. A sleeve gastrectomy with duodenal switch (DS) was used instead of the distal gastrectomy; and the length of the common channel was made 100 cm instead of 50 cm. A questionnaire and a prescription for blood work were sent to 252 patients who underwent DG a mean 8.3 years ago (range 6–13 years) and 465 patients who underwent DS 4.1 years ago (range 1.7–6.0 years). The questionnaire response rate was 93%, and laboratory work was completed for 65% of both groups. The mean weight loss after DG was 37 ± 21 kg and after DS 46 ± 20 kg. There were fewer side effects after DS: The number of daily stools was lower (

p < 0.0002), as was the prevalence of diarrhea ( p < 0.01), vomiting ( p < 0.001), and bone pain ( p < 0.001). Greater benefits related to several aspects of life were reported after DS than DG ( p < 0.0001). The mean serum levels of ferritin, calcium, and vitamin A were higher ( p < 0.001), and parathyroid hormone was lower. The yearly revision rate for excessive malabsorption was 1.7% per year after DG and 0.1% per year after DS. The two procedures were equally efficient for treating co-morbid conditions such as diabetes, hypertension, and hypercholesterolemia. Biliopancreatic diversion with sleeve gastrectomy/duodenal switch and a 100-cm common limb was shown to produce greater weight loss with fewer side effects.

Keywords

Diarrhea Ferritin Parathyroid Hormone Sleeve Gastrectomy Bone Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirugie 1998

Authors and Affiliations

  • P. Marceau
    • 1
  • F.-S. Hould
    • 1
  • S. Simard
    • 1
  • S. Lebel
    • 1
  • R.-A. Bourque
    • 1
  • M. Potvin
    • 1
  • S. Biron
    • 1
  1. 1.Department of Surgery, Laval Hospital, Laval University, 2725, Chemin Sainte-Foy, Sainte-Foy, Québec, Canada G1K 7PACA

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