32 Laparoscopic Malabsorptive Procedures: Technique of Duodenal Switch
Sleeve gastrectomy ensures restriction in the amount of calories taken by the mouth.
The functional shortening capacity of the small bowel reduces the absorption capacity of the latter since the exchange surface is smaller. Moreover fat can only be digested once the biliary and pancreatic juices are mixed with the food, which obviously occurs only quite distally. Different types of laparoscopic duodenoileostomy and jejunoileostomy are described in this chapter. The chapter is finally written to allow the reader to perform the laparoscopic duodenal switch step by step.
KeywordsDuodenal switch Biliopancreatic diversion Sleeve gastrectomy Laparoscopy Technique
Technique of duodenal switch (MPG 144230 kb)