Andrés Sánchez-Pernaute1, Miguel Angel Rubio Herrera2, Elia Pérez-Aguirre1, Juan Carlos García Pérez1, Lucio Cabrerizo2, Luis Díez Valladares1, Cristina Fernández3, Pablo Talavera1, Antonio Torres1
1Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain
2Department of Endocrinology, Hospital Clínico San Carlos, Madrid, Spain
3Department of Epidemiology, Hospital Clínico San Carlos, Madrid, Spain
Tóm tắt
Proximal duodenal–ileal end-to-side bypass with sleeve gastrectomy is a new bariatric technique based on the biliopancreatic diversion with duodenal switch in which after the sleeve gastrectomy, the duodenum is anastomosed to the ileum in a Billroth-II fashion. A 200-cm common channel-alimentary limb is devised. Anticipating an appropriate weight loss, at least similar to that obtained after gastric bypass, theoretical benefits for operated patients are a shorter operative time, the performance of only one anastomosis, and no mesentery opening. A prospective trial is now being conducted to find out the results of the procedure and to compare them to those obtained with gastric bypass and standard duodenal switch.