New Article: VBG + DS

[Guest guest]

Check this out. This is a new article published in October. I haven't gotten

the article yet, but the abstract is pretty interesting. I do find it

interesting that it is from a Russion hospital. I don't know much about the DS

west of Spain.

It might be of some help to some people when dealing with insurance approvals.

If this article shows that the DS is effective in correcting a failed previous

surgery - and this is not the first article to state that - then why have the

other surgery in the first place? (p.s. That is a rhetorical question, but

worth asking an insurance company.)

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1: Obes Surg 2001 Oct;11(5):635-9

Improvement of weight loss and metabolic effects of vertical banded gastroplasty

by an added duodenal switch procedure.

Yashkov YI, Oppel TA, Shishlo LA, Vinnitsky LI.

Dept. of Liver, Bile Ducts and Pancreatic Surgery, Russian Research Center of

Surgery RAMS, Moscow, Russia. yu.yashkov@...

BACKGROUND: Some patients who underwent vertical banded gastroplasty (VBG) need

revisional operations because of poor weight loss and remaining comorbidities.

The duodenal switch (DS) procedure with partial gastrectomy is known as an

effective method for treatment of severe obesity and related dyslipoproteinemias

and diabetes mellitus type 2 (DM2). Other investigations have shown that DS

without gastric resection similarly corrects hypercholesterolemia and DM2 in the

" less than " morbidly obese patients. METHODS: Based on this knowledge, we

performed a DS simultaneously with hernioplasty and panniculectomy in a

63-year-old woman with a fair EWL (36.4%), with remaining hypercholesterolemia

and DM2 4 years after VBG. The pouch stoma diameter was 13 mm, and there was no

pouch dilation nor staple-line disruption. The previously partitioned stomach

was left in place. H2-blockers and polyvitamins were prescribed after operation.

RESULTS: 1 year after DS there were no postoperative complications and

undesirable effects except slight anemia. DS allowed improvement in weight loss,

improved carbohydrate handling without need for insulin or other hypoglycemic

agents, and corrected severe hypercholesterolemia. CONCLUSION: DS per se in the

case presented had a decisive effect on DM2 and hypercholesterolemia. DS should

be kept in mind as a second-step malabsorptive procedure after a failed purely

restrictive operation.

PMID: 11594110 [PubMed - in process]

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in SF

YM: mariak415

ICQ: 129363427

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