TITLE:
Transit Bipartition with Duodeno-Ileal Anastomosis, without Duodenal Exclusion, as a First Stage of Bariatric Surgery in Severely Obese Patients: Case Report
AUTHORS:
Paulo Reis Esselin de Melo, Thonya Cruz Braga, Danilo Fossalussa Minari, José Humberto Cardoso Resende
KEYWORDS:
Bariatric Surgery, Biliopancreatic Diversion, Gastric Bypass, Duodenal Switch
JOURNAL NAME:
Surgical Science,
Vol.13 No.11,
November
22,
2022
ABSTRACT: Obesity is a difficult disease to control; bariatric surgery is one of
the tools used to treat obesity and its comorbidities. The present case was
chosen because it concerns a very obese patient whose proposed surgery—duodenal switch—resulted in traoperatively difficult to the medical team because
the esophagogastric junction could
not be reached due to the presence of hepatomegaly. Due to this unfavorable
condition, we decided to perform a duodeno-ileal anastomosis with gastric
preservation and without duodenal exclusion. The patient has been under
follow-up for 14 years. She has lost 55 kg and maintains the comorbidities
controlled to date.