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dc.contributor.authorMerz, Alexa E
dc.contributor.authorBlackstone, Robin B
dc.contributor.authorGagner, Michel
dc.contributor.authorTorres, Antonio J
dc.contributor.authorHimpens, Jacques
dc.contributor.authorHiga, Kelvin D
dc.contributor.authorRosenthal, Raul J
dc.contributor.authorLloyd, Aaron
dc.contributor.authorDeMaria, Eric J
dc.date.accessioned2019-09-11T19:42:59Z
dc.date.available2019-09-11T19:42:59Z
dc.date.issued2019-06-01
dc.identifier.citationMerz, A. E., Blackstone, R. B., Gagner, M., Torres, A. J., Himpens, J., Higa, K. D., ... & DeMaria, E. J. (2019). Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel. Surgery for Obesity and Related Diseases.en_US
dc.identifier.issn1550-7289
dc.identifier.pmid31076367
dc.identifier.doi10.1016/j.soard.2019.03.009
dc.identifier.urihttp://hdl.handle.net/10150/634154
dc.description.abstractBackground: Duodenal switch (BPD/DS) is gaining popularity as a secondary procedure for inadequate weight loss after an initial operation. Objectives: We aimed to generate expert consensus points on the appropriate use of BPD/DS in the revisional bariatric surgical setting. Setting: Data were gathered at an international conference with attendees from a variety of different institutions and settings. Methods: Sixteen lines of questioning regarding revisional BPD/DS were presented to an expert panel of 29 bariatric surgeons. Current available literature was reviewed extensively for each topic and proposed to the panel before polling. Responses were collected and topics defined as achieving consensus (>= 70% agreement) or no consensus (<70% agreement). Results: Consensus was present in 10 of 16 lines of questioning, with several key points most prominent. Conclusions: As a second-stage procedure, BPD/DS is most appropriate after sleeve gastrectomy (SG) for the treatment of super morbid obesity (96.7% agree) or as a subsequent operation for a reliable patient with insufficient weight loss after SG (88.5%). In a patient with weight regain and reflux and/or enlarged fundus after SG, Roux-en-Y gastric bypass is preferable and BPD/DS should be avoided (90%). BPD/DS should not be used prophylactically in patients with a history of jejunoileal bypass who are otherwise doing well (80.8%). Applicability of BPD/DS is limited by technical difficulty; 86.2% of experts would routinely recommend or consider the procedure if it were more technically feasible after failed bypass. No consensus was found on approaches to revision of BPD/DS for protein malnutrition. (C) 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.en_US
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.rightsCopyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectDuodenal switchen_US
dc.subjectExpert consensusen_US
dc.subjectObesityen_US
dc.subjectRevisional bariatric surgeryen_US
dc.titleDuodenal switch in revisional bariatric surgery: conclusions from an expert consensus panelen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Banner Univ, Dept Gen Surgen_US
dc.contributor.departmentUniv Arizona, Banner Univ, Inst Obes & Metab Disordersen_US
dc.identifier.journalSURGERY FOR OBESITY AND RELATED DISEASESen_US
dc.description.note12 month embargo; published online: 1 June 2019en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery


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