Abstract
t t t a g c The duodenal switch (DS) is an alternative operation to he Scopinaro biliopancreatic diversion. Hess and Hess [1] erformed the first case in March 1988 in 1 woman with a ody mass index (BMI) of 60 kg/m and a BMI of 29 kg/m 7 years later. Marceau et al. [2] published the first report on he procedure, followed by Baltasar et al. [3,4], who pubished additional series. Ren et al. [5] performed the first aparoscopic DS (LDS) in July 1999 and Baltasar et al. [6,7] ublished the second world experience. The LDS used in our technique is a laparoscopic sleeve astrectomy with 60-cm gastric volume and a pylorusreserving biliopancreatic diversion with a common chanel (CC) of 65 cm, an alimentary loop (AL) of 185 cm and he remaining biliopancreatic loop (BPL) as the proximal mall bowel.
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