Weight Loss and Nutritional Outcomes 10 Years after Biliopancreatic Diversion with Duodenal Switch
- Resource Type
- Authors
- Philippe Topart; Jacques Delarue; Guillaume Becouarn
- Source
- Obesity surgery. 27(7)
- Subject
- Vitamin
Adult
Male
Reoperation
medicine.medical_specialty
Pediatrics
Duodenum
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
Nutritional Status
030209 endocrinology & metabolism
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Weight loss
Weight Loss
medicine
Humans
Obesity
Biliopancreatic Diversion
Vitamin supplementation
Nutrition and Dietetics
business.industry
Anastomosis, Surgical
Avitaminosis
Vitamins
Middle Aged
medicine.disease
University hospital
Duodenal switch
Surgery
Malnutrition
chemistry
Private practice
Dietary Supplements
030211 gastroenterology & hepatology
Female
Hyperparathyroidism, Secondary
medicine.symptom
business
Follow-Up Studies
- Language
- ISSN
- 1708-0428
Biliopancreatic diversion with duodenal switch (BPD/DS) is the most effective bariatric surgical procedure, but major concerns exist about the nutritional consequences. The study reported weight loss and nutritional outcomes of 80 patients with a follow-up of at least 10 years. The follow-up was conducted at a university hospital as well as in a private practice institution in France. Eighty patients operated on between February 2002 and May 2006 were reviewed. Weight outcomes were analyzed as well as complete biological status. Revisions were reported as well as the number of patients taking vitamin supplementation. A follow-up of 141 ± 16 months was available for 87.7% of the patients at least 10 years from surgery. Preoperative BMI decreased from 48.9 ± 7.3 to 31.2 ± 6.2 kg/m2 with an EWL of 73.4 ± 26.7% and a TWL of 35.9% ± 17.7%. Despite weight regain ≥10% of the weight loss in 61% of the cases, 78% of the patients maintained a BMI 100 ng/mL were significantly associated with the absence of vitamin supplementation. BPD/DS maintains a significant weight loss, but remains associated with side effects leading to revision and multiple vitamin deficiencies. The most severe deficiencies are related to the lack of supplementation compliance.