A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional
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November 2016 • Supplement B • Bariatric Times B29 FIRST INTERNATIONAL CONSENSUS CONFERENCE ON DUODENAL SWITCH monitor and manage nutritional deficiencies, regular follow up and s upplementation with appropriate macro and micronutrients is recommended. Please see Table 2 for additional vitamin and mineral deficiencies. C onclusions. The long-term risks of malnutrition and nutritional deficiencies exist but are usually manageable with medical treatment and only seldom require reoperation. Therefore, surgeons should not deny patients BPD-DS solely based on the fear of malnourishment. However providing high-quality and long- term care is essential. REFERENCES 1 . Marceau P, Hould FS, Simard S, Lebel S, Bourque RA, Potvin M, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947–954. 2. Marceau P, Biron S, Hould FS, Lebel S, Marceau S, Lescelleur O, et al. Duodenal switch improved standard biliopancreatic diversion: a retrospective study. Surg Obes Relat Dis. 2009;5(1):43–47. 3. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514–523; d iscussion 524. 4. Sudan R, Puri V, Sudan D. Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc. 2007;21(5):729–733. 5. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-- 2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for M etabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013;9(2):159–191. 6. Biertho L, Biron S, Hould FS, Lebel S, Marceau S, Marceau P. Is biliopancreatic diversion with duodenal switch indicated for patients with body mass index <50 kg/m2? Surg Obes Relat Dis. 2010;6(5):508–514. 7. Sudan R, Kasotakis G, Betof A, Wright A. Sleeve gastrectomy strictures: technique for robotic- assisted strictureplasty. Surg Obes Relat Dis. 2010;6(4):434–436. 8. Wasserberg N, Hamoui N, Petrone P, Crookes PF, Kaufman HS. Bowel habits after gastric bypass versus the duodenal switch operation. Obes Surg. 2008;18(12):1563–1566. 9. Marceau P, Biron S, Lebel S, Marceau S, Hould FS, Simard S, et al. Does bone change after biliopancreatic diversion? J Gastrointest Surg. 2002;6(5):690–698.