Bariatric Times

ICCDS-1 2016

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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B8 Bariatric Times • November 2016 • Supplement B FIRST INTERNATIONAL CONSENSUS CONFERENCE ON DUODENAL SWITCH follow up, almost 30 percent developed a significant nutritional deficiency, mostly in iron profiles or calcium/vitamin D metabolism. These deficiencies were all treatable and less than five and 2.5 percent of patients required parenteral nutritional support or lost "excess weight," respectively, in this long-term follow up period. We were surprised that a significant percentage of our patients eventually required a cholecystectomy in the follow-up period, as this was not our initial impression in shorter time frame. 8 This may be related to an altered entero-hepatic reabsorption of bile salts. It can certainly have important clinical ramifications as the common bile duct is not accessible to endoscopic retrograde cholangiopancreatography (ERCP) in BPD/DS. Table 3. Pre- and Post-surgery SF-36 Scores at Follow Up YEAR (N) 0 (43) 1 (22) 3 (24) 5 (19) 7 (23) 9 (30) P VALUE COMMUNITY N ORMS Physical f unction 49.3±27.4 84.3±28.0 88.6±18.8 85.9±24.2 82.2±19.9 85.2±20.7 0.0001 84.2±23.3 P hysical role 5 0.6±41.7 8 7.5±30.6 7 7.3±35.3 8 0.9±37 8 9.1±27.0 8 3.3±32.4 0 .021 8 0.9±43.0 Body pain 53.0±26.0 74.7±25.4 67.5±29.9 65.8±32.2 70.7±30.1 71.4±24.1 <.0001 75.2±23.7 General health 44.4±20.4 72.5±25.2 70.1±23.2 67.9±28.6 68.8±29 74.3±20.5 <.0001 71.9±20.3 Vitality 45.6±21.5 65.5±21.2 61.8±24.1 50±26 57.4±26.2 60.8±21.8 0.0079 60.9±21.0 Social function 62.8±27.1 83.0±25.5 80.7±20.3 72.8±36 85.3±26.8 85.4±21.0 0.0079 83.3±22.7 Emotional role 68.2±39.1 72.7±38.0 68.2±41.8 82.4±39.3 81.8±36.7 94.4±19.7 0.041 81.3±33.0 Mental health 64.2±16.7 66.5±23.0 69.5±19.5 60.0±26.0 74.6±15.2 77.1±19.5 0.0224 74.7±18.1 Reprinted with permission from Strain GW, Torghabeh MH, Gagner M, et al. The impact of biliopancreatic diversion with duodenal switch (BPD/DS) over 9 years. Obes Surg. 2016 Sep 29. [Epub ahead of print ] Table 4. Impact of Weight on Quality of Life-Lite Scores by Follow-up Year. DOMAINS BASELINE [N=38] YEAR 1 [N=22] YEAR 3 [N=28] YEAR 5 [N=18] YEAR 7 [N=19] YEAR 9 [N=30] COMMUNITY NORMS P VALUES # Physical function 36.8±24.9 84.6±23.4 86.7±85.0 85.0±25.5 89.0±12.7 89.6±9.8 90.0±14.9 <0.0001 Self esteem 34.8±26.0 77.9±30.7 82.7±24.9 79.2±29.0 90.2±20.1 87.6±19.9 87.5±19.4 <0.0001 Sexual life 44.1±27.7 82.7±24.8 84.2±26.0 74.2±36.3 75.0±31.5 86.5±25.9 95.1±13.0 <0.0001 Public distress 39.3±26.6 84.5±26.9 90.6±22.5 90.3±22.7 93.4±15.3 94.7±13.5 96.5±10.9 <0.0001 Work 48.8±29.2 86.6±26.7 90.3±24.1 87.5±24.7 93.1±16.8 97.7±12.6 95.4±11.5 <0.0001 Total 38.6±21.7 82.4±25.6 85.9±19.7 82.2±25.3 88.7±15.0 90.6±12.3 91.8±12.0 <0.0001 # ANOVA of Cohorts Reprinted with permission from Strain GW, Torghabeh MH, Gagner M, et al. The impact of biliopancreatic diversion with duodenal switch (BPD/DS) over 9 years. Obes Surg. 2016 Sep 29. [Epub ahead of print ]

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