{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T03:22:34Z","timestamp":1790306554084,"version":"4.1.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The aim of this study was to determine the safety and efficacy of laparoscopic duodenal switch (LDS) as a treatment option in a selected group of patients with morbid obesity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective analysis of a prospective database assessed the frequency of all complications and alterations in weight, body mass index (BMI), co-morbidity and quality of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>One hundred and twenty-one patients underwent LDS between April 2003 and March 2009. Median preoperative weight was 160 kg and median BMI 55 kg\/m2. All procedures were performed laparoscopically. The in-hospital mortality rate was zero. No ileoduodenal anastomotic stenosis was encountered. There were four clinical leaks (3\u00b73 per cent) managed by laparoscopic drainage and placement of a feeding jejunostomy. Median percentage excess weight loss was 75 per cent at 12 months and 90 per cent at 24 months. Thirty-six of 40 diabetic patients had complete resolution of diabetes within 1 year. There were significant improvements in other obesity-related co-morbidity. Only a few patients developed postoperative protein deficiency, and fat-soluble vitamin deficiencies were easily managed with oral supplementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The LDS procedure is a safe and effective treatment for morbid obesity and its associated co-morbidity in selected patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.7291","type":"journal-article","created":{"date-parts":[[2010,10,21]],"date-time":"2010-10-21T13:32:20Z","timestamp":1287667940000},"page":"79-84","source":"Crossref","is-referenced-by-count":19,"title":["Outcome of laparoscopic duodenal switch for morbid obesity"],"prefix":"10.1093","volume":"98","author":[{"given":"C J","family":"Magee","sequence":"first","affiliation":[{"name":"Gravitas , PO Box 3627, Bourne End SL8 5GQ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Barry","sequence":"additional","affiliation":[{"name":"Gravitas , PO Box 3627, Bourne End SL8 5GQ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Brocklehurst","sequence":"additional","affiliation":[{"name":"Gravitas , PO Box 3627, Bourne End SL8 5GQ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Javed","sequence":"additional","affiliation":[{"name":"Gravitas , PO Box 3627, Bourne End SL8 5GQ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Macadam","sequence":"additional","affiliation":[{"name":"Gravitas , PO Box 3627, Bourne End SL8 5GQ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D D","family":"Kerrigan","sequence":"additional","affiliation":[{"name":"Gravitas , PO Box 3627, Bourne End SL8 5GQ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2011,1,1]]},"reference":[{"key":"2024093006363822100_bib1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/01.hjr.0000114707.27531.48","article-title":"The obesity epidemic, metabolic syndrome and future prevention strategies","volume":"11","author":"James","year":"2004","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"2024093006363822100_bib2","volume-title":"Tackling Obesities: The Future Choices\u2014Modelling Future Trends in Obesity & Their Impact on Health","author":"McPherson","year":"2007","edition":"2nd"},{"key":"2024093006363822100_bib3","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/SLA.0b013e3181b92480","article-title":"A prospective randomized trial of laparoscopic gastric bypass versus laparoscopic adjustable gastric banding for the treatment of morbid obesity: outcomes, quality of life, and costs","volume":"250","author":"Nguyen","year":"2009","journal-title":"Ann Surg"},{"key":"2024093006363822100_bib4","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.soard.2009.04.001","article-title":"Comparison of weight loss and body composition changes with four surgical procedures","volume":"5","author":"Strain","year":"2009","journal-title":"Surg Obes Relat Dis"},{"key":"2024093006363822100_bib5","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1001\/jama.294.15.1909","article-title":"Trends in bariatric surgical procedures","volume":"294","author":"Santry","year":"2005","journal-title":"JAMA"},{"key":"2024093006363822100_bib6","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1097\/01.sla.0000217592.04061.d5","article-title":"Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years","volume":"244","author":"Christou","year":"2006","journal-title":"Ann Surg"},{"key":"2024093006363822100_bib7","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1097\/00000658-200004000-00011","article-title":"Late outcome of isolated gastric bypass","volume":"231","author":"MacLean","year":"2000","journal-title":"Ann Surg"},{"key":"2024093006363822100_bib8","first-page":"611","article-title":"Duodenal switch provides superior weight loss in the super-obese (BMI &gt; or = 50 kg\/m2) compared with gastric bypass","volume":"244","author":"Prachand","year":"2006","journal-title":"Ann Surg"},{"key":"2024093006363822100_bib9","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1381\/096089200321593715","article-title":"Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients","volume":"10","author":"Ren","year":"2000","journal-title":"Obes Surg"},{"key":"2024093006363822100_bib10","volume-title":"Obesity: Guidance on the Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children","author":"National Institute for Health and Clinical Excellence (NICE)","year":"2006"},{"key":"2024093006363822100_bib11","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1381\/096089200321593940","article-title":"BAROS: an effective system to evaluate the results of patients after bariatric surgery","volume":"10","author":"Wolf","year":"2000","journal-title":"Obes Surg"},{"key":"2024093006363822100_bib12","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1007\/978-0-387-68062-0_36","volume-title":"Minimally Invasive Bariatric Surgery","author":"Matteotti","year":"2007"},{"key":"2024093006363822100_bib13","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.soard.2010.02.046","article-title":"Extended thromboprophylaxis reduces the incidence of post-operative venous thromboembolism in laparoscopic bariatric surgery","volume":"6","author":"Magee","year":"2020","journal-title":"Surg Obes Relat Dis"},{"key":"2024093006363822100_bib14","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.soard.2007.01.005","article-title":"Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass","volume":"3","author":"DeMaria","year":"2007","journal-title":"Surg Obes Relat Dis"},{"key":"2024093006363822100_bib15","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/0002-9610(89)90427-3","article-title":"Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment","volume":"157","author":"Sugerman","year":"1989","journal-title":"Am J Surg"},{"key":"2024093006363822100_bib16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1381\/096089298765554476","article-title":"Biliopancreatic diversion with a duodenal switch","volume":"8","author":"Hess","year":"1998","journal-title":"Obes Surg"},{"key":"2024093006363822100_bib17","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1097\/01.sla.0000090941.61296.8f","article-title":"The duodenal switch operation for the treatment of morbid obesity","volume":"238","author":"Anthone","year":"2003","journal-title":"Ann Surg"},{"key":"2024093006363822100_bib18","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1007\/s002689900498","article-title":"Biliopancreatic diversion with duodenal switch","volume":"22","author":"Marceau","year":"1998","journal-title":"World J Surg"},{"key":"2024093006363822100_bib19","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0039-6060(96)80111-5","article-title":"Biliopancreatic diversion for obesity at eighteen years","volume":"119","author":"Scopinaro","year":"1996","journal-title":"Surgery"},{"key":"2024093006363822100_bib20","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1381\/096089298765555060","article-title":"Distal gastric bypass\/duodenal switch procedure, Roux-en-Y gastric bypass and biliopancreatic diversion in a community practice","volume":"8","author":"Rabkin","year":"1998","journal-title":"Obes Surg"},{"key":"2024093006363822100_bib21","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.jamcollsurg.2006.08.020","article-title":"Pulmonary embolism complicating bariatric surgery: detailed analysis of a single institution's 24-year experience","volume":"203","author":"Carmody","year":"2006","journal-title":"J Am Coll Surg"},{"key":"2024093006363822100_bib22","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/01.sla.0000129280.68540.76","article-title":"A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch","volume":"240","author":"Dolan","year":"2004","journal-title":"Ann Surg"},{"key":"2024093006363822100_bib23","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1038\/oby.2005.32","article-title":"Criteria for patient selection and multidisciplinary evaluation and treatment of the weight loss surgery patient","volume":"13","author":"Saltzman","year":"2005","journal-title":"Obes Res"},{"key":"2024093006363822100_bib24","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.gassur.2003.09.020","article-title":"Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery","volume":"8","author":"Slater","year":"2004","journal-title":"J Gastrointest Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.7291","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/98\/1\/79\/59442258\/bjs7291.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/98\/1\/79\/59442258\/bjs7291.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T06:39:59Z","timestamp":1727678399000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/98\/1\/79\/6142243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1,1]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2011,1,1]]},"published-print":{"date-parts":[[2011,1,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.7291","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2011,1]]},"published":{"date-parts":[[2011,1,1]]}}}