Title
Is There a Better Design for a Bariatric Procedure? The Case for a Single Anastomosis Duodenal Switch
Publication Date
2018
Journal Title
Obes Surg
Abstract
© 2018, Springer Science+Business Media, LLC, part of Springer Nature. The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with moderate protein and unsaturated fat. Roux-en-Y gastric bypass promotes glucose variability which can be harmful for health and encourage weight regain. Classic duodenal switch with short common channels may prevent absorption of measurable fat-soluble vitamins and frequently untested essential fatty acids. The purpose of this review is to discuss these factors and explain why single anastomosis duodenal switch reduces glucose variability, allows for absorption of critical fats and fat-soluble vitamins, and has potential to offer better weight loss and metabolic outcomes.
Volume Number
28
Issue Number
12
Pages
4077-4086
Document Type
Article
Status
Faculty; Northwell Researcher; Northwell Resident
Facility
School of Medicine; Northwell Health
Primary Department
Surgery
PMID
DOI
10.1007/s11695-018-3535-y