ASSESSMENT OF DUODENAL SWITCH PROCEDURE AS A TREATMENT OPTION FOR DUODENOGASTRIC REFLUX

Zaghloul, Nasser; Fouad, Yasser

doi:10.21608/ejsur.2011.367354

ASSESSMENT OF DUODENAL SWITCH PROCEDURE AS A TREATMENT OPTION FOR DUODENOGASTRIC REFLUX

Document Type : Original Article

Authors

Nasser Zaghloul ¹
Yasser Fouad ²

¹ Department of Surgery, Faculty of Medicine, Minia University, Egypt

² Department of Tropical medicine, Faculty of Medicine, Minia University, Egypt

10.21608/ejsur.2011.367354

Abstract

Aim: Duodenogastric reflux is a common healthy problem and duodenal switch (DS) has been found to be a
useful operation for treatment of this abnormal primary and pathologic problem.
Objective: Assessment the efficacy of the duodenal switch procedure as a treatment option for primary and
pathologic duodenogastric reflux (DGR).
Methods: Over a period of 3 years, 6 patients with symptomatic primary DGR and 14 patients with
pathologic DGR following gastrojejunostomy underwent pancreaticobiliary diversion using duodenal switch
procedure. Endoscopic evaluation of gastric and duodenal mucosa was done before and after surgery.
Symptoms were evaluated with a symptom score using a detailed questionnaire. Suprapapillary
duodenojejunostomy (duodenal switch procedure) was done in all patients.
Results: During a mean follow-up period ranging from 6-34 months with a mean 24 months, most of the
patients had a good satisfactory outcome as defined by endoscopic evaluation and significant reduction in
the pre-operative symptoms. There was no reoperation or mortality in our study.
Conclusion: The duodenal switch procedure is an effective surgical therapy in patients with primary or
pathologic or DGR.

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