BACKGROUND: Some @entity1 who underwent vertical banded gastroplasty (VBG) need revisional operations because of poor @entity353 and remaining comorbidities. The duodenal switch (DS) procedure with partial gastrectomy is known as an effective method for treatment of severe @entity28 and @entity2299 and @entity6 ( @entity6 ). Other investigations have shown that DS without gastric resection similarly corrects @entity1007 and @entity6 in the "less than" morbidly @entity28 @entity1 . METHODS: Based on this knowledge, we performed a DS simultaneously with hernioplasty and panniculectomy in a 63-year-old @entity1 with a fair EWL (36.4%), with remaining @entity1007 and @entity6 4 years after VBG. The pouch stoma diameter was 13 mm, and there was no pouch dilation nor staple-line disruption. The previously partitioned stomach was left in place. H2-blockers and polyvitamins were prescribed after operation. RESULTS: 1 year after DS there were no postoperative complications and undesirable effects except slight @entity417 . DS allowed improvement in @entity353 , improved @entity1735 handling without need for insulin or other hypoglycemic agents, and corrected severe @entity1007 . CONCLUSION: DS per se in the case presented had a decisive effect on @entity6 and @entity1007 . DS should be kept in mind as a second-step malabsorptive procedure after a failed purely restrictive operation.

Improvement of XXXX and metabolic effects of vertical banded gastroplasty by an added duodenal switch procedure.

@entity1 :: ('9606', 'Species') :: ['woman', 'patients'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus type 2', 'DM2'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity'] @entity2299 :: ('MESH:D050171', 'Disease') :: ['related dyslipoproteinemias'] @entity1007 :: ('MESH:D006937', 'Disease') :: ['hypercholesterolemia'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity1735 :: ('CHEBI:16646', 'Chemical') :: ['carbohydrate']
@entity353 :: (MESH:D015431,Disease) :: ['weight loss']
