Outcome of duodenal switch procedure for treatment of duodenogastric reflux

ABSTRACT

The duodenal switch [DS] has been found to be a useful operation for treatment of abnormal primary and pathologic duodenogastric reflux. To evaluate the efficacy of the duodenal switch procedure in treatment of abnormal primary and pathologic duodenogastric reflux [DGR]. 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. During a mean follow-up period of 2 years [range 0.5-2.8 years], 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. The duodenal switch procedure is an effective surgical therapy in patients with primary or pathologic or DGR