- Laparoscopic duodenal switch is a recognized bariatric procedure, which can be performed in one step or as a second step after laparoscopic sleeve gastrectomy (LSG). Mainly, indications as primary surgery are super-obese or super super-obese patients, and after LSG indications are the presence of insufficient weight loss or weight regain, associated with morbid obesity co-morbidities, without gastroesophageal reflux. In this video, the authors report the technique of reduced port laparoscopic duodenal switch after LSG.
- Morbid obesity remains a major health problem throughout western countries, and surgery is the only long-term option for this disease and its associated pathologic features. New techniques have been developed in the past few years to further decrease the complication rate of obesity surgery, including single-incision laparoscopic surgery , natural-orifice transluminal endoscopic surgery , and endoscopic surgery . Endoscopic surgery, by avoiding any injury to the abdominal wall, theoretically represents an ideal approach to obesity surgery.