Course Overview and Target Audience
Biliopancreatic Diversion with Duodenal Switch (DS) continues to be a relatively rarely performed bariatric operation worldwide despite the availability of robust long-term outcomes data as well as data comparing DS to other procedures. The current increase in the frequency of sleeve gastrectomy and recently described modifications in DS technique (single-anastomosis DS, common channel lengthening, etc.) have sparked a renewed interest in DS, particularly as a revisional surgical option. The target audiences of this course are programs and surgeons who are considering adding DS to their bariatric practice as well as those who currently perform DS and wish to learn about new approaches to technique and nutritional management.
Upon completion of this activity, participants should be able to:
- Identify an update on the current understanding of DS physiology and mechanism of action.
- Summarize the data on the impact of DS on bowel function and quality of life.
- Assess the nutrition management strategies specific to DS.
- Describe aspects of surgical technique specific to DS to potentially improve outcomes and reduce complications, including single-anastomosis and limb-length adjustment.
- Distinguish an evidence-based framework for DS as a primary and a revisional bariatric procedure.
- Interpret programmatic strategies to improve long-term follow-up and outcomes.
- Introduce key considerations with regards to DS coding and reimbursement.