[Bilio-pancreatic diversion with duodenal switch (DS) in morbid obesity--surgical technique]

Obesity is one of the biggest health problems nowadays with growing prevalence. Co morbidities and decreasing life-expectancy have imposed various treatments, of which surgery has the best efficiency. Bilio-pancreatic diversion modified with duodenal switch represents the procedure with both malabsorbtive and restrictive effects. This procedure has the best results in reducing excessive body mass and in maintaining this loss. Complexity of this procedure, early and late complications suggests that the main operative indication is for morbid obesity patients (body mass index BMI > 50 kg/mp). The procedure that we have done was a success in efficiency and in quality of life, but for conclusions is necessary more experience.