ArticleObesity surgery2025
Too Late for a Duodenal Switch? Safety and Effectiveness of Duodenal Switch in Patients over 60 Years Old.
Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Biliopancreatic diversion with duodenal switch is safe regardless of age in appropriately selected patients: an MBSAQIP analysis.Surgical endoscopy · 2026Article
- Five-year outcomes of two duodenal switch variants: BPD/DS vs. SADI-S.Surgical endoscopy · 2026Article
- Long-term 10-year outcomes of biliopancreatic diversion with duodenal switch (BPD/DS) and single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S): a comparative multicenter cohort study.Surgical endoscopy · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe increase in obesity prevalence and longer life expectancy has led to more candidates over 60 pursuing bariatric surgery. While multiple studies have investigated outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass in this age group, the outcomes of duodenal switch (DS) require further investigation. This study assessed the safety and effectiveness of DS in patients over 60 compared to those under 60.
methodsA retrospective review was conducted for patients from two tertiary referral centers who underwent either biliopancreatic diversion with duodenal switch or single-anastomosis duodeno-ileostomy with sleeve from January 2008 to December 2023. Propensity score matching was used to evaluate the effect of age on outcomes, with 51 patients over 60 in group 1 (G1) compared to 153 patients under 60 in group 2 (G2).
resultsAt 24 months (follow-up rate of 61% in G1 and 25.5% in G2), G1 had a mean total body weight loss of 41% vs. 35% for G2 (p = 0.437) and mean excess BMI loss of 78% vs. 69% (p = 0.122). G1 had higher complication > 30-day rates (33.3% vs. 13.7%, p = 0.002), reinterventions (19.6% vs. 8.4%, p = 0.030), reoperations (29.4% vs. 13.7%, p = 0.011), and readmissions > 30 days (39% vs. 18.9%, p = 0.003). Most reoperations in G1 were for ventral hernias (46.7%), while in G2, 28.6% were revisions/conversions. Long-term mortality occurred only in G1 (7.8% vs. 0%, p ≤ 0.001), with causes unrelated to bariatric surgery.
conclusionDS procedures offer comparable weight loss for older patients but have higher complication rates, warranting careful consideration and follow-up.
Indexed as
Identifiers
39960607What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.