الفهرس 
PathophysiologyOnly 14 pages are availabe for public view
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Abstract
Obesity now is considered a disease not only accumulation of body in excess and is assessed by the body mass index. The metabolic syndrome is a combination of diabetes plus two of any of the following: morbid obesity, hypertension, hypertriglyceridemia, or hypercholesterolemia. Duodenal switch operations are indicated in treatment of morbid obesity, especially in the super-super obese patients. Duodenal switch operations give the best results in treatment of diabetes mellitus. Contraindications include preexisting potentially malabsorptive disorder, gastroesophageal reflux disease, inability to maintain follow-up, financial inability to purchase postoperative vitamin supplements and others. Postoperative complications include: leakage, vitamin and micronutrient deficiencies, protein calorie malnutrition, intestinal obstruction, chronic diarrhea and others. Duodenal switch provides excellent weight loss with preservation of good alimentation. This is accomplished with acceptable operative mortality and minimal dietary limitations and metabolic sequelae. The results of the duodenal switch should remove any inhibitions that exist about the use of this procedure as treatment for patients who have morbid obesity.