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Primum Non Nocere

Edward H. Livingston, MD
[+] Article, Author, and Disclosure Information

From University of Texas Southwestern Medical Center, Dallas, TX 75235.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1746.

Requests for Single Reprints: Edward H. Livingston, MD, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Room E7-126, Dallas, TX 75390-9156; e-mail, edward.livingston@utsouthwestern.edu.

Ann Intern Med. 2011;155(5):329-330. doi:10.7326/0003-4819-155-5-201109060-00012
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In this issue, Søvik and colleagues report that patients who had duodenal switch surgery lost more weight and had greater improvements in cholesterol levels than those who had gastric bypass. Complication rates were substantial in both groups but were twice as high with duodenal switch. The editorialist explores the implications of these findings and concludes that we should seriously question whether duodenal switch has a role in the treatment of severely obese patients.

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