I have previously discussed the two variations  of anastomosis that can be created between the stomach and the first segment of the small bowel. Historically, Billroth I and II procedures were named after Dr. Theodor Billroth who did the first of this type of operation in the 1881 (BI) and then in 1885 (BII).

The following article  published in Bariatric Times 2016;13(2);8-10.  discusses the resolution of diabetes and its outcomes based on these two types of the anastomosis  between the stomach and the small bowel.

Billroth I VS Billroth II

This study concludes that  “In summary, we concluded that based on our analysis of the literature, BII reconstruction is more effective than BI reconstruction for achieving postoperative diabetes control.”

Lets remind ourselves that Duodenal switch is a BII reconstruction where as the SIPS, SADI and other lookalikes are BI.

This study only reiterates that these unproven operations need to be studies further and that the patients need to be aware of the consequences of their decisions when choosing a particular operation. Be aware and informed to know the differences between Duodenal Switch and the procedures that are promoted as similar one – which they are not.

Visual comparison of Duodenal Switch and SADI/SIPS/Loop here.

Further description of Duodenal Switch here.