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Background: In bariatric surgery, the procedure with the highest average weight loss is the biliopancreatic diversion with duodenal switch (BPDDS). A new simplified duodenal switch called the stomach intestinal pylorus sparing (SIPS) surgery with less malabsorption and one fewer anastomosis claims to have similar outcomes when compared to the BPDDS.

Methods: A retrospective matched cohort analysis of SIPS versus BPDDS patients in a single private practice was obtained by matching every BPDDS to a SIPS patient of the same gender and BMI.

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The authors have examined 104 elderly patients after one of operations on the stomach. The mineral metabolism, biochemical and X-ray findings were investigated. Osteoporosis was observed more often in patients after Billroth-II resection of the stomach, rarer after Billroth-I operation and more rarely in patients after pylorus-saving resection of the stomach.

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Immediate results of 151 pancreatoduodenal resections (PDR) were analyzed. This surgery was performed for tumors of gastropancreatoduodenal region in 88.1% patients, for chronic complicated pancreatitis--in 11.

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One hundred and twenty-nine surgeries were performed from 1990 to 2001 for gastric (50) or duodenal (79) ulcers with chronic duodenal obstruction. Resection of 1/2 of the stomach by Bilrot-I was performed in 118 patients, pylorus-saving resection with creation of areflux valve in duodenal bulb--in 5, selective proximal vagotomy with duodenoplasty--in 6 patients. In early postoperative period complications were seen in 10 (10.

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Organ-saving operation in ulcer disease--duodenopyloroplasty with resected stomach--is proposed. Unlike the other pylorus-saving operations, this variant is universal, because it allows to remove ulcer in different location and also to correct acidity. The operation was performed in 647 patients with complicated forms of ulcer disease.

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