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BACKGROUND During the past years, 2 alternatives to the powerful but side-effect-prone biliopancreatic diversion with duodenal switch (BPD-DS) were developed one-anastomosis duodenal switch (OADS) and sleeve gastrectomy with transit bipartition (T. OBJECTIVES To compare the 1-year results of TB and BPD-DS aiming at reducing the risk of protein malnutrition while keeping a similar weight loss for body mass index (BMI) ≥50 kg/m2. SETTING Private hospital, single-surgeon practice in a bariatric surgery center. METHODS After a change in pr