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Laparoscopic Biliopancreatic Diversion with Distal Gastric Preservation
Results of Laparoscope-Assisted Stomach Bypass
Study Into Laparoscopic Biliopancreatic Diversion with Distal Gastric Preservation
Biliopancreatic diversion (BPD) has been used satisfactorily as one of several surgical treatments against morbid obesity in order to achieve long-term weight reduction. Our goal was to develop the BPD laparoscopically in humans in order to improve postoperative recovery and to reduce early and late complications, above all those derived from the abdominal wall, while maintaining the weight reduction results achieved. In addition, in order to reduce the laparoscopic difficulty of BPD technique and some complications associated with gastrectomy, we only carried it out in cases in which we considered it indispensable.
Since October 2000 we have performed 50 laparoscopic BPD with distal gastric preservation (39 women and 11 men). We preserve the distal stomach if the upper digestive endoscopy with biopsy does not show pathological findings.
Two operations (within the first ten cases) were converted to open surgery. The average operating time was 177.7 minutes (range, 110-360 minutes). There were no immediate postoperative complications. There was no postoperative mortality.
It has been proven that biliopancreatic diversion can be performed satisfactorily using laparoscopy, but this technique requires a very skilled and experienced laparoscopic surgeon. Avoiding gastrectomy is a very interesting option in order to reduce technical difficulties, surgeon stress, duration of the operation, patient stress, and, probably, postoperative morbidity and mortality. Laparoscopic biliopancreatic diversion with distal gastric preservation is a very promising bariatric procedure with potential advantages over laparoscopic biliopancreatic diversion with gastrectomy or open biliopancreatic diversion.
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources