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Laparoscopic Biliopancreatic Diversion Gastric Bypass: Surgical Technique

Biliopancreatic Diversion Stomach Bypass May be Performed by Laparoscopy w/o Changes in Technique or Early Results

Bariatric Surgery - Bariatric Research Studies

Laparoscopic Biliopancreatic Diversion Gastric Bypass: Surgical Technique and Results

Biliopancreatic diversion bypass (BPD) is an efficient method for treating morbid obesity. We present the BPD technique by laparoscopy and the 1st year follow-up.

Method

From July 2000 to April 2001, 40 patients underwent laparoscopic biliopancreatic diversion (29 women, 11 men), with average age 39 (17-60). Average BMI was 43.6 kg/m2 (38-65). All operations were completed successfuly by laparoscopy. The technique followed strictly the operation of Scopinaro. 7 of these patients had removal of an adjustable gastric band and were converted to biliopancreatic diversion. All underwent cholecystectomy.

Results

Mean loss of initial excess weight at 3, 6 and 10 months was approximately 30%, 50% and 90%. Mortality was 2.5% (1 patient) due to massive pulmonary embolism. Average operating time was 210 minutes (130-480), and average hospital stay was 4.3 days (3-21). There were 5 postoperative complications (12.5%): 2 pulmonary emboli, 2 GI bleeding from the staple-line, and 1 fistula. There have been 5 late complications (12.5%): 3 cases of diarrhea, 2 elevated PTH with normal calcium, and hypothyroidism that was difficult to control.

Conclusion

Biliopancreatic diversion gastric bypass may be performed by laparoscopy without changes in the original technique or in the early results.

Source:
Paiva D, Bernardes L, Suretti L. Centro Mineiro de Cirurgia Avancada, Belo Horizonte, MG, Brasil. 2002

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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