A Clinical and Nutritional Comparison of Biliopancreatic Diversion Performed with Different Common and Alimentary Channel Lengths

Currò, Giuseppe; Centorrino, Tommaso; Cogliandolo, Andrea; Dattola, A; Pagano, Grazia; Navarra, Giuseppe

doi:10.1007/s11695-014-1347-2

Cited by 15 publications

(2 citation statements)

References 18 publications

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“…After BPD, the estimated prevalence of anemia is around 40%, which can be reduced to 5% with proper iron and folate administration [36]. Practically all our patients required calcium and vitamin D3 supplements at short eterm postoperatively because all of them had very low vitamin D preoperatively.…”

Section: Discussionmentioning

confidence: 91%

Efficacy of single anastomosis sleeve ileal (SASI) bypass for type-2 diabetic morbid obese patients: Gastric bipartition, a novel metabolic surgery procedure: A retrospective cohort study

Mahdy

wahedi

Schou

2016

International Journal of Surgery

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Section: Discussionmentioning

confidence: 91%

Efficacy of single anastomosis sleeve ileal (SASI) bypass for type-2 diabetic morbid obese patients: Gastric bipartition, a novel metabolic surgery procedure: A retrospective cohort study

Mahdy

wahedi

Schou

2016

International Journal of Surgery

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“…BPD-DS and to a lesser extent distal RYGB exclude these segments and are associated with macro- and micronutrient deficiencies[9,48]. Hypoalbuminemia occurs in up to 18% of BPD-DS patients[49], further aggravated by a protein intake of half of the recommended amount of 60-120 g protein daily in bariatric patients[47,50]. Hypoalbuminemia is associated with severe diarrhea in every fourth patient ending up with the need for parenteral nutrition[51].…”

Section: Protein-losing Enteropathymentioning

confidence: 99%

Diarrhea after bariatric procedures: Diagnosis and therapy

Borbély¹,

Osterwalder²,

Kröll³

et al. 2017

WJG

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Diarrhea after bariatric procedures, mainly those with malabsorptive elements including Roux-Y Gastric Bypass and Biliopancreatic Diversion, is common and an essential determinant of quality of life and micro- and macronutrient deficiencies. Bariatric surgery is the only sustainably successful method to address morbid obesity and its comorbidities, particularly gaining more and more importance in the specific treatment of diabetic patients. Approximately half a million procedures are annually performed around the world, with numbers expected to rise drastically in the near future. A multitude of factors exert their influence on bowel habits; preoperative comorbidities and procedure-related aspects are intertwined with postoperative nutritional habits. Diagnosis may be challenging owing to the characteristics of post-bariatric surgery anatomy with hindered accessibility of excluded segments of the small bowel and restriction at the gastric level. Conventional testing measures, if available, generally yield low accuracy and are usually not validated in this specific population. Limited trials of empiric treatment are a practical alternative and oftentimes an indispensable part of the diagnostic process. This review provides an overview of causes for chronic post-bariatric surgery diarrhea and details the particularities of its diagnosis and treatment in this specific patient population. Topics of current interest such as the impact of gut microbiota and the influence of bile acids on morbid obesity and especially their role in diarrhea are highlighted in order to provide a better understanding of the specific problems and chances of future treatment in post-bariatric surgery patients.

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Surgical Treatment for Severe Protein-Calorie Malnutrition After Bariatric Surgery

Ceneviva¹,

Wilson²

2018

Handbook of Famine, Starvation, and Nutrient Deprivation

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A Clinical and Nutritional Comparison of Biliopancreatic Diversion Performed with Different Common and Alimentary Channel Lengths

Abstract: In the medium term, our series showed that shorter CC was associated with no weight loss advantage but with higher morbidity rate, especially in young and fertile women. We recommend a longer CC (80 cm) to be performed especially in this sub-population of obese patients.

Cited by 15 publications

References 18 publications

Efficacy of single anastomosis sleeve ileal (SASI) bypass for type-2 diabetic morbid obese patients: Gastric bipartition, a novel metabolic surgery procedure: A retrospective cohort study

Efficacy of single anastomosis sleeve ileal (SASI) bypass for type-2 diabetic morbid obese patients: Gastric bipartition, a novel metabolic surgery procedure: A retrospective cohort study

Diarrhea after bariatric procedures: Diagnosis and therapy

Surgical Treatment for Severe Protein-Calorie Malnutrition After Bariatric Surgery

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