Biliopancreatic Diversion

Scopinaro, Nicola; Papadia, Francesco; Marinari, Giuseppe M.; Camerini, Giovanni

doi:10.1016/b978-1-4160-0089-1.50034-0

Cited by 104 publications

(184 citation statements)

References 30 publications

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“…At 50 cm proximal to the ileo-caecal valve, the proximal end of the ileum was anastomosed to the bowel in an end-to-side fashion, incorporating the remaining small bowel conveying the biliopancreatic juice and excluded from food transit [13].…”

Section: Biliopancreatic Diversion Scopinaro Techniquementioning

confidence: 99%

Remisja cukrzycy typu 2 po leczeniu bariatrycznym — porównanie różnych procedur

Fernández-Soto¹,

Martín-Leyva²,

González-Jiménez³

et al. 2017

Endokrynologia Polska

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Introduction: We aimed to assess the mid-term type 2 diabetes mellitus recovery patterns in morbidly obese patients by comparing some relevant physiological parameters of patients of bariatric surgery between two types of surgical procedures: mixed (roux-en-Y gastric bypass and biliopancreatic diversion) and restrictive (sleeve gastrectomy). Material and methods: This is a prospective and observational study of co-morbid, type 2 diabetes mellitus evolution in 49 morbidly obese patients: 37 underwent mixed surgery procedures and 12 a restrictive surgery procedure. We recorded weight, height, body mass index, and glycaemic, lipid, and nutritional blood parameters, prior to procedure, as well as six and twelve months post-operatively. In addition, we tested for differences in patient recovery and investigated predictive factors in diabetes remission. Results: Both glycaemic and lipid profiles diminished significantly to healthy levels by 6 and 12 months post intervention. Type 2 diabetes mellitus showed remission in more than 80% of patients of both types of surgical procedures, with no difference between them. Baseline body mass index, glycated haemoglobin, and insulin intake, among others, were shown to be valuable predictors of diabetes remission one year after the intervention. Conclusions:The choice of the type of surgical procedure did not significantly affect the remission rate of type 2 diabetes mellitus in morbidly obese patients. (Endokrynol Pol 2017; 68 (1): 18-25)

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Section: Biliopancreatic Diversion Scopinaro Techniquementioning

confidence: 99%

Remisja cukrzycy typu 2 po leczeniu bariatrycznym — porównanie różnych procedur

Fernández-Soto¹,

Martín-Leyva²,

González-Jiménez³

et al. 2017

Endokrynologia Polska

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“…Many of these patients reported compliance with supplements, emphasizing a possible need for parenteral supplementation of vitamin A in certain cases. Moreover, Scopinaro et al [26] observed a 2.8 % prevalence of nyctalopia in a series of patients after BPD, with no mention to ocular surface findings.…”

Section: Epidemiologymentioning

confidence: 98%

Ophthalmic Complications of Bariatric Surgery

Guerreiro

Ribeiro

2014

OBES SURG

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Obesity is increasing vastly in the world, and the number of bariatric surgeries being performed is also increasing. Patients being submitted to bariatric surgeries, especially malabsorptive procedures, have an increased risk of developing nutrient deficiencies, which can culminate in symptomatic hypovitaminosis, if supplementation is not done correctly. The eye and the optic system need an adequate level of several vitamins and minerals to perform properly, especially vitamin A, and this article wants to cover the main nutrients involved, the possible ophthalmic complications that can arise by their deficiency, and the management of those complications.

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“…Although diabetes can sometimes be controlled through diet and exercise or by pharmaceutical intervention, bariatric surgery offers a permanent solution, precedent to significant weight loss [39,40] for reasons that remain the subject of investigation [41][42][43]. Irrespective of the reason that bariatric surgery works, its economic value can be seen from the preceding analysis of one of obesity's comorbidities.…”

Section: The Economic Impact Of Type 2 Diabetes Mellitusmentioning

confidence: 99%