Biliopancreatic Diversion for Treatment of Morbid Obesity: Experience in 180 Consecutive Cases

Abstract

Although BPD by Scopinaro's method is technically complex, it is safe and effective.

Surgery for Obesity: Panacea or Pandora’s Box?

“…This change was prompted by the authors’ observation that in BPD patients, severe diarrhea and malnutrition improved with a longer common channel [87]. Several modifications of the original BPD are used, including tailoring the volume of the gastric pouch to the patients’ weight loss requirements [88], using a standard 250-cm distal small-bowel loop [89], or changing the length of this loop based on individual patient requirements [90], and combining the BPD with a VBG [91]. …”

“…Operative mortality has ranged from 0 to 1.6% [89, 90] for the traditional BPD while for the DS procedure, mortality in one series was 1.9% [45]. Early postoperative complications were less than 1% [89].…”

“…Operative mortality has ranged from 0 to 1.6% [89, 90] for the traditional BPD while for the DS procedure, mortality in one series was 1.9% [45]. Early postoperative complications were less than 1% [89]. Late surgical complications included incisional hernias (10–18%), intestinal obstruction secondary to adhesion (1%), and anastomotic ulcers (up to 15% in some series), the incidence of which may be reduced by the use of histamine-2-receptor-blocking drugs [88,89,90].…”

“…Early postoperative complications were less than 1% [89]. Late surgical complications included incisional hernias (10–18%), intestinal obstruction secondary to adhesion (1%), and anastomotic ulcers (up to 15% in some series), the incidence of which may be reduced by the use of histamine-2-receptor-blocking drugs [88,89,90]. The intestinal bacterial overgrowth syndrome that has been reported in some patients following BPD can be effectively treated with metronidazole [92].…”

Bowel Habits After Bariatric Surgery

“…Biliopancreatic diversion (BPD) for the treatment of obesity is very effective at weight reduction and maintenance and also treats obesity-related comorbidities [1][2][3]. In terms of weight loss maintenance, it is thought to be the most effective surgical treatment of obesity [4].…”