Biliopancreatic Diversion with Transitory Gastric Restriction and Duodenal Bulb Preservation: 88 Patients since 1992

Abstract

BPD-TGR appears to be an effective operation with few complications and also a satisfactory correction for failed gastric restrictive procedures, or even a sequential operation in the super-obese.

Laparoscopic Adjustable Banded Sleeve Gastrectomy as a Primary Procedure for the Super-Super Obese (Body Mass Index > 60 kg/m2)

“…Likewise, as a primary operation, Gagner et al [11] as well as Vassallo et al [12] reported morbidly obese patients who underwent a LAGB with BPD and DS and had satisfactory weight loss. Also, Gabriel et al [13] performed a LAGB with a BPD and reported as much as 99.6% reduction in excess weight at 2 years.…”

Laparoscopic Adjustable Pyloric Band with Fundoplication in Bariatric Surgery: Technique and Preliminary Results

“…Eight patients showed weight loss with BMI decrease from 46 kg/m 2 (42-58) to 34 kg/m 2 (23-43) in 6 months (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Weight loss started immediately postoperatively in 5 patients.…”

“…It was described by Gagner, 11 Slater, 12 Gabriel,13 Favretti, 14 Di Betta, 15 and Vassallo, [9][10] and the latter used first a non-AGB. This procedure is called "Bandinaro" by some, 14 a fusion of "banding" and "Scopinaro".…”

“…8 There are reports of the combined use of a BPD with duodenal switch (DS), together with a restrictive component by an AGB in a high gastric position, called "Bandinaro" procedure. [9][10][11][12][13][14][15] In case of complications, however, only the restrictive aspect can be alleviated by loosening the band, the intestinal bypass remaining unchanged.…”

The Super-Magenstrasse and Mill Operation with Pyloroplasty: Preliminary Results

“…This procedure reduces the likelihood of dilatation in time (which could possibly be responsible for the partial failures observed in the long-term with the sleeve resection), involves no radical intervention, and allows complete anatomical reversibility. 10,11 In conclusion, the procedure adopted in this study, involving the prolongation of the Magenstrasse to 3-4 cm proximal to the pylorus combined with pyloroplasty, confers to this restrictive intervention some characteristics similar to gastric bypass, i.e. rapid transit of the alimentary bolus in the mill and a scarse reflux in the gastric fundus, with possible effects on the entero-endocrine system and consequent loss of interest in food.…”