Laparoscopic Biliopancreatic Diversion with Distal Gastric Preservation: Technique and Three-Year Followup

Abstract

It has been proven that BPD can be performed satisfactorily using laparoscopy, but this technique requires a very skilled and experienced laparoscopic surgeon. Avoiding gastrectomy is a very interesting option in order to reduce technical difficulties, surgeon stress, duration of the operation, patient stress, and, probably, postoperative morbidity and mortality. Laparoscopic BPD with distal gastric preservation is a very promising bariatric procedure with potential advantages over laparoscopic BPD with gastrectomy or open BPD.

Clinical application of laparoscopic bariatric surgery: an evidence-based review

“…Hess [130] reported excellent results by measuring small bowel length and then distributing 10% to the common channel and 40% to the alimentary limb. A large Spanish series reports excellent outcomes with a common channel of 60 cm and an alimentary limb of 200-360 cm [131,132]. A U.S. study suggests that common channels longer than 100 cm result in inferior results [132].…”

“…A large Spanish series reports excellent outcomes with a common channel of 60 cm and an alimentary limb of 200-360 cm [131,132]. A U.S. study suggests that common channels longer than 100 cm result in inferior results [132]. In a comparative study of outcomes and complications, a 100-cm common channel was superior to a 50-cm channel, and sleeve gastrectomy was superior to distal gastrectomy [125].…”

SAGES guideline for clinical application of laparoscopic bariatric surgery

“…Hess [130] reports excellent results by measuring small bowel length and then distributing 10% to the common channel and 40% to the alimentary limb. A large Spanish series reports excellent outcomes with a common channel of 60 cm and an alimentary limb of 200-360 cm [131,132]. A US study suggests common channels longer than 100 cm result in inferior results [132].…”

“…A large Spanish series reports excellent outcomes with a common channel of 60 cm and an alimentary limb of 200-360 cm [131,132]. A US study suggests common channels longer than 100 cm result in inferior results [132]. In a comparative study of outcomes and complications, 100 cm common channel was superior to 50 cm, and sleeve gastrectomy was superior to distal gastrectomy [125].…”

Laparoscopically Assisted ERCP in a Case of Acute Cholangitis in a Patient with Biliopancreatic Diversion with Distal Gastric Preservation

“…Different surgical procedures such as laparoscopic Roux-en-Y gastric bypass (LRYGB) [2] and laparoscopic biliopancreatic diversion (LBPD) [3] (Scopinaro's technique) have been successfully used as a treatment for morbid obesity. Recently, surgeons in our hospital [4,5] have developed a new technique with gastric remnant defined as LBPD with distal gastric preservation LBPDGP (Fig. 1).…”