Laparoscopic Biliopancreatic Diversion w. Duodenal Switch Produces Weight Loss w/o Revision

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Conversion to a laparoscopic biliopancreatic diversion with a duodenal switch for failed laparoscopic adjustable silicone gastric banding

Initial data indicate that long-term weight loss for patients who have undergone laparoscopic adjustable silicone gastric banding (LASGB) may be inadequate. It is anticipated that many of these patients will require revision in the next few years. The procedure of choice for such a revision is unknown.

Method

Two laparoscopic adjustable silicone gastric banding patients, who underwent a laparoscopic gastric band removal with a conversion to a biliopancreatic diversion with a duodenal switch (BPD/DS), are presented.

Results

Their procedures were completed without intraoperative complications. Significant weight loss over 12 and 13 months was achieved.

Conclusion

The biliopancreatic diversion with a duodenal switch, as opposed to the Roux-en-Y gastric bypass (RGB), is well suited for laparoscopic adjustable silicone gastric banding revision, as its proximal anastomosis is at the duodenum, away from the gastric band scar tissue. Our experience performing laparoscopic biliopancreatic diversion with a duodenal switch has yielded satisfactory weight loss results without the need for revision.

Source:
de Csepel J, Quinn T, Pomp A, Gagner M. Division of Laparoscopic Surgery, Mount Sinai School of Medicine, New York, New York, USA. 2002

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL