Laparoscopic Biliopancreatic Diversion Gastric Bypass: Surgical Technique
Biliopancreatic Diversion Stomach Bypass May be Performed by Laparoscopy w/o Changes in Technique or Early Results
| Bariatric Surgery information Laparoscopic Biliopancreatic Diversion Gastric Bypass: Surgical Technique |
Biliopancreatic Diversion Stomach Bypass May be Performed by Laparoscopy w/o Changes in Technique or Early Results |
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Weight Loss Surgery Information - Bariatric Research Studies |
Laparoscopic Biliopancreatic Diversion Gastric Bypass: Surgical Technique and ResultsBiliopancreatic diversion bypass (BPD) is an efficient method for treating morbid obesity. We present the BPD technique by laparoscopy and the 1st year follow-up. Method From July 2000 to April 2001, 40 patients underwent laparoscopic biliopancreatic diversion (29 women, 11 men), with average age 39 (17-60). Average BMI was 43.6 kg/m2 (38-65). All operations were completed successfuly by laparoscopy. The technique followed strictly the operation of Scopinaro. 7 of these patients had removal of an adjustable gastric band and were converted to biliopancreatic diversion. All underwent cholecystectomy. Results Mean loss of initial excess weight at 3, 6 and 10 months was approximately 30%, 50% and 90%. Mortality was 2.5% (1 patient) due to massive pulmonary embolism. Average operating time was 210 minutes (130-480), and average hospital stay was 4.3 days (3-21). There were 5 postoperative complications (12.5%): 2 pulmonary emboli, 2 GI bleeding from the staple-line, and 1 fistula. There have been 5 late complications (12.5%): 3 cases of diarrhea, 2 elevated PTH with normal calcium, and hypothyroidism that was difficult to control. Conclusion Biliopancreatic diversion gastric bypass may be performed by laparoscopy without changes in the original technique or in the early results. Source: Laparoscopic Gastric Bypass Bariatric Surgery |