Laparoscopic biliopancreatic diversion with distal gastric preservation: technique and three-year followup

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
J Joaquín ResaJorge Escartin

Abstract

Biliopancreatic diversion (BPD) has been used satisfactorily as one of several surgical treatments against morbid obesity in order to achieve long-term weight reduction. Our goal was to develop the BPD laparoscopically in humans in order to improve postoperative recovery and to reduce early and late complications, above all those derived from the abdominal wall, while maintaining the weight reduction results achieved. In addition, in order to reduce the laparoscopic difficulty of BPD technique and some complications associated with gastrectomy, we only carried it out in cases in which we considered it indispensable. Since October 2000 we have performed 50 laparoscopic BPD with distal gastric preservation (39 women and 11 men). We preserve the distal stomach if the upper digestive endoscopy with biopsy does not show pathological findings. Two operations (within the first ten cases) were converted to open surgery. The average operating time was 177.7 minutes (range, 110-360 minutes). There were no immediate postoperative complications. There was no postoperative mortality. It has been proven that BPD can be performed satisfactorily using laparoscopy, but this technique requires a very skilled and experienced laparoscopic surgeon....Continue Reading

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Citations

Apr 13, 2010·Obesity Surgery·Valerio CerianiAhmed Elnabil-Mortada
Sep 21, 2010·Obesity Surgery·Giuseppe CurròGiuseppe Navarra
Jan 7, 2009·Surgical Endoscopy·Timothy M FarrellRobert D Fanelli
May 23, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·UNKNOWN SAGES Guidelines Committee
Apr 3, 2019·Obesity Surgery·Joaquín Resa BienzobasMariano Sanjuan Casamayor
Sep 16, 2008·Surgical Endoscopy·UNKNOWN SAGES Guidelines Committee
Dec 20, 2005·Expert Review of Medical Devices·Michel Gagner, Camilo Boza

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