Biliopancreatic Diversion With A Duodenal Switch

Background: This paper evaluates biliopancreatic diversion combined with the duodenal switch, forming a hybrid procedure which is a mixture of malabsorption and restriction. Methods: The evaluation is of the first 440 patients undergoing this procedure who had had no previous bariatric surgery. 50). Results: There was the average maximum weight lack of 80% excess weight by 24 months postoperation; this continuing at a 70% level for 8 years.

Major problems were within almost 9% of the situations. There have been two perioperative deaths, one from pulmonary embolism and one from acute pulmonary obstruction. There have been 36 type II diabetics, most of whom have discontinued medication following the surgery. Seventeen revisions were performed to improve excess weight reduction and low proteins levels.

There have been no marginal ulcers, no full instances of dumping symptoms, no foreign material used, and the task is a pyloric saving treatment which is functionally reversible. Conclusions: This operation has vastly improved the lives of seriously obese patients with many co-morbidities. All type II diabetics have been healed of their disease essentially. The task was tolerated well and patients are very satisfied. There is minimal regain of weight with this method.

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