title: [Care of the patient after biliopancreatic diversion (BPD) surgery].
abstract: The authors report their experience in the care of severely obese patients undergoing biliopancreatic diversion (BPD) surgery. The success of this surgical technique not only depends on its correct application but also on correct postoperative management, both immediately and over time. After a short summary of the methods of management used immediately after surgery, the authors focus in greater detail on the most frequent complications in this type of surgery: these are divided into early and late. Among the former, the authors discuss thromboembolic disease, the most severe complications and bronchopneumonia disorders. The authors illustrate the methods of treating both as well as therapies for their prevention. The most frequent and potentially dangerous late complications are examined in detail: protein malnutrition, sideropenic anemia and diarrhea. Lastly, the authors underline the need for a constant rather than episodic approach to the problem of severe obesity since, in their opinion, only continuous and long term application ensures the best results with the fewest complications.
authors.affiliation: Dipartimento di Discipline Chirurgiche ed Anatomiche, Università degli Studi di Palermo.
authors.forename: L
authors.initials: L
authors.lastname: Salanitro
authors.forename: G
authors.initials: G
authors.lastname: Pantuso
authors.forename: N
authors.initials: N
authors.lastname: Grassi
authors.forename: G
authors.initials: G
authors.lastname: Barranco
authors.forename: G
authors.initials: G
authors.lastname: Ricevuto
authors.forename: G
authors.initials: G
authors.lastname: Graceffa
authors.forename: M T
authors.initials: MT
authors.lastname: Attanzio
authors.forename: A
authors.initials: A
authors.lastname: Grillo
authors.forename: G
authors.initials: G
authors.lastname: Bajardi
authors.forename: M
authors.initials: M
authors.lastname: Latteri
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000517:prevention & control; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015904:Biliopancreatic Diversion / Q000009:adverse effects; D001996:Bronchopneumonia / Q000517:prevention & control; D003967:Diarrhea / Q000188:drug therapy; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D013923:Thromboembolism / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: L'assistenza al paziente operato di diversione biliopancreatica (BPD).