Laparoscopic biliopancreatic diversion with duodenal switch.
The biliopancreatic diversion with duodenal switch combines a sleeve gastrectomy with a duodenoileal switch to achieve maximum weight loss. Consistent excess weight loss between 70% to 80% is achieved with acceptable decreased long-term nutritional complications. With a higher entry weight, the super obese patient (body mass index [BMI] >50 kg/m(2)) benefits the greatest from a procedure that produces a higher mean excess weight loss. The laparoscopic approach to this procedure has successfully created a surgical technique with optimum benefit and minimal morbidity, especially in the super obese patient.
Feng
John J
JJ
Department of Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA.
Gagner
Michel
M
D000328:Adult; D015904:Biliopancreatic Diversion / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D005500:Follow-Up Studies; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D009748:Nutrition Disorders / Q000209:etiology; D009767:Obesity, Morbid / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D016896:Treatment Outcome; D015431:Weight Loss