Emergency surgical conditions after biliopancreatic diversion.
BACKGROUND
Urgent late complications of biliopancreatic diversion (BPD) are rare and often require the experience of a bariatric surgery team for their immediate resolution.


METHODS
The present work analyzes the incidence of emergency surgical conditions in a group of 138 patients who had undergone classical BPD, with a mean follow-up of 60 months (24-96) after BPD.


RESULTS
Urgent surgical intervention was necessary in 9 patients out of 138 (6.5%): 7 (5%) were for intestinal obstruction (4 of the biliopancreatic limb and 3 of the alimentary tract); 2 (1.4%) were for stomal ulcer with complications (1 massive hemorrhage and 1 perforation).


CONCLUSIONS
These complications of BPD are common to all GI operations, and thus are not specific to the type of surgery. We emphasize the importance of early diagnosis and treatment, particularly in regard to intestinal obstruction, because delay could have dramatic consequences.
Cossu
Maria Laura
ML
U.O. Chirurgia Generale e della Grande Obesitá e Pat. Correlate, Policlinico Universitario, Italy. urgenza@uniss.it
Meloni
Giovanni Battista
GB
Alagna
Sergio
S
Tilocca
Pier Luigi
PL
Pilo
Luca
L
Profili
Stefano
S
Noya
Giuseppe
G
D015904:Biliopancreatic Diversion / Q000009:adverse effects* / Q000401:mortality; D015992:Body Mass Index; D004630:Emergencies / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors