title: Biliopancreatic Diversion with Duodenal Switch: Surgical Technique and Perioperative Care.
abstract: The goal of this article is to present an overview of selection criteria, surgical technique, and perioperative outcomes of biliopancreatic diversion with duodenal switch. The standard follow-up requirements, including vitamin supplementation, and long-term risks associated with metabolic surgery are also discussed. Most of the data reported here are based on the authors' experience with 4000 biliopancreatic diversions with duodenal switch performed in their institution since 1990.
authors.affiliation: Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada. Electronic address: laurent.biertho@criucpq.ulaval.ca.
authors.forename: Laurent
authors.initials: L
authors.lastname: Biertho
authors.affiliation: Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada.
authors.forename: Stéfane
authors.initials: S
authors.lastname: Lebel
authors.affiliation: Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada.
authors.forename: Simon
authors.initials: S
authors.lastname: Marceau
authors.affiliation: Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada.
authors.forename: Frédéric-Simon
authors.initials: FS
authors.lastname: Hould
authors.affiliation: Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada.
authors.forename: François
authors.initials: F
authors.lastname: Julien
authors.affiliation: Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada.
authors.forename: Simon
authors.initials: S
authors.lastname: Biron
mesh_terms: D015904:Biliopancreatic Diversion / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D009765:Obesity / Q000601:surgery*; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome
keywords: Biliopancreatic diversion; Duodenal switch; Malabsorptive surgery; Management; Surgical technique