Abstract
Biliopancreatic diversion is a malabsorptive technique of bariatric surgery that has gained wide acceptance in the Western world. It is performed in one of two ways: In its classic form it consists of partial gastrectomy with a Roux-en-Y gastroenterostomy; in its duodenal switch form a vertical sleeve gastrectomy is combined with a duodenoenterostomy. Both techniques realize diversion of biliopancreatic juice, thereby creating a mild form of malabsorption. Weight loss has been approximately 70% of initial excess weight, exceeding that obtained with most other bariatric procedures. Iron, calcium, and vitamin deficiencies may occur, especially with classic biliopancreatic diversion, and must be prevented with adequate supplements during vigorous follow-up. Weight loss is followed by a substantial reduction in the co-morbidities that are present in many morbidly obese patients. Biliopancreatic diversion should be included in each obesity clinic program and be proposed for morbidly obese patients who are having difficulty with the prospect of continuous restraint of food intake or problems due to failed gastric restrictive interventions. The postoperative results in such patients have been good and have substantially improved quality of life and self-esteem in this category of morbidly obese patients.
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References
R Kluthe A Schubert (1985) ArticleTitleObesity in Europe Ann. Intern. Med. 103 1037–1042 Occurrence Handle1:STN:280:BimD2cbgtVc%3D Occurrence Handle4062121
KM Flegal RJ Kuczmarski CL Johnson (1998) ArticleTitleOverweight and obesity in the United States: prevalence and trends, 1960-1994 Int. J. Obes. 22 39–47 Occurrence Handle10.1038/sj.ijo.0800541 Occurrence Handle1:STN:280:DyaK1c7kt1GqtQ%3D%3D
SM Macdonald BA Reeder Y Chen et al. (1996) ArticleTitleCanadian Heart Health Surveys Research Group: obesity in Canada: a descriptive analysis Can. Med. Assoc. J. 15 S3
Encuesta Nacional de Enfermedades Cronicas. Secretaria de Salud, Mexico. (National Survey on Chronic Diseases, Secretary of Health, Mexico), General Direction of Epidemiology, Mexico, 1996;15–24
M Stam-Moraga J Kolanowski M Dramaix et al. (1999) ArticleTitleSociodemographic and nutritional determinants of obesity in Belgium Int. J. Obes. 23 1–9 Occurrence Handle10.1038/sj.ijo.0800788
EE Mason S Tang KE Renquist et al. (1997) ArticleTitleA decade of change in obesity surgery Obes. Surg. 7 189–197 Occurrence Handle10.1381/096089297765555719 Occurrence Handle1:STN:280:DyaK1czpvVeitw%3D%3D Occurrence Handle9730547
H Buchwald (2002) ArticleTitleOverview of bariatric surgery J. Am. Coll. Surg. 194 367–376 Occurrence Handle10.1016/S1072-7515(01)01175-9 Occurrence Handle11893138
H Buchwald JN Buchwald (2002) ArticleTitleEvolution of operative procedures for the management of morbid obesity 1950-2000 Obes. Surg. 12 705–717 Occurrence Handle10.1381/096089202321019747 Occurrence Handle12448398
M Deitel (1996) ArticleTitleThe development of general surgical operations, and weight-loss operations Obes. Surg. 6 206–213 Occurrence Handle10.1381/096089296765556773 Occurrence Handle10729861
R Van Hee (1993) De evolutie van de heelkunde tijdens de laatste 100 jaar [The evolution of surgery in the last 100 years] R Van Hee P Costa R Mendes (Eds) Société Royale Belge de Chirurgie, 1893-1993, Koninklijk Belgisch Genootschap voor Heelkunde Universa Wetteren 11–42
JD Halverson RJ Scheff K Gentry et al. (1980) ArticleTitleJejunoileal bypass: late metabolic sequelae and weight gain Am. J. Surg. 140 347–350 Occurrence Handle1:STN:280:Bi6D3sjit1c%3D Occurrence Handle7425210
MD Hocking MC Duerson JP O’Leary et al. (1983) ArticleTitleJejunoileal bypass for morbid obesity N. Engl. J. Med. 308 995–999 Occurrence Handle1:STN:280:BiyC28jjsFc%3D Occurrence Handle6835318
RJ McFarland J-C Gazet TRE Pilkington (1985) ArticleTitleA 13-year review of jejunoileal bypass Br. J. Surg. 72 81–87 Occurrence Handle1:STN:280:BiqC38zltlE%3D Occurrence Handle3971127
PM Sagar (1995) ArticleTitleSurgical treatment of morbid obesity Br. J. Surg. 82 732–739 Occurrence Handle1:STN:280:ByqA2MzmtlU%3D Occurrence Handle7627499
JG Kral (1992) ArticleTitleOverview of surgical techniques for treating obesity Am. J. Clin. Nutr. 55 S552–S555
J Kolanowski (1997) ArticleTitleSurgical treatment for morbid obesity Br. Med. Bull. 53 433–444 Occurrence Handle1:STN:280:ByiA1cbntVw%3D Occurrence Handle9246844
K Miller L Rettenbacher E Hell (1996) ArticleTitleAdjustments and leak detection of the adjustable silicone gastric band (ASGB) and Lap-band adjustable gastric band (LAGB) system Obes. Surg. 6 406–411 Occurrence Handle10.1381/096089296765556467 Occurrence Handle10729885
GV Eckhout OL Willbanks JT Moore (1986) ArticleTitleVertical ring gastroplasty for obesity: five year experience with 1463 patients Am. J. Surg. 152 713–716 Occurrence Handle1:STN:280:BiiD2szpvVA%3D Occurrence Handle3789301
EE Mason JW Maher C Doherty et al. (1992) ArticleTitleTen years of vertical banded gastroplasty for severe obesity Probl. Gen. Surg. 9 280–289
JH Linner (1984) Gastric operations JH Linner (Eds) Surgery for Morbid Obesity Springer New York 65–107
N Scopinaro F Papadia (2001) Malabsorptive procedures M Schein L Wise (Eds) Controversies in Surgery, vol. 4 Springer New York 353–360
P Marceau FS Hould S Lebel et al. (2001) ArticleTitleMalabsorptive obesity surgery Surg. Clin. North Am. 81 1113–1127
G Noya ML Cossu M Coppola et al. (1998) ArticleTitleBiliopancreatic diversion for treatment of morbid obesity: experience in 50 cases Obes. Surg. 8 61–66 Occurrence Handle10.1381/096089298765555079 Occurrence Handle1:STN:280:DyaK1c3itV2rsw%3D%3D Occurrence Handle9562489
L Lemmens (1993) ArticleTitleBiliopancreatic diversion: 170 patients in a 7-years follow-up Obes. Surg. 3 179–180 Occurrence Handle10.1381/096089293765559557 Occurrence Handle10757917
DK Holian MW Clare (1991) ArticleTitleBiliopancreatic diversion for malignant obesity Contemp. Surg. 39 26–29
RM Tacchino G Nanni M Foco et al. (1998) ArticleTitleBiliopancreatic diversion for treatment of obesity: 1987-1997 experience Obes. Surg. 8 369–370
G Gasbarrini G Mingrone AV Greco et al. (1996) ArticleTitleAn 18-year-old woman with familial chylomicronaemia who would not stick to a diet Lancet 348 794 Occurrence Handle10.1016/S0140-6736(96)07328-X Occurrence Handle1:STN:280:BymH3cbgtVE%3D Occurrence Handle8813988
N Scopinaro GF Adami GM Marinari et al. (1998) ArticleTitleBiliopancreatic diversion World J. Surg. 22 936–946 Occurrence Handle10.1007/s002689900497 Occurrence Handle1:STN:280:DyaK1czotlWntQ%3D%3D Occurrence Handle9717419
International Federation for the Surgery of Obesity (I.F.S.O.). Patient selection for bariatric surgery. http://www.obesity-online.com/ifso/ifso-selection.htm
Muls E. editor (2001) Obesitas: de Consensus van de BASO [Obesity: Consensus Statement of the Belgian Association for the Study of Obesity], Praktische Gids, 1–54
Guidelines for laparoscopic and open surgical treatment of morbid obesity (2000) American Society for Bariatric Surgery and Society of American Gastrointestinal Endoscopic Surgeons. Obes Surg. 10:378–379
Quételet AJ (1835) Sur l’homme et le Développement de ses Facultés, ou Essai de Physique Sociale, Paris, Bachelier
Guidelines for Patient Selection and Postoperative Follow-up Care in Surgical Treatment of Obesity. The American Society for Bariatric Surgery, 5–94
A Scheen F Luyckx C Desaive et al. (1999) ArticleTitleSevere/extreme obesity: a medical disease requiring a surgical treatment? Acta Clin. Belg. 54 154–161 Occurrence Handle1:STN:280:DyaK1MzntF2qsw%3D%3D Occurrence Handle10443044
InstitutionalAuthorNameNational Institutes of Health Consensus Development Conference statement (1992) ArticleTitleGastrointestinal surgery for severe obesity Am. J. Clin. Nutr. 55 S615–S619
A Scheen F Luyckx C Desaive et al. (1999) ArticleTitleSevere/extreme obesity: a medical disease requiring a surgical treatment? Acta Clin. Belg. 54 154–161 Occurrence Handle1:STN:280:DyaK1MzntF2qsw%3D%3D Occurrence Handle10443044
Gastrointestinal surgery for severe obesity: consensus development conference panel (1991) Ann. Intern. Med. 115:956-961
K Renquist (1998) ArticleTitleObesity classification Obes. Surg. 8 480 Occurrence Handle10.1381/096089298765554403 Occurrence Handle1:STN:280:DyaK1cvgtVCisA%3D%3D Occurrence Handle9731686
JG Kral RE Brolin H Buchwald et al. (2002) ArticleTitleResearch considerations in obesity surgery Obes. Res. 10 63–64 Occurrence Handle11786604
M Deitel B Shahi (1992) ArticleTitleMorbid obesity: selection of patients for surgery J. Am. Coll. Nutr. 11 457–462 Occurrence Handle1:STN:280:By2A2s3ovFU%3D Occurrence Handle1506608
H Buchwald (2002) ArticleTitleA bariatric surgery algorithm Obes. Surg. 12 733–746 Occurrence Handle10.1381/096089202320995484 Occurrence Handle12568177
AH Kissebah DS Freedman AN Peiris (1989) ArticleTitleHealth risks of obesity Med. Clin. North Am. 73 111–138 Occurrence Handle1:STN:280:BiaD1MngtlQ%3D Occurrence Handle2643000
L Khaodhiar GL Blackburn (2001) ArticleTitleObesity assessment Am. Heart J. 142 1095–1101 Occurrence Handle10.1067/mhj.2001.119420 Occurrence Handle1:STN:280:DC%2BD3MnntFSjsg%3D%3D Occurrence Handle11717618
C Desaive (1996) ArticleTitleSurgery for morbid obesity Acta Chir. Belg. 96 192–196 Occurrence Handle1:STN:280:ByiC3cjmtlw%3D Occurrence Handle8950378
B Johnson H Bjorvell S Levander et al. (1986) ArticleTitlePersonality traits predicting weight loss outcome in obese patients Acta Psychiatr. Scand. 74 384–387 Occurrence Handle3811999
AJ Stunkard JL Stinnet JW Smoller (1986) ArticleTitlePsychological and social aspects of the surgical treatment of obesity Am. J. Psychiatry 143 417–429 Occurrence Handle1:STN:280:BimC2MnjsFw%3D Occurrence Handle3513632
JA Guisado FJ Vaz (2003) ArticleTitlePersonality profiles of the morbidly obese after vertical banded gastroplasty Obes. Surg. 13 394–398 Occurrence Handle10.1381/096089203765887723 Occurrence Handle12841900
BM Balsiger E Luque-de-Leon MG Sarr (1997) ArticleTitleSurgical treatment of obesity: who is an appropriate candidate? Mayo Clin. Proc. 72 551–558 Occurrence Handle1:STN:280:ByiA383msFQ%3D Occurrence Handle9179140
SR Fox (1991) ArticleTitleThe use of biliopancreatic diversion as a treatment for failed gastric partitioning in the morbidly obese Obes. Surg. 1 89–93 Occurrence Handle10.1381/096089291765561538 Occurrence Handle10715668
RE Brolin (2001) Gastric restrictive operations M Schein L Wise (Eds) Controversies in Surgery, vol. 4 Springer New York 343–352
E Totté L Hendrickx M Pauwels et al. (2001) ArticleTitleWeight reduction by means of intragastric device: experience with the Bioenterics Intragastric Balloon Obes. Surg. 11 519–523 Occurrence Handle10.1381/096089201321209459 Occurrence Handle11501367
R Weiner H Gutberlet H Brockhorn (1998) ArticleTitlePre-surgical treatment of extremely obese patients with the intragastric balloon Obes. Surg. 8 367–368
B Waele ParticleDe H Reynaert D Urbain et al. (2000) ArticleTitleIntragastric balloons for preoperative weight reduction Obes. Surg. 10 58–60 Occurrence Handle10.1381/09608920060674139 Occurrence Handle10715647
N Scopinaro E Gianetta D Civalleri et al. (1979) ArticleTitleBiliopancreatic by-pass for obesity. I. An experimental study in dogs Br. J. Surg. 66 613–617 Occurrence Handle1:STN:280:Bi%2BD2czovFQ%3D Occurrence Handle497644
N Scopinaro E Gianetta D Civalleri et al. (1979) ArticleTitleBiliopancreatic by-pass for obesity. II. Initial experience in man Br. J. Surg. 66 618–620 Occurrence Handle1:STN:280:Bi%2BD2czovFU%3D Occurrence Handle497645
N Scopinaro E Gianetta D Civalleri et al. (1980) ArticleTitleTwo years of clinical experience with biliopancreatic bypass for obesity Am. J. Clin. Nutr. 33 506–514 Occurrence Handle1:STN:280:Bi%2BC38jivFw%3D Occurrence Handle7355830
P Marceau S Biron R-A Bourque et al. (1993) ArticleTitleBiliopancreatic diversion with a new type of gastrectomy Obes. Surg. 3 29–35 Occurrence Handle10.1381/096089293765559728 Occurrence Handle10757900
DS Hess (1994) ArticleTitleBiliopancreatic diversion with a duodenal switch procedure Obes. Surg. 4 106 Occurrence Handle10.1381/096089294765558890
T-R Meester ParticleDe KH Fuchs CS Ball et al. (1987) ArticleTitleExperimental and clinical results with proximal end-to-end duodenojejunostomy for pathologic duodenogastric reflux Ann. Surg. 206 414–426 Occurrence Handle3662657
M Lagacé P Marceau S Marceau et al. (1995) ArticleTitleBiliopancreatic diversion with a new type of gastrectomy: some previous conclusions revisited Obes. Surg. 5 411–418 Occurrence Handle10.1381/096089295765557511 Occurrence Handle10733837
A Baltasar R Bou LA Cipagantu et al. (1995) ArticleTitleHybrid bariatric surgery: biliopancreatic diversion and duodenal switch; preliminary experience Obes. Surg. 5 419–423 Occurrence Handle10.1381/096089295765557520 Occurrence Handle10733838
RA Rabkin (1998) ArticleTitleDistal gastric bypass/duodenal switch procedure, Roux-en-Y gastric bypass and biliopancreatic diversion in a community practice Obes. Surg. 8 53–59 Occurrence Handle10.1381/096089298765555060 Occurrence Handle1:STN:280:DyaK1c3itV2rsg%3D%3D Occurrence Handle9562488
Anthone GJ. Surgical treatment of morbid obesity. American College of Surgeons postgraduate course, October 1997
C Vassallo L Negri A Valle ParticleDella et al. (1997) ArticleTitleBiliopancreatic diversion with transitory gastroplasty preserving duodenal bulb: 3 years experience Obes. Surg. 7 30–33 Occurrence Handle10.1381/096089297765556204 Occurrence Handle1:STN:280:DyaK1czpvVejsQ%3D%3D Occurrence Handle9730535
F Mittempergher T Bruni O Bruni et al. (2002) ArticleTitleBiliopancreatic diversion with preservation of the duodenal bulb and transitory gastroplasty in the treatment of morbid obesity: our experience Ann. Ital. Chir. 73 137–142 Occurrence Handle1:STN:280:DC%2BD38vjvFCmsg%3D%3D Occurrence Handle12197286
YI Yashkov TA Oppel LA Shishlo et al. (2001) ArticleTitleImprovement of weight loss and metabolic effects of vertical banded gastroplasty by an added duodenal switch procedure Obes. Surg. 11 635–639 Occurrence Handle10.1381/09608920160556878 Occurrence Handle1:STN:280:DC%2BD3MrkslOgsA%3D%3D Occurrence Handle11594110
E Totté L Hendrickx R Van Hee (1999) ArticleTitleBiliopancreatic diversion for treatment of morbid obesity: experience in 180 consecutive cases Obes. Surg. 9 161–165 Occurrence Handle10.1381/096089299765553412 Occurrence Handle10340770
N Scopinaro E Gianetta GF Adami et al. (1996) ArticleTitleBiliopancreatic diversion for obesity at eighteen years Surgery 119 261–268 Occurrence Handle1:STN:280:BymB3c3lsVE%3D Occurrence Handle8619180
JC Torres CF Oca RN Garrison (1983) ArticleTitleGastric bypass: Roux-en-Y gastrojejunostomy from the lesser curvature South. Med. J. 76 1217–1221 Occurrence Handle1:STN:280:BiuD3MjntlU%3D Occurrence Handle6623129
J Torres C Oca (1987) ArticleTitleGastric bypass lesser curvature with distal Roux-en-Y Bariatric Surg. 5 10–15
J Torres (1991) ArticleTitleWhy I prefer gastric bypass distal Roux-en-Y gastroileostomy Obes. Surg. 1 189–194 Occurrence Handle10.1381/096089291765561268 Occurrence Handle10775917
Fobi MAL. Distal Roux-en-Y-gastric bypass, a revision operation for failed gastric bypass procedures. In Proceedings, Fourth Annual Symposium Surgical Treatment of Obesity, Anaheim, March 1986
RE Brolin HA Kenler JH Gorman et al. (1992) ArticleTitleLong limb gastric bypass in the super-obese: a prospective randomized study Ann. Surg. 215 387–395 Occurrence Handle1:STN:280:By2B3MvpvFA%3D Occurrence Handle1558421
Gianetta E, Friedman D, Adami GF, et al. Present status of biliopancreatic diversion (BPD). In Proceedings of the Third International Symposium on Obesity Surgery, Genoa, September 1987;11–13
M Deitel I Petrov (1987) ArticleTitleIncidence of symptomatic gallstones after bariatric operations Surg. Gynecol. Obstet. 164 549–552 Occurrence Handle1:STN:280:BiiB3svotFU%3D Occurrence Handle3589911
G Bajardi G Ricevuto G Mastrandrea et al. (1993) ArticleTitleOpportunità della colecistectomia profilattica in chirurgica bariatrica Minerva Chir. 48 277
D Pavia L Bernardes L Suretti (2001) ArticleTitleLaparoscopic biliopancreatic diversion for the treatment of morbid obesity: initial experience Obes. Surg. 11 619–622 Occurrence Handle10.1381/09608920160556832 Occurrence Handle11594106
N Scopinaro GM Marinari G Camerini (2002) ArticleTitleLaparoscopic standard biliopancreatic diversion: technique and preliminary results Obes. Surg. 12 362–365 Occurrence Handle10.1381/096089202321088165 Occurrence Handle12082888
J Csepel ParticleDe S Burpee G Jossart et al. (2001) ArticleTitleLaparoscopic biliopancreatic diversion with a duodenal switch for morbid obesity: a feasibility study in pigs J. Laparoendosc. Adv. Surg. Tech. A 11 79–83 Occurrence Handle10.1089/109264201750162293 Occurrence Handle11327131
CJ Ren E Patterson M Gagner (2000) ArticleTitleEarly results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients Obes. Surg. 10 514–523 Occurrence Handle10.1381/096089200321593715 Occurrence Handle1:STN:280:DC%2BD3M7ks1Wjug%3D%3D Occurrence Handle11175958
JJ Feng M Gagner (2002) ArticleTitleLaparoscopic biliopancreatic diversion with duodenal switch Semin. Laparosc. Surg. 9 125–129 Occurrence Handle10.1053/slas.2002.126332 Occurrence Handle12152155
J Csepel ParticleDe T Quinn A Pomp et al. (2002) ArticleTitleConversion to a laparoscopic biliopancreatic diversion with a duodenal switch for failed laparoscopic adjustable silicone gastric banding J. Laparoendosc. Adv. Surg. Tech. A 12 237–240 Occurrence Handle10.1089/109264202760267998 Occurrence Handle12269489
M Gagner R Steffen L Biertho et al. (2003) ArticleTitleLaparoscopic adjustable gastric banding with duodenal switch for morbid obesity: technique and preliminary results Obes. Surg. 13 444–449 Occurrence Handle10.1381/096089203765887813 Occurrence Handle12841909
RA Rabkin JM Rabkin B Metcalf et al. (2003) ArticleTitleLaparoscopic technique for performing duodenal switch with gastric reduction Obes. Surg. 13 263–268 Occurrence Handle10.1381/096089203764467180 Occurrence Handle12740136
F Favretti GB Cadière G Segato et al. (2002) ArticleTitleLaparoscopic banding: selection and technique in 830 patients Obes. Surg. 12 385–390 Occurrence Handle10.1381/096089202321087922 Occurrence Handle1:STN:280:DC%2BD38zktVOhtg%3D%3D Occurrence Handle12082893
M Belachew PH Belva C Desaive (2002) ArticleTitleLong-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity Obes. Surg. 12 564–568 Occurrence Handle10.1381/096089202762252352 Occurrence Handle1:STN:280:DC%2BD38vjs1Gqsg%3D%3D Occurrence Handle12194552
M Vertruyen (2002) ArticleTitleExperience with Lap-Band System up to 7 years Obes. Surg. 12 569–572 Occurrence Handle10.1381/096089202762252361 Occurrence Handle12194553
R Weiner R Blanco-Engert S Weiner et al. (2003) ArticleTitleOutcome after laparoscopic adjustable gastric banding: 8 years experience Obes. Surg. 13 427–434 Occurrence Handle10.1381/096089203765887787 Occurrence Handle1:STN:280:DC%2BD3szhsFSltQ%3D%3D Occurrence Handle12841906
LF Martin (1998) ArticleTitleWhite S., Lindstrom W. Cost-benefit analysis for the treatment of severe obesity World J. Surg. 22 1008–1017 Occurrence Handle10.1007/s002689900508 Occurrence Handle1:STN:280:DyaK1czotlWmug%3D%3D Occurrence Handle9717430
DK Holian MW Clare (1986) ArticleTitleBiliopancreatic bypass for morbid obesity: late results and complications Clin. Nutr. 5 133–136 Occurrence Handle10.1016/0261-5614(86)90021-X
P Marceau S Biron R St.Georges et al. (1991) ArticleTitleBiliopancreatic diversion with gastrectomy as surgical treatment of morbid obesity Obes. Surg. 1 381–386 Occurrence Handle10.1381/096089291765560764 Occurrence Handle10775939
N Scopinaro GF Adami GM Marinari et al. (2000) Biliopancreatic diversion: two decades of experience M. Deitel SM, Jr Cowa (Eds) Update: Surgery for the Morbidly Obese Patient FD-Communications Toronto 227–258
D Michielsen R Van Hee L Hendrickx (1996) ArticleTitleComplications of biliopancreatic diversion surgery as proposed by Scopinaro in the treatment of morbid obesity Obes. Surg. 6 416–420 Occurrence Handle10.1381/096089296765556485 Occurrence Handle10729887
HJ Sugerman JM Kellum D Reines et al. (1996) ArticleTitleGreater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh Am. J. Surg. 171 80–81 Occurrence Handle10.1016/S0002-9610(99)80078-6 Occurrence Handle1:STN:280:BymC2c3gvFU%3D Occurrence Handle8554156
E Gianetta D Friedman E Traverso et al. (1992) ArticleTitleSmall bowel obstruction after biliopancreatic diversion Probl. Gen. Surg. 9 386
M Schein (1987) ArticleTitleAcute pancreatitis following pancreaticobiliary bypass (Scopinaro operation) Arch. Surg. 122 1088 Occurrence Handle1:STN:280:BiiB1MjptVw%3D
P Marceau F-S Hould S Simard et al. (1998) ArticleTitleBiliopancreatic diversion with duodenal switch World J. Surg. 22 947–954 Occurrence Handle10.1007/s002689900498 Occurrence Handle1:STN:280:DyaK1czotlWnug%3D%3D Occurrence Handle9717420
JE Compston S Vedi E Gianetta et al. (1984) ArticleTitleBone histomorphometry and vitamin D status after biliopancreatic bypass for obesity Gastroenterology 87 350–356 Occurrence Handle1:STN:280:BiuB3sjjsFU%3D Occurrence Handle6735078
JE Compston S Vedi GJ Watson et al. (1986) ArticleTitleMetabolic bone disease in patients with biliopancreatic bypass Clin. Nutr. 5 221–224 Occurrence Handle10.1016/0261-5614(86)90030-0
BL Chapin HJ Mar ParticleLe SuffixJr DH Knodel et al. (1996) ArticleTitleSecondary hyperparathyroidism following biliopancreatic diversion Arch. Surg. 131 1048–1053 Occurrence Handle1:STN:280:ByiD3M%2Fos1w%3D Occurrence Handle8857901
J Vanuytsel F Nobels L Van Gaal et al. (1993) ArticleTitleA case of malnutrition after biliopancreatic diversion for morbid obesity Int. J. Obes. 17 425–426 Occurrence Handle1:STN:280:ByyA28nlt1w%3D
U Bonalumi F Cafiero A Caponnetto et al. (1981) ArticleTitleProtein absorption studies in biliopancreatic bypass patients Int. J. Obes. 5 543
N Scopinaro GM Marinari E Gianetta et al. (1997) ArticleTitleThe respective importance of the alimentary limb (AL) and the common limb (CL) in protein absorption (PA) after BPD Obes. Surg. 7 168
E Gianetta D Friedman GF Adami et al. (1987) ArticleTitleEtiological factors of protein malnutrition after biliopancreatic diversion Gastroenterol. Clin. North Am. 16 503–504 Occurrence Handle1:STN:280:BieC3sfkt1c%3D Occurrence Handle3125106
A Primavera G Brusa P Novello et al. (1993) ArticleTitleWernicke Korsakoff encephalopathy following biliopancreatic diversion Obes. Surg. 3 175–177 Occurrence Handle10.1381/096089293765559548 Occurrence Handle10757916
L Quaranta G Nascimbeni F Semeraro et al. (1994) ArticleTitleSevere corneoconjunctival xerosis after biliopancreatic bypass for obesity (Scopinaro’s operation) Am. J. Ophthalmol. 118 817–818 Occurrence Handle1:STN:280:ByqD28fit1w%3D Occurrence Handle7977616
FP Cantatore M Carrozzo MC Loperfido (1991) ArticleTitlePost biliopancreatic bypass arthritis: dermatitis syndrome Clin. Rheumatol. 10 449–451 Occurrence Handle1:STN:280:By2B3c%2FotFU%3D Occurrence Handle1686994
IS Grimm W Schindler O Haluszka (1992) ArticleTitleSteatohepatitis and fatal hepatic failure after biliopancreatic diversion Am. J. Gastroenterol. 87 774–779
S Biron S Marceau C Dejoie et al. (1996) ArticleTitleEffects of weight loss after biliopancreatic diversion on liver morphology Obes. Surg. 6 121
A Gaudio ParticleDel L Boschi GA Gaudio ParticleDel et al. (2002) ArticleTitleLiver damage in obese patients Obes. Surg. 12 802–804 Occurrence Handle10.1381/096089202320995592 Occurrence Handle12568185
PM Gholam DP Kotler LJ Flancbaum (2002) ArticleTitleLiver pathology in morbidly obese patients undergoing Roux-en-Y gastric bypass surgery Obes. Surg. 12 49–51 Occurrence Handle10.1381/096089202321144577 Occurrence Handle11868297
L Spaulding T Trainer D Janiec (2003) ArticleTitlePrevalence of non-alcoholic steatohepatitis in morbidly obese subjects undergoing gastric bypass Obes. Surg. 13 347–349 Occurrence Handle10.1381/096089203765887633 Occurrence Handle12841891
DB Allison KR Fontaine JE Manson et al. (1999) ArticleTitleAnnual deaths attributable to obesity in the United States JAMA 282 1530–1538 Occurrence Handle1:STN:280:DC%2BD3c%2Fht1WrsQ%3D%3D Occurrence Handle10546692
EE Calle C Rodriguez K Walker-Thurmond et al. (2003) ArticleTitleOverweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults N. Engl. J. Med. 348 1625–1638 Occurrence Handle10.1056/NEJMoa021423 Occurrence Handle12711737
LV Sjöström (1992) ArticleTitleMortality of severely obese subjects Am. J. Clin. Nutr. 55 S516–S523
EJ Patterson DR Urbach LL Swanström (2003) ArticleTitleA comparison of diet and exercise therapy versus laparoscopic Roux-en-Y gastric bypass surgery for morbid obesity: a decision analysis model J. Am. Coll. Surg. 196 379–384 Occurrence Handle10.1016/S1072-7515(02)01754-4 Occurrence Handle12648689
TB To M Deitel E Stone et al. (1987) ArticleTitleSex hormonal changes after loss of massive excess weight Surg. Forum 38 465–467
M Deitel TB To E Stone et al. (1987) ArticleTitleSex hormonal changes accompanying loss of massive excess weight Gastroenterol. Clin. North Am. 16 511–515 Occurrence Handle1:STN:280:BieC3sfkt1I%3D Occurrence Handle3436658
R Pasquali V Vicennati N Scopinaro et al. (1997) ArticleTitleAchievement of near-normal body weight as the prerequisite to normalise sex hormone-binding globulin concentration in morbidly obese men Int. J. Obes. 21 1–5 Occurrence Handle10.1038/sj.ijo.0800351 Occurrence Handle1:STN:280:ByiC2sngtF0%3D
EG Gerrits R Ceulemans R Van Hee et al. (2003) ArticleTitleContraceptive treatment after biliopancreatic diversion needs consensus Obes. Surg. 13 378–382 Occurrence Handle10.1381/096089203765887697 Occurrence Handle12841897
DS Richards DK Miller GN Goodman (1987) ArticleTitlePregnancy after gastric bypass for morbid obesity J. Reprod. Med. 32 172–176 Occurrence Handle1:STN:280:BiiC1Mfkslw%3D Occurrence Handle3572896
L Treadwell EE Mason DA Scott et al. (1993) ArticleTitlePregnancy outcome after vertical banded gastroplasty Obes. Surg. 3 143
AC Wittgrove L Jester P Wittgrove et al. (1998) ArticleTitlePregnancy following gastric bypass for morbid obesity Obes. Surg. 8 461–464 Occurrence Handle10.1381/096089298765554368 Occurrence Handle1:STN:280:DyaK1cvgtVCjuw%3D%3D Occurrence Handle9731683
M Deitel AM Ternamian (2000) Gynecologic-obstetric features of morbid obesity and the effect of weight loss M Deitel GSM Cowan Jr. (Eds) Update: Surgery for the morbidly obese patient FD-Communications Toronto 481–485
D Friedman S Cuneo M Valenzano et al. (1995) ArticleTitlePregnancies in an 18-year follow-up after biliopancreatic diversion Obes. Surg. 5 308–313 Occurrence Handle10.1381/096089295765557692 Occurrence Handle10733817
GF Adami D Friedman S Cuneo et al. (1992) ArticleTitleIntravenous nutritional support in pregnancy: experience following biliopancreatic diversion Clin. Nutr. 11 106–109 Occurrence Handle10.1016/0261-5614(92)90020-Q
JF Amaral WR Thompson MD Caldwell et al. (1985) ArticleTitleProspective hematologic evaluation of gastric exclusion surgery for morbid obesity Ann. Surg. 201 186–193 Occurrence Handle1:STN:280:BiqC387ht1Q%3D Occurrence Handle3970598
SR Simon R Zemel S Betancourt et al. (1989) ArticleTitleHematologic complications of gastric bypass for morbid obesity South. Med. J. 82 1108–1110 Occurrence Handle1:STN:280:BiaA28fpvFI%3D Occurrence Handle2772679
DW Hess DS Hess (1998) ArticleTitleBiliopancreatic diversion with a duodenal switch Obes. Surg. 8 267–282 Occurrence Handle10.1381/096089298765554476 Occurrence Handle1:STN:280:DyaK1czktlWltw%3D%3D Occurrence Handle9678194
BM Rhode LD McLean (2000) Vitamin and mineral supplementation after gastric bypass M Deitel GSM Cowan Jr. (Eds) Update: Surgery for the Morbidly Obese Patients FD-communications Toronto 161–170
RE Brolin M Leung (1999) ArticleTitleSurvey of vitamin and mineral supplementation after gastric bypass and biliopancreatic diversion for morbid obesity Obes. Surg. 9 150–154 Occurrence Handle10.1381/096089299765553395 Occurrence Handle1:STN:280:DyaK1M3ntVGqsQ%3D%3D Occurrence Handle10340768
TK Byrne (2001) ArticleTitleComplications of surgery for obesity Surg. Clin. North Am. 81 1181–1194
PE O’Brien JB Nixon W Brown et al. (2002) ArticleTitleThe laparoscopic adjustable gastric band (Lap-Band®): a prospective study of medium-term effects on weight, health and quality of life Obes. Surg. 12 652–660 Occurrence Handle10.1381/096089202321019639 Occurrence Handle12448387
E Meir M Van Baden (1999) ArticleTitleAdjustable silicone gastric banding and band erosion: personal experience and hypotheses Obes. Surg. 9 191–193 Occurrence Handle10.1381/096089299765553485 Occurrence Handle1:STN:280:DyaK1M3ntVKjsA%3D%3D Occurrence Handle10340777
E Hell KA Miller (2000) Comparison of vertical banded gastroplasty and adjustable silicone gastric banding M Deitel GSM Cowan Jr. (Eds) Update: Surgery for the Morbidly Obese Patient FD-Communications Toronto 379–386
EJ DeMaria HJ Sugerman JG Meador et al. (2001) ArticleTitleHigh failure rate after laparoscopic adjustable silicon gastric banding for treatment of morbid obesity Ann. Surg. 233 809–818 Occurrence Handle10.1097/00000658-200106000-00011 Occurrence Handle1:STN:280:DC%2BD3M3nslGktg%3D%3D Occurrence Handle11371739
Misset M, Fabry H, Van Hee R, et al. Laparoscopic adjustable gastric banding with up to 6-year follow-up: is it really safe and affective? Acta Chir. Belg. in press
E Chelala GB Cadière F Favretti et al. (1997) ArticleTitleConversions and complications in 185 laparoscopic adjustable silicone gastric banding cases Surg. Endosc. 11 268–271 Occurrence Handle10.1007/s004649900341 Occurrence Handle1:STN:280:ByiB3snntlE%3D Occurrence Handle9079607
E Niville A Dams (1999) ArticleTitleLate pouch dilation after laparoscopic adjustable gastric and esophagogastric banding: incidence, treatment and outcome Obes. Surg. 9 381–384 Occurrence Handle10.1381/096089299765552972 Occurrence Handle1:STN:280:DyaK1Mvht1WhtQ%3D%3D Occurrence Handle10484297
M Morino M Toppino C Garrone (1997) ArticleTitleDisappointing long-term results of laparoscopic adjustable silicone gastric banding Br. J. Surg. 84 868–869 Occurrence Handle10.1046/j.1365-2168.1997.02658.x Occurrence Handle1:STN:280:ByiA3s3psFY%3D Occurrence Handle9189114
A Westling K Bjurling M Ohrvall et al. (1998) ArticleTitleSilicone-adjustable gastric banding: disappointing results Obes. Surg. 8 467–474 Occurrence Handle10.1381/096089298765554386 Occurrence Handle1:STN:280:DyaK1cvgtVCisg%3D%3D Occurrence Handle9731684
R Van Hee (1999) ArticleTitleBariatric surgery: a view on the future G. Chir. 20 73–79 Occurrence Handle1:STN:280:DyaK1M3jsVCrsQ%3D%3D Occurrence Handle10217863
HJ Sugerman GL Londrey JM Kellum et al. (1989) ArticleTitleWeight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment Am. J. Surg. 157 93–100 Occurrence Handle1:STN:280:BiaD1cnmtlc%3D Occurrence Handle2910132
HJ Sugerman EJ DeMaria JM Kellum (2003) ArticleTitleSweet eating is not a predictor of outcome after Lap-Band® placement? Obes. Surg. 13 468–471 Occurrence Handle10.1381/096089203765887886 Occurrence Handle12841916
F Larsen (1990) ArticleTitlePsychological function before and after gastric banding surgery for morbid obesity: a prospective psychiatric study Acta Psychiatr. Scand. 82 S1–S57
EE Mason WW Hesson (1998) ArticleTitleInformed consent for obesity surgery Obes. Surg. 8 419–428 Occurrence Handle10.1381/096089298765554304 Occurrence Handle1:STN:280:DyaK1cvgtVCjsQ%3D%3D Occurrence Handle9731677
RC Savage (1983) ArticleTitleAbdominoplasty following gastrointestinal bypass surgery Plast. Reconstr. Surg. 71 500–507 Occurrence Handle1:STN:280:BiyC2cvot1A%3D Occurrence Handle6828584
A Fuente del Campo E Rojas Allegretti JA Fernandes Filho (1998) ArticleTitleet al. Regional dermolipectomy as treatment for sequelae of massive weight loss World J. Surg. 22 974–980 Occurrence Handle10.1007/s002689900502 Occurrence Handle1:STN:280:DyaK1czotlWmsA%3D%3D Occurrence Handle9717424
C Floros KB Davis (1991) ArticleTitleComplications and long-term results following abdominoplasty: a retrospective study Br. J. Plast. Surg. 44 190–194 Occurrence Handle1:STN:280:By6B38zjsFw%3D Occurrence Handle1827355
V Soundarajan NB Hart CMS Royston (1995) ArticleTitleAbdominoplasty following vertical banded gastroplasty for morbid obesity Br. J. Plast. Surg. 48 423–427 Occurrence Handle7551516
I Pitanguy (1971) ArticleTitleSurgical reduction of the abdomen, thigh and buttocks Surg. Clin. North Am. 51 479–489 Occurrence Handle1:STN:280:CS6C2MvotV0%3D Occurrence Handle5550702
FM Grazer (1973) Abdominoplasty. Plast. Reconstr. Surg. 51 617–623 Occurrence Handle1:STN:280:CSyC1c%2FmtFI%3D
Lowis S, Van Hee R, Peeters R, et al. Abdominoplasty after biliopancreatic diversion for morbid obesity. Br. J. Plast. Surg. in press
FM Grazer RM Goldwyn (1977) ArticleTitleAbdominoplasty assessed by survey, with emphasis on complications Plast. Reconstr. Surg. 59 513–517 Occurrence Handle1:STN:280:CSiC2cbjt1A%3D Occurrence Handle847027
JH Uchelen ParticleVan PNM Werker M Kon (2001) ArticleTitleComplications of abdominoplasty in 86 patients Plast. Reconstr. Surg. 107 1869–1873 Occurrence Handle10.1097/00006534-200106000-00037 Occurrence Handle11391211
JM Hensel JA Lehman MP Tantri et al. (2001) ArticleTitleAn outcomes analysis and satisfaction survey of 199 consecutive abdominoplasties Ann. Plast. Surg. 46 357–363 Occurrence Handle10.1097/00000637-200104000-00001 Occurrence Handle1:STN:280:DC%2BD3MvlvF2ltg%3D%3D Occurrence Handle11324875
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Van Hee, R. Biliopancreatic Diversion in the Surgical Treatment of Morbid Obesity. World J. Surg. 28, 435–444 (2004). https://doi.org/10.1007/s00268-004-7364-x
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DOI: https://doi.org/10.1007/s00268-004-7364-x