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Transforming a Biliopancreatic Derivation in an Ileal Interposition with a Single Anastomosis

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Abstract

The biliopancreatic derivation (BPD) is the most powerful bariatric procedure. However, it never became a very popular procedure, except for Italy, because of the high rate of nutritional problems, intense flatulence, and diarrhea. Here, we describe an extremely simple way (just one anastomosis) to revise the BPD, transforming it into an ileal interposition with duodenal exclusion, solving these described problems.

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References

  1. Scopinaro N, Gianetta E, Civalleri D, et al. Bilio-pancreatic bypass for obesity: II. Initial experience in man. Br J Surg. 1979;66:618–20.

    Article  CAS  PubMed  Google Scholar 

  2. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.

    Article  CAS  PubMed  Google Scholar 

  3. Baltasar A, Bou R, et al. Tres tipos de alargamiento de asa común en Malnutrición calórico-proteica. Malnutrición. BMI. 2011; 1.2.5 (96-97).

  4. Holst JJ. Postprandial insulin secretion after gastric bypass surgery: The role of glucagon-like peptide 1. Diabetes. 2011;60:2203–5.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Santoro S. From bariatric to pure metabolic surgery: new concepts on the rise. Ann Surg. 2014. doi:10.1097/SLA.0000000000000590.

    PubMed  Google Scholar 

  6. Celik A, Ugale S. Functional restriction and a new balance between proximal and distal gut: the tools of the real metabolic surgery. Obes Surg. 2014;24(10):1742–3.

    Article  PubMed Central  PubMed  Google Scholar 

  7. De Paula AL, Stival AR, Macedo A, et al. Prospective randomized controlled trial comparing 2 versions of laparoscopic ileal interposition associated with sleeve gastrectomy for patients with type 2 diabetes with BMI 21–34 kg/m2. Surg Obes Relat Dis. 2010;6(3):296–304.

    Article  PubMed  Google Scholar 

  8. de Paula AL, Macedo AL, et al. Laparoscopic sleeve gastrectomy with ileal interposition ("neuroendocrine brake")—pilot study of a new operation. Surg Obes Relat Dis. 2006;2(4):464–7.

    Article  PubMed  Google Scholar 

  9. DePaula AL, Stival AR, DePaula CC, Halpern A, Vencio S. Surgical treatment of type 2 diabetes in patients with BMI below 35: mid-term outcomes of the laparoscopic ileal interposition associated with a sleeve gastrectomy in 202 consecutive cases. J Gastrointest Surg. 2012;16(5):967–76.

    Article  PubMed  Google Scholar 

  10. DePaula AL, Stival AR, DePaula CC, et al. Impact on dyslipidemia of the laparoscopic ileal interposition associated to sleeve gastrectomy in type 2 diabetic patients. J Gastrointest Surg. 2010;14(8):1319–25.

    Article  PubMed  Google Scholar 

  11. Santoro S, Castro LC, Velhote MC, et al. Sleeve gastrectomy with transit bipartition: a potent intervention for metabolic syndrome and obesity. Ann Surg. 2012;256(1):104–10.

    Article  PubMed  Google Scholar 

  12. Goncalves D, Barataud A, De Vadder F, Vinera J, Zitoun C, Duchampt A, Mithieux G. Bile routing modification reproduces key features of gastric bypass in rat. Ann Surg. 2015. doi: 10.1097/SLA.0000000000001121.

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Conflict of Interest

The authors declare that they have no competing interests.

Informed Consent

Informed consent was obtained from the individual participant in this case report.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Authors and Affiliations

  1. Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, Bloco A1 sala 223, São Paulo, 05652-900, Brazil

    Sergio Santoro & Caio G. Gaspar de Aquino

Authors
  1. Sergio Santoro
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  2. Caio G. Gaspar de Aquino
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Correspondence to Sergio Santoro.

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Santoro, S., de Aquino, C.G.G. Transforming a Biliopancreatic Derivation in an Ileal Interposition with a Single Anastomosis. OBES SURG 25, 1547–1549 (2015). https://doi.org/10.1007/s11695-015-1768-6

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  • DOI: https://doi.org/10.1007/s11695-015-1768-6

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