Obesity Surgery

, Volume 7, Issue 1, pp 30–33

Biliopancreatic Diversion with Transitory Gastroplasty Preserving Duodenal Bulb: 3 Years Experience

Authors

  • C Vassallo
  • L Negri
  • A Della Valle
  • M Salvaneschi
  • C Vegezzi
  • A Griziotti
  • C Dono
  • P Mussi
  • M G Bausardo
  • P Pietrobono
Article

DOI: 10.1381/096089297765556204

Cite this article as:
Vassallo, C., Negri, L., Valle, A.D. et al. OBES SURG (1997) 7: 30. doi:10.1381/096089297765556204

Background: The authors have performed 521 bariatric surgery operations (319 restrictive procedures and 202 malabsorptive procedures). Methods: During the last few years we have introduced an evolution of biliopancreatic diversion (BPD): BPD with transitory gastroplasty, preserving the duodenal bulb (53 cases). From a technical point of view, the operation consists of a BPD, coupled with a gastroplasty which is transitory due to the use of a polydioxanone (PDS) band. In the last few cases, instead of a VBG (with PDS band) in order to make the operation completely reversible without any suture on the stomach, we made a gastric pouch by banding with PDS calibrated with the same tube as for the Lap-band (20 cc). We maintained completely the duodenal bulb (5 cm from the pylorus), making an end-to-side duodeno-ileal isoperistaltic anastomosis. Results: With this anastomosis, only 2% of patients developed an anastomotic ulcer. With this new procedure, results have been good in terms of weight loss (similar to that of BPD-AHS) and in nutritional complications. No patient has had hypoalbuminemia, diarrhea or halitosis. Conclusion: BPD with temporary gastric restriction has provided satisfactory results.

Biliopancreatic diversioncomplicationsgastric preservationmorbid obesitypylorus and duodenal bulb preservationtransitory gastric restriction

Copyright information

© Springer 1997