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Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical Technique

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Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery

Abstract

The goal of this manuscript is to describe the surgical technique and peri-operative management of patients undergoing laparoscopic biliopancreatic diversion with duodenal switch (BPD-DS). In short, a large sleeve gastrectomy is created. The duodenum is transected 2–4 cm distal to the pylorus and anastomosed to the distal 250 cm of the small bowel, to create a 250-cm alimentary limb. The biliary limb is transected and connected at 100 cm from the ileocecal valve to create a 100-cm common channel. We also present our standard peri-operative management and follow-up, including vitamin supplementation and blood work. Most of the data reported here are based on our long-term experience with more than 5000 BPD-DS performed in our institution since 1990.

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Correspondence to Laurent Biertho .

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Biertho, L., Bouvet-Bouchard, L., Vourtzoumis, P. (2023). Laparoscopic Biliopancreatic Diversion with Duodenal Switch: Surgical Technique. In: Teixeira, A., et al. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-25828-2_24

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  • DOI: https://doi.org/10.1007/978-3-031-25828-2_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-25827-5

  • Online ISBN: 978-3-031-25828-2

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