Question:
Has anyone heard of or had experience with the wls called biliopancreatic diversion ?
This surgery is a version of the rny but is called long limb or biliopancreatic diversion. There are supposedly only 9 doctors in the U.S. that performs this surgery, Dr. Maguire in Kettering, Ohio being one of them. It is different from the rny because a larger stomach pouch is created allowing the person to eat more normal amounts of food. — Lisa B. (posted on November 19, 1998)
January 25, 1999
I am having the Bilopancreatic Diversion with Duodenal Switch
as discribed ( perfected by ) Dr. P. Marceau of Laval Quebec
Canada. This surgery is written up in the World Journal
of Surgery 1998 September. This surgery is a REVISION to
my failed VBG from '91. It is very invasive, non reversible,
and the only choice left to me according to my surgeon here
in Canada.
check it out<<<http://www.jetlink.net/ref-1.htm
— Kaushia
March 14, 1999
There is now a support group for the Bilopancreatic
Diversion plus Duodenal switch...Also known as
Distal Gastric bypass with Duodenal Switch in the U.S.A.
Support group site is < [email protected] >
— Kaushia
March 14, 1999
There is now a support group for this type of surgery
called < [email protected] > Look in it's
archives for a full discription of the surgery.
Surgery is called"Bilo Pancreatic Diversion with Duodenal
Switch and/or Distal Gastric Bypass with Duodenal Switch".
— Kaushia
March 18, 1999
Lisa,
I had this surgery with Dr. Gary Furman in Los Angeles on January
9, 1997. I have lost 190lbs. I can eat like a normal human being with
only restrictions on the fat intake. I think this is the best of all
wls surgeries for volume eaters and high fat eaters. It is the
most extensive with the most possible nutritional def. if you
do not follow doctors orders for vitamins and iron post op. But
it is the best thing that has ever happened to me and I would
do it again tomorrow.
Allison
— Allison Mupas
May 10, 1999
Yes. My Dr, Donald McConnall, is one of those 9, and one of only 2 on the
West coast that do this surgery. My best friend just came out from the
surgery, and is recovering WONDERFULLY. Although she cannot eat more than
about 1/2 cup of food per sitting, she is basically "normal"
(whatever that is <G>). This is the same surgery that I am trying
for. Biliopancreatic bypass surgury with a duodenal switch involves taking
about 1/2 of the stomach, and about 60% of the intestines, measuring about
5cm down from the duodenum and about 100cm up from the top of the colon.
The Dr. then attaches the two ends together permanantly. ICU is usually
about 24 hours, and additional hospital stay is about 4 days barring
complications. As soon as you pass gas, you are able to switch to
"pureed" soft foods and liquids other than water, and depending
on the Dr, the scar is actually pretty minimal and heals fine if you follow
the dr's suggestions for care and treatment. You are then home for about 2
1/2 weeks after that, and can return to light duties at work for another 2
or 3 weeks until you are up to working full time again. While most ins
companies don't cover obesity surgery that includes staples, they CAN make
an exception for this surgery due to the fact that there are NO gastric
staples or sutures. It's actually totally removed.
— Molly S.
May 15, 1999
I don't know how many doctors do this but I am having it done on June 1st.
It seems to be very very successful and my doctor highly recommends it for
the "heavier" person. with the intestines diverted it is very
difficult to gain weight back as you will get sever pains and diahrea if
you eat too many fats and such. Basically fats do not have time to digest
and go right through you and yes, you have to make sure you take your
supplements too.
— BARBARA R.
March 7, 2000
I had this surgery have pancreatitis now is this common?
— louise M.
March 8, 2000
So many of the answers here are patently incorrect. I suggest that you go
to the website: duodenalswitch.com There is ample information there on the
procedure and a list of surgeons who do it, which I believe now is 22.
They are all around the country, and their names and addresses are on that
site. There is also a chat room which is posted on the site as well.
Good luck in your information gathering.
— Julie P.
March 8, 2000
Louise, the report that Melanie posted is by the man who developed the BPD
and has performed thousands of them. You can print the report and take it
to your doctor. It may give her or him a direction to investigate.
Information is power, and the internet is a powerful tool for gathering
information. Kudos to you for making use of it!!
— Kim H.
April 16, 2000
There are several advantages to the biliopancreatic bypass with a duodenal
switch. There is no isolated stomach, no foreign body or band required.
There is preservation of the pylorus, no dumping syndrome, no marginal
ulcers, and good weight loss.
This operation is both a restrictive and a malabsorption procedure.
However, neither of these procedures are performed to an extreme degree.
The restriction is related only to reducing the size of the stomach. There
is no constricting band or narrowed stoma. We use a vertical gastrectomy
which preserves the pylorus, a portion of the antrum, some of the mid and
upper stomach, and removes most of the acid producing fundus. If in the
future any revision needs to be performed on these patients it would be
unusual to have to re-operate on the stomach. Surgery in this area becomes
difficult due to adhesions between the stomach, liver, and the upper
abdominal area on the second surgeries.
The malabsorption portion of this operation consists of an alimentary canal
of 250 to 350 cm, with a common channel portion measuring 50 to 100 cm. of
the distal ileum, which practically always gives adequate absorption and
nutrition. If there is some difficulty with malabsorption, the length of
the alimentary canal and common channel can be extended without much
difficulty and without disturbing the stomach or the duodenal anastomosis.
Liver failure, renal failure, severe electrolyte imbalances etc. do not
seem to be a problem with this operation, if the patients have adequate
follow-up and proper supplementation.
Since the pylorus is still intact a functional reversal of this operation
can be performed quite satisfactorily. The volume of the stomach, 100 to
175 cc, will enlarge with time, and is always adequate in size. Shortening
of the roux-en-y or anatomical reversal would work without the formation of
an ulcer or the need of a vagotomy.
It is known that the gastric bypass with both a short or long limb
roux-en-y may be an ulcergenic operation. By the addition of the duodenal
switch procedure the possibility of a marginal ulcer is remote 9. We have
never had a marginal ulcer since using the duodenal switch procedure in all
of our cases, which including our redo surgeries, number more than 600
procedures. Since we do not remove the pylorus and do not have marginal
ulcers there is little need for a vagotomy, and in turn, no dumping
syndrome, We have never had a dumping syndrome in any of our cases.
In our 20 years of experience, the biliopancreatic bypass with a duodenal
switch has shown to be the most effective weight loss procedure, for both
the morbidly obese and the super morbidly obese patient. For the super
morbidly obese patient, restrictive procedures alone will probably not be
successful. The biliopancreatic bypass with a duodenal switch, however, is
a procedure that has shown to be a successful method of treatment for the
super obese patient.
— [Anonymous]
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