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Minimally Invasive Bariatric Surgery pp 317–326Cite as

Laparoscopic Biliopancreatic Diversion with Duodenal Switch

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Abstract

The jejunoileal bypass was the first malabsorptive procedure performed and the only available bariatric procedure in earlier times. First performed in 1953 by Varco and Kremen, it dominated the bariatric field over 20 years (1). The procedure consisted of an end-to-end jejunoileostomy with a separate ileocecostomy for drainage of the bypassed segment. Excellent weight loss was seen, but major complications such as gas-bloat syndrome, diarrhea, changes in electrolytes, impaired mental status, nephrolithiasis, eruptive integument lesions, and hepatic fibrosis and failure occurred. Because of these serious complications, this procedure was not used routinely (1).

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Author information

Authors and Affiliations

  1. Department of Surgery, Weill Medical College of Cornell University, New York-Presbyterian Hospital, New York, NY, USA

    Ronald Matteotti MD (Research Fellow) & Michel Gagner MD, FRCS, FACS (Professor and Chief, Laparoscopic and Bariatric Surgery)

Authors
  1. Ronald Matteotti MD
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  2. Michel Gagner MD, FRCS, FACS
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Editor information

Editors and Affiliations

  1. Lerner College of Medicine, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  2. Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic Institute The Cleveland Clinic Foundation, Cleveland, OH, 44195, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  3. Department of Surgery Health Sciences Center, University of Virginia Health System, Charlottesville, VA, 22908, USA

    Bruce D. Schirmer MD (Stephen H. Watts Professor of Surgery) (Stephen H. Watts Professor of Surgery)

  4. Advanced Laparoscopic and Bariatric Surgery, Department of Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Stacy A. Brethauer MD (Staff Surgeon) (Staff Surgeon)

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© 2007 Springer Science+Business Media, LLC

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Matteotti, R., Gagner, M. (2007). Laparoscopic Biliopancreatic Diversion with Duodenal Switch. In: Schauer, P.R., Schirmer, B.D., Brethauer, S.A. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68062-0_36

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_36

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

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