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Laparoscopic Malabsorption Procedures: The Technique of Biliopancre atic Diversion

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Minimally Invasive Bariatric Surgery

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Abstract

Scopinaro’s lifelong commitment to biliopancreatic diversion (BPD) has demonstrated its effectiveness as a tool offering sustained weight loss (1). Scopinaro’s initial technique really has not changed much since the 1970s. The procedure offers a two-pronged attack: initial restriction and then maintenance by malabsorption (2). Benefits derived from laparoscopic techniques applied to abdominal procedures relate to elimination of wound complications, namely pain and suffering, and delayed complications from the incision itself. The greatest benefit has come in those procedures where the morbidity was almost entirely related to the wound, particularly cholecystectomy, fundoplication, and splenectomy in the upper abdomen and inguinal hernia and colectomy in the lower abdomen (3–6).

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Authors and Affiliations

  1. Department of Surgery, New York University Program for Surgical Weight Loss, New York, NY, USA

    George A. Fielding MD (Associate Professor)

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  1. George A. Fielding MD
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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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Fielding, G.A. (2007). Laparoscopic Malabsorption Procedures: The Technique of Biliopancre atic Diversion. 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_37

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_37

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

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