Laparoscopic Malabsorption Procedures: The Technique of Biliopancre atic Diversion

  • George A. Fielding


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, 4, 5, 6).


Biliopancreatic Diversion Duodenal Switch Roux Limb Left Gastric Artery Cleveland Clinic Foundation 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • George A. Fielding
    • 1
  1. 1.Department of SurgeryNew York University Program for Surgical Weight LossNew YorkUSA

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