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Minimally Invasive Bariatric Surgery pp 335–338Cite as

Laparoscopic Malabsorption Procedures: Outcomes

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Abstract

Malabsorption procedures for surgical weight reduction were initially described 50 years ago (1). The jejunoileal bypass and other early forms of intestinal bypass relied on malabsorption of nutrients to induce weight loss. However, the jejunoileal bypass was associated with significant metabolic complications due to the defunctionalized bypassed intestine. Complications, such as severe diarrhea, electrolyte disturbances, hyperoxaluria, nephrolithiasis, anemia, arthritis, liver dysfunction, and even liver failure, eventually led to the abandonment of these first-generation malabsorption procedures by the 1980s. The current malabsorption procedures are based on the biliopancreatic diversion (BPD), which was introduced by Scopinaro in 1976 (2). Unlike the original malabsorption procedures, no blind or defunctionalized segment of small intestine is created, and as a result many of the significant complications of the jejunoileal bypass are avoided. Advantages of the biliopancreatic diversion over other bariatric procedures include fewer dietary restrictions with more normal eating behavior, no excluded gastric remnant that is relatively inaccessible endoscopically, and excellent long-term weight loss.

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Author information

Authors and Affiliations

  1. Department of Surgery, Good Samaritan Hospital, Portland, OR, USA

    Jay C. Jan MD (Bariatric Surgeon)

  2. Bariatric Surgery Program, Department of Surgery, Legacy Health System, Portland, OR, USA

    Emma J. Patterson MD, FACS, FRCSC (Medical Director)

Authors
  1. Jay C. Jan MD
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  2. Emma J. Patterson MD, FACS, FRCSC
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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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Jan, J.C., Patterson, E.J. (2007). Laparoscopic Malabsorption Procedures: Outcomes. 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_38

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_38

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

  • eBook Packages: MedicineMedicine (R0)

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