Skip to main content

Revisional Surgery: Biliopancreatic Diversion Failure

  • Chapter
Minimally Invasive Bariatric and Metabolic Surgery

Abstract

Biliopancreatic diversion (BPD), as proposed by Scopinaro, is a malabsorptive procedure for the treatment of morbid obesity, which has shown excellent results in terms of percentage excess weight loss (EWL) and improvement of co-morbidities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Scopinaro N, Adami GF, Marinari GM, Giannetta E, Traverso E, Friedman D, Camerini G, Bascheri G, Simonelli A. Biliopanceratic diversion. World J Surg. 1998;22:936.

    Article  CAS  PubMed  Google Scholar 

  2. Guedea ME, Arribas del Amo D, Solanas JA, Marco CA, Bernadó AJ, Rodrigo MA, Diago VA, Díez MM. Results of biliopancreatic diversion after five years. Obes Surg. 2004;14(6):766–72.

    Article  PubMed  Google Scholar 

  3. Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, Bantle JP, Sledge I. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009;122(3):248–256.e5.

    Article  PubMed  Google Scholar 

  4. Scopinaro N, Gianetta E, Adami GF, Friedman D, Traverso E, Marinari GM, Cuneo S, Vitale B, Ballari F, Colombini M, Baschieri G, Bachi V. Biliopancreatic diversion for obesity at eighteen years. Surgery. 1996;119(3):261–8.

    Article  CAS  PubMed  Google Scholar 

  5. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.

    Article  CAS  PubMed  Google Scholar 

  6. Scopinaro N. Thirty-five years of biliopancreatic diversion: notes on gastrointestinal physiology to complete the published information useful for a better understanding and clinical use of the operation. Obes Surg. 2012;22(3):427–32.

    Article  PubMed  Google Scholar 

  7. Crea N, Pata G, Di Betta E, Greco F, Casella C, Vilardi A, Mittempergher F. Long-term results of Biliopancreatic diversion with and without gastric preservation for morbid obesity. Obes Surg. 2011;21:139–145.

    Article  PubMed  Google Scholar 

  8. Scopinaro N, Marinari G, Camerini G, Papadia F. Biliopancreatic Diversion: physiological and metabolic aspects. In Bariatric Surgery. Multidisciplinary approach and Surgical techniques. 2nd edn. Aosta: Società valdostana di chirurgia; Quart: Musumeci: 2007.

    Google Scholar 

  9. Lozano O, García-Díaz JD, Cancer E, Arribas I, Rubio JL, González-García I, Galván M, Alvarez J, Martín-Duce A. Phosphocalcic metabolism after biliopancreatic diversion. Obes Surg. 2007;17(5):642–8.

    Article  CAS  PubMed  Google Scholar 

  10. Hamoui N, Anthone G, Crookes PF. Calcium metabolism in the morbidly obese. Obes Surg. 2004;14(1):9–12.

    Article  PubMed  Google Scholar 

  11. Balsa JA, Botella-Carretero JI, Peromingo R, Zamarrón I, Arrieta F, Muñoz-Malo T, Vázquez C. Role of calcium malabsorption in the development of secondary hyperparathyroidism after biliopancreatic diversion. J Endocrinol Invest. 2008;31(10):845–50.

    Article  CAS  PubMed  Google Scholar 

  12. Balsa JA, Botella-Carretero JI, Peromingo R, Caballero C, Muñoz-Malo T, Villafruela JJ, Arrieta F, Zamarrón I, Vázquez C. Chronic increase of bone turnover markers after biliopanceratic diversion is related to secondary hyperparathyroidism and weight loss relation with bone mineral density. Obes Surg. 2010;20:468–73.

    Article  PubMed  Google Scholar 

  13. Tsiftsis DDA, Mylonas P, Mead N, Kalfarentzos F, Alexandrides TK. Bone mass decreases in morbidly obese women after long limb-biliopancreatic diversion and marked weight loss without secondary hyperparathyroidism. A physiological adaptation to weight loss? Obes Surg. 2009;19(11):1497–503.

    Article  PubMed  Google Scholar 

  14. Marceau P, Biron S, Hould FS, Lebel S, Marceau S, Lescelleur O, Biertho L, Simard S. Duodenal Switch improves standard biliopancreatic diversion: a restrospective study. Surg Obes Relat Dis. 2009;5:43–7.

    Article  PubMed  Google Scholar 

  15. Scibora LM, Ikramuddin S, Buchwald H, Petit MA. Examining the link between bariatric surgery, bone loss, and osteoporosis: a review of bone density studies. Obes Surg. 2012;22:654–67.

    Article  PubMed  Google Scholar 

  16. Lalmohamed A, de Vries F, Bazelier MT, Cooper A, van Staa TP, Cooper C, Harvey NC. Risk of fracture after bariatric surgery in the United Kingdom: population based, retrospective cohort study. BMJ. 2012;345:e5085.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Kellogg TA. Revisional bariatric surgery. Surg Clin N Am. 2011;91:1353–71.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ferdinando Pinna .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Ceriani, V., Pinna, F., Lodi, T., Gaffuri, P. (2015). Revisional Surgery: Biliopancreatic Diversion Failure. In: Lucchese, M., Scopinaro, N. (eds) Minimally Invasive Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-15356-8_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15356-8_24

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15355-1

  • Online ISBN: 978-3-319-15356-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics