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Biliopancreatic Diversion Gastric Bypass
Bariatric Stomach Bypass Surgery
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Biliopancreatic Diversion (Scopinaro procedure) (BPD)

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In this more complicated malabsorptive operation, portions of the stomach are removed.

DS leaves a larger portion of the stomach intact, including the pyloric valve that regulates the release of stomach contents into the small intestine.
It also keeps a small part of the duodenum in the digestive pathway. The patient must be closely monitored to guard against severe nutritional deficiencies. DS leaves a larger portion of the stomach intact, including the pyloric valve that regulates the release of stomach contents into the small intestine. It also keeps a small part of the duodenum in the digestive pathway. The patient must be closely monitored to guard against severe nutritional deficiencies.

The small pouch that remains is connected directly to the final segment of the small intestine, completely bypassing the duodenum and the jejunum. Although this procedure successfully promotes weight loss, it is less frequently used than other types of surgery because of the high risk for nutritional deficiencies.

This procedure is less food restrictive than the Roux-en-Y (RNY) operation. The stomach capacity is 4-5 ounces compared with RNY of around an ounce. There is a significant malabsorptive component which acts to maintain weight loss long term. The patient must be closely monitored to guard against severe nutritional deficiencies.

Advantages of BPD Weight Loss Surgery

  • Significant malabsorptive component
  • Better chance of sustained weight loss
  • Ability to eat larger quantities of food and still lose weight

Disadvantages of BPD Weight Loss Surgery

  • Greater chance of chronic diarrhea, stomal ulcers, more foul smelling stools and flatus
  • Higher risk of nutritional deficiencies
  • Higher chance of micronutrient deficiencies such as vitamins and calcium

For more information about weight loss surgical operations (including diagrams) see below.

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