BILIO-PANCREATIC BYPASS

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[ General Information About Bariatric Surgery ]

Bilio-pancreatic diversion (BPD)

In this stomach bypass (Scopinaro procedure) a large part of the stomach is removed, reducing both food intake and stomach acid production. The new stomach holds 4-5 ounces (120 – 150 ml). Food is re-routed (via the "biliopancreatic limb"), bypassing the entire length of the duodenum and jejunum. At the same time, bile and pancreatic juices are channeled through a second limb ("alimentary limb") which joins and forms a common digestive tract with the biliopancreatic limb, allowing calorie and nutritional absorption to occur. Bariatric surgeons can vary the length of this tract to regulate the intake of fat, protein and fat-soluble vitamins. Both calorie and nutrient absorption is severely reduced. Not surprisingly, the BPD is extremely effective for weight reduction, although nutritional deficiency is a lifelong problem and patients require continuous nutritional supplementation. Some bariatric clinics no longer perform biliopancreatic bypasses due to this severe malabsorption it causes.

Bilio-pancreatic bypass with duodenal switch (BPDS)

This stomach bypass variant of the regular biliopancreatic bypass leaves a larger portion of the stomach intact, including the pyloric valve which regulates the release of stomach contents into the small intestine. This usually helps the patient to avoid "dumping syndrome" - the unpleasant, nauseous result of eating sweet foods or concentrated sugars, after surgery. However, like the regular biliopancreatic bypass, the duodenal Switch, has a high malabsorptive element and patients require nutritional supplements for life. In addition, like BPD, the BPD/DS involves surgical excision of a large part of the stomach, making the operation irreversible.(6)      

Bilio-pancreatic bypass surgery in Germany

Or center for bariatric surgery is a leading institution with an established track record with this procedure. The bariatric surgeons are able to assess the risks and benefits of each procedure together with you and will, based on your personal requirements, suggest a procedure that is most suitable for you. Please contact us for more information.

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