Biliopancreatic Deviation

General Description

Biliopancreatic diversion is a malabsorsive bariatric surgery procedure: the absorption of some nutrients decreases because the passage of biliar and pancreatic secretions is altered. There could also be “duodenal change”.
Weight loss surgery patients must be aware of pre and post surgery requirements.

Benefits

Bariatric surgery of this type can be performed on patients who have body mass index (BMI) of 50 kg/m2 and above.  The age range is from 14 to 65, nevertheless, there can be exceptions to this rule.

Procedure

Biliopancreatic diversion reduces the stomach, but not as much as in bypass surgery. The small intestine is cut and put back together in a way to have food and secretions unite in a common one-meter handle before they reach the colon. Sometimes, poor nutrient intake can result, which in turn causes diarrhea and flatulency in some patients.

Advantages

- This type of surgery is advisable for patients with extreme obesity and BMI of 50 kg/m2 +.
- Weight loss is over 90% of excess, nevertheless, the majority of patients suffer from frequent diarrhea.

Disadvantages

- Frequent diarrhea.
- Flatulence.
- Some cases of malnutrition.

Possible Complications

- Trans and post surgery bleeding.
- Anastomotic “leakage”.
- Internal hernia.
- Intestinal obstruction.
- Pulmonary embolus
- Obesity-related respiratory distress syndrome
- Death

Hospitalization

Biliopancreatic diversion needs you to stay four nights at the hospital.