biliopancreatic diversion


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biliopancreatic diversion

(bĭl″ē-ō-păn″krē-ăt′ĭk) [″ + ″],

BPD

A bariatric surgical treatment for obesity in which most of the stomach is removed. The remaining proximal pouch is anastomosed to the distal ileum bypassing the duodenum and proximal small intestine. The proximal small intestinal segment is anastomosed to the ileum distal to the gastroileal anastomosis. The procedure restricts the intake of nutrients and causes malabsorption, both of which lead to weight loss. Successful procedures result in sustained weight loss of about 25% of body weight, a result as good as any other surgical treatment for overweight. Common complications of the procedure include iron-deficiency anemia, deficiencies in the absorption of vitamins A, D, E, and K and the minerals calcium and magnesium, gradual bone loss, foul-smelling stools, and failure of surgical anastomoses. The operation takes more time to perform than other bariatric surgeries and tends to have more immediate postoperative complications. The procedure is infrequently performed because of its many complications.
References in periodicals archive ?
Hould et al., "Duodenal switch improved standard biliopancreatic diversion: a retrospective study," Surgeryfor Obesity and Related Diseases, vol.
But on November 21 last year, 58-year-old Mr Cartwright underwent a new operation called biliopancreatic diversion surgery at Birmingham's Heartlands Hospital -a procedure hailed as a safer and more permanent version of traditional stomach stapling.
Besides this, the advancements made in the healthcare industry have led to the development of various surgical procedures, such as gastric bypass, sleeve gastrectomy, adjustable gastric band and biliopancreatic diversion, which aid in losing weight.
The procedures used in current clinical practice are the Roux-en-Y gastric bypass (RYGB) [4], vertical sleeve gastrectomy (VSG), and laparoscopic adjustable gastric banding, as well as the less commonly performed biliopancreatic diversion with duodenal switch.
The regulation applies to all procedures including: advanced laparoscopic procedure, bariatric surgery, basic laparoscopy, biliopancreatic diversion, duodenal switch, endo barrier, gastrointestinal liner, gastric bypass, intra-gastric balloon etc.
Other operations of permanent nature include vertical gastric sleeve resection and biliopancreatic diversion with or without duodenal switch.
The agency will continue to cover open and laparoscopic Roux-en-Y gastric bypass; laparoscopic adjustable gastric banding; and open and laparoscopic biliopancreatic diversion with duodenal switch for Medicare beneficiaries with a body mass index of 35 kg/[m.sup.2] or greater who have at least one comorbidity related to obesity and have been unsuccessful with medical treatment for obesity.
Surgery led to higher remission rates This single-center, nonblinded RCT compared 2 malabsorptive procedures--Roux-en-Y gastric bypass and biliopancreatic diversion, a more complicated procedure not commonly performed--with medical therapy.
Laparoscopic sleeve gastrectomy (LSG) was introduced initially as a first stage of the biliopancreatic diversion with duodenal switch (BPDDS) for severely obese patients who were regarded as high risk surgical candidates [1].
The four most commonly undertaken procedures are described below, in order from least to most invasive: laparoscopic adjustable gastric banding, sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion (Figure 1).
The surgical interventions covered in the registry include gastric banding, Roux-en-Y gastric bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch.