Laparoscopic Biliopancreatic Diversion for the Treatment of Morbid Obesity: Initial Experience

Paiva, Dyker; Bernardes, Lucinéia; Suretti, Lívio

doi:10.1381/09608920160556832

Cited by 16 publications

(8 citation statements)

References 1 publication

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“…Early results were published by a few centers (EL 4 [25,256,275,297,346]) and showed promising results in terms of technical feasibility and postoperative morbidity, but long-term data are lacking so far. The only comparative study (performed in superobese patients) found similar weight loss and reconvalescence after laparoscopic and open BPD, but better improvement of comorbidities in the laparoscopic group [165].…”

Section: Surgical Access: Open Vs Laparoscopicmentioning

confidence: 99%

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland

Angrisani

Belachew³

et al. 2004

Surg Endosc

452

280

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After the patient's multidisciplinary evaluation, obesity surgery should be considered in adults with a documented BMI greater than or equal to 35 and related comorbidity, or a BMI of at least 40. In addition to standard laboratory testing, chest radiography, electrocardiography, spirometry, and abdominal ultrasonography, the preoperative evaluation of obesity surgery patients also includes upper gastrointestinal endoscopy or radiologic evaluation with a barium meal. Psychiatric consultation and polysomnography can safely be restricted to patients with clinical symptoms on preoperative screening. Adjustable gastric banding (GB), vertical banded gastroplasty (VBG), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion (BPD) are all effective in the treatment of morbid obesity, but differ in degree of weight loss and range of complications. The choice of procedure therefore should be tailored to the individual situation. There is evidence that a laparoscopic approach is advantageous for LAGB, VBG, and GB (and probably also for BPD). Antibiotic and antithromboembolic prophylaxis should be used routinely. Patients should be seen 3 to 8 times during the first postoperative year, 1 to 4 times during the second year and once or twice a year thereafter. Outcome assessment after surgery should include weight loss and maintainance, nutritional status, comorbidities and quality-of-life.

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Section: Surgical Access: Open Vs Laparoscopicmentioning

confidence: 99%

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland

Angrisani

Belachew³

et al. 2004

Surg Endosc

452

280

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“…In the early 1990s, Hess and Hess [2 ]and Marceau et al [3] performed a longitudinal gastric resection as a variation of the original Scopinaro type BPD with a horizontal gastrectomy [4], mainly to decrease the rate of anastomotic ulcers by preserving the pylorus and reduce the number of revisions. Paiva et al [5] performed the first LSG in 2000 in the context of the first laparoscopic BPD-DS (LBPD-DS). High early morbidity and mortality of LBPD-DS in patients with high BMI (>60) led to a staged concept with primary LSG to induce initial weight loss, followed either by laparoscopic Roux-en-Y gastric bypass (LRYGB) or LBPD-DS in case of insufficient weight loss [6].…”

Section: Introductionmentioning

confidence: 99%

State of the Art: Sleeve Gastrectomy

Wölnerhanssen¹,

Peterli

2014

Dig Surg

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In the biliopancreatic diversion (BPD) type duodenal switch, sleeve gastrectomy was applied as the restrictive part instead of a horizontal gastrectomy in the original Scopinaro type BPD. Laparoscopic sleeve gastrectomy (LSG) was used as a first step in a staged concept for high-risk patients undergoing bariatric surgery. However, it is now being increasingly favored as a stand-alone procedure. This article discusses the history, surgical technique, early results, metabolic effects, mid- to long-term results regarding weight loss, improvement of comorbidities and quality of life, management of complications and indications. LSG is a safe and effective bariatric procedure with satisfying weight loss results and effects on comorbidities. Further data are required to assess long-term effectiveness and safety of LSG. In patients with very high initial BMI, LSG can be used in a staged concept. Other indications are: in cases with dense adhesions of the small bowel, patients with inflammatory bowel disease and patients where repeated endoscopy of the duodenum is necessary.

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“…Thus, the alimentary limb was 250 cm in length and the common channel was always 100 cm [50,51,56]. The first small series of laparoscopic BPD-DS was published by Paiva from Brazil in 2001 [57]. BPD-DS is in many bariatric centers a second-line operation in case of failure of mainly restrictive procedures (Fig.…”

Section: Laparoscopic Sleeve Gastrectomymentioning

confidence: 99%

Metabolic surgery—principles and current concepts

Gass

Beglinger

Peterli

2011

Langenbecks Arch Surg

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The bariatric surgeon now faces the challenge and opportunity of selecting the most suitable technique for each individual case. To assist in such decision-making, this review, Metabolic surgery-principles and current concepts, is presented, tracing the historical development; describing the various surgical techniques; elucidating the mechanisms by which glycemic control can be achieved that involve favorable changes in insulin secretion and insulin sensitivity, gut hormones, adipokines, energy expenditure, appetite, and preference for low glycemic index foods; as well as exploring the fascinating future potential of this new interdisciplinary field.

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Laparoscopic Biliopancreatic Diversion for the Treatment of Morbid Obesity: Initial Experience

Abstract: The technique, with an acceptable level of complexity, can be safely executed by laparoscopy as described by Scopinaro.

Cited by 16 publications

References 1 publication

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

State of the Art: Sleeve Gastrectomy

Metabolic surgery—principles and current concepts

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