Thirty-Five Years of Biliopancreatic Diversion: Notes on Gastrointestinal Physiology to Complete the Published Information Useful for a Better Understanding and Clinical Use of the Operation

Background In the attempt to complete the available information on biliopancreatic diversion (BPD) use and mechanisms of action, some data and observations are presented that for different reasons were never published before. Methods These pieces of information derive from minute efforts of gastroin...

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Bibliographic Details
Published in:Obesity surgery 2012-03, Vol.22 (3), p.427-432
Main Author: Scopinaro, Nicola
Format: Article
Language:English
Subjects:
Biliopancreatic Diversion - methods
Current Status
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - physiopathology
Diabetes Mellitus, Type 2 - surgery
Energy Metabolism
Female
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Hypertriglyceridemia - physiopathology
Intestinal Absorption
Male
Medicine
Medicine & Public Health
Obesity
Obesity, Morbid - epidemiology
Obesity, Morbid - physiopathology
Obesity, Morbid - surgery
Physiology
Retrospective Studies
Surgery
Surgical techniques
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Summary:Background In the attempt to complete the available information on biliopancreatic diversion (BPD) use and mechanisms of action, some data and observations are presented that for different reasons were never published before. Methods These pieces of information derive from minute efforts of gastrointestinal physiology research or from rigorous but preliminary and incomplete collection of data, combined with the daily input from clinical use of BPD. Result They essentially regard intestinal limbs, gastric volume, and their interactions in affecting energy and protein intestinal absorption in BPD. Conclusion It is hoped that this new information will help surgeons to increase their knowledge and improve their ability to obtain the best results from the BPD procedure.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-011-0554-3