A surgical procedure which diverts pancreatobiliary secretions via the duodenum and the jejunum into the colon, the remaining small intestine being anastomosed to the stomach after antrectomy. The procedure produces less diarrhea than does jejunoileal bypass.
The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.
Bilateral dissection of the abdominal branches of the vagus nerve. It is used frequently in the surgical management of duodenal and gastric ulcers, as well as in physiologic studies of gastrointestinal secretion and motility.
Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.
Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.
Temporary or permanent diversion of the flow of urine through the ureter away from the URINARY BLADDER in the presence of a bladder disease or after cystectomy. There is a variety of techniques: direct anastomosis of ureter and bowel, cutaneous ureterostomy, ileal, jejunal or colon conduit, ureterosigmoidostomy, etc. (From Campbell's Urology, 6th ed, p2654)
Decrease in existing BODY WEIGHT.
A procedure consisting of the SURGICAL ANASTOMOSIS of the proximal part of the JEJUNUM to the distal portion of the ILEUM, so as to bypass the nutrient-absorptive segment of the SMALL INTESTINE. Due to the severe malnutrition and life-threatening metabolic complications, this method is no longer used to treat MORBID OBESITY.
Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).

Triglyceride-induced diabetes associated with familial lipoprotein lipase deficiency. (1/54)

Raised plasma triglycerides (TGs) and nonesterified fatty acid (NEFA) concentrations are thought to play a role in the pathogenesis of insulin-resistant diabetes. We report on two sisters with extreme hypertriglyceridemia and overt diabetes, in whom surgical normalization of TGs cured the diabetes. In all of the family members (parents, two affected sisters, ages 18 and 15 years, and an 11-year-old unaffected sister), we measured oral glucose tolerance, insulin sensitivity (by the euglycemic-hyperinsulinemic clamp technique), substrate oxidation (indirect calorimetry), endogenous glucose production (by the [6,6-2H2]glucose technique), and postheparin plasma lipoprotein lipase (LPL) activity. In addition, GC-clamped polymerase chain reaction-amplified DNA from the promoter region and the 10 coding LPL gene exons were screened for nucleotide substitution. Two silent mutations were found in the father's exon 4 (Glu118 Glu) and in the mother's exon 8 (Thr361 Thr), while a nonsense mutation (Ser447 Ter) was detected in the mother's exon 9. Mutations in exons 4 and 8 were inherited by the two affected girls. At 1-2 years after the appearance of hyperchylomicronemia, both sisters developed hyperglycemia with severe insulin resistance. Because medical therapy (including high-dose insulin) failed to reduce plasma TGs or control glycemia, lipid malabsorption was surgically induced by a modified biliopancreatic diversion. Within 3 weeks of surgery, plasma TGs and NEFA and cholesterol levels were drastically lowered. Concurrently, fasting plasma glucose levels fell from 17 to 5 mmol/l (with no therapy), while insulin-stimulated glucose uptake, oxidation, and storage were all markedly improved. Throughout the observation period, plasma TG levels were closely correlated with both plasma glucose and insulin concentrations, as measured during the oral glucose tolerance test. These cases provide evidence that insulin-resistant diabetes can be caused by extremely high levels of TGs.  (+info)

Luminal dietary protein, not amino acids, induces pancreatic protease via CCK in pancreaticobiliary-diverted rats. (2/54)

We determined whether pancreatic adaptation to a high-protein diet depends on ingested protein in the intestinal lumen and whether such adaptation depends on a CCK or capsaicin-sensitive vagal afferent pathway in pancreaticobiliary-diverted (PBD) rats. Feeding a high-casein (60%) diet but not a high-amino acid diet to PBD rats increased pancreatic trypsin and chymotrypsin activities compared with those after feeding a 25% casein diet. In contrast, feeding both the high-nitrogen diets induced pancreatic hypertrophy in PBD rats. These pancreatic changes by the diets were abolished by treatment with devazepide, a CCK-A receptor antagonist. Protease zymogen mRNA abundance in the PBD rat was not increased by feeding the high-casein diet and was decreased by devazepide. Perivagal capsaicin treatment did not influence the values of any pancreatic variables in PBD rats fed the normal or high-casein diet. We concluded that luminal protein or peptides were responsible for the bile pancreatic juice-independent induction of pancreatic proteases on feeding a high-protein diet. The induction was found to be dependent on the direct action of CCK on the pancreas. Pancreatic growth induced by high-protein feeding in PBD rats may depend at least partly on absorbed amino acids.  (+info)

Vitamin A deficiency in a newborn resulting from maternal hypovitaminosis A after biliopancreatic diversion for the treatment of morbid obesity. (3/54)

BACKGROUND: Biliopancreatic diversion (BPD) has been advocated for the treatment of morbid obesity. This procedure has the theoretical advantage that patients retain normal eating capacity and lose weight irrespective of their eating habits. However, vitamin deficiencies may develop because BPD causes malabsorption. OBJECTIVE: This report describes a 40-y-old mother and her newborn infant, who developed vitamin A deficiency as a result of iatrogenic maternal malabsorption after BPD. Our primary objective is to show that BPD patients need close follow-up and lifelong micronutrient supplementation to prevent nutrient deficiencies in themselves and their offspring. DESIGN: The medical records of the mother and infant were reviewed, and their clinical course was followed until 10 mo postpartum. The mother was also interviewed on several occasions about her medical care, follow-up, and supplemental vitamin use. RESULTS: The mother developed night blindness with undetectable serum vitamin A concentrations in the third trimester of her pregnancy. Her vitamin A deficiency was untreated until she delivered her infant. At delivery, the infant also had vitamin A deficiency. He may have permanent retinal damage, but this is still unclear because the ophthalmologic examination performed at 2 mo of age was inconclusive. CONCLUSIONS: Complications of BPD may take many years to develop, and the signs and symptoms may be subtle. Because of the malabsorption that results from BPD, patients need lifelong follow-up and appropriate vitamin supplementation to prevent deficiencies. These nutrient deficiencies can also affect the offspring of female BPD patients.  (+info)

Potential of surgery for curing type 2 diabetes mellitus. (4/54)

OBJECTIVE: To review the effect of morbid obesity surgery on type 2 diabetes mellitus, and to analyze data that might explain the mechanisms of action of these surgeries and that could answer the question of whether surgery for morbid obesity can represent a cure for type 2 diabetes in nonobese patients as well. SUMMARY BACKGROUND DATA: Diabetes mellitus type 2 affects more than 150 million people worldwide. Although the incidence of complications of type 2 diabetes can be reduced with tight control of hyperglycemia, current therapies do not achieve a cure. Some operations for morbid obesity not only induce significant and lasting weight loss but also lead to improvements in or resolution of comorbid disease states, especially type 2 diabetes. METHODS: The authors reviewed data from the literature to address what is known about the effect of surgery for obesity on glucose metabolism and the endocrine changes that follow this surgery. RESULTS: Series with long-term follow-up show that gastric bypass and biliopancreatic diversion achieve durable normal levels of plasma glucose, plasma insulin, and glycosylated hemoglobin in 80% to 100% of severely obese diabetic patients, usually within days after surgery. Available data show a significant change in the pattern of secretion of gastrointestinal hormones. Case reports have also documented remission of type 2 diabetes in nonmorbidly obese individuals undergoing biliopancreatic diversion for other indications. CONCLUSIONS: Gastric bypass and biliopancreatic diversion seem to achieve control of diabetes as a primary and independent effect, not secondary to the treatment of overweight. Although controlled trials are needed to verify the effectiveness on nonobese individuals, gastric bypass surgery has the potential to change the current concepts of the pathophysiology of type 2 diabetes and, possibly, the management of this disease.  (+info)

Reduced expression of uncoupling proteins-2 and -3 in adipose tissue in post-obese patients submitted to biliopancreatic diversion. (5/54)

OBJECTIVE: Little is known about the physiological role and the regulation of uncoupling proteins-2 and -3 (UCP-2 and -3) in adipose tissue. We investigated whether the expression of UCP-2 and -3 in adipose tissue was affected by weight loss due to a biliopancreatic diversion (BPD) and related to the daily energy expenditure (24-h EE). DESIGN: Ten morbidly obese subjects (mean body mass index +/- s.e.m.=49.80 +/- 2.51 kg/m(2)) were studied before and 18+/-2 Months after BPD. METHODS: We determined body composition using tritiated water and 24-h EE in a respiratory chamber. Adipose tissue UCP-2 and -3 mRNA, plasma insulin, glucose, free fatty acids (NEFA), free triiodothyronine (FT3), free thyroxine (FT4) and leptin were assayed before and after BPD. RESULTS: BPD treatment resulted in a marked weight loss (P<0.001) mainly due to a fat mass reduction. A significant decrease in 24-h EE/fat-free mass (FFM) (P<0.05) and in UCP-2 (P<0.05) and UCP-3 (P<0.05) mRNA was observed. A significant reduction in plasma insulin, glucose, NEFA, FT3, FT4 and leptin was seen after BPD. The decline in plasma leptin and FFA was tightly correlated with the decrease in both UCP-2 and -3. A significant correlation was found between changes in FT3 and variations in 24-h EE (r=0.64, P<0.05). In a multiple-regression analysis changes in 24-h EE/FFM after BPD were significantly correlated with changes in UCP-3 expression (P<0.05). CONCLUSION: These findings suggest that UCPs in adipose tissue may play a role in the reduction in 24-h EE observed in post-obese individuals.  (+info)

The duodenal switch operation for the treatment of morbid obesity. (6/54)

OBJECTIVE: To determine the safety and efficacy of the duodenal switch procedure as surgical treatment of morbid obesity. SUMMARY BACKGROUND DATA: The longitudinal gastrectomy and duodenal switch procedure as performed for morbid obesity involves a 75% subtotal greater curvature gastrectomy and long limb suprapapillary Roux-en-Y duodenoenterostomy. This results in a restricted caloric intake and diversion of bile and pancreatic secretions to induce fat malabsorption. Broad acceptance of this procedure has been impeded because of concerns that the malabsorptive component may produce serious nutritional complications. METHODS: Review of data collected prospectively from all patients who underwent duodenal switch as the primary surgical treatment of morbid obesity at a single institution during the 10-year period beginning September 1992. Operative morbidity and mortality, weight loss, volume of food intake, and bowel function were recorded. Sequential measurements of serum albumin, hemoglobin, and calcium levels were obtained to assess metabolic function and nutrient absorption. RESULTS: Duodenal switch was performed as the primary operation in 701 (81%) of a total 863 patients undergoing bariatric surgery during the period of study. The average body mass index (BMI) was 52.8 (range, 34-95). Perioperative mortality was 1.4%, and morbidity (including leaks, wound dehiscence, splenectomy, and postoperative hemorrhage) occurred in 21 patients (2.9%). Weight loss averaged 127 pounds at 1 year, 131 at 3 years, and 118 at 5 or more years (% EBWL of 69%, 73%, and 66%, respectively). The mean number of bowel movements was fewer than 3 per day. Patients reported and maintained a mean restriction of 63% of their preoperative intake (approximately 1600 calories), with no specific food intolerance, at 3 or more years follow-up. At 3 years, serum albumin remained at normal levels in 98% of patients, hemoglobin in 52%, and calcium in 71%. No patients reported dumping, and marginal ulcers were not seen. CONCLUSIONS: The longitudinal gastrectomy with duodenal switch is a safe and effective primary procedure for the treatment of morbid obesity. It has the advantage of allowing acceptable alimentation with a minimum of side effects while producing and maintaining significant weight loss. These results are achieved without developing significant dietary restrictions or clinical metabolic or nutritional complications.  (+info)

Surgical treatment of obesity: a review. (7/54)

Obesity is a chronic disease due to excess fat storage, a genetic predisposition, and strong environmental contributions. This problem is worldwide, and the incidence is increasing daily. There are medical, physical, social, economic, and psychological comorbid conditions associated with obesity. There is no cure for obesity except possibly prevention. Nonsurgical treatment has been inadequate in providing sustained weight loss. Currently, surgery offers the only viable treatment option with longterm weight loss and maintenance for the morbidly obese. Surgeries for weight loss are called bariatric surgeries. There is no one operation that is effective for all patients. Gastric bypass operations are the most common operations currently used. Because there are inherent complications from surgeries, bariatric surgeries should be performed in a multidisciplinary setting. The laparoscopic approach is being used by some surgeons in performing the various operations. The success rate--usually defined as >50% excess weight loss that is maintained for at least five years from bariatric surgery--ranges from 40% in the simple to >70% in the complex operations. The weight loss from surgical treatment results in significant improvements and, in some cases, complete resolution of comorbid conditions associated with obesity. Patients undergoing surgery for obesity need lifelong nutritional supplements and medical monitoring.  (+info)

Biliopancreatic tumors: patient survival and quality of life after palliative treatment. (8/54)

OBJECTIVES: to analyse survival and quality of life of patients with malignant obstructive jaundice after palliative treatment, comparing endoscopic stent insertion and palliative surgical (palliative resection and bypass surgical). PATIENTS AND METHOD: eighty and seven patients were included in a trial. They were distributed to endoscopic stent (50) and palliative surgical (37). It analysed survival, quality of life and comfort index of jaundiced patients. The good quality of life was defined by absence of jaundice, pruritus and cholangitis after the initial treatment. RESULTS: the median survival of the patients treated to endoscopic stent was 9,6 months whereas the patients to surgical treatment survived a median of 17 months. The time free of disease was 4 months in stented patients and 10,5 months in surgical patients. There was no significant difference in comfort index between the two groups (stented 34%, surgical 42,5%) Neither was there significant difference in survival and quality of life between palliative resection and bypass surgery. CONCLUSIONS: despite the survival and time free of disease being better in surgical patients, there was no significant difference in overall quality of life between the two groups. The survival and quality of life are the same after palliative resection as after bypass surgery, for this should not be performed routinely or to justify resection as a debulking procedure.  (+info)

LCWLS, a nationally accredited Center of Excellence, now offers another weight loss procedure: Biliopancreatic Diversion with Duodenal Switch, or BPD
Routine cholecystectomy during laparoscopic biliopancreatic diversion with duodenal switch is not necessary Academic Article ...
Biliopancreatic Diversion - In this operation, part of the stomach is removed as well as a significant bypass of the intestines. Because of the magnitude of the intestinal bypass, the patient is at risk for malnutrition and is on many vitamin and protein supplements.. This operation is very good for long-term weight loss but the patient needs to be monitored lifelong with bloodwork every six months. These patients are at high risk for brittle bone disease, night blindness, and liver problems. This is only an operation for someone committed to the risks and understands the need for compliance in follow-up as well as in taking the nutritional supplements.. Risks of this operation can include leak, infection, bleeding, and pancreatitis in the short term and can include reoperations long term for malnutrition or for possible bowel obstruction. Research has show that, on average, the duodenal switch takes off up to 80% of your excess weight at 10 years.. ...
The biliopancreatic diversion can be compared structurally with gastric bypass surgery. In contrast to a gastric bypass however, a much larger part of the small intestine is circumvented from the nutrition system. The resulting weight loss is mainly due to changing the length of the small intestine and therefore less energy carriers (fats, sugars, proteins) have the opportunity to be absorbed from the food into the body.. Biliopancreatic diversion has excellent long-term weight loss results. Most patients report a good quality of life after a biliopancreatic diversion. On average, 75 to 85 % of excess weight can be sustainably lost in the long term with this procedure. In addition, most secondary diseases linked with obesity can be greatly improved or cured. One disadvantage of the biliopancreatic diversion is the common occurrence of nutrition deficiencies and, therefore, we cannot recommend this operation routinely. However, the surgery is suitable for very severely obese patients (BMI ,50) as ...
The biliopancreatic diversion can be compared structurally with gastric bypass surgery. In contrast to a gastric bypass however, a much larger part of the small intestine is circumvented from the nutrition system. The resulting weight loss is mainly due to changing the length of the small intestine and therefore less energy carriers (fats, sugars, proteins) have the opportunity to be absorbed from the food into the body.. Biliopancreatic diversion has excellent long-term weight loss results. Most patients report a good quality of life after a biliopancreatic diversion. On average, 75 to 85 % of excess weight can be sustainably lost in the long term with this procedure. In addition, most secondary diseases linked with obesity can be greatly improved or cured. One disadvantage of the biliopancreatic diversion is the common occurrence of nutrition deficiencies and, therefore, we cannot recommend this operation routinely. However, the surgery is suitable for very severely obese patients (BMI ,50) as ...
BPD/DS is a complex weight-loss surgery that may be recommended for people who are extremely obese and have failed to lose weight through other treatments.
BPD/DS is a complex weight-loss surgery that may be recommended for people who are extremely obese and have failed to lose weight through other treatments.
Patients. 60 adults 30 to 60 years of age (mean age 43 y, 53% women, mean body mass index [BMI] 45.2 kg/m2) who had a BMI ≥ 35 kg/m2, type 2 diabetes for ≥ 5 years and glycated hemoglobin (HbA1c) level ≥ 7.0%. Exclusion criteria included type 1 diabetes, diabetes secondary to glucocorticoid therapy or a specific disease, previous bariatric surgery, other conditions requiring short-term hospitalization, pregnancy, severe diabetes complications, and other severe medical conditions. ...
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This work shows that BPD causes major alterations in BA homeostasis. Key findings are that after BPD, 1) BA synthesis markers increase manifold, 2) plasma BAs are high and preferentially unconjugated, and 3) these changes are sustained over time. These findings are in contrast to what happens after RYGB: 4) BA synthesis markers decrease, 5) plasma BA composition shifts to be preferentially conjugated, and 6) these features both return to normal after 1 year.. The implication that BA synthesis increases after BPD, but not RYGB, may explain the formers stronger effect to reduce serum cholesterol (Table 1), although reduced cholesterol absorption likely also plays a role (31). In this regard, BPD mimics some of the effects of blocking intestinal BA absorption through the use of BA sequestrants or inhibitors of apical sodium-dependent bile acid transporter (ASBT). Each of these treatments results in increased conversion of cholesterol into BAs (32,33). These effects are predicted to be due to ...
Joseph Greene, MD, MBA, Hamid Pourshojae, DO, Nain Rajev, Amir Moazzez, MD. Inova Fair Oaks Hospital. Through this case we describe the importance of jejunojejunostomy laterality relative to the Petersens defect of the Roux alimentary limb during laparoscopic Roux-en-Y gastric bypass surgery. When the jejunojejunostomy is constructed on the right side with the biliopancreatic limb entering from the right side, the biliopancreatic limb is brought through the Petersens defect, creating a permanent internal hernia and a nidus for herniation. When the jejunojejunostomy is constructed correctly on the left side with the biliopancreatic limb entering from the patients left side, all defects can be closed satisfactorily. ...
The duodenal switch procedure is a relatively new type of bariatric surgery that many people are using to great benefit. Sometimes abbreviated BPD/DS, duodenal switch surgery is so named because it has two major components to the procedure. What Exactly is a Duodenal Switch Procedure? The first portion of the small intestine is known as the duodenum. This part of the body is located just outside the stomach outlet. In a duodenal switch procedure, the duodenum is divided into two pieces where the small intestine meets the stomach. A small portion of the small intestine is connected to the stomach that is just been created. This redirects food through the artificially created stomach pouch, emptying the stomach directly into the last part of the small intestine. The purpose of the surgery is to bypass as much of the small intestine as possible, and in a successful surgery, up to three-forths of the small intestine will be bypassed. What Does Duodenal Switch Surgery Do? The duodenal switch procedure is
A variation of the biliopancreatic diversion includes a Duodenal switch. The part of the stomach along its greater curve is resected. The stomach is tubulized with a residual volume of about 150 ml. This volume reduction provides the food intake restriction component of this operation. This type of gastric resection is anatomically and functionally irreversible. The stomach is then disconnected from the duodenum and connected to the distal part of the small intestine. The duodenum and the upper part of the small intestine are reattached to the rest at about 75-100 cm from the colon ...
Rex Bariatric Specialists offers Raleigh patients the latest in weight loss surgery, such as bilio-pancreatic diversion with duodenal switch.
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Bariatric surgery leads to remission of type 2 diabetes in morbid obese patients in 80% (Roux-en-Y gastric bypass)to 90% (biliopancreatic diversion and duodenal switch) of cases; most of the remainder achieve better glycemic control, even if they regain weight. The current consensus supports bariatric surgical treatment for diabetic patients with BMI as low as 35kg/m2 but it has questioned that lower body mass patients might benefit of the surgery as well.. Actually, many clinical researchers worldwide would consider a lower limit BMI of 30kg/m2, i.e., any grade of obesity.. This study is proposed to describe the effects of Roux-en-Y gastric bypass (Fobi-Capella technique, adapted to create a larger gastric pouch, about 80ml)in mild obese (BMI 30-35) human volunteers on incretins, insulin production and sensitivity and its clinical (diabetic chronic complications) and metabolic impact. ...
[amazon_link asins=1466557699,B00JREK09G,B07C27WRCZ,0976852659,1493912054,1623157730,B077BB9TWG,1118293185,B07C2842QS template=ProductCarousel store=finmeacur-20′ marketplace=US link_id=54902058-f3e2-11e8-ad93-d94bf7b4876b] Description: Bariatric surgery (weight loss surgery) includes a variety of procedures performed on people who have obesity. Weight loss is achieved by reducing the size of the stomach with a gastric band or through removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) […]
Super obese patients have superior weight reduction and a better effect on diabetes with biliopancreatic diversion with duodenal switch (BPD/DS) compared to Roux-en-Y gastric bypass (RYGB) using the Bariatric Analysis and Reporting Outcome System (BAROS), according to researchers from the Uppsala University, Uppsala, Sweden. However, BPD/DS results more adverse events and GI symptoms, but with similar quality of life (QoL), compared to patients operated with RYGB.
Type II diabetes mellitus was presumed if the type of diabetes (I versus II) was not openly stated in light of the well known relationship between obesity and type II diabetes. Units of measurement: creatinine clearance, ml/min; eGFR, ml/min per 1.37 m2; creatinine, mg/dl; cystatin C, mg/L. Upward arrows indicates increase; downward arrows indicates decrease; right-facing arrows indicates temporal progression of laboratory result. RYGB, Roux-en-Y gastric bypass; LAGB, laparoscopic adjustable lap banding; BPD, biliopancreatic diversion with duodenal switch; SG, sleeve gastrectomy; N/A, not applicable; sCr, serum creatinine; CrCl, creatinine clearance; DKD, diabetic kidney disease; MA, microalbuminuria. ...
Primary endpoints for the study are weight loss and self-reported quality of life (QoL) evaluated by Short Form (SF)-36 and Impact of Weight Wed Quality of Life-Lite (IWQOL-Lite)) Our hypothesis is that patients operated with RYGBP (Roux A-Y Gastric Bypass) and BPD / DS (biliopancreatic diversion with duodenal switch) have the same weight and same QoL after 5 years of follow-up as patients treated with gastric sleeve (laparoscopic gastric sleeve (LSG)) We will also compare the groups with respect to a number of secondary endpoints. 400 patients (approximately 100 patients / institution) will be included in the main study. Some of the programs that run on secondary endpoints will be conducted separately under study at each hospital. These studies will be reported in separate articles. ...
A variation of the biliopancreatic diversion includes a duodenal switch. The part of the stomach along its greater curve is resected. The stomach is tubulized with a residual volume of about 150 ml. This volume reduction provides the food intake restriction component of this operation. This type of gastric resection is anatomically and functionally irreversible. The stomach is then disconnected from the duodenum and connected to the distal part of the small intestine. The duodenum and the upper part of the small intestine are reattached to the rest at about 75-100 cm from the colon.[citation needed]Gastric Sleeve Surgery Steps & Procedure शरीर की अंदर से सफाई करने वाला डेटॉक्स ड्रिंक Magical Detoxification Drink in Hindi by Sachin Goyal ...
Gastric bypass is a form of weight loss surgery, or bariatric surgery thats performed on people who are severely overweight. The goal of gastric bypass surgery and all weight loss surgeries is to drastically reduce food intake so rapid weight loss is achieved. The gastric bypass procedure is performed while the patient is under general anesthesia, and there are generally two different ways to do the surgery. One method is called the Roux-en-Y-gastric bypass, and the other is called a biliopancreatic diversion bypass. The Roux-en-Y-gastric bypass is the less complicated and more often used surgery of the two, and it can be performed laparoscopically so it wont leave as big a scar and is less invasive. In each technique, a smaller stomach pouch is created to greatly reduce hunger and slow food intake. Not just anyone can stroll in and request a gastric bypass, and specific reasons must exist before a surgeon will perform it ...
The report found that 94 hospitals in the state performed weight-loss surgeries in 2009. Hospitals performed 13,500 procedures that year, up by 6.8% since 2005, the report found. Mortality rates associated with the procedures remained low, according to the data. Between 2005 and 2009, 40 patients died in surgery and 79 died within 30 days of surgery. Researchers found that the lowest-risk surgery was laparoscopic adjustable gastric banding -- or Lap-Band surgery -- which involves inserting an inflatable ring at the top of the stomach. The highest-risk procedure was biliopancreatic diversion, which involves bypassing the small intestine and removing part of the stomach. This procedure usually is used for morbidly obese patients who have not had success with other surgeries, according to state officials. Rather than becoming an elective surgery it is now on the list of acceptable alternative treatment methods for morbid obesity Public health proponents and scientific data corroborate higher rates ...
We would like to thank the authors Hornby and Gilbert for their interesting letter referring to our case report of bilateral colobomatous microphthalmos with orbital cyst. Their remarks and view are relevant and demand further clarification.. Because our intention was to investigate more in depth the origin of the cyst fluid and wall, and because of space limitations, we were not able to provide additional data about the documented vitamin A deficiency (VAD) during pregnancy in our histopathological case report.1 We will provide these here. The mother had a history of a biliopancreatic diversion (Scopinaro procedure) which resulted in a ...
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Best Gastroenterologist in Ahmedabad - Get Appointment of Gastroenterology Doctor. View Fees, User Reviews, Address & Phone No of Top Gastroenterologist in Ahmedabad. Consult for Gastrointestinal Disorder such as Acidity, Abdominal Pain, Jaundice, Ulcer, Ventriculoperitoneal Shunt & Biliopancreatic Diversion | Lybrate
We retrospectively reviewed the records of patients between January 2001 and December 2008 who had either a mass in the biliopancreatic area classified as clinically resectable. Tumours were considered to be resectable when there was no evidence of distant extra pancreatic disease or involvement of lymphnodes outside the classic margins of resections. Occlusion or encasement of the superior mesenteric artery or vein, celiac artery or portal vein were used as a criteria for unresectability. Twenty-eight patients over 65 and under 75 years (middle age 69) with primary biliopancreatic cancer were submitted to operations for potentially operative resection. In all cases staging laparoscopy was performed just prior to planned open exploration and resection. ...
Read here, the postoperative diet guidelines for those who undergo duodenal switch surgery. This includes exercise and medications guidelines as well.
Duodenal switch average weight loss, She was diagnosed with torn tissues and bone spurs (most likely caused from years of wear and tear from sports combined with heredity). First of all everyone is entitled to their own opinion.
Stapling is used to create a sleeve of stomach retaining the natural stomach outlet. The majority of the small intestine is bypassed causing nearly complete malabsorption of food contents.. Results. ...
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Largest online gastroenterology, hepatology and endoscopy education and training resource with histology, x-ray images, videos, gastro calculators, and MCQs.
20th Düsseldorf International Endoscopy Symposium will highlight latest developments in endoscopic imaging and minimally invasive approaches to gastrointestinal and biliopancreatic diseases.
The Duodenal switch surgery is a weight loss procedure. It uses restriction and malabsorption to aid weight loss for patients with obesity.
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2020 USCAP Meeting: PANCREATOBILIARY PATHOLOGY COMPANION SOCIETY PROGRAM Thank you for attending our companion meeting at USCAP 2020! PDF versions of the
Understanding Your Options For Bariatric Surgery There are many weight loss surgery options including Roux-en-Y gastric bypass, adjustable gastric band, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch. These common bariatric surgeries promote weight loss by restricting the amount of food consume
Obesity has grown to epidemic proportions, and in lack of efficient life-style and medical treatments, the bariatric surgeries are performed in rising numbers. The most common surgery is the Gastric Bypass (GBP) surgery, with the Biliopancreatic diversion with duodenal switch (DS) as an option for the most extreme cases with a BMI,50 kg/m2.. In paper I 20 GBP-patients were examined during the first post-operative year regarding the natriuretic peptide, NT-ProBNP, which is secreted from the cardiac ventricles. Levels of NT-ProBNP quickly increased during the first post-surgery week, and later established itself on a higher level than pre-surgery.. In paper II we report of 5 patient-cases after GBP-surgery with severe problems with postprandial hypoglycaemia that were successfully treated with GLP-1-analogs. The effect of treatment could be observed both symptomatically and in some cases using continuous glucose measuring systems (CGMS).. In paper III three groups of subjects; 15 post-GBP ...
Obesity has grown to epidemic proportions, and in lack of efficient life-style and medical treatments, the bariatric surgeries are performed in rising numbers. The most common surgery is the Gastric Bypass (GBP) surgery, with the Biliopancreatic diversion with duodenal switch (DS) as an option for the most extreme cases with a BMI,50 kg/m2.. In paper I 20 GBP-patients were examined during the first post-operative year regarding the natriuretic peptide, NT-ProBNP, which is secreted from the cardiac ventricles. Levels of NT-ProBNP quickly increased during the first post-surgery week, and later established itself on a higher level than pre-surgery.. In paper II we report of 5 patient-cases after GBP-surgery with severe problems with postprandial hypoglycaemia that were successfully treated with GLP-1-analogs. The effect of treatment could be observed both symptomatically and in some cases using continuous glucose measuring systems (CGMS).. In paper III three groups of subjects; 15 post-GBP ...
Abstract OBJECTIVE: The objective was to evaluate ghrelin and growth hormone (GH) interactions and responses to a growth hormone-releasing hormone (GHRH)/arginine test in severe obesity before and after surgically-induced weight loss. RESEARCH METHODS AND PROCEDURES: Our study population included 11 severely obese women 39 +/- 12 years of age, with a mean BMI of 48.6 +/- 2.4 kg/m2, re-studied in a phase of stabilized body weight, with a BMI of 33.4 +/- 1.2 kg/m2, 18 months after having successfully undergone biliopancreatic diversion (BPD). A GHRH/arginine test was performed before and 18 months after BPD to evaluate ghrelin and GH interactions. Active ghrelin, measured by radioimmunoassay (RIA), and GH, measured by chemiluminescence assay, were assayed before and after the GHRH/arginine test. RESULTS: Fasting serum GH levels and GH area under the curve (AUC) significantly increased from 0.2 +/- 0.05 ng/mL to 1 +/- 0.3 ng/mL (p , 0.05) and from 514.76 +/- 98.7 ng/mL for 120 minutes to 1957.3 +/- ...
Clinical signs and features include: Seen in up to 20 % of patients with jejunal-ileal bypass 3 months to 5 years following surgery; also associated with biliopancreatic diversion, Billroth II...
The duodenal switch surgery is proven to be an extremely effective weight loss procedure in Tijuana, Mexico. Be healthy with affordable bariatric surgery.
No! Liposuction is a surface surgery performed to remove extra unwanted fat from different part of body; this is basically a surgery for body sculpturing not weight loss, where as obesity (Bariatric Surgery) gives options for the treatment of this disease evolved into three categories, restrictive procedures, e.g. Gastric band, sleeve Gastrectomy, malabsorptive procedures, eg. Bilio-pancreatic diversion with or without duodenal switch and combined procedures, e.g. Roux-en-Y-gastric bypass (RYGB). Hence, selection of the procedure has to be individualized based on the age, BMI, presence or absence of co morbidities, patients preference and compliance, surgeons experience etc. However, the experience of the bariatric surgeon is the most crucial in selecting the right procedure for an individual.. ...
Gastric bypass is considered the gold standard of obesity surgery. In it, the surgeon reduces the size of the stomach and bypasses the pyloric valve, which separates the stomach from the small intestine. In a duodenal switch, the surgeon leaves the pyloric valve intact. This prevents some complications linked with gastric bypass and allows for more normal digestion, which preserves vital nutrients.. Both types of surgery carry risks. The duodenal switch, for instance, takes about 20 minutes longer to do and requires a longer hospital stay. Nearly all of the traditional gastric bypass procedures in the study were done laparoscopically, but only about half of the duodenal switch procedures were laparoscopic. (The rest were open surgery.). Laparoscopic surgery uses a laparoscope, a thin, flexible tube with a video camera inside. The surgeon places the laparoscope through a small cut in the abdomen. The camera takes images that the surgeon can see on a computer screen.. Although both types of ...
My grandmothers, the type 2 have struggled with their diabetes as long as I could remember. Later my mother followed in her mothers footsteps. Sadly, my brother followed in my mothers footsteps and experienced an early passing at the age of 53. My brother Jamals passing had the greatest impact on me. Probably because were the Irish twins; eleven months apart and his departure devastated me.. As I tell most people, diabetes is not a glamorous profession. Most people that work in the industry have a personal connection. This is why I am still here publishing after 26 years.. On the flip side of the coin, helping and inspiring people is my mission. I understand the daily challenges you face regardless of your education, IQ and economic circumstance. I am not a healthcare professional. Simply a lay person who has lived with a Type 1 and Type 2 family member who struggled with their disease. My former Type 1 husband was a role model in how to manage your diabetes, while my intelligent family ...
Hello friends, I am Titus Kawawa from Tanzania. Nine months back, I was detected with brain tumour & my condition was worsening day-by-day. Out of stress from lack of medical support in my native land & through my own research, I found Travcure Medical Tourism. I contacted several friends in India looking for a solution & repeatedly Travcure was suggested as a point of contact. Hearing the same name mentioned by so many friends across India gave me a glimmer of hope. At my first enquiry call, a member of Travcure explained the entire treatment process for brain tumour surgery in great detail. They also stated that it was going to be a long road but I have to keep my faith. I am hundred times better due to their incredible care & owe my improved quality of life to Travcure.. ...
At 1,311 pounds, Juan Pedro Franco was the heaviest man in the world-and he was not happy about it.. The 33-year-old was bedridden for seven years.. He finally got biliopancreatic bypass surgery.. He is returning home just over a week after his operation. Doctors are pleased with his recovery.. I can tell you he has recovered adequately and satisfactorily. We thought the recovery would be more complex, but it has been very, very good, said surgeon Jose Antonio Castaneda.. Francos life is still at risk due to his obesity. His organs could simply give up and shut down at any time.. Franco is unfazed. He has been living with the risk of death for a decade. Now he also has a glimmer of hope.. The doctors have said I am doing well, they have told me up to now there have not been any complications, we have not had any setbacks, Franco said.. At the moment I am on a strict diet they have set, but hey, lets do it, he said.. ...
After the procedure, you will be taken to the recovery room for observation. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. Malabsorptive stomach surgery usually requires an in-hospital stay of several days.. You may receive pain medication as needed, either by a nurse or by administering it yourself through a device connected to your intravenous line.. You will be encouraged to move around as tolerated while you are in bed, and then to get out of bed and walk around as your strength improves. This is very important, as it helps to prevent blood clots from forming.. At first you will receive fluids through an IV. After a day or two you will be given liquids, such as broth or clear juice, to drink. As you are able to tolerate liquids, you will be given thicker liquids, such as pudding, milk, or cream soup, followed by foods that you do not have to chew, such as hot cereal or pureed foods. Your doctor will instruct you about ...
Presented by Yulia Zak at the SS22: All Video All The Time: Foregut Session at the SAGES 2016 Annual Meeting on 3/18/2016 Keyword(s): ABD, abdomen, air leak test, anemia, antrum, biliopancreatic limb, BP limb, colonoscopy, EGD, esophagotomy, esophagus, exploration, feeding jejunostomy tube, feeding JT, hemicolectomy, hiatus, iron, jejunojejunostomy, jejunum, JJ, juvenile polyposis, laparoscopic total gastrectomy, […] ...
The First 30 Days General Guidelines. The first 30 days post-op DS (duodenal switch) will be different than the first 6 months or even the first year post-op. After surgery there are a lot of physiological changes going on in patients newly rearranged intestinal tract. Along with weight loss there will be emotional changes as well. Below are some guidelines that may help patients during this important recovery time during the first 30 days.. Physical Recovery from Surgery:. The patient just had major surgery, this means giving the body time and patience to heal, along with the proper fuel (water & nutrition) as well as rest. Always follow a personal bariatric surgeons guidelines. Drinking water daily will be a difficult task at first, but try to aim for 2 liters a day. Fill a 2 liter jug up in the refrigerator and try to SIP, SIP, SIP, throughout the day. It is important to drink the water or a patient can easily become dehydrated and that leads to fatigue, nausea, depression, feeling ...
Background: According to the WHO, obesity and obesity with associated morbidity constitute a chronic, multi-factorial condition requiring treatment. Conservative treatment has been shown in long-term studies to be ineffective in morbid obesity. Surgical treatments break down into restrictive, malabsorptive, combined restrictive and malabsorptive or motility-reducing procedures. Method and results: Laparoscopic implantation of an adjustable gastric… Read More ». ...
Article The City of Toronto rolls out its waste diversion program. The City of Toronto is in the final stages of rolling out its multifaceted waste diversion ...
Update: November 30, 2018 Timelines extended to implement changes to waste diversion program Town Council approved a motion at the November 26 meeting that extended the deadline to 2020 for the Industrial, Commercial and Institutional (ICI) sector to phase-in a three-stream waste diversion program. Full details February 5, 2018
Jon Horelick Diversion Number 1 June 1973 Note: Scanned from the print original, 2013. The print edition of Diversion Number 1 contains an unnamed section...
Practical Tips in Cytology of the Liver and Pancreatobiliary System for the Surgical Pathologist (Martha Bishop Pitman, M.D.) 1. A liver FNA (...)
View this page in: Russian Spanish Supervisor: Jeff Olsen (564) 397-4966 Diversion is an alternative to prosecution that is offered to youth who have committed a first time offense, or a relatively minor offense. Benefits to the offender include the opportunity to take responsibility for their offense and to make amends for the harms done, without going through a court process.
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While I am working on Part IV in the series on the LFBC and the Xerox WorkCentres I thought I would take time to follow-up on the halo creation in PDFs that occurs when documents with color backgrounds and dark text are scanned on a WorkCentre with MRC compression. I created a very simple document.…
Malabsorption is especially prominent in biliopancreatic diversion. Not only does it reduce the length of the small intestine ... They are jejunocolic bypass, end-to-side jejunoileal bypass, end-to-end jejunoileal bypass, and biliopancreatic diversion, ... First appeared in 1980, biliopancreatic diversion involves two parts: gastrectomy and intestinal bypass. Firstly, gastrectomy ... "Vitamin D Status and Bone Histomorphometry after Biliopancreatic Bypass for Obesity". Clinical Science. 67 (s9): 73P.2-73P. doi ...
BADAS has also been reported following biliopancreatic diversion (a form of bariatric surgery, also known as Scopinaro ... "Bowel-associated dermatosis-arthritis syndrome after biliopancreatic diversion". Obes Surg. 14 (1): 133-5. doi:10.1381/ ...
Main Article: biliopancreatic diversion with duodenal switch A slightly less common bariatric procedure, accounting for less ... This operation is termed biliopancreatic diversion (BPD) or the Scopinaro procedure. The original form of this procedure is now ... Biliopancreatic diversion - 117 Lbs / 53 kg, Roux-en-Y gastric bypass (RYGB) - 90 Lbs / 41 kg, Open - 95 Lbs/ 43 kg, ... and biliopancreatic diversion with duodenal switch) is largely achieved by altering gut hormone levels responsible for hunger ...
The traditional biliopancreatic diversion with duodenal switch (BPD-DS) led to persistent malnutrition in a subset of patients ... The much longer pathway, the biliopancreatic loop, carries bile from the liver to the common channel. The common channel is the ... in which the contents of the digestive path mix with the bile from the biliopancreatic loop before emptying into the large ...
... or biliopancreatic diversion/duodenal switch procedures. In these procedures, fat absorption is markedly impaired. There is ... mimicking the effects of the biliopancreatic portion of Roux-en-Y gastric bypass (RYGB) surgery. Despite a handful of serious ...
... and biliopancreatic diversion. Surgery for severe obesity is associated with long-term weight loss, improvement in obesity- ...
A small study of 17 women with PCOS revealed that a vast majority improved upon undergoing either biliopancreatic diversion or ...
Unlike more open forms of weight loss surgery (e.g. Roux-en-Y gastric bypass surgery (RNY), Biliopancreatic diversion (BPD) and ...
... may refer to: Borderline personality disorder Bipolar disorder Brief psychotic disorder Biliopancreatic diversion ...
... biliopancreatic diversion MeSH E04.210.219 - colectomy MeSH E04.210.219.620 - proctocolectomy, restorative MeSH E04.210.240 - ... biliopancreatic diversion MeSH E04.210.120.172 - cholecystectomy MeSH E04.210.120.172.140 - cholecystectomy, laparoscopic MeSH ... urinary diversion MeSH E04.950.774.852.240 - cystostomy MeSH E04.950.774.852.642 - nephrostomy, percutaneous MeSH E04.950. ...
... such as biliopancreatic diversion (BPD), restrict both food intake and the amount of calories and nutrients the body absorbs. ... Malabsorptive operations, such as biliopancreatic diversion (BPD), restrict both food intake and the amount of calories and ... Biliopancreatic diversion (BPD). URL of this page: //medlineplus.gov/ency/imagepages/19499.htm Biliopancreatic diversion (BPD) ...
Home » Bariatric Surgery » Biliopancreatic diversion » Biliopancreatic Diversion with Duodenal Switch Biliopancreatic Diversion ... Biliopancreatic diversion with Duodenal Switch (DS) is one of the most efficient weight loss surgery. During this procedure, ...
Duodenal Leiomyoma found During Robotic-Laporoscopic Biliopancreatic Diversion with Duodenal Switch. Points of interest:. case ...
At the heart of HealthifyMes platform is the Worlds First & largest Indian Calorie Tracker, which allows users to track their food, exercise and weight, easily via their smartphone or computer while continuously analyzing the users data and provide powerful insights that ensure that users stay within their calorie/nutrition budgets ...
Further lowering of muscle lipid oxidative capacity in obese subjects after biliopancreatic diversion. In: Journal of Clinical ... Further lowering of muscle lipid oxidative capacity in obese subjects after biliopancreatic diversion. Journal of Clinical ... Further lowering of muscle lipid oxidative capacity in obese subjects after biliopancreatic diversion. / Fabris, R.; Mingrone, ... title = "Further lowering of muscle lipid oxidative capacity in obese subjects after biliopancreatic diversion", ...
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A biliopancreatic diversion with duodenal switch (BPD/DS) is a less-common weight-loss procedure that entails two major steps. ...
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Biliopancreatic diversion with duodenal switch. Biliopancreatic diversion with duodenal switch (see the image below) includes ... Biliopancreatic diversion with duodenal switch. Because the biliopancreatic diversion with duodenal switch procedure is less ... Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co- ... from the biliopancreatic secretions, which pass through the biliopancreatic limb of the Y. The degree of malabsorption can be ...
Obesity is a substantial public health crisis in the United States and in the rest of the industrialized world. The prevalence is increasing rapidly in numerous industrialized nations worldwide.
What Is Biliopancreatic Diversion Bypass (BPD)? BPD (Scopinaro procedure) is a type of gastric bypass… Read More » ...
WHAT IS BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH (BPD DS)? - One of the most advanced and effective bariatric & metabolic ... Diversion of the biliopancreatic juices contribute further to these physiological changes.. - Role of food restriction and ... WHAT ARE THE LIMITATIONS OF BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH? - BPD DS is technically more advanced, complex and ... Physiological changes are very high in Biliopancreatic diversion with duodenal switch as longer small intestine is bypassed ...
Biliopancreatic Diversion with Duodenal Switch/43845. Diagnosis/ICD-9 Code. Morbid Obesity/278.01 ...
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biliopancreatic diversion. *gastroplasty. *jejunoilial bypass. *laparoscopic gastric banding. *laparoscopic gastric bypass. * ...
Long-Term Follow-Up Study of Liver-Related Outcome After Bilio-Pancreatic Diversion in Patients with Initial, Significant Liver ... Methods: This study included 56 NAFLD patients who underwent bilio-pancreatic diversion for morbid obesity and who had ... Methods: This study included 56 NAFLD patients who underwent bilio-pancreatic diversion for morbid obesity and who had ... Thus, preexisting liver damage does not seem to be a contraindication to bilio-pancreatic diversion. ...
Biliopancreatic diversion (BPD). *Biliopancreatic diversion w... *Biopsy catheter. *Blood pressure. *Blood pressure check ...
Gerrits EG, Ceulemans R, van HR, Hendrickx L, Totte E. Contraceptive treatment after biliopancreatic diversion needs consensus ... no substantial decrease in effectiveness of oral contraceptives among women who underwent a biliopancreatic diversion (107); ...
Laparoscopic biliopancreatic diversion and laparoscopic sleeve gastrectomy are also briefly discussed. Publication types * ...
Obesity is a substantial public health crisis in the United States and in the rest of the industrialized world. The prevalence is increasing rapidly in numerous industrialized nations worldwide.
Biliopancreatic Diversion/Duodenal Switch (BPD/DS) surgery: 3 to 4 chews daily (1800 to 2400 mg calcium) ...
... www.nycbariatrics.com/default/qualifications/biliopancreatic-diversion Overlake Hospital Medical Centers Virtual Medical ...
1999; Schirmer 2000), and the biliopancreatic diversion with duodenal switch. The RYGBP has been used most widely in the USA ... 1999; Schirmer 2000), and the biliopancreatic diversion with duodenal switch. The RYGBP has been used most widely in the USA ... 1999; Schirmer 2000), and the biliopancreatic diversion with duodenal switch. The RYGBP has been used most widely in the USA ... 1999; Schirmer 2000), and the biliopancreatic diversion with duodenal switch. The RYGBP has been used most widely in the USA ...
biliopancreatic diversion biliopancreatic diversion * biobank biobank * biocaddie biocaddie * bioethics bioethics * biological ...
biliopancreatic diversion biliopancreatic diversion * biobank biobank * biocaddie biocaddie * bioethics bioethics * biological ...
Biliopancreatic Diversion for Severe Obesity: Long-Term Effectiveness and Nutritional Complications. Obes Surg. 2015 May 17. [ ... So, the single-anastomosis gastric bypass (omega loop), the biliopancreatic diversion with a duodenal switch (BPDDS) and even ... Lengthening of the biliopancreatic limb is a key step during revisional Roux-en-Y gastric bypass for weight regain and diabetes ...
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Significant Increase in Systemic Exposure of Atorvastatin After Biliopancreatic Diversion With Duodenal Switch. Clinical ...
Effects of bilio-pancreatic diversion on diabetic complications: a 10-year follow-up., Diabetes Care 34, 561-567, 2011 ...

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