Physiologie de l’absorption alimentaire: diversion biliopancréatique. Mise à jour à propos de 3000 interventions

  • N. Scopinaro Gênes – Italie

Abstract

A propos of a series of 3,000 procedures, 162 of which were performed laparoscopically, the author presents the advantages and drawbacks of biliopancreatic bypass (DBP). DBP allows an over 70% initial excess weight loss, both in obese and superobese patients ; the weight loss remains constant and above all it is long lasting (25 years). In fact, DBP has a favourable effect on glucose metabolism, with 98% of cases of diabetes cured at 10 years ; it lowers serum cholesterol lastingly and increases HDL cholesterol. DBP also regulates blood pressure in 80% of cases at 10 years. DBP could represent the most powerful treatment against hyperlipidemia and type II diabetes mellitus. Anaemia, bone demineralisation, gastric ulcer and peripheral neuropathy are easily controlled ; the major problem is that of protein malnutrition (MP) both in its early episodic form and recurring form. In "ad hoc DBP " the author tailors the procedure to patient characteristics, namely gastric volume and length of feeding loop. In his last 300 operated patients, his results at 10 years are 1% of recurring MP leading to 1% reoperations, with a 71% permanent loss of initial excess weight.

KEYWORDS: Obesity, Biliopancreatic bypass (DBP), Metabolic syndrome, Type II diabetes, Hyperlipidemia

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Published
2008-03-28
How to Cite
SCOPINARO, N.. Physiologie de l’absorption alimentaire: diversion biliopancréatique. Mise à jour à propos de 3000 interventions. Revista Portuguesa de Cirurgia, [S.l.], n. 4, p. 93-100, mar. 2008. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/268>. Date accessed: 21 may 2024.
Section
GRANDES TEMAS: OBESIDADE