35 Laparoscopic Malabsorption Procedures: Management of Nutritional Complications After Biliopancreatic Diversion

2014 ◽  
pp. 323-333
Author(s):  
Fady Moustarah ◽  
Frédéric-Simon Hould
Keyword(s):  
Biliopancreatic Diversion ◽  
Nutritional Complications

Biliopancreatic Diversion for Severe Obesity: Long-Term Effectiveness and Nutritional Complications

2015 ◽  
Vol 26 (1) ◽  
pp. 38-44 ◽  
Author(s):  
María D. Ballesteros-Pomar ◽  
Tomás González de Francisco ◽  
Ana Urioste-Fondo ◽  
Luis González-Herraez ◽  
Alicia Calleja-Fernández ◽  
...  
Keyword(s):  
Biliopancreatic Diversion ◽  
Severe Obesity ◽  
Nutritional Complications

scholarly journals Revisional surgery in severe nutritional complications after bariatric surgical procedures: report of four cases from a single institution and review of the literature

2021 ◽  
Vol 48 ◽  
Author(s):  
JOÃO GABRIEL ROMERO BRAGA ◽  
MATHEUS MATHEDI CONCON ◽  
AMANDA PEREIRA LIMA ◽  
GUILHERME HOVERTER CALLEJAS ◽  
ARY DE CASTRO MACEDO ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Biliopancreatic Diversion ◽  
Revisional Surgery ◽  
Case Reports ◽  
Case Series ◽  
Morbidly Obese ◽  
Review Of The Literature ◽  
Primary Surgery ◽  
Nutritional Complications

ABSTRACT Introduction: bariatric surgery is currently the only treatment that leads to long-term and sustained weight loss and decreased morbidity and mortality in morbidly obese individuals. Roux-en-Y bypass causes weight loss by restricting food intake associated with reduced intestinal absorption, in addition to multiple endocrine and satiogenic effects. Biliopancreatic diversion promotes weight loss mainly due to poor absorption of the nutrients ingested. Both procedures exclude parts of the gastrointestinal tract. Objective: to describe four cases of revisional surgery after primary bariatric surgery, due to serious nutritional complications, and to review the literature regarding this subject. Methods: a retrospective analysis of patients of Unicamps bariatric center database and review of the literatures were performed. Results: four patients were identified, 2 women and 2 men, with a mean age of 48 years. The mean body mass index before revisional surgery was 23.7 kg/m2. Three patients underwent Scopinaro biliopancreatic diversion, and onde patient underwent Roux-en-Y gastric bypass. The revisional surgeries were revision, conversion, and reversion. One patient died. For the review of the literature 12 articles remained (11 case reports and 1 case series). Another five important original articles were included. Conclusion: fortunately, revision surgery is rarely necessary, but when indicated it has increased morbidity, It can be revision, reverion or conversion according to the severity of the patient and the primary surgery performed.

scholarly journals Vitamin A deficiency in a newborn resulting from maternal hypovitaminosis A after biliopancreatic diversion for the treatment of morbid obesity

2002 ◽  
Vol 76 (2) ◽  
pp. 426-429 ◽  
Author(s):  
Sergio Huerta ◽  
Lisa M Rogers ◽  
Zhaoping Li ◽  
David Heber ◽  
Carson Liu ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Vitamin A ◽  
Biliopancreatic Diversion ◽  
Vitamin A Deficiency ◽  
Hypovitaminosis A

OP270 Why The Haute Autorité de Santé Rejects the Widespread Use Of “Mini-Bypass”/One Anastomosis Gastric Bypass For Obesity In France

2020 ◽  
Vol 36 (S1) ◽  
pp. 4-4
Author(s):  
Jean-Charles Lafarge ◽  
Denis-Jean David ◽  
Cédric Carbonneil
Keyword(s):  
Esophageal Cancer ◽  
Gastric Bypass ◽  
Adverse Events ◽  
Severe Obesity ◽  
One Anastomosis Gastric Bypass ◽  
Close Monitoring ◽  
Efficacy And Safety ◽  
Multicenter Rct ◽  
Nutritional Complications

IntroductionOne anastomosis gastric bypass (OAGB) has become a widespread technique over the last few years in France, without any prior assessment and despite existing controversies among bariatric surgeons. An older bypass technique for treating obesity, the Roux-en-Y gastric bypass (RYGB), is available and reimbursed, having been assessed and approved for use in 2005. In 2019, the French Haute Autorité de Santé (HAS) assessed OAGB for the treatment of severe and massive obesity. This assessment, the first in the world, was undertaken for OAGBs carried out with a 200- or 150-centimeter biliopancreatic-limb (BP-limb) length.MethodsA systematic review (SR) of the literature and consultation of a working group consisting of both healthcare professionals (clinician and surgeons) and patients were carried out. The primary aim of our assessment was to determine whether the OAGB technique can replace RYGB. The efficacy and safety profile of OAGB was compared with RYGB in adult patients with massive, severe obesity. Complications and postoperative follow up specific to OAGB were identified.ResultsThe three selected randomized controlled trials (RCTs) could not confirm the superiority or the non-inferiority of OAGB, compared with RYGB, on the selected efficacy endpoints of weight loss, resolution of comorbidities, and quality of life. Adverse events reported for OAGB included severe nutritional complications and bile reflux that could potentially lead to lower esophageal cancer. In one RCT, the frequency of serious adverse events in the OAGB group was almost two times higher than in the RYGB group.ConclusionsHAS considered that OAGB carried out with a longer (200 centimeter) BP-limb is not a validated technique for the surgical treatment of massive, severe obesity. Thus, it cannot be considered an alternative to RYGB. There were insufficient data available on OAGB performed with a 150-centimeter BP-limb. Thus, HAS recommended undertaking a multicenter RCT to assess the efficacy and safety of OAGB. Patients who have already undergone OAGB should receive the same follow up as patients who have received RYGB, including close monitoring for nutritional complications and lower esophageal cancer and an endoscopic examination five years after surgery.

Phosphocalcic Metabolism after Biliopancreatic Diversion

2007 ◽  
Vol 17 (5) ◽  
pp. 642-648 ◽  
Author(s):  
O. Lozano ◽  
J. D. García-Díaz ◽  
E. Cancer ◽  
I. Arribas ◽  
J. L. Rubio ◽  
...  
Keyword(s):  
Biliopancreatic Diversion
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