Comparative results of biliopancreatic diversion with duodenal switch and transit bipartition in the treatment of superobesity

Background: Transit bipartition (TBP) was compared with biliopancreatic diversion with duodenal switch (BPD-DS) it replaced early 2017 for patients whose initial body mass index (BMI) was ≥ 50 kg/m2. Sixty three consecutive primary BPT were compared to the 63 most recent primary BPD-DS. TBP used the same landmarks as BPD-DS: sleeve gastrectomy over a 50 Fr bougie, 250 cm distal ileum alimentary channel sutured to the gastric antrum with a 100 cm common channel. Unlike the BPD-DS, t he duodenum was not transected to allow the food to pass through the 250 cm alimentary limb or the rest of the small bowel.

Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Philippe A Topart, Guillaume Becouarn Source Type: research