Biliopancreatic diversion is an obesity surgery procedure. It is used to treat morbid obesity. According to studies, patients can lose up to 80 percent of their excess weight within five years of the procedure.
Below you will find further information on the procedure, chances of success, possible risks and aftercare of biliopancreatic diversion. You will also find specialists for performing a biliopancreatic diversion.
Biliopancreatic diversion is a complex surgical procedure in bariatric surgery. It is also known as biliopancreatic bypass. The aim of the procedure is to divert the digestive secretions from the biliary tract (bile) and pancreas(pancreas) exclusively to the lower part of the stomach.
Biliopancreatic diversion is one of the so-called "malabsorptive" procedures. These are interventions that cause artificial malnutrition. The term "malabsorptive" describes the reduction of nutrient absorption from the intestine.
In the case of biliopancreatic diversion, this is achieved by short-circuiting parts of the small intestine. This makes the digestion of
and thus results in a lower intake of calories.
The advantage of this procedure is reliable weight loss that sets in quickly after the operation.
Obesity is a widespread phenomenon in western industrialized countries. Experts define morbid obesity as a body weight of 45 kilograms or more above normal weight.
In general, people who are morbidly obese have a lower life expectancy. Men with obesity live around 13 years less, women around 8 years less.
Some examples of possible secondary diseases are
Illustration of some secondary diseases of obesity © bilderzwerg | AdobeStock
In addition, those affected often suffer from psychological and social problems such as
and more.
Severe obesity is often genetic. Diets, exercise and other forms of weight loss therefore often have little or no lasting effect.
Surgical intervention, on the other hand, promises reliable and lasting results. It improves the health and well-being of those affected. An increase in self-confidence and thus quality of life can also often be observed.
During biliopancreatic diversion, the surgeon cuts off part of the stomach lengthwise. He then creates a gastric sleeve to reduce the volume of the stomach.
If the patient were to eat normally again after the procedure, they would risk gaining weight again. The doctor therefore additionally reduces the small intestine to a length of 2.5 meters by means of a short circuit. In this way, the small intestine only partially digests the food.
Fatty components in particular are only broken down in the large intestine. The diarrhea that sets in immediately after the operation is responsible for the rapid weight loss.
The success of biliopancreatic division speaks for itself. Studies show that patients can lose up to 80 percent of their excess weight after around five years. Compared to other procedures, the success rate here is maximum in terms of weight loss and quality of life.
In terms of risk, the extent and complexity of the operation should be noted. Opening and suturing several parts of the gastrointestinal tract can lead to leaks. The surgeon's experience and care are very important here.
In addition, there are the usual risks as with other operations, including
In the case of open surgery via an abdominal incision, scar hernia formation can occur.
Foul-smelling diapers and severe diarrhea are not uncommon, especially in the first year after the procedure.
Taking it easy and refraining from physical exertion are a must after the operation. Patients should also refrain from lifting more than 5 kilograms.
High-fat foods are also taboo, as they can make the diarrhea worse. In addition, experts advise eating several (up to six) small meals a day.
Recommendations for optimal aftercare are usually tailored to the individual case. Those affected should generally attend follow-up visits to the nutrition center and their family doctor.
In order to prevent the occurrence of deficiency symptoms, the targeted intake of
can be useful.
Foul-smelling winds can be alleviated with antibiotics, among other things. Decisions on use and dosage are usually made by the attending physician.
Only a doctor can assess whether biliopancreatic diversion is recommended in a specific case. A detailed patient consultation is required before a decision is made. The risks and possible alternatives are also discussed.
In summary, the chances of success with the procedure are undoubtedly very good. Patients can expect a significant improvement in their quality of life.
If those affected have a high level of suffering, the possible negative consequences of BPD appear comparatively low. However, the final decision undoubtedly lies with the patient, who must carefully weigh up the pros and cons.
The Leading Medicine Guide's quality assurance is ensured by the following acceptance prerequisites.
