Laparoscopic biliopancreatic diversion or duodenal switch is recommended in patients whose BMI is 50 or higher. It is an invasive procedure, which makes the stomach smaller in size and helps to limit the food consumption.
Laparoscopic biliopancreatic diversion is a surgical procedure in which a part of the stomach is removed. As the stomach size is decreased, the rate of nutrient absorption is decreased in the stomach. This causes loss of appetite in the patient. The surgical procedure of laparoscopic biliopancreatic diversion takes around two and a half to four hours.
- Individuals with the following conditions are eligible for laparoscopic biliopancreatic diversion.
- Patients having a BMI of 50 and higher
- Patients suffering from heart burn
- Patients who are binge eaters
- Patients who consume lot of sweets
- Patients who are on treatment for diabetes mellitus type 2, arterial hypertension, hyperlipoprotenemia
The following are some of the benefits of laparoscopic biliopancreatic diversion:
- Success rate is high, nearly 70-90% excess weight loss
- Alternative procedure for patients in whom restrictive procedures like balloon, banding, and sleeve gastrectomy procedures have failed
- Another option for patients who are not responding to nonsurgical treatments
The following are the risks of Biliopancreatic diversion, which include:
Infection at the incision site Reduced absorption of proteins, fat, calcium, iron, and vitamins in the body
Anemia Deficiency of vitamin A, D, E, K and beta carotene
The following are the complications associated with a laparoscopic biliopancreatic diversion
- Gastric stricture
- Internal adhesion and bound obstruction
- Anastomatic leak leading to peritonitis
- Staple line bleeding
- Stomach ulcers
- Dumping syndrome
- Protein mal absorption
- Vitamin deficiencies
Patients can achieve long-term benefits of laparoscopic biliopancreatic diversion only when the patients follow the recommended lifestyle modifications and healthy diet.