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Obesity Surgery

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01-03-2012 | Current Status

Thirty-Five Years of Biliopancreatic Diversion: Notes on Gastrointestinal Physiology to Complete the Published Information Useful for a Better Understanding and Clinical Use of the Operation

Author: Nicola Scopinaro

Published in: Obesity Surgery | Issue 3/2012

Abstract

Background

In the attempt to complete the available information on biliopancreatic diversion (BPD) use and mechanisms of action, some data and observations are presented that for different reasons were never published before.

Methods

These pieces of information derive from minute efforts of gastrointestinal physiology research or from rigorous but preliminary and incomplete collection of data, combined with the daily input from clinical use of BPD.

Result

They essentially regard intestinal limbs, gastric volume, and their interactions in affecting energy and protein intestinal absorption in BPD.

Conclusion

It is hoped that this new information will help surgeons to increase their knowledge and improve their ability to obtain the best results from the BPD procedure.

Scopinaro N, Adami GF, Marinari GM, et al. Biliopancreatic diversion: two decades of experiences. In: Deitel M, Cowan JR, editors. Surgery for the morbidly obese patients. Toronto: FD Communication Inc; 2000. p. 227–58.

Scopinaro N, Adami GF, Marinari GM, et al. Biliopancreatic diversion. World J Surg. 1998;22:936–46.PubMedCrossRef

Bonalumi U, Cafiero F, Caponnetto A, et al. Protein absorption studies in biliopancreatic bypass patients. Int J Obesity. 1981;5:543.

Anthone GJ, Lord RV, DeMeester TR, et al. The duodenal switch operation for the treatment of morbid obesity. Ann Surg. 2003;238:618–28.PubMed

Scopinaro N, Marinari GM, Camerini G, et al. Energy and nitrogen absorption after biliopancreatic diversion. Obes Surg. 2000;10:436–41.PubMedCrossRef

Marinari GM, Camerini G, Baschieri-Novelli G, et al. Outcome of biliopancreatic diversion in subjects with Prader-Willi syndrome. Obes Surg. 2001;11:491–5.PubMedCrossRef

Scopinaro N, Marinari GM, Gianetta E, et al. The respective importance of the alimentary limb (AL) and the common limb (CL) in protein absorption (PA) after BPD. Obes Surg. 1997;7:108.

Scopinaro N, Adami GF, Papadia FS, et al. Effects of biliopancreatic diversion on type 2 diabetes in patients with BMI 25 to 35. Ann Surg. 2011;253:699–703.PubMedCrossRef

Scopinaro N, Adami GF, Papadia FS, et al. The effects of biliopancreatic diversion on type 2 diabetes mellitus in patients with mild obesity (BMI 30–35 kg/m2) and simple overweight (BMI 25–30 kg/m2): a prospective controlled study. Obes Surg. 2011;21:880–8.PubMedCrossRef

Title: Thirty-Five Years of Biliopancreatic Diversion: Notes on Gastrointestinal Physiology to Complete the Published Information Useful for a Better Understanding and Clinical Use of the Operation
Author: Nicola Scopinaro
Publication date: 01-03-2012
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 3/2012
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-011-0554-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Thirty-Five Years of Biliopancreatic Diversion: Notes on Gastrointestinal Physiology to Complete the Published Information Useful for a Better Understanding and Clinical Use of the Operation

Abstract

Background

Methods

Result

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Result

Conclusion

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