Background Despite the success of the Biliopancreatic is essential to avoid nutritional complications. Different Diversion with Duodenal Switch procedure (BPD-DS) in techniques are available to reverse the malabsorptive com- weight loss and comorbidities resolution, reversal of BPD- ponent of the BPD-DS. However, no standard approach is DS is necessary in 0.2–0.6% of BPD-DS cases for vitamin, adopted by the surgical community. We demonstrate our pre- protein, and other micronutrient deficiencies. Different tech- ferred technique in reversing the malabsorptive component niques are available to reverse the malabsorptive component of the BPD-DS. of the BPD-DS. . . Methods A retrospective chart review for a 37-year-old fe- Keywords Biliopancreatic diversion Duodenal switch . . . male patient who presented with lower leg edema and signs Reversal Reoperation Malnutrition Bariatric of malnutrition 5 years after a BPD/DS. The patient was not compliant with the required daily vitamin and protein in- take. Thus, after extensive discussion with the patient, a Introduction decision was made to reverse the malabsorptive component of the BPD-DS. Biliopancreatic Diversion with Duodenal Switch procedure Results A laparoscopic reversal of the malabsorptive com- (BPD-DS), compared to other bariatric surgeries, results in ponent of the BPD-DS was concluded by transecting the superior
Obesity Surgery – Springer Journals
Published: Sep 30, 2017
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