Biliopancreatic Diversion With Duodenal Switch. Long Term Weight Loss

Open access


Biliopancreatic derivation with duodenal switch (BPDDS) as an operative technique in the management of morbid obesity was created as an alternative to BPD (Scopinaro's operation), because of BPD-DS's fewer malabsorption side effects, better restrictive effect to the stomach remnant, fewer peptic ulcers and dumping syndromes, as well as lower morbidity and mortality rate. Between January 2003 and June 2012 in the University Hospital Center of Albacete, 141 patients with morbid obesity underwent BPD-DS. The patients were divided in groups according to four criteria: length of the common channel, age, gender and initial Body Mass Index. On the 6th postoperative year in our study the percent of excessive body weight loss was 67.6% and the percentage of excessive BMI loss was 73%. According to the evaluation announced by Hess D.S. & Hess D.W, our results could be assessed as successful after 6 months, good on the first year, excellent on the second, and good from 3rd to 9th postoperative years. Our results confirm the hypothesis that the biliopancreatic derivation with duodenal switch is a bariatric intervention, which leads to a significant weight loss, well preserved in time.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Buchwald H Avidor Y Braunwald E Jensen MD Pories W Fahrbach K et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724-37.

  • 2. Sjostrom L Narbro K Sjostrom CD Karason K Larsson B Wedel H et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741-52.

  • 3. Hess DS Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8(3):267-82.

  • 4. Sanchez-Santos R Masdevall C Baltasar A Martinez-Blazquez C Garcia Ruiz de Gordejuela A Ponsi E et al. Short- and mid-term outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg. 2009;19(9):1203-10.

  • 5. Anderson B Gill RS de Gara CJ Karmali S Gagner M. Biliopancreatic diversion: the effectiveness of duodenal switch and its limitations. Gastroenterol Res Pract. 2013;2013:974762.

  • 6. Baltasar A Serra C Bou R Bengochea M Perez N Borras F et al. [Expected body mass index after bariatric surgery]. Cir Esp. 2009;86(5):308-12. Spanish.

  • 7. Baltasar A Bou R Bengochea M Serra C Perez N. [One thousand bariatric interventions]. Cir Esp. 2006;79(6):349-55. Spanish.

  • 8. Deveney CW MacCabee D Marlink K Welker K Davis J McConnell DB. Roux-en-Y divided gastric bypass results in the same weight loss as duodenal switch for morbid obesity. Am J Surg. 2004;187(5):655-9.

  • 9. Prachand VN Davee RT Alverdy JC. Duodenal switch provides superior weight loss in the super-obese (BMI >or =50 kg/m2) compared with gastric bypass. Ann Surg. 2006;244(4):611-9.

  • 10. Dorman RB Rasmus NF al-Haddad BJ Serrot FJ Slusarek BM Sampson BK et al. Benefits and complications of the duodenal switch/biliopancreatic diversion compared to the Roux-en-Y gastric bypass. Surgery. 2012;152(4):758-65; discussion 65-7.

  • 11. Hess DS Hess DW Oakley RS. The biliopancreatic diversion with the duodenal switch: results beyond 10 years. Obes Surg. 2005;15(3):408-16.

  • 12. Marceau P Hould FS Simard S Lebel S Bourque RA Potvin M et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947-54.

Journal information
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 387 136 7
PDF Downloads 184 100 0