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Biliopancreatic Diversion (BPD) - Weight Loss Surgery OperationBiliopancreatic Diversion is a malabsorptive weight loss surgical operation during which portions of the stomach are removed. (See Fig 1.) Other malabsorptive bariatric surgery procedures include: Roux-en-Y gastric bypass (RGB), Biliopancreatic Diversion (BPD) and Duodenal Switch. Figure 1. Biliopancreatic Diversion (BPD)
The small pouch that remains is connected directly to the final segment of the small intestine, completely bypassing the duodenum and the jejunum. Although this procedure successfully promotes weight loss, it is less frequently used than other types of surgery because of the high risk for nutritional deficiencies. This procedure is less food restrictive than the RNY. The stomach capacity is 4-5 ounces compared with RNY of around an ounce. There is a significant malabsorptive component which acts to maintain weight loss long term. The patient must be closely monitored to guard against severe nutritional deficiencies. Advantages of Biliopancreatic Diversion (BPD)- Significant malabsorptive component Disadvantages of Biliopancreatic Diversion (BPD)- Greater chance of chronic diarrhea and
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