Biliopancreatic Diversion with Duodenal Switch: Surgical Technique and Perioperative Care

Laurent Biertho; Stéfane Lebel; Simon Marceau; Frédéric-Simon Hould; François Julien; Simon Biron

doi:10.1016/j.suc.2016.03.012

Biliopancreatic Diversion with Duodenal Switch: Surgical Technique and Perioperative Care

Surg Clin North Am. 2016 Aug;96(4):815-26. doi: 10.1016/j.suc.2016.03.012.

Authors

Laurent Biertho¹, Stéfane Lebel², Simon Marceau², Frédéric-Simon Hould², François Julien², Simon Biron²

Affiliations

¹ Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada. Electronic address: laurent.biertho@criucpq.ulaval.ca.
² Department of Metabolic and Bariatric Surgery, Institut Universitaire de cardiologie et pneumologie de Québec - Université Laval, 2725 Chemin Sainte Foy, Quebec City, Quebec G1V 4G5, Canada.

PMID: 27473803
DOI: 10.1016/j.suc.2016.03.012

Abstract

The goal of this article is to present an overview of selection criteria, surgical technique, and perioperative outcomes of biliopancreatic diversion with duodenal switch. The standard follow-up requirements, including vitamin supplementation, and long-term risks associated with metabolic surgery are also discussed. Most of the data reported here are based on the authors' experience with 4000 biliopancreatic diversions with duodenal switch performed in their institution since 1990.

Keywords: Biliopancreatic diversion; Duodenal switch; Malabsorptive surgery; Management; Surgical technique.

Publication types

Review
Video-Audio Media

MeSH terms

Biliopancreatic Diversion / methods*
Duodenum / surgery*
Gastrectomy / methods*
Humans
Obesity / surgery*
Patient Selection
Perioperative Care / methods*
Postoperative Complications / diagnosis
Postoperative Complications / therapy
Treatment Outcome