BPD (BILIOPANCREATIC DIVERSION)

WHAT IS BPD (BILIOPANCREATIC DIVERSION)?

 Bariatric bypass surgery, also known as biliopancreatic diversion (Scopinaro procedure), is one of the most extreme surgeries used in the treatment of clinical, morbid and malignant obesity. Not only is most of the stomach removed, but the anatomy of the small intestines is changed to change the flow of gall and pancreatic enzymes. In this way, the mixing of these enzymes with the food taken takes place in the middle or last parts of the small intestine. As a result, the absorption of calories and nutrients is severely reduced.

TECHNIQUES USED IN BPD (BILIOPANCREATIC DIVERSION) SURGERY

Only the last 2/3 of the stomach is removed and the part of the remaining stomach and small intestines 250 cm from the junction with the large intestine (ileo-cecal region) is cut and sutured. The bypassed intestine is sutured 50 cm away from the ileo-cecal region. Since absorption is impaired more than gastric-bypass, close patient follow-up with the use of additional nutritional supplements and formula is essential to prevent deficiency of vitamins, minerals, iron, calcium and especially proteins.

IN WHICH SITUATIONS SHOULD I HAVE BPD (BILIOPANCREATIC DIVERSION) SURGERY?

This operation, which is known to cause great improvements in diabetes as well as obesity, is suitable for obesity and diabetes patients.

POST-SURGERY RECOVERY PROCESS

After this surgery, it is necessary to feed patients with liquid foods for a period of about 1 month. Then, transition to pureed foods and solid foods follows respectively. Patients lose about 80% of their excess weight after surgery. Thanks to both the breaking of the sugar resistance hormone and the fact that the hormones against the sugar resistance hormone around the duodenal ulcer no longer meet with meals, blood sugar is regulated to a large extent. The long-term success rate in obese patients is over 90%. Gall and pancreatic enzymes play a major role in digesting the food we eat. With this method, as these enzymes and food meet near the end of the small intestine, absorption is greatly reduced. After these surgeries, patients should be fed with more frequent meals. However, since the stomach pouch is quite wide, there is no serious volume restriction except for the first periods. After the surgery, side effects such as diarrhea, intense smelling gas, eating problems and vomiting may occur. Gastric ulcer can be seen, especially in patients with lower half of the stomach left inside. Since there is a very serious malabsorption, it is necessary to take iron, vitamin, mineral and calcium supplements for life.