ArticleObesity surgery2016
Biliopancreatic Diversion for Severe Obesity: Long-Term Effectiveness and Nutritional Complications.
Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Long-term prevalence of vitamin deficiencies after bariatric surgery: a meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- A Systematic Review and Meta-Analysis of Vitamin D Status of Patients with Severe Obesity in Various Regions Worldwide.Obesity facts · 2023Pooled it
- Pooled it
- Review
- Impact of GFR on Mortality Risk After Biliopancreatic Diversion: Challenges and Pitfalls for the Clinician.Obesity surgery · 2025Article
- Patient Empowerment for Lifestyle Changes in Metabolic-Bariatric Surgery-A German Nationwide Survey.Obesity surgery · 2025Article
- Differential Efficacy of Weight Loss Interventions in Patients with Versus Without Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Review
- [Current evidence on loop length in intestinal bypass procedures].Chirurgie (Heidelberg, Germany) · 2023Review
- From Biliopancreatic Diversion to One Anastomosis Gastric Bypass, Technique Explanation and Outcome.Obesity surgery · 2022Article
- Long-term comparative study on open versus laparoscopic biliopancreatic diversion.Surgical endoscopy · 2022Article
- First study on the outcomes of biliopancreatic diversion with duodenal switch in Chinese patients with obesity.Frontiers in surgery · 2022Article
- COMPLICATIONS AND LATE FOLLOW-UP OF SCOPINARO'S SURGERY WITH GASTRIC PRESERVATION: 1570 PATIENTS OPERATED IN 20 YEARS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022Article
- Can we abandon foregut exclusion for an ideal and safe metabolic surgery?Frontiers in endocrinology · 2022Review
- Laparoscopic Duodenal Switch Versus Roux-en-Y Gastric Bypass at a High-Volume Community Hospital: a Retrospective Cohort Study from a Rural Setting.Obesity surgery · 2021Article
- Treatment of Severe Protein Malnutrition After Bariatric Surgery.Obesity surgery · 2019Article
- Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement.Obesity surgery · 2019Article
- Ileal interposition coupled with duodenal diverted sleeve gastrectomy versus standard medical treatment in type 2 diabetes mellitus obese patients: long-term results of a case-control study.Surgical endoscopy · 2019Article
- Secondary Hyperparathyroidism in Patients with Biliopancreatic Diversion After 10 Years of Follow-up, and Relationship with Vitamin D and Serum Calcium.Obesity surgery · 2019Article
- Malnutrition secondary to gastrojejunal stricture after biliopancreatic diversion.International journal of surgery case reports · 2018Article
- Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric surgery is currently the treatment of choice for those patients with severe obesity, but the procedure of choice is not clearly established. We describe weight loss and nutritional parameters in severely obese patients after biliopancreatic diversion for 10 years of follow-up.
methodsPatients were followed by the same multidisciplinary team, and data are shown for 10 years. Bariatric Analysis and Reporting Outcome System (BAROS) questionnaire, data regarding the evolution of obesity-related diseases, and nutritional parameters are reported.
resultsTwo hundred ninety-nine patients underwent biliopancreatic diversion, 76.1 % women, initial BMI 50.1 kg/m(2) (7.2). Weight loss was maintained throughout 10 years with EWL% around 65 % and EBMIL% around 70 %. More than 80 % of the patients showed EWL higher than 50 %. Blood pressure, glucose metabolism, and lipid profile clearly improved after surgery. Mean nutritional parameters remained within the normal range during follow-up. Protein malnutrition affected less than 4 % and anemia up to 16 %. Fat-soluble vitamin levels decreased along the time, with vitamin D deficiency in 61.5 % of patients. No significant differences were found either in nutritional parameters or weight loss regarding gastrectomy or gastric preservation, or common limb length longer or shorter than 55 cm
conclusionsBiliopancreatic diversion is an effective surgical procedure in terms of weight loss, quality of life, and evolution of obesity-related diseases. Nutritional deficiencies are less frequent than feared for a malabsorptive procedure, but must be taken into account, especially for fat-soluble vitamins.
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