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We present our experience in malabsorbitive procedure in bariatric surgery based on Biliopancreatic Diversion (BPD) with transitory gastroplasty. Since 1995 we operated on 74 patients with BPD coupled with gastroplasty which is transitory due to the presence of a band in polidioxanone (PDS). The technique, proposed by Vassallo et al. in 1992, involve the respect of the duodenal bulb (5 centimeter from the pylorous) making an end-to-side duodeno-ileal isoperistaltic anastomosis. The initial excess weight loss was satisfactory (69.8% +/- 11.4% after 1 year) and it kept being stable during all the follow-up (75.2% +/- 6.4% after 5 years). The mortality was absence. We didn't observe ipoalbuminemia, diarrhea or halitosis in any patients. Only 1 patient (1.3%) developed an anastomotic ulcer. After 5 years follow-up we observed 2 cases (12.5%) of chronic hypochromic anemia and 1 case (6.2%) of hypocalcemia. We didn't perform any restorative operation. We consider this technique a good malabsortive procedure able to obtain a satisfactory and stable weight loss, with a low incidence of complications. Moreover it could be applied in patients previously treated by an ineffective gastroplasty.
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
February 1997,
Obesity surgery,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
January 2004,
Obesity surgery,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
September 1996,
Revue medicale de Bruxelles,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
December 1987,
Revue medicale de Liege,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
November 1990,
Wiener klinische Wochenschrift,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
April 1986,
Mayo Clinic proceedings,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
October 2011,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
February 1980,
The American journal of clinical nutrition,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
September 2010,
Obesity surgery,
F Mittempergher, and
T Bruni, and
O Bruni, and
E Di Betta, and
G Occelli, and
B Salerni
December 1979,
The Surgical clinics of North America,
