Biliopancreatic Diversion Surgery

Obesity surgery is a disease that can cause many problems, reduces the quality of life and directly affects eating habits. Diabetes disease treatment methods, which are prominent in metabolic surgery, are also evaluated alongside with obesity disease. Biliopancreatic diversion surgery is another method applied for diabetes and obesity, which is exacerbated by excess weight gain. After the surgery, physical changes in the structure of the stomach and repositioning of the intestines help to break the sugar resistance and achieve 80% weight loss. Because it is an effective operation, doctors view this operation positively. The pre- and post-operative processes directly affect the success of the operation.

Detailed information about biliopancreatic diversion surgery will be discussed under the following headings:

• What is biliopancreatic diversion?
• In which situations and for whom is biliopancreatic diversion surgery suitable?
• How is biliopancreatic diversion surgery performed?
• What are the advantages of biliopancreatic diversion surgery?
• What are the risks of biliopancreatic diversion surgery?
• What should the post-operative process be like?

What is Biliopancreatic Diversion?

Biliopancreatic diversion; It is a surgical operation performed by performing operations on the stomach, large intestine and small intestine. Although this surgery is similar to gastric bypass, it differs in that there is less absorbtion in the intestine. The technique, discovered by Scopinaro in Italy in 1976, is very effective in weight loss and malabsorption in obesity patients. Doctors from different disciplines also take part in this surgical process. Since it is an extreme method, the patient is followed up by performing tests before and after the surgery.

In Which Situations And For Whom Is Biliopancreatic Diversion Surgery Suitable?

Biliopancreatic diversion surgery is a technique used especially in advanced obesity. Patients must be in the course of morbid and malignant obesity, unable to regulate their eating habits, have tried different methods before, and be suitable for surgery.

How is Biliopancreatic Diversion Surgery Applied?

The application stages of biliopancreatic diversion surgery are as follows:

• The stomach, which is in the digestive system, plays an important role in obesity. The lower part of the stomach is removed, and then the food entrance of the duodenum is closed.
• Then, the small intestine is cut from the junction of the small intestine with the large intestine. This cut lower end is attached to the stomach.
• The other upper three are connected to the previously marked point in the large intestine.
• After these stages, a large part of the small intestine is deactivated, and the new system is replaced by the normal system that passes from the stomach to the duodenum.
• The other end of the small intestine is joined at the point where enzymes are secreted.
• Then the operation is terminated. Patients are usually hospitalized for 4-5 days and then discharged.

What are the Advantages of Biliopancreatic Diversion Surgery?

This method, which is frequently used in the treatment of diabetes, is also effective in the weight loss processes of patients. Especially after surgery, patients can lose 85% of their weight with regular nutrition. In addition, while sugar resistance is broken, the fact that hormones against sugar resistance do not enter the nutrient absorption process has a great effect. It is a metabolic surgery method used in the treatment of diabetes.

What are the Risks of Biliopancreatic Diversion Surgery?

As with any surgical operation, there are some risks for biliopancreatic diversion surgery. There may be risks that may develop primarily due to anesthesia. In addition, effects may occur due to drug, smoking and alcohol use during surgery. Generally, there is less risk in patients whose general health status is not under the influence of drug and substance use.

Among the side effects that can be seen after surgery; Diarrhea, constant need to pass gas, vomiting and problems in eating may be experienced. Iron, mineral and calcium deficiencies can be seen in patients with the effect of low absorption in later stages. For this, lifelong follow-up of the patient is important. When such deficiencies are seen, the patient is strengthened with supplements.

What should the post-surgery process be like?

In order to minimize the risks after the surgery and make the surgery successful, it is necessary to comply with the diet and exercises. At this point, when patients are compliant, they can lose two-thirds of their excess weight within two years. After this surgery, which is very effective in controlling blood sugar, it is recommended that patients be fed with frequent and small meals.

It is important for patients to change the way they are normally accustomed to in the foods they eat. At this point, it is very important to avoid especially fatty foods, to stay away from alcohol and sugar, and not to consume large amounts of food. Foods containing frozen fat such as fast food should be avoided and healthier foods should be preferred.