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Transforming a Biliopancreatic Derivation in an Ileal Interposition with a Single Anastomosis
Sergio Santoro1, Caio G Gaspar de Aquino
1Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, Bloco A1 sala 223, São Paulo, 05652-900, Brazil, sergio@santoro.med.br.
Abstract:
The biliopancreatic derivation (BPD) is the most powerful bariatric procedure. However, it never became a very popular procedure, except for Italy, because of the high rate of nutritional problems, intense flatulence, and diarrhea. Here, we describe an extremely simple way (just one anastomosis) to revise the BPD, transforming it into an ileal interposition with duodenal exclusion, solving these described problems.
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