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Biliopancreatic Diversion: Procedure, Recovery, Cost, Risk & Complication

What is Biliopancreatic Diversion?

Biliopancreatic diversion surgery is a type of gastric bypass surgery that is not commonly performed on people, as it is more complicated and risky than the other gastric bypass procedures. A biliopancreatic diversion changes the normal process of digestion and allows food to bypass part of the small intestine which enables your body to absorb fewer calories. A common channel remains in which bile mixes with other pancreatic digestive juices before entering the colon. During surgery, a large portion of the stomach is cut out and removed to create a smaller stomach pouch, and then a part of the digestive system is re-routed so that food can bypass part of the small intestine. There are two types of biliopancreatic diversion surgeries: a biliopancreatic diversion and a biliopancreatic diversion with duodenal switch.

Indication

Because of the risks, this surgery is for people who are more than severely obese with a BMI of 50 or higher. It is done on people who want to lose weight but haven't been able to any other way - diet, exercise or medicine and this is creating serious health problems for them. In addition, biliopancreatic diversion patients should be prepared to make the necessary lifestyle changes that are required of bariatric surgery patients. This includes a commitment to a healthy lifestyle.

What Procedure is followed :

Pre Procedure

This surgery is a lot more complicated than other gastric bypass surgeries. There are a few pre-procedures you need to follow to ensure you are prepared for the actual surgery :

  • Inform your doctor about all medications and natural health products you take. Follow his instructions on whether or not to continue taking these medications before surgery.
  • If you take any blood thinners like clopidrogel, warfarin or aspirin be sure to talk to your doctor about continuing to take these medicines before surgery .
  • You will be asked to take a bath before surgery but not to apply any lotions, deodrants, perfumes or nail polish. Also you should not wear any jewellery, piercings or contact lenses.
  • You may be asked to follow a complete liquid diet for several days before the surgery. Follow your doctor’s instructions.

During Procedure

At the time of surgery, the area of surgery is often marked to avoid any errors. You will be administered with anaesthesia and will be asleep during the during the procedure. During the surgery a part of stomach will be cut out and removed. The remaining half will be connected to the lower portion of the small intestine. In the biliopancreatic diversion surgery with duodenal switch, an entirely different part of the stomach gets removed and the doctor leaves the pylorus intact. The pylorus is a valve that controls and coordinates food drainage from the stomach. These are done by making a large cut in the belly or by making a small cut and using small tools and a camera to guide the surgery.

Post Procedure

You may need to stay in the hospital for 1 or more days after the surgery. The doctor will close the incision in your belly with staples or stitches. These will be removed 7 to 10 days after surgery, unless your doctor uses stitches that can dissolve. The incision will leave a scar that fades with time. You may take 3 to 5 weeks before you can get back to your usual routine. You will be given more specific instructions about your diet, exercise, and recovering from your surgery by your doctor.

Risk & Complication

There are many risks and complications involved with biliopancreatic diversion surgery including dumping syndrome, diarrhoea, nausea, shakiness, faintness, deficiency of iron, calcium, magnesium or vitamin b12, infection, stomach leakage into the abdominal cavity, peritonitis, deep being thrombosis, pulmonary embolism, gallstones, anaemia, osteoporosis, irregular bowel movements, and constipation. After the surgery you have to be careful about your diet. Your body will have difficulty in absorbing nutrients so you will have to reply on vitamin and mineral supplements.

More Info

Depending on how the surgery was done, you'll have to watch your activity during recovery. If you have had open surgery, avoid lifting heavy weights or doing strenuous exercise. In this case, you will probably be able to return to your normal routine in 4 to 6 weeks.

Your doctor will give you specific instructions about what to eat after the surgery. For about the first month after surgery, you should only consume amounts of soft foods and liquids while you are healing. It is important to try to sip water throughout the day to avoid dehydration.

Biliopancreatic diversion surgery typically ranges from $15,000 to $25,000. People who have this surgery must take vitamin and mineral supplements for the rest of their lives, which can be expensive.

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Popular Questions & Answers

It's not possible to have mind diversion before ejaculations. And what are the exercise for having long lasting sex?

Yes it i posible to have mind diversions before ejaculations and wht you need for that is a strong and controlled mind.You can start with KEGELS EXERCISE so a to have agood performance on bed.
3 people found this helpful

I feel alone, I want to study more as I am preparing for jee so I want to stop my mind diversion towards girls and sexual.Please tell.

Dear lybrate user, welcome to lybrate. The duty of your mind is to think. You cannot control your mind's thinking. Once you just leave your mind without diversion, it always ends up in negative territory. Over thinking leads to obsession, self tal...
1 person found this helpful

I am student of mechanical engineer, I'm not able to concentrate on studies, my mind diversion is full, so I can't able to study for 1 hour, and which table are good for memory power, so please suggest me.

You are distracting from your aim. It shows weakness of your mind and nothing else. Just control your mind and think about your future. Studies is the easiest way to attain success and sometimes even glory. You will realise my words after few year...
1 person found this helpful

Helo sir. This is praveen. I have a lot of headache due to over working in front of computer. So suggest that diversion.

Hi, headache is out come of irregular life style, stress, anxiety & depression, sinusitis, spondiolosis, chronic diseases, meditional aggravation, bp. To get rid of headache you need to follow the natural tips. Go for meditation to reduce your str...

I am a graduate student. I am suffering from kind of diversion condition. Could you please help me how to overcome this harassment situation so that I can live my life peacefully. I will be glad if I can get help as soon as possible. Thank you.

I would emphasise that I am not suggesting that homeopathy should be used as the only treatment in serious depressive illness where there are feelings of wanting to die or a risk of suicide, or in mental health problems such as bipolar disorder (m...

Table of Content

What is Biliopancreatic Diversion?

Indication

What Procedure is followed :

Risk & Complication

More Info

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