Houston Bariatric Surgery: Bilopancreatic Diversion
The biliopancreatic diversion with duodenal switch (BPD) was first performed by Dr. Scopinaro in 1979 in Italy. It is the most malabsorptive procedure approved by the FDA, leaving only 100-150 cm of small intestine left for absorption.
This operation carries the highest risk of complication and is the most technically challenging operation to perform; on the other hand, it offers the most benefit in terms of weight loss. Patients can expect to lose nearly all of their excessive weight in short order after this procedure (80-100%). Vitamin and mineral deficiencies are more likely after this procedure compared to the other weight loss surgeries, so close monitoring of vitamin levels is necessary.
