Controversies in Bariatric Surgery
For whom the bell tolls? It is time to retire the classic BPD (bilio-pancreatic diversion) operation

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Abstract

With the culture of safety and lowering risks that took place 20 years ago, sleeve gastrectomy has emerged as a procedure of choice. Hence, for super- and super-super-obese patients, there is a tendency these days to perform surgeries in 2 stages, and sleeve is the procedure of choice. Because sleeve is not part of a classic bilio-pancreatic diversion, it is unlikely that this operation will be done as a second stage, making this operation obsolete.

Section snippets

Disclosures

Dr. Michel Gagner reports having received speaker’s honoraria from W.L. GORE and Associates, Ethicon Endosurgery, and Medtronic.

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