Acta clinica Croatica, Vol. 46 No. 1, 2007.
Other
Biliopancreatic Diversion with Sleeve Gastrectomy and Antroileal Anastomosis - Case Report
Tomislav Kuliš
Elizabet Glavan
Sandra Škorjanec
Mario Ledinsky
Miroslav Bekavac-Bešlin
Abstract
Obesity is becoming a major epidemiological problem throughout the world. Current estimate of obesity in Croatia is 25% of males and 24% of females (BMI ≥30 kg/m2). Biliopancreatic diversion combines both restrictive and malabsorptive component of bariatric surgery. It was first described by Scopinaro in 1979 and later modified with sleeve gastrectomy by Marceau in 1993. It is reserved for super obese patients with BMI ≥50 kg/m2 and is sometimes done in two acts, i.e. sleeve gastrectomy first and then biliopancreatic diversion. A 61-year-old female patient with BMI 52.6 kg/m2 and multiple comorbidities is presented. She had previously had many unsuccessful attempts at losing weight with conservative methods. Due to the high BMI and comorbidities, we decided to perform biliopancreatic diversion with sleeve gastrectomy and antroileal anastomosis. On postoperative day 12, the patient was discharged with BMI 49.2 kg/m2, yielding a 12% excess weight loss (EWL). After five weeks, she was rehospitalized for suspected pulmonary embolism and was discharged three weeks later. On regular follow up at three months after surgery, the patient had 112 kg, yielding a 35% EWL.
Keywords
Biliopancreatic diversion – methods; Obesity, morbid – surgery; Gastrectomy – methods; Body weight; Weight loss; Case report
Hrčak ID:
12710
URI
Publication date:
30.3.2007.
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