Emergency Surgical Conditions after Biliopancreatic Diversion

Author: Cossu Maria   Meloni Giovanni   Alagna Sergio   Tilocca Pier   Pilo Luca   Profili Stefano   Noya Giuseppe  

Publisher: Springer Publishing Company

ISSN: 1708-0428

Source: Obesity Surgery, Vol.17, Iss.5, 2007-05, pp. : 641-645

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Abstract

Urgent late complications of biliopancreatic diversion (BPD) are rare and often require the experience of a bariatric surgery team for their immediate resolution.The present work analyzes the incidence of emergency surgical conditions in a group of 138 patients who had undergone classical BPD, with a mean follow-up of 60 months (24–96) after BPD.Urgent surgical intervention was necessary in 9 patients out of 138 (6.5%): 7 (5%) were for intestinal obstruction (4 of the biliopancreatic limb and 3 of the alimentary tract); 2 (1.4%) were for stomal ulcer with complications (1 massive hemorrhage and 1 perforation).These complications of BPD are common to all GI operations, and thus are not specific to the type of surgery.We emphasize the importance of early diagnosis and treatment, particularly in regard to intestinal obstruction, because delay could have dramatic consequences.