Details of Laparoscopic Biliopancreatic Diversion-LBPD

This is performed for weight-loss which includes two steps:

1. Sleeve gastrectomy in which about eighty percent of the stomach is removed, leaving a smaller tube-shaped stomach, similar to a banana.
2. This step bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach

• Heart disease
• High blood pressure
• High cholesterol
• Severe sleep apnea Type 2 diabetes Stroke Infertility

• Physical examination
• Blood tests
• Echo

During the procedure, the surgeon removes a large portion of the stomach and forms the remaining portion into a narrow sleeve leaving the valve intact which releases food to the small intestine. And during the second step a cut is made through the part of the small intestine just below the duodenum, and a second cut farther down, near the lower end of the small intestine. Then surgeon brings the cut end near the bottom of the small intestine up to the other cut end, just below the duodenum to bypass large segment of the small intestine.

 Excessive bleeding  Infection  Adverse reaction to anesthesia  Blood clots  Lung or breathing problems  Leaks in the gastrointestinal system  Bowel obstruction  Dumping syndrome, causing diarrhea, nausea or vomiting  Gallstones  Hernias  Hypoglycemia  Malnutrition  Stomach perforation  Ulters  Vomiting