Emergency surgical conditions after biliopancreatic diversion

Maria Laura Cossu, Giovanni Battista Meloni, Sergio Alagna, Pier Luigi Tilocca, Luca Pilo, Stefano Profili, Giuseppe Noya

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Urgent late complications of biliopancreatic diversion (BPD) are rare and often require the experience of a bariatric surgery team for their immediate resolution. Methods: 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. Results: 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). Conclusions: 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.

Original languageEnglish
Pages (from-to)637-641
Number of pages5
JournalObesity Surgery
Volume17
Issue number5
DOIs
Publication statusPublished - May 2007

Keywords

  • Bariatric surgery
  • Biliopancreatic diversion
  • Late complications
  • Morbid obesity
  • Surgical complications

ASJC Scopus subject areas

  • Surgery

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