Something Else from Dr. Pories

[Guest guest]

Hi all:

Check out this statement by the good Dr. Pories on the BPD as well as

the BPD/DS. If you want to read the whole thing, follow this link:

http://www.medscape.com/medscape/CNO/2001/NAASO/NAASO-02.html>

Biliopancreatic Diversion (Scopinaro Procedure)

The biliopancreatic diversion was first performed in Italy in 1976 by

Scopinaro and colleagues.[11] The procedure involves gastric

resection leaving a 200- to 500-mL gastric pouch. Malabsorption

results from bypassing all small intestine except 250 cm -- 200 cm

located between the gastric pouch and the end-to-side

enteroenterostomy and the remaining 50 cm consisting of bypassed

small intestines (the biliopancreatic, or afferent, limb). In follow-

up studies, Scopinaro and colleagues reported a 75% excellent weight

loss up to 22 years postoperatively. Patients experience 2 to 4 bowel

movements per day, which are usually malodorous. The authors noted no

long-term difference in success rates between the morbidly obese and

the supermorbidly obese. Therefore, this procedure appears to be

superior to the distal RYGB for the supermorbidly obese.

Duodenal Switch

This procedure was developed by Hess and colleagues in 1987.[12] It

is designed to avoid the dumping syndrome and prevent peptic ulcers.

The gastric pouch is formed by resecting the fundus and leaving the

pylorus intact, approximating an 80% gastrectomy. Distal to the

pylorus, the Roux-en-Y small intestinal limb is attached, with the

small intestine divided in half -- half for food and half bypassed

and carrying juices toward the enteroenterostomy. The duodenal switch

combines the restrictive gastric pouch with the malabsorptive

components of the Scopinaro procedure. The benefit claimed is that

the retention of the pylorus results in fewer problems with bowel

movements, including dumping syndrome, marginal ulcers, anemia, and

other complications. Most malabsorptive surgeries are open abdominal

surgeries and not usually performed laparoscopically. The procedure

results in an excess weight loss of 70% to 80%, with good-to-

excellent success rate of 93% and no differences between patients

with BMI scores above or below 50.[12] The results are reproducible.

[Guest guest]

Tom,

When I looked at the site it listed the author as:

Author: K. Buffington, PhD

What makes you think it a quote from Dr. Pories?

Seems quite favorable to DS/BPD to me.

Hull

>

> Hi all:

>

> Check out this statement by the good Dr. Pories on the BPD as well

as

> the BPD/DS. If you want to read the whole thing, follow this

link:

> http://www.medscape.com/medscape/CNO/2001/NAASO/NAASO-02.html>

>

>

>

> Biliopancreatic Diversion (Scopinaro Procedure)

>

> The biliopancreatic diversion was first performed in Italy in 1976

by

> Scopinaro and colleagues.[11] The procedure involves gastric

> resection leaving a 200- to 500-mL gastric pouch. Malabsorption

> results from bypassing all small intestine except 250 cm -- 200 cm

> located between the gastric pouch and the end-to-side

> enteroenterostomy and the remaining 50 cm consisting of bypassed

> small intestines (the biliopancreatic, or afferent, limb). In

follow-

> up studies, Scopinaro and colleagues reported a 75% excellent

weight

> loss up to 22 years postoperatively. Patients experience 2 to 4

bowel

> movements per day, which are usually malodorous. The authors noted

no

> long-term difference in success rates between the morbidly obese

and

> the supermorbidly obese. Therefore, this procedure appears to be

> superior to the distal RYGB for the supermorbidly obese.

>

>

> Duodenal Switch

>

> This procedure was developed by Hess and colleagues in 1987.[12] It

> is designed to avoid the dumping syndrome and prevent peptic

ulcers.

> The gastric pouch is formed by resecting the fundus and leaving the

> pylorus intact, approximating an 80% gastrectomy. Distal to the

> pylorus, the Roux-en-Y small intestinal limb is attached, with the

> small intestine divided in half -- half for food and half bypassed

> and carrying juices toward the enteroenterostomy. The duodenal

switch

> combines the restrictive gastric pouch with the malabsorptive

> components of the Scopinaro procedure. The benefit claimed is that

> the retention of the pylorus results in fewer problems with bowel

> movements, including dumping syndrome, marginal ulcers, anemia, and

> other complications. Most malabsorptive surgeries are open

abdominal

> surgeries and not usually performed laparoscopically. The procedure

> results in an excess weight loss of 70% to 80%, with good-to-

> excellent success rate of 93% and no differences between patients

> with BMI scores above or below 50.[12] The results are reproducible.

[Guest guest]

> Tom,

> When I looked at the site it listed the author as:

> Author: K. Buffington, PhD

> What makes you think it a quote from Dr. Pories?

OOPS! BRAIN FART ALERT!

I was searching under " Pories " and when that one came up I guess I

forgot to read the author info before jumping to the text.

NEVER MIND!

Sheepishly,

Tom