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Biliopancreatic Bypass Surgery - Weight Loss Surgery

Biliopancreatic Diversion Checklist

The following biliopancreatic diversion checklist contains information regarding the procedure, candidacy, preparation and after-care. If you have additional questions, contact a cosmetic surgeon for a full consultation.

Background of Biliopancreatic Diversion Surgery

The background of biliopancreatic diversion surgery stemmed from the foundation of all of the weight loss procedures. This procedure was simply a highly-innovative technique that created a more efficient and sustainable set of results than previous methods.

Best Candidates for BD Weight Loss Surgery

Generally speaking, the best candidates for this surgery are people who have a BMI over 40, have tried other weight-loss techniques without sustained success and who are at risk for other health problems due to being overweight.

Uncertainty and Risk of Surgery

As is the case with any surgery, there is uncertainty and risk associated with this procedure. Generally speaking, this uncertainty and risk involves the possibility of dumping syndrome, where food moves too quickly through the stomach and intestines. There is also a risk of some bleeding and infections.

Planning for Biliopancreatic Diversion Surgery

Planning for surgery involves working with your doctor to make sure that proper steps are taken that ensure a successful procedure. These steps can include such precautions as diet, fluid intake and sleep patterns before the surgery is performed.

Preparing for Bilio Pancreatic Surgery

Preparing for surgery involves all of the details that are not often considered before a procedure. For instance, preparing for surgery includes such steps as making sure that you have enough time off from your routine to recover and understanding the after-care requirements.

Where Surgery is Performed

Where surgery is performed usually involves a standard answer. This is a complicated surgery, which means that it’s usually completed at the hospital.

How Biliopancreatic Surgery is Performed

How surgery is performed can involve two techniques. In one approach, the doctor cuts a large incision into the abdominal area. In the other, small incisions are made to allow for a camera to be inserted to guide the surgery, which is called laparoscopic.

Anesthesia for Weightloss Surgery

Anesthesia is always consistent with this procedure. Since it’s a somewhat-invasive surgery, general anesthesia is administered, which means that patients will sleep through the surgery.

Post Weight Loss Procedure Considerations

The most immediate post-op consideration is that the patient will remain in the hospital for several days after the procedure to monitor any potential complications. Longer-term post-op care involves a regimented and disciplined diet.

Biliopancreatic Diversion Candidacy

As you consider the possibilities that biliopancreatic diversion surgery can bring to your life, you need to perform your due diligence and obtain all the information you reasonably can. If you’re wondering whether this procedure would be right for you, the answers to three questions may help you move towards a decision. These questions are, “How can I tell if I’m a good candidate for biliopancreatic diversion?”, “How will I be evaluated for biliopancreatic diversion?” and “Will my insurance help offset the costs of biliopancreatic diversion surgery?” Each of these queries is handled below

Best Candidates for Biliopancreatic Diversion?

In general, the best candidates for this procedure are those with a BMI (Body Mass Index) of at least 40, or a BMI of at least 35 and another obesity-related health issue, such as type 2 diabetes. Patients are generally at least 100 pounds overweight, and almost every patient has attempted at least one other weight loss strategy without success.

How Will I be Evaluated for Biliopancreatic Diversion?

The pre-op evaluation for this procedure is quite involved, as your surgeon will want to make sure that you fit the criteria that would generally allow you to achieve the best results. The doctor will look closely at your overall medical history, your state of health at present, your blood work and quite obviously your weight and any other related health conditions.

Will my insurance help offset the costs of biliopancreatic diversion surgery?

This is a complicated question, and there is no real hard-and-fast answer. Generally, insurance companies will provide coverage for procedures that are considered medically necessary. However, they will not cover any medical procedure that’s deemed elective in nature. Therefore, you need to approach this issue by asking your doctor if this surgery will help you avoid serious health problems. When you have done this, you’ll need to communicate with your insurance company to determine coverage. Do not assume it will be covered, and make sure you document any and all communications between you and your insurance company to avoid any problems after the surgery is complete.

Overall, prospective patients have three predominant questions in regards to biliopancreatic diversion surgery are, “How can I tell if I’m a good candidate for biliopancreatic diversion?”, “How will I be evaluated for biliopancreatic diversion?” and “Will my insurance help offset the costs of biliopancreatic diversion surgery?” If you’d like more specific answers to these questions or you have others, you need to consult with a cosmetic surgeon immediately, as he or she will be able to help you come to the correct decision.

Biliopancreatic Diversion Specifics

If you’re considering the benefits of biliopancreatic diversion surgery, you need to gather as much information as possible to make an informed decision. One aspect of the procedure with which you’ll need to be familiar is the specific steps involved with the procedure itself and the associated risks. Three common questions patients ask in this situation are, “Where are incisions placed for a biliopancreatic diversion procedure?”, “What are some variations to the common biliopancreatic diversion method?” and “What are some of the risks associated with biliopancreatic diversion?” Each of these is answered below, but for more specific information, contact a cosmetic surgeon for a consultation.

Where are incisions placed for a biliopancreatic diversion procedure?

Using the “traditional” method, the surgeon will make a large incision into the patient’s abdominal area in order to gain access to the patient’s stomach in order to reduce its capacity. This incision and its invasiveness create the need for the patient to be given general anesthesia. This is generally the only incision needed for a procedure of this type.

What are some variations to the common biliopancreatic diversion method?

The most common variation from the one described above involves more incisions and more equipment. If a surgeon prefers to use laparoscopic approach, he or she will make smaller incisions and use smaller instruments that are guided by a camera in order to complete the procedure. The reasons some surgeons prefer this approach is that it avoids the necessity of a large abdominal incision.

What are some of the risks associated with biliopancreatic diversion?

This is a complicated and highly-technical surgery, so there are risks involved with it. The most common risks are infections and bleeding as a result of the incisions, but particular to this procedure are the risks of peritonitis and a pulmonary embolism, and long-term risks include the possibility of developing nutritional ailments such as anemia. Overall, though the percentages for these complications are rare, but you’ll need to work with your doctor for a full assessment prior to moving forward with this surgery.

Overall, three of the most common questions asked by patients in regards to biliopancreatic diversion surgery are, “Where are incisions placed for a biliopancreatic diversion procedure?”, “What are some variations to the common biliopancreatic diversion method?” and “What are some of the risks associated with biliopancreatic diversion?” If you’re in need of particularized information in regards to these issues, you’ll get all that you need from a cosmetic surgeon with experience regarding this procedure. Contact a cosmetic surgeon today for a consultation.

Biliopancreatic Diversion Preparation and Recovery

As you prepare for your biliopancreatic diversion surgery, you need to understand several aspects of a typical procedure. Two of the most important steps are the preparation and recovery from the procedure, and common questions in regards to these components include, “What steps should I take to prepare for biliopancreatic diversion surgery?”, “What can I expect the day of surgery to be like?”, “How will I look and feel immediately following the biliopancreatic diversion surgery?” and “When can I pursue my normal activities again?” and “How long can I expect results to last?” Each of these questions is answered below.

What steps should I take to prepare for biliopancreatic diversion surgery?
Your preparation for this procedure needs to be taken seriously, as these “little” steps will allow you a much faster recovery. You and your doctor will lay out plans for such things as recovery time and logistics as well as setting guidelines for eating and rest prior to your surgery.

What can I expect the day of surgery to be like?
The day of any surgery involves many differing emotions. You most likely will feel a combination of fear, anxiety, excitement and anticipation, along with any other number of emotions. Just remember that this is normal, and everyone feels many things when they get ready for surgery that day.

How will I look and feel immediately following the biliopancreatic diversion surgery?
You’ll feel groggy immediately after the surgery, as you’ll be under general anesthesia and will wake up in the recovery room. You’ll also feel a combination of numbness and soreness, as this is an invasive procedure that will require medication and heavy after-care. Overall, you’ll look like you lost some weight, but it will take some time to fully come into form.

When can I pursue my normal activities again?
Depending on your normal activities, you should expect to spend at least two or three days in the hospital immediately after the surgery, and perhaps five or six. Beyond that precautionary observation time in the hospital, you should expect to resume your lifestyle, or even be a bit more active, within three to five weeks of the procedure. You will need to maintain a regular appointment schedule with your doctor to make sure that your after-care program is being maintained.

How long can I expect results to last?
This is an involved surgery, and the procedure itself is only the beginning of the process. Generally, patients are highly successful with securing the results they desire, and most drop almost all of the weight they don’t need over time. The after-surgery process includes a strict diet as well as regular exercise, and patients who do follow this protocol report a lifetime of benefits in the majority of the documented cases.

Overall, several common questions in regards to biliopancreatic bypass surgery are, “What steps should I take to prepare for biliopancreatic diversion surgery?”, “What can I expect the day of surgery to be like?”, “How will I look and feel immediately following the biliopancreatic diversion surgery?” and “When can I pursue my normal activities again?” and “How long can I expect results to last?” If you’d like specific answers to these questions, contact a cosmetic surgeon for a consultation.

If you’d like to know more about how biliopancreatic bypass surgery can change your life, contact a weight loss surgeon today for a consultation.

 

 

Dr. Gary D. Hall, M.D.

 Dr. Gary D. Hall, M.D.

Gary D. Hall, M.D., FACS received his Doctor of Medicine degree from the University of Kansas in 1988 and then continued on to complete a five year General Surgery Residency, a two year Plastic Surgery Residency and a Cosmetic Surgery Fellowship.

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