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A biliopancreatic diversion is a lesser-known weight-loss procedure. It is generally a single-step procedure but can involve two steps in selective situations. The first step is the removal of a significant portion of the stomach called sleeve gastronomy, and the second step is an intestinal bypass. A biliopancreatic diversion limits food consumption and reduces the absorption of nutrients, proteins and fats. Although the procedure is effective, it involves more risk: vitamin deficiencies and malnutrition. The procedure is recommended only for people with BMI above 50.
Stomach and small intestine
It’s done laproscopically with small holes in abdomen
Step 1: Sleeve gastrectomy - This involves removal of about 80 percent of the stomach, leaving behind a banana-shaped tube stomach, pyloric valve( transferring food to the small intestine) and duodenum.
Step 2: Intestinal bypass - This involves bypassing the intestine by linking the end portion of the intestine to the initial small portion of the intestine, the duodenum.
How you prepare- psychological connecting
Following are the things you can do to prepare yourself for the surgery:
After the surgery, you have to be on strict eating habits and start workout sessions to maintain the weight loss. Immediately after the surgery, you are not allowed to eat solid food. From a liquid diet, gradually switch to pureed vegetables, followed by a soft diet that includes bread, etc. Finally, you can switch back to normal meals. Your doctor may recommend vitamins and minerals supplements for surgery to cater to nutrient deficiency due to the surgery. You may have to go for frequent medical tests to monitor your recovery process. Your body might experience body aches, tiredness, mood swings, hair thinning or hair loss as your body copes with the rapid weight loss.
Biliopancreatic diversion is a major surgery that has certain risk factors associated with it. Risks can be short-term or long-term.
Short term risks involve:
Longer-term risks and complications involve:
Recovery after biliopancreatic diversion may take up to three to six weeks, depending upon your condition, but the real recovery after this surgery remains for a lifetime. Care should be taken while doing daily activities like eating and bathing. Do not try any strenuous activity before you heal completely, and take as much rest as you can. Do make lifestyle changes to avoid chances of less weight reduction or weight gain.
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