Abstract

There are procedures for the surgical treatment of severe obesity, one of which is the biliopancreatic diversion/duodenal switch (BPD/DS), a highly effective weight loss operation performed either open or laparoscopically. This is considered to be a very complex laparoscopic procedure. We have used a simplified laparoscopic gastric bypass procedure (2005 ASBS video) in > 2,000 cases, which has been reproduced in Latin America, Europe and Asia with similar results. As the BPD/DS may be more effective for super-obese patients, we have also developed a simplified and reproducible approach for this operation.

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