The biliopancreatic bypass technique leaves a small stomach, with a capacity of 100 to 200 c.c., but with a very large exit of food from the stomach. Currently, it is the antiobesity surgical technique that allows the patient to ingest a greater amount of food.
A more aggressive intestinal bypass is performed from the functional point of view, so that bile and pancreatic juice only mix with food in the last 60/80 cm. small intestine. This surgery is the one that requires a stricter postoperative control.
If you are interested in biliopancreatic bypass technique but have any doubt, you can request your first free appointment, by video conference, from your place of residence at our clinic in Madrid.
Obesity
surgeryBiliopancreatic Bypass
Surgery Duration
4 hours.
Admission Time
72 hours.
Type of Anaesthesia
General.
Type of Surgery
Laparoscopic.
Recovery Time
10/12 days.
Biliopancreatic
Bypass12.000 €
This price includes:
Preoperative tests
Preoperative evaluation
Surgery and Admission
Follow up
Nutritional Monitoring
Follow-up of bariatric surgery with Psychology (includes 2 consultations)
And if necessary in follow-up:
Endoscopic Evaluation
Analytical Evaluation
Eco-graphic Evaluation
The biliopancreatic bypass is considered a mixed restrictive-malabsorptive technique. It consists of delaying the contact of ingested food with the bile and pancreatic secretion as much as possible, so that the absorption of fats and starch is made difficult.
The consequence is that, by means of an intestinal short circuit and a horizontal subtotal gastrectomy that reduces the amount of food to be eaten, the patient is able to lose weight without seeing substantial alterations in protein absorption. But the absorption of other substances such as vitamin B12, fat-soluble vitamins and folic acid would be affected.
First of all, less food is eaten due to the reduction of the stomach. This mechanism is only useful in the first postoperative months, it is not the objective of this intervention but it helps the patient to get used to eating less.
Second, there is a significant reduction in food absorption, due to the existence of a long bypass.
Third, there is a very important decrease in the absorption of fats, because they are practically only absorbed in the last 60 cm of the small intestine, in the part where bile mixes with food.
In this technique we don't do any change in the stomach located close to the esophagus, in contrast with most bariatric procedures. That's the reason why we consider it the procedure of choice in secondary operations in which a gastric band has to be removed. In such a situation, we'll find in the high stomach, in which the gastric band is placed, a fibrotic tissue, the worst tissue for wound healing, therefore we have to avoid any bariatric procedure that has to place wounds and stitches in that area. The risk to place stitches in a fibrotic tissue is the wound leak, a life-threating complication. If we perform a biliopancreatic by pass instead of other techniques when we have to remove a gastric band, this complication is avoided.
This technique or any other bypass surgery is the first choice in patients with morbid obesity with metabolic syndrome, that is, risk factors such as diabetes, high blood pressure or apneas that are seriously affecting their health.
The surgeon will determine if the patient is suitable for this surgery.
It is possible to lose between 70 and 80 percent of excess weight in two years. However, the weight each patient loses also depends on the changes they make in their lifestyle.
It is important for the patient to attend all follow-up visits after weight loss surgery so that the surgeon can monitor their progress. If the patient notices that he is not losing weight or that any complications arise after the surgery, he should immediately consult with the surgeon. All the consultations can be done throw a video conference from your residence.
