Halawani Hamzeh M, Antanavicius Gintaras, Bonanni Fernando
Department of Surgery, Abington Hospital - Jefferson Health - Institute of Bariatric and Metabolic Surgery, 1200 Old York Road, Abington, PA, 19001, USA.
Obes Surg. 2017 Sep;27(9):2506-2509. doi: 10.1007/s11695-017-2801-8.
The biliopancreatic diversion with duodenal switch (BPD/DS), a modification of the classic Scopinaro procedure, carries the highest rate of success in terms of weight loss, comorbid resolution, and maintenance of weight loss. The substantial challenges, technical complexity, and expected roadblocks of adding BPD/DS option to the bariatric surgeon's resources are reflected in the number of BPD/DS procedure performed in the USA, being less than 1% of all bariatric surgeries. Adjustments to the length of the common channel and the size of the vertical sleeve would increase the pool of candidates for BPD/DS and offer comprehensive management of obesity and metabolic comorbidities. Proper educational programs and multiple proctoring to bariatric surgeons aid to implement BPD/DS to their practice.
胆胰转流十二指肠转位术（BPD/DS）是经典斯科皮纳罗手术的改良术式，在减重、合并症缓解及体重减轻维持方面成功率最高。将BPD/DS选项纳入减重外科医生的资源所面临的重大挑战、技术复杂性及预期障碍，体现在美国实施的BPD/DS手术数量上，该手术在美国所有减重手术中占比不到1%。调整共同通道的长度和垂直袖状胃的大小，将增加BPD/DS的候选人群，并为肥胖及代谢合并症提供全面管理。为减重外科医生提供适当的教育项目和多次指导有助于在其实践中实施BPD/DS。
