Long-term normalization of insulin sensitivity following biliopancreatic diversion for obesity

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Biliopancreatic diversion with duodenal switch.

The biliopancreatic diversion with a duodenal switch (BPD-DS) is a less commonly performed but very effective bariatric procedure that has been in existence for more than 20 years. It is particularly effective for the resolution of diabetes and is associated with the highest weight loss among other bariatric operations. Typically, the BPD-DS is not associated with postgastrectomy symptoms, such...

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Long-Term Metabolic Outcomes 5 to 20 Years After Biliopancreatic Diversion.

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Body contouring after biliopancreatic diversion.

BACKGROUND From Nov 2001 to Mar 2006, 176 patients underwent body contouring plastic surgery after prior biliopancreatic diversion (BPD). Weight loss had varied from 30-100 kg. The plastic surgery targeted the arms (24 patients), breast (58), abdomen (62) and thighs (20), plus torsoplasty (12). METHODS BPD is a "non-cosmetic" bariatric operation which results in malabsorption and subsequent m...

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Increased Bile Acid Synthesis and Deconjugation after Biliopancreatic Diversion Running title: Bile acids in biliopancreatic diversion

Biliopancreatic diversion (BPD) improves insulin sensitivity and decreases serum cholesterol out of proportion with weight loss. Mechanisms of these effects are unknown. One set of proposed contributors to metabolic improvements after bariatric surgeries are bile acids (BAs). We investigated the early and late effects of BPD on plasma BA levels, composition, and markers of BA synthesis in 15 pa...

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ژورنال

عنوان ژورنال: International Journal of Obesity

سال: 2004

ISSN: 0307-0565,1476-5497

DOI: 10.1038/sj.ijo.0802618