BILIOPANCREATIC DIVERSION IS A NEW LOOK AT THE RESTRECTIVE STAGE OF BARIATRIC SURGERY

The authors improved the method of biliopancreatic diversion. A sphincter mechanism was formed from the serous-muscular cuff and the invagination valve between the stomach and the alimentary gut, the biliopancreatic gut was reduced to 100-110 cm. According to the developed technique, 10 patients with morbid and super fatty surgery were operated on, of which 2 men and 8 women aged 35 to 52 years old. Long-term results were monitored for (7.2 ± 1.4) years in 5 patients with morbid (n = 4) and super-obesity (n = 1). Among them, normal weight was observed in two patients; excess - at one; 2nd degree obesity in two. Improving the effectiveness of the method became possible as a result of the formation of the sphincter mechanism, which ensures fast filling and long-term retention of contents in the stomach, as well as a reduction in the length of the shunt colon for the prevention of metabolic disorders.

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