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biliopancreatic diversion

Biliopancreatic diversion improves insulin sensitivity vs RYGB

Some studies have demonstrated that biliopancreatic diversion has been better at reducing diabetes compared to Roux-en-Y gastric bypass, because it typically causes greater weight loss. However, small study by researchers at Washington University School of Medicine in St Louis have reported that biliopancreatic diversion appears to be more effective at eliminating diabetes not just because of greater weight loss but because the procedure itself seems to make patients more sensitive to insulin.

Bariatric surgery associated with increased fracture risk

Bariatric surgery patients are more likely to have increased fracture risks both before and after the surgical procedure, compared to obese and non-obese people who don't need surgery, according to a large study published by The BMJ. Obesity may not be as protective for fracture as originally thought, claim the authors, and they suggest that fracture risk assessment and management should be part of weight loss care.

Outcome from laparoscopic BPD-DS – a single centre study

Researchers from the Department of Bariatric Surgery, Québec Heart and Lung Institute, Laval University, Québec, Canada, have reported that laparoscopic biliopancreatic diversion with duodenal switch (BPD-DS) is, for the experienced surgeon, only slightly more technically difficult than other bariatric procedures. Furthermore, the procedure has a similar low rate of major peri-operative complications (3%), offers some of the best weight loss and cure-rate of obesity related diseases and allows a better eating experience, by preserving the pyloric valve and avoiding dumping syndrome.

Bariatric surgery beats medical control for T2DM remission

Surgery is more effective than medical control for diabetes remission, with predictors including lower baseline glycaemia and shorter diabetes duration, according to a study, ‘Determinants of diabetes remission and glycaemic control after bariatric surgery’, Diabetes Care. In an analysis of three separate studies comparing four gastric bypass procedures and medical therapy in terms of type 2 diabetes remission rates, researchers from Rome, Italy, also found that more patients achieved remission after either Roux-en-Y gastric bypass or biliopancreatic diversion vs.

Surgery beats standard therapy after 5 years for T2DM

Metabolic or bariatric surgery may be more effective than standard medical treatments for the long-term control of type 2 diabetes in obese patients, according to a study by King's College London and the Universita Cattolica in Rome, Italy.

Prealbumin and albumin levels informative post-BPD

A study comparing protein malnutrition incidence, the amount of protein intake and the influence of various risk factors in patients undergoing roux-en-y gastric bypass (RYGB) and biliopancreatic diversion (BPD) has found that protein malnutrition is evident especially in the short term BPD patients.

ß-cell incompetence linked to metabolic outcome of BPD

Biliopancreatic diversion can improve metabolic control in non-obese patients with type 2 diabetes but induces remission in only 40% of patients with the initial extent of ß-cell incompetence reported as the main predictor of the metabolic outcome, according to a paper published in the Journal of Clinical Endocrinology and Metabolism.

Bariatric surgery can impact health of unborn child

Canadian researchers have revealed that children to women who have children after bariatric surgery are less likely than their siblings to be overweight and have fewer risk factors such as diabetes and heart disease.

Metabolic improvements after bariatric surgery

A new study has concluded that Munc18c gene expression is associated with short-term metabolic improvement after bariatric surgery.

According to the study published online published in the journal Plos One, Munc18c gene expression in human adipose tissue is down-regulated in morbid obesity and insulin may have an effect on the Munc18c expression.

Mothers' surgery affects children's genetic makeup

Obese mothers who undergo bariatric surgery give birth to children with an altered genetic makeup, leading to reduced cardiovascular risk factors, according to new research presented at the Canadian Cardiovascular Congress.

Researchers at Laval University found that children born after their mothers had a biliopancreatic diversion were less likely to be obese, had improved insulin resistance, lower blood pressure, and an improved cardiovascular disease risk profile, compared to those born to obese mothers who did not undergo an operation.

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