Biliopancreatic diversion with duodenal switch: surgical technique and perioperative care

L Biertho, S Lebel, S Marceau, FS Hould… - Surgical …, 2016 - surgical.theclinics.com
The duodenal switch technique, without gastric resection, was originally described for the
treatment of bile gastritis, by DeMeester and colleagues in 1987. 1 In addition, Dr Scopinaro
and colleagues 2 described in 1979 a technique of biliopancreatic diversion. This procedure
combined a distal gastrectomy, a gastrojejunostomy, and a jejunojejunostomy to create a 50-
cm common channel and a 250-cm alimentary channel. This technique resulted in excellent
outcomes, but the resection of the pyloric valve and the short, 50-cm, common channel …