Malabsorptive obesity surgery

Biliopancreatic diversion (BPD) is the only valuable surgical approach for changing intestinal absorption. It is efficient in producing appropriate pe rmanent weight loss and has a considerable psychological advantage because it does riot impose abnormal food restriction. It not only decreases calori c absorption, but it also directly improves insulin and lipid metabolism. T he ideal technique for the construction of BPD is not yet established, but the current preference is for the duodenal switch type.