Biliopancreatic Diversion Scopinaro

Does anyone on this site had this operation done? Any information and or results from this surgery would be greatly appreciated. This maybe the only option for me at this point per my new Dr. because of the shape that my stomach is in at this time.

Thanks!!

From what I've heard over the years, this is a horrific surgery.  I hope that you can find another solution.

blessings,
L

There are three excellent revision doctors from all that I have read. Drs Rabkin, Keshishian, and Greenbaum. I would reccomend that you confer with them about your condition. I have heard they work wonders with difficult cases.

Run away from that doctor as fast as you can; he doesn't know what he's talking about. The Scopinaro is a horrible surgery and no competent surgeon would suggest such an thing.

What is the problem with your stomach? I doubt it's in worse shape than mine was in and Dr. Rabkin fixed me up.

We need more details, but if I were you, I wouldn't go anywhere near that doctor again.

Kerry 

Thank you for the replies. Here's my story.

I had the lap band for 8 years and reached my goal but was not happy about the livelihood that came with  it. Had a revision to sleeve 4/8/10 and thought this would be my last wls.

Except for the first 2 weeks post op I had no restriction I kept waiting for it ( was told the nerve endings having to heal etc...) which never came. Finally got an upper GI and saw that it looked weird so I emailed it to a reputable surgeon and he said that I do not have sleeve gastrectomy, I have fundus and big part of the body of the  stomach.

Depends on the quality of the tissues in the upper part of the stomach and diameter of the sleeve( if it's too narrow) I'm not a good candidate for DS and my only option would be Scorpinaro is what I'm being told.

I am strongly pushing for DS but wanted to know more about Scorpinaro just in case as well.

If you have time please take a look at my Xrays which is in the photo section of my homepage.

Thank you once again and any input or advice will be greatly appreciated.

Joyce

Joyce,   What a mess!

Who did this "DS" revision on you?  Was it Tijuana Surgeon - Dr. Mario Alberto Almanza Reyes?? 

I can't tell much from your x-rays but It's certainly not a normal DS.  

Who are you consulting with now?    The procedure reccomended to you might be all the surgeon is capable of ... not what's POSSIBLE.   

You need to consult with a PROPER VETTED REVISION DS SURGEON before you let anymore cutting be done to your body.  You could end up dead by letting some non experienced surgeon touch you again.  

http://en.wikipedia.org/wiki/Bariatric_surgery#Biliopancreat ic_diversion

Diagram of a biliopancreatic diversion.

[edit] Biliopancreatic diversion

This complex operation is also known as biliopancreatic diversion (BPD), or Scopinaro procedure. This surgery is rare now because of problems with malnourishment. It has been replaced with the Duodenal switch, also known as the BPD/DS. Part of the stomach is resected, creating a smaller stomach (however the patient can eat a free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum.

In around 2% of patients there is severe malabsorption and nutritional deficiency that requires restoration of the normal absorption. The malabsorptive effect of BPD is so potent that those who undergo the procedure must take vitamin and dietary minerals above and beyond that of the normal population. Without these supplements, there is risk of serious deficiency diseases such as anemia and osteoporosis.^{[citation needed]}

Because gallstones are a common complication of the rapid weight loss following any type of bariatric surgery, some surgeons remove the gallbladder as a preventative measure during BPD. Others prefer to prescribe medications to reduce the risk of post-operative gallstones.^{[citation needed]}

Far fewer surgeons perform BPD compared to other weight loss surgeries, in part because of the need for long-term nutritional follow-up and monitoring of BPD patients.[citation

Joyce,

I can't tell what's up by looking at your X-rays, but it sure sounds like you have a real mess inside. Who is advising you? Who is the "reputable surgeon" you emailed your X-rays to? The surgeon you have listed on your profile; Dr. Mario Alberto Almanza Reyes, is not a DS surgeon, he wouldn't have a clue if you could be revised to DS or not, my guess is, he's after your money. 

There are very few surgeons who have the skills and experience to really review your case and revise you or to even give you the real options available to you. If you're stuck on going to Mexico, there is only one surgeon there who I would even talk to about this and that's Dr. Ungson. I don't know if he would take your case or not, when I consulted with him, he was afraid to try and revise me to DS because my stomach and insides were such a mess, but he did give me real life answers and told me what I was really up against. There were only two surgeons I found that would even try to revise me; Dr. Anthone and Dr. Rabkin and of the two, only Dr. Rabkin was confident he could revise me to DS.

The few surgeons who can and IMO would give you real information about what your options are, would be:

Ara Keshishian, MD, FASMBS, FACS *
Email: [email protected]

Central Valley Bariatrics
Phone: 818-812-7222
Fax: 661-725-8051

 

Primary Office:
1808 Verdugo Blvd., Suite 413
Glendale, CA 91208

Satellite Office:
Delano Regional Medical Arts Building
1205 Garces Highway, Suite 303
Delano, CA 93215

 

 

John M. Rabkin, MD, FACS *

Pacific Laparoscopy
2250 Hayes Street, 3rd Floor
San Francisco, CA 94117
Phone: 415-668-3200 or 1-888-848-8446 toll free
Fax: 415-668-2010
Email: [email protected]

Gary Anthone, MD, FACS
Email: [email protected]

Methodist Physicians Clinic
8111 West Dodge Rd., Suite 220
Omaha, NE 68114
Phone: 402-354-1320
Fax: 402-354-5965

David Greenbaum, MD, FACS
Email: [email protected]

Surgical Specialists of New Jersey, LLC
Rancocas Division
1000 Salem Rd., Suite A
Willingboro, NJ 08046
Phone: 609-877-1737
Email: [email protected]

Dr. Gilberto Ungson
Email: [email protected]
Cell: 044 662 256 2357

The Clinic for Excellence in Surgery
Campodónico No. 31 Esq Emilio Beraud
Col. Centenario, C.P. 83260
Hermosillo, Sonora
Mexico
Phone: (662) 217 56 56 or (662) 217 46 02
Phone Mexico toll free: 1-800-670-3434
Fax: (662) 213 83 38

Hospital CIMA Hermosillo:
Paseo Río San Miguel # 35
Col. Proyecto Río Sonora
Hermosillo, Sonora
C.P. 83280
Mexico
Phone: (662) 259 09 65 or (662) 259 0900 ext 1100
Fax: (662) 259 09 67

Dr. Michal Gagner
email [email protected]

Dr, Gagner is just setting up his practice in Monteral and is going to be doing surgery there starting in August.

Discussing your case with any other surgeons will be a waste of time at best and a disaster for life at the worst. Quit messing around with surgeons who are not vetted DS revision surgeons NOW!!!!!


Kerry

I'm not a doctor but from your x-ray it looks like the top part of your stomach was mostly removed and made into a sleeve, but for some reason the whole bottom part where it connects to the duodenum was left in place like a huge pouch.

Any restriction you have is probably temporary as food is going to go right past the partial sleeve and collect in the smaller stomach below. Smaller is a relative term here, you have a huge stomach compared to an RNY or DS patient.

If the bottom portion of your stomach were reduced properly so it was like the top portion seen on the x-ray, you would pretty much have a normal sleeve gastrecomy.

I would see a very experienced DS surgeon or two and let them do a new full upper GI to really see whats possible.

If your stomach can be fixed and your intestines are intact, there isn't any reason a competent DS surgeon couldn't work that into a normal DS.

Steve

I'm not a good candidate for DS and my only option would be Scorpinaro is what I'm being told.


Please know that what I am saying is not meant with any disrespect.   You already had a revision from a lap band to a possible not so good sleeve.....I hope that you are not going to see the doctor who performed the above on you. 

You need to visit a vetted DS revision surgeon for an opinion.  You got shafted with your lapband.  You got shafted with your "pseudo" sleeve.  (when I say shafted, I mean it in the context, that you were the one that has had to suffer) 

 Please do your homework and go to a vetted, reliable, trusted revision surgeon for a second opinon.

This is what I found last night, but I couldn't post the link

http://www.obesityhelp.com/forums/DS/4146517/Vertical-Sleeve -Gastrectomy-w-Duodenal-Switch-VS-Scopinaros/

I sure hope you can resolve your situation.  You can!  Go only to the best!