A combined bariatric surgical technique is used for stable weight loss in case of severe obesity associated with comorbidities.

Biliopancreatic Diversion (BD) provides maximum weight loss, minimal risk of re-gaining extra kilos. The procedure combines portion limit and reduced nutrient absorption. It is performed under general anesthesia using laparoscopic or traditional surgery.

During surgery, the surgeon performs sleeve gastrectomy and reconstructs the small bowel. Meanwhile, the major part of the stomach and small bowel are not removed, while only

BPD, also known as the Scopinaro procedure, implies the simultaneous removal of the gallbladder in order to prevent a potential complication after the procedure. Due to duodenum isolation, troubles with gallbladder emptying may arise, leading to cholestasis and gallstones.

The decision of choosing the intervention technique is made individually for each patient.

BPD outcomes

Altering the stomach volume significantly reduces the amount of food consumed. Meanwhile, lipid absorption in the small bowel is suppressed as well.

Surgery effect

Patient losses right up to 70-80% of extra kilos, moving the body weight closer to normal limits, during the first 16-18 months after BPD.

Effectiveness assurance

Since the first application to the Metabolic Surgery Center patients are treated by experts with long-term experience. Andrian Reiti, PhD, bariatric surgeon, personally consults each patient, tries optimal treatment methods and performs procedures. Unique laparoscopic equipment enables to perform the most challenging interventions as minimally invasive.

You can read the feedback of patients, who’ve already left the procedure in the clinic behind and share the results achieved.

Andrian Reitis` comment

PhD in Medicine,
Chief Surgeon of the Center for Metabolic Surgery

After surgery it’s a lifelong must for patients to include vitamins and trace elements in their diet. It’s related to absorption limitation in the small bowel. The dosage of vitamins and trace elements is selected individually after blood tests. The need for vitamin D3, calcium, vitamin B1 and B12, folic acid and iron is the most common.

Surgery indications

Biliopancreatic Diversion is recommended in the cases when instant and significant weight loss is demanded. It can be prescribed to patients with a BMI coming to 50 kg/m2 and higher, who have overweight associated with type II diabetes.


Postoperative period

After BPD it’s necessary to stay attended in the inpatient department for two days. The price for biliopancreatic diversion includes staying in a comfortable ward with all conveniences. To make patients regain consciousness faster after anesthesia, they are offered special oxygen masks. In the later period it’s recommended to drink small portions of water and move carefully. The whole postoperative period our healthcare personnel monitor 24/7 patients’ health status and ready to deliver medical advice on any issues.

билиопанкреатическое шунтирование желудка где делают

Dietary features after the procedure

Gastric bypass and biliopancreatic diversion involves the exclusion of solid food in the first two weeks. From the third week on the usual diet is allowed.

BPD benefits:

What for to be ready after surgery:

The principle of successful weight loss and sustaining results for many years – your readiness to follow doctor’s recommendations. Recover your health and a life worth living, make an appointment in our Metabolic Surgery Center.

Let us introduce the doctor

Andrian Ostapovych Reiti

PhD in Medical Science, Chief Surgeon at the Metabolic Surgery Center

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