
Biliopancreatic Diversion removes up to 70% of the lower stomach in order to restrict the amount of food that can be consumed. It is similar to Roux-en-Y Gastric Bypass, except the remaining stomach is larger than the RNY Gastric Bypass pouch. This allows the patient to eat larger meals- about 2-3 cups' worth. The remaining portion of the stomach is directly attached to the small intestine, allowing for malabsorption (decreased or reduced absorption of calories), which leads to weight loss. BD allows the patient to only absorb 25% of the fat they consume. This procedure is done through open surgery or laparoscopically.
BD is a highly complicated procedure and usually costs around $25,000-$35,000, depending on hospital stay costs, geographical area, and other factors. The United States government approved coverage of Biliopancreatic Diversion under Medicare, with some health and treatment location stipulations.
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