Background: We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized.

Methods: A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity.

Results: All operations were performed by laparoscopy with no need to convert to laparotomy. No mayor complications and mortality related to surgery were observed.

Conclusion: The Scopinaro technique can be safely performed in super-obese patients by surgeons with special dedication for bariatric surgery and advanced skills in intracorporeal suturing and knot-tying.

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http://dx.doi.org/10.1016/j.ciresp.2011.02.010DOI Listing

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