Biliopancreatic Diversion

Conveniently located to serve the areas of Corpus Christi and South Texas

Biliopancreatic Diversion Procedure

Obesity impacts many people in America. This condition shortens lives and can cause daily activities to be uncomfortable and difficult.

If you are obese and looking for a weight loss solution, a biliopancreatic diversion surgery will help you reduce weight quickly and elongate your life expectancy. This surgical procedure is not for everyone and you will need to take a few steps to ensure this surgery is a good choice for you and your lifestyle.

About Biliopancreatic Diversion

This surgery is performed in two steps. The first is to perform a sleeve gastrectomy. A sleeve gastrectomy is a surgery that removes eighty percent of the stomach. The result is a smaller stomach that is about the shape of a banana. The stomach will be closed and reshaped with staples. The area of your stomach that acts as a valve, letting food through to the small intestine will be left intact. This is also referred to as the pyloric valve. 

Biliopancreatic diversion surgery is an invasive technique to reduce the stomach and drastically improve the weight of the patient.

The second step repositions the intestine to connect the stomach to the small intestine, just below the duodenum, thereby bypassing the majority of the small intestine. The procedure will allow for excessive weight to be lost quickly. A smaller stomach will also help you feel full sooner and longer. By readjusting the intestine, fewer calories will be absorbed by the body and help sustain your weight loss results for a long time. 

Each step of the surgery will take a few hours to complete and is often all performed in one surgery.

Biliopancreatic diversion surgery is an excellent way to lose excess weight for obese patients. If you struggle with obesity and have tried many methods to lose weight with no significant results, it may be time to consider bariatric surgery. Meet with your doctor to ensure you are healthy for the procedure. Any pre-existing health conditions that may cause you to heal slowly will need to be addressed and may hinder you from undergoing the procedure.


Receiving a weight loss surgery can be transformational! Dramatic weight loss can truly improve your health and life expectancy. It is important to approach your surgery with a healthy mindset. Do your research, meet with your doctor, and take notes during your consultation with Dr. Gentile so you have realistic expectations for the procedure. 

Weight loss is the first step to a healthy life.

Biliopancreatic diversion surgery will help you lose the excess weight but it will be up to you to change your lifestyle to maintain these results. 

Biliopancreatic diversion surgery will help you dramatically lose weight. This will improve your health and reduce your risk for heart disease, high blood pressure, high cholesterol, sleep apnea, type 2 diabetes, and many other health conditions. Losing weight will improve your day to day life. This treatment can help you look and feel better! Feel more comfortable in your clothes and feel empowered with improved mobility after a biliopancreatic diversion surgery!


Obese men and women who have a BMI around fifty are good candidates for the procedure. BMI stands for body mass index and is calculated by your height, age, and weight to give you averege healthy weight calculations for your age bracket and how you compare to them. To truly know if a biliopancreatic diversion surgery is right for you, schedule a consultation with Dr. Gentile today!

Personal Consultation

In your personal consultation with Dr. Gentile, he will inquire about your general health, allergies, past procedures, and medications. He will ask about your concerns and what you wish to gain from this procedure. Dr. Gentile will explain the details of the surgery, potential risks, and the recovery period. 

This is a great time to voice concerns and ask questions. Some questions to get you started could be:

  • How long is the surgery?
  • When will I begin to see improvements in my weight?
  • How long is the recovery period?
  • Do you have before and after photos of the effects of this surgery?
  • What can I do to ensure a healthy recovery?
  • How long should I take off from work?
  • How long will I need to stay in the hospital after the surgery?

These questions should help you begin a dialogue that addresses your concerns. If you have any questions that are not addressed in the consultation, please give our office a call.

Dr. Gentile and you will plan out an appointment time that works best with your schedule. He will then inform you how to prepare for the surgery and recovery period.


Before your surgery date, there are a few steps you can take to ensure a healthy procedure and recovery. These steps include:

  • Preparing a recover space for yourself. Be sure to have a designated area you can rest and relax. This area should be free of stress and allow you to rest peacefully. 
  • Stop smoking and taking blood thinning medications. These products can interfere with the safety of your surgery and healing process. 
  • Pick up prescribed medications. You may need pain medication after the surgery to help improve the comfort of your recovery. Dr. Gentile and you will discuss your options and he will prescribe the best choice for you.
  • Stock your fridge and pantry with foods that adhere to your strict recovery diet. Clear liquids and soft foods will be your diet for a few weeks. Make sure you have a variety of food to help make your recovery enjoyable.
  • Arrange for rides. You will need a friend to drive you home and stay with you the first night of recovery.
  • Twelve hours before the surgery you will need to fast so that your stomach is empty during the surgery.
  • The morning of your surgery, take a shower and dress in comfortable clothes. You will be staying in the hospital for a few nights and will need to have an overnight bag.

Follow Dr. Gentile’s instructions. He will give you detailed information regarding your surgical preparation that will need to be followed so as to yield positive, healthy results.


When you arrive at your procedure, you will change into a gown and be taken to the operating room where general anesthesia will be applied. Once you are resting, Dr. Gentile will begin the surgery. The details of your procedure will be determined in your personal consultation. Incisions will be applied based on your anatomy and internal features. 

This procedure will be performed at a hospital and take a few hours. 

Dr. Gentile will administer incisions along your abdomen. A portion of your stomach will be removed and he will form the smaller stomach area into a banana shape. A small incision will then be made below the duodenum and by the end of the small intestine. The cuts will be brought together to allow your intestine to bypass most of the small intestine.

Once completed, the incisions will be closed and bandaged and you will be brought to a recovery room. You will stay at the hospital until deemed healthy to return home.


Following the surgery, you will be sore and the incision sites will be swollen. Pain medication will help reduce pain and make sure your recovery is comfortable. You will be on a very strict diet to help you adjust to your new stomach size and to help your gut recover well. This diet will include:

  • First week: Clear liquids that are sugar-free
  • Second week: Clear liquids, protein drinks, and liquid, sugar-free foods.
  • Third week: Pureed foods can be added to this diet
  • Fourth week: Solid foods may now be slowly incorporated to the diet.


During your recovery, you will lose a significant amount of weight. To continue losing weight and improving the results of your surgery, incorporat, exercise, and healthy eating into your lifestyle.

Biliopancreatic diversion surgery is only the first step to a healthier, better life. During your recovery, be sure to set yourself up for success. Surround yourself with loved ones who will give you the encouragement and support you need. Obesity affects each person differently and so will the recovery process from it. 

Take your recovery one day at a time.

Look into support groups that will provide you with support from people going through the same process as you. Or maybe sign up for some healthy cooking classes with friends or family. Research and invest in the things that will help you maintain a healthy lifestyle.


The cost of each biliopancreatic diversion surgery will vary between patients. The treatment is personalized to the features of the patient and will be created to provide a healthy outcome. If you are interested in learning more about the pricing and details of surgery, schedule a consultation with Dr. Gentile today at (361) 881-9999.

Dr. Gentile is a triple board certified plastic surgeon and is more than qualified to perform your surgery. He will use his past experience and vast knowledge to strategically perform your surgery. If you want to learn more or hear an estimate for biliopancreatic diversion surgery, give our office a call.