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J Gastroenterol Dig Dis 2017 | Volume 2, Issue 3
allied
academies
World Gastroenterological &
Gastroenterology and Endoscopy
October 30-31, 2017 | Toronto, Canada
World Congress on
Once upon a time, a bariatric general surgeon palpated a
liver of normal consistency as he was repairing an incisional
hernia, but momentarily recalled the pathology of a biopsy
taken at the time of the patient’s bariatric surgery - which had
shown liver fibrosis. Very surprised, but staying professional,
he didn’t say a word about his finding instead asking for the
scalpel to perform a second open biopsy sending the specimen
to Pathology as a routine liver biopsy before completing the
hernia repair. A week later the surgeon received the Pathology
report of normal liver tissue taken at the time of open incisional
herniorrhaphy. Surprised, worried, but happy the surgeon
checked with the pathologist about differences between the
past andpresent diagnoses of the two liver biopsies. That ‘event’
was a landmark of an unbelievable journey. Years before in
February 1984, my esteemed close colleague, Picard Marceau,
and I decided to adopt Scopinaro’s Bilio-Pancreatic diversion
(BPD) as our major bariatric technique. Needless to say: the
disastrous long-term outcomes of jejuno-ileal bypass biased
recognition of the value of this newbypass. This prompted us to
initiate a prospective systematic follow-up of our patient’s livers
and nutritional status. It was, indeed, our duty to perform liver
biopsies whenever possible. For quality assurance and ‘blinded’
evaluations we accepted the offer of collaboration with our
colleague John G. Kral and the renowned Liver Pathologist Swan
N. Thung. Seven cases of bridging fibrosis exhibited normal
histopathology upon re-biopsy several years after BPD.
Speaker Biography
Simon Biron has completed his medical degree in 1972 from Laval University and
completed his surgical residency training at McGill University in 1977. He has worked
at Laval Hospital since 1978 and has served as the Head of the Department of General
Surgery from 1993 to 2013. He has been a Clinical Professor of Surgery at the University
of Laval since 1981 and served as the Head of Division of General surgery from 2002 to
2012. He has been involved in the writing of approximately 130 articles and 15 books
or chapters. He has been an invited speaker to many conferences and has presented
numerous posters. He is the principal investigator in N.O.T.E.S. He has been a practicing
Bariatric Surgeon since 1981 and currently sits on the Executive of the ASMBS Canadian
Chapter.
e:
Simon Biron
Laval University, Canada
Liver in morbid obesity and effect of bariatric surgery, BPD Scopinaro and DS