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We present our experience in malabsorbitive procedure in bariatric surgery based on Biliopancreatic Diversion (BPD) with transitory gastroplasty. Since 1995 we operated on 74 patients with BPD coupled with gastroplasty wich is transitory due to the presence of a band in polidioxanone (PDS). The tecnique, proposed by Vassallo et al. in 1992, involve the respect of the duodenal bulb (5 centimeter from the pylorous) making an endtoside duodeno-ileal isoperistaltic anastomosis.