About

A biliopancreatic diversion with a duodenal switch (BPD/DS) is a less-common weight-loss procedure that entails two major steps.

The first step is sleeve gastrectomy in which about 80 percent of the stomach is removed, leaving a smaller tube-shaped stomach, similar to a banana. However, the valve that releases food to the small intestine (the pyloric valve) remains, along with a limited portion of the small intestine that normally connects to the stomach (duodenum).

The second step bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach. BPD/DS both limits how much you can eat and reduces the absorption of nutrients, including proteins and fats.

Signs & Symptoms

• Obesity
• BMI between 30-40
• Weight related health issues
• Fatigue

Causes

• Infertility
• Heart disease
• High blood pressure
• Stroke
• Type 2 diabetes

When to seek medical attention?

You can go for biliopancreatic diversion with a duodenal switch if you are highly overweight.

Risk Factors

• Bowel obstruction
• Dumping syndrome
• Causing diarrhea
• Nausea or vomiting

Diagnosis and Test

Diagnosis for the weight-loss treatment includes:

• Blood test
• X-ray
• Cardiac echo
• Electrocardiogram

Treatment Procedure

The specifics of your surgery depend on your individual situation and your doctor's practices. Some surgeries are done with traditional large, or open, incisions in your abdomen, while some may be performed laparoscopically, which involves inserting instruments through multiple small incisions in your abdomen.

The first step of a BPD/DS involves removing a portion of the stomach. After making the incisions with the open or laparoscopic technique, your surgeon removes a large portion of the stomach and forms the remaining portion into a narrow sleeve. Your surgeon leaves intact the valve that releases food to the small intestine (the pyloric valve), along with a limited portion of the small intestine that normally connects to the stomach (duodenum).

During the second step, your surgeon makes one cut through the part of the small intestine just below the duodenum, and a second cut farther down, near the lower end of the small intestine. Then your surgeon brings the cut end near the bottom of the small intestine up to the other cut end, just below the duodenum. The effect is to bypass a large segment of the small intestine. Each part of the surgery usually takes a few hours. After surgery, you awaken in a recovery room, where the medical staff monitors you for any complications.

Outcome & Recovery

The recovery time depends on the patient, procedure & severity.

Success Rate

The success rate has many factors depending on it, like the stage of the condition, the age of the patient, and the complication of the procedure.

Do’s & Don’ts

• Eat healthy
• Meditate
• Exercise