Biliopancreatic Diversion surgery with Duodenal Switch (BPD/DS) aims to help you lose weight by altering the size of your stomach and small intestine. It limits the amount of food you can eat and absorb. This surgery is highly effective for achieving significant weight loss and will allow you to eat normal sized meals eventually.
This procedure limits the amount of food your stomach can hold and controls the absorption of fat, calories, and nutrients into your bloodstream. It involves removing the lower two-thirds of your stomach and attaching the remaining portion to the distal segment of the small intestine. This way, the small intestine is shortened, significantly reducing nutrient absorption and resulting in weight loss.
What is the BPD/DS Procedure?
The surgeon closes off a portion of the stomach to create a smaller pouch and removes the rest of the stomach. He then divides the first section of your small intestine and attaches the last portion of your small intestine to it. This is called a duodenal switch.
After surgery, the food you eat goes through the newly formed smaller stomach pouch and empties into your small intestine's farthest section. This bypasses a large part of your small intestine so less food is digested and absorbed.
The biliopancreatic diversion alters how bile and other digestive juices break down the food that you consume. This reduces the number of calories that get absorbed in your bloodstream, and affects gut hormones that impact hunger.
Do I Need the Duodenal Switch Procedure?
This surgery effectively treats obesity and associated disorders. It's thought to cause more weight loss as compared to other bariatric surgeries. Your doctor may prescribe a BPD/DS procedure if you're severely obese with a 50 or higher BMI. This surgery is also recommended if you have a BMI above 40, with chronic type 2 diabetes and other health complications such as:
- Nonalcoholic fatty liver disease
- High blood pressure
- High cholesterol
- Heart disease
- Lung disease
- Sleep apnea
Open Vs. Laparoscopic BPD/DS
BPD/DS can be conducted either laparoscopically or as open surgery. Here how these two types differ:
- Open surgery - This is a traditional surgery, where the surgeon makes a cut into the abdomen and proceeds with all steps of the procedure.
- Laparoscopic Surgery - The surgeon creates small incisions in the abdomen and uses tiny instruments with a lighted camera to perform the surgery.
A laparoscopic procedure doesn't leave behind scares and ensures that you recover quickly. It also reduces the risk of infections, hernias, and other complications.
Benefits of a BPD/DS Procedure
- Unlike other bariatric procedures, the duodenal switch procedure leaves you with a larger stomach. This ensures that you enjoy more satisfying portion sizes.
- This procedure may reduce your body's need for insulin. It is, therefore, effective in managing type 2 diabetes.
- Most people experience over 60 percent weight loss after having this procedure. This is much higher when compared to other weight-loss surgeries.
- The duodenal switch is a 3-4-hour procedure requiring a 1-2-night hospital stay.
- The stomach and intestinal adjustment may curb hunger by eliminating hunger-causing hormones.
- Recovery can take just several weeks.
- Many calories get lost through malabsorption.
- Effectively maintains weight loss over the years better than most bariatric procedures.
How Do I Prepare for a BPD/DS Weight-loss Surgery?
Before identified as a qualified candidate for this procedure, you will need to have an elaborate consultation with a surgeon, a dietician, and a bariatric nurse. These professionals will determine your health condition and decide if you qualify through an in-depth process for approval. Some of the requirements needed so you can undergo this surgery include:
- Medical Tests Electrocardiogram (ECG) to measure the rhythm of your heart
- Blood tests to determine your overall health
- Chest X-ray to check your lungs
What Your Doctor Expects from You
Getting prepared for this surgery requires more than medical tests, you will need to be prepared physically and emotionally. The required life style changes include:
- Stop smoking
- Discuss emotional health and eating disorders with a counselor
- Attend classes or read material on the procedure, expected results, and possible complications.
Information That Your Doctor Needs
- Medical health history, so we ensure there are no risks from any past illnesses
- Recent health changes, such as infections.
- Sensitivity to medication or materials such as latex and tape.
- History of bleeding disorders.
- Use of blood-thinning medicines such as ibuprofen, aspirin, or others that may affect blood clotting.
- Use of breathing disorder machines such as CPAP/BiPAP
Atlanta Bariatric & General Surgery is one of the best bariatric surgery facilities in Alpharetta. Dr. Michael Williams and Dr. Brendon Curtis are highly committed to helping you achieve your optimal weight and lead a happy, healthy life. If you have more questions or need to schedule a consultation, get in touch with our friendly staff today, and we'll walk with you every step of the way.