Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a type of weight loss surgery that combines restrictive and malabsorptive techniques. The procedure involves two steps:

1. First, a portion of the stomach is removed, leaving a smaller sleeve-shaped stomach.
2. Next, the small intestine is divided and rerouted to form two separate pathways. One pathway carries digestive juices from the liver and pancreas to the last portion of the small intestine, while the other pathway carries food from the new, smaller stomach to the last portion of the small intestine. This bypasses a significant portion of the small intestine, which reduces the amount of calories and nutrients that are absorbed by the body.

BPD/DS is typically recommended for individuals with a body mass index (BMI) of 50 or higher, or for those with a BMI of 40 or higher who also have obesity-related health conditions such as diabetes, high blood pressure, or sleep apnea. However, it is important to note that BPD/DS is a complex and major surgical procedure, and is generally considered to be more risky than other types of weight loss surgery.

Like any surgery, BPD/DS carries risks and potential complications, such as bleeding, infection, blood clots, and anesthesia-related issues. Additionally, because the surgery bypasses a significant portion of the small intestine, there is a risk of malnutrition and vitamin deficiencies if a balanced diet and appropriate supplements are not followed.

It is important to discuss the potential risks and benefits with a qualified healthcare provider before deciding whether BPD/DS is the right choice for you.