Biliary-pancreatic diversion with duodenal switch

Biliary-pancreatic diversion with duodenal switch

The best weight loss surgery in Turkey is the pancreatic-biliary diversion with duodenal switch (BPD-DS) surgery by the most skilled surgeons.

What is BPD/DS weight loss surgery?

pancreatic biliary diversion with duodenal switch (BPD/DS) is a type of Weight loss surgery.
This type of bariatric surgery changes the size of your stomach and the length of your small intestine.
It limits the amount of food you can eat, digest and absorb. This operation is not performed with the same intensity as other operations.
Part of the stomach is removed so that a small pocket remains.
This small stomach restricts the amount of food you can eat at one time. The left part of the stomach remains attached to the pylorus, and the duodenum begins at its end.
It is a process that works to protect the pylorus, thus eliminating the “dumping syndrome” which is a complication of the gastric bypass operation.
Then the duodenum (the first part of the small intestine) is divided, then the first part is connected to the small intestine in the proximal area, and this is the duodenal switch.

A picture showing what will remain of the intestine after the diversion of the evening pancreatic and bile ducts with the diversion of the duodenum
Intestinal remnants after pancreatic bile duct diversion with duodenal switch

When you eat, the food only passes through the new stomach pouch. So that it empties into the last part of the small intestine.
By doing so, much of the small intestine is bypassed, so less food is digested. Also, fewer calories and nutrients are absorbed, and this can cause a lot of weight loss.
Then the separated part of the small intestine is reconnected to the last part of the small intestine. This changes the normal way the bile and digestive system digest food. This is a bile-pancreatic diversion. This reduces the number of calories you absorb, which leads to more weight loss.

You can watch an explanatory video by clicking Here.

This surgery can lead to nutritional problems over time and other complications.

Who is required for BPD/DS duodenal switch surgery?

This surgery can help reduce obesity and related diseases. These include heart disease, high blood pressure, and type 2 diabetes.
BPD/DS can cause a lot of weight loss. It causes more weight loss than gastric bypass (Roux en Y) or Sleeve Gastrectomy.
Doctors may usually recommend BPD/DS to people who are obese, meaning a body mass index (BMI) of 50 or more.

An image showing the standard values for the body mass index (BMI), which is used to determine whether a person is obese and needs a laparoscopic sleeve gastrectomy
body mass index (BMI)

They may also recommend this procedure for a BMI of 40 or more, if it is associated with serious type 2 diabetes and other health problems such as:

  • high blood pressure.
  • High fat.
  • My heart disease.
  • Sleep Apnea.
  • lung diseases.
  • Nonalcoholic fatty liver disease.

Advantages of pancreatic bile duct bypass with duodenal switch

  • Its effectiveness in treating diabetes is 98%.
  • Rapid weight loss.
  • The average weight loss in this process is the highest among Bariatric procedures.

Cons of Biliopancreatic Duodenal Switch

  • The most complex weight loss surgery.
  • Irreversible.
  • Possible deficiency of vitamins and minerals.

What are the risks of BPD/DS weight loss surgery?

All surgeries have some risks. The risks of BPD/DS include:

  • bacterial infection; Such as pneumonia, intra-abdominal abscesses, or colitis, which can lead to septic shock.
  • Leaks or blockages in the intestine (due to anastomosis).
  • You may need more surgery to fix problems caused by the operation.
  • Gastroesophageal reflux disease.
  • Dumping Syndrome.
  • Depression or other emotional problems.
  • persistent vomiting
  • Intestinal obstruction.
  • BPD/DS makes it difficult for the body to absorb vitamins and minerals, and people with borderline personality disorder may struggle.
  • Patients have protein deficiency (protein malnutrition) and low levels of calcium, iron, and fat-soluble vitamins such as A, D, E and K.
    You'll need to take vitamin and mineral supplements for life, and you'll also need to have regular blood tests, to prevent severe malnutrition.
    Even if you take supplements, you may still have problems feeding and need treatment.
  • Bariatric surgery will change your eating habits for the rest of your life, so make sure you fully understand the risks and benefits for you.

Your risks and benefits may vary according to your age and general health. Talk to your doctor to find out what risks may apply to you.

What happens during and after BPD/DS surgery?

Biliary-pancreatic diversion with duodenal switch

BPD/DS can be performed as laparoscopic surgery. This is done with several small cuts (incisions), small instruments and a small tube with a light camera and a small camera are placed in the small incisions.

In some cases, the doctor may have to perform the BPD/DS procedure as an open surgery. In this method, the surgeon makes one larger incision instead of several smaller incisions.

After Diabetes Surgery (BPD/DS)

At first, you may have stomach or intestinal cramps, or nausea. You will be given pain relievers as prescribed. Your doctor will tell you when to shower, drive, return to work, exercise, and lift weights.

You will be given instructions on how to adjust to your new diet after surgery. You will likely remain on liquid nutrition for a few weeks after surgery. Over time, you will start eating soft foods and then solid foods.

If you eat too much or too quickly, you are likely to experience stomach pain or vomiting. (Getting used to the size of a small stomach will happen gradually).

A dietitian will give you more guidance about your diet. You will need to learn good habits such as choosing healthy foods and not skipping meals. The dietician will also check some nutrients.

You will also need to take a daily supplement after BPD/DS surgery. These include:

  • Vitamins A, D, and K
  • Iron supplements
  • and calcium supplements
  • Vitamin B12 supplements or injections
  • Also, you should stay in contact with the medical team after surgery to stay healthy

Weight loss expected from the operation

According to all studies, most patients lost 60 to 80 percent of their excess body weight over a two-year period, and clinical trials showed a permanent weight loss of 70% excess body weight after 10 years.

Frequently Asked Questions

There are very few centers that perform intestinal remnants after pancreatic bile duct diversion with laparoscopic duodenal switch.

This operation is performed only for patients who have severe obesity or advanced metabolic diseases and who are medically in need of rapid weight loss.

The most important complication is the lack of ability to absorb important minerals and vitamins for the body. It can be treated by taking nutritional supplements for life.

The process of pancreatic and bile duct diversion with duodenal switch is the best ever, as studies have shown that its success rate exceeds seventy percent after ten years of follow-up.

If you are planning for treatment in Turkey
you can talk to us here.

If you are planning for treatment in Turkey
you can talk to us here.