Duodenal Switch incl. Biliopancreatic Diversion (BPD/DS)
Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a surgical procedure involving stomach reduction and the rerouting of the small intestine to the duodenum, often performed in a single operation, although sometimes in two separate steps.
This surgery is generally recommended for individuals with a body mass index (BMI) above 50 and those with a BMI over 35 who have obesity-related health issues and have unsuccessfully attempted various weight loss methods.
Procedure Overview:
- Stage One: Involves a sleeve gastrectomy, reducing stomach size and limiting food intake by removing a portion of the stomach.
- Stage Two: Re-routes the small intestine to alter food digestion. The surgeon connects the end part of the small intestine to the duodenum, bypassing a significant section of it to reduce calorie and nutrient absorption, thereby promoting weight loss.
Benefits of Biliopancreatic Diversion with Duodenal Switch:
- Substantial Weight Loss: Patients may experience a loss of 60-80% of excess body weight within two years.
- Improvement of Obesity-Related Health Conditions: This surgery can lead to improvements or resolutions in conditions like type-2 diabetes, high blood pressure, sleep apnea, and joint pain.
- Long-Term Weight Management: Offers long-term weight control if paired with lifestyle changes.
- Enhanced Quality of Life: Weight loss can result in increased mobility, improved self-esteem, and reduced risk of obesity-related complications.
Risks associated with BPD/DS:
- Surgical Risks: Infection, bleeding, blood clots, and reactions to anesthesia are potential risks.
- Nutritional Deficiencies: Altered nutrient absorption can lead to deficiencies, necessitating regular monitoring and supplementation.
- Dumping Syndrome: Some experience symptoms like nausea, vomiting, diarrhea, and dizziness due to fast food transit.
- Long-Term Commitment: Success requires lifelong dietary changes, exercise, and regular medical follow-ups.
Recovery Process:
- Patients are monitored in the hospital for a few days, given pain relief and antibiotics.
- Hospital stay ranges from 3-5 days with ongoing monitoring.
- Diet progresses from liquids to solids as guided by the surgical team.
- Light physical activity is encouraged initially, but strenuous exercise should be avoided.
- Regular follow-up appointments with healthcare providers are crucial for monitoring progress and addressing concerns.
It’s crucial to discuss the procedure’s benefits and risks with a surgeon to make an informed decision. The recovery process involves a gradual return to regular activities under medical guidance.
