Duodenal Switch Bariatric Surgery
Biliopancreatic diversion with duodenal switch (BPD) is one of many bariatric procedures performed at the Houston UT MIST Center for Bariatric and Metabolic Surgery. For carefully selected patients, this surgery can help them lose 80 to 100% of their excess weight in a short time. Duodenal switch uses restriction and malabsorption to effect weight loss: restricting the amount of food a person can eat and limiting how much of that food is absorbed. Because fewer calories are consumed and used by the body, stored fat becomes a primary energy source. This results in weight loss.
Because duodenal switch surgery is the most complicated and technically challenging form of bariatric surgery, it carries an increased risk of complications, so it makes sense to find an experienced surgeon with a proven track record. UT MIST bariatric surgeons are among the most highly trained, experienced weight-loss surgeons in the country, offering the most sophisticated minimally invasive technologies and techniques available. During your consultation, they will explain the benefits and risks of duodenal switch and help you decide if it is appropriate for you. If it is not, they might recommend another procedure, including adjustable gastric banding (LAP-BAND® System), sleeve gastrectomy surgery, or gastric bypass surgery. Whatever option you decide on, the team of UT MIST surgeons and staff will fully support you. We look forward to helping you on your life-changing path to better health and wellness.
What is Duodenal Switch Surgery at Houston UT MIST?
In 1979, Dr. Nicola Scopinaro performed the first biliopancreatic diversion with duodenal switch (BPD) in Italy. In many ways it resembles a combined sleeve gastrectomy and gastric bypass surgery. During the BPD procedure, the surgeon starts by creating a sleeve gastrectomy, removing approximately 70 to 80% of the stomach. The duodenum, which is the top part of the small intestine, is bypassed, and the stomach pouch is then connected to the lower portion of the small intestine. A large part of the small bowel (roughly 60%) is bypassed as well. The most malabsorptive procedure approved by the FDA, duodenal switch surgery leaves only 100 to 150 cm of small intestine for absorption. As a result, compared to the other weight loss surgeries, vitamin and mineral deficiencies are more likely after this procedure, so close monitoring of nutrition is essential for favorable long-term outcomes.
Benefits of Duodenal Switch
Biliopancreatic diversion with duodenal switch (BPD) often outperforms other bariatric procedures for drastically improving diabetes, high cholesterol, high triglycerides, and sleep apnea. It also results in much greater weight loss than any other procedure, and typically at a faster rate. However, the long-term weight-loss success of duodenal switch patients depends on how closely they follow their post-procedure diet and exercise program. In addition, their overall long-term health depends on taking daily nutritional supplements.
Risks of BPD Surgery
All surgeries, including duodenal switch, carry risks. At the UT MIST Center for Bariatric and Metabolic Surgery, we make every effort to inform patients about potential risks, some of which may include leaks, infection, or nutritional deficiencies. During your consultation, your surgeon will thoroughly explain potential risks and help you weigh the potential risks and benefits of this surgery.
To learn more, review our Biliopancreatic Diversion with Duodenal Switch PATIENT GUIDE.
If you are ready to find out how you can make a positive change in your life through duodenal switch or another bariatric surgery, request a consultation online or call our office at (713) 892-5500.
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