Duodenal Switch (BPD/DS)
If you are extremely obese and have tried without success to get your weight under control, your healthcare provider may recommend a bariatric surgical procedure known as biliopancreatic diversion with duodenal switch (BPD/DS). This is usually known as the duodenal switch. It can help you lose more weight than either the gastric bypass or the sleeve gastrectomy. The surgery has been shown to help reduce obesity and related illnesses. These include heart disease, high blood pressure, and especially type 2 diabetes.
BPD/DS is a complex weight-loss surgery that reduces your ability to absorb calories, vitamins, and minerals. You can lose more weight with the duodenal switch than with the gastric bypass or the sleeve gastrectomy. You'll be at higher risk of developing nutritional deficiencies afterward. These include some that can be life-threatening if untreated. When deciding whether to have the surgery, these complications and other surgical risks should be carefully considered along with the benefits.
MT recommend the BPD/DS to people who are severely obese. These people usually have a body mass index (BMI) of 50 or greater or a BMI of 40 or greater with serious type 2 diabetes and other serious health problems. These health problems include:
Type 2 diabetes
Sleep apnea
Heart disease
Lung disease
High blood pressure
High cholesterol
Nonalcoholic fatty liver disease
BPD/DS is a complex procedure that tackles weight loss in 3 different ways. First, a sleeve gastrectomy is performed. For this, a large portion of the stomach is removed with a stapling instrument, leaving you a narrow tube, or sleeve, from the top to near the bottom of the stomach. With less stomach to fill, you will feel full more quickly and eat less food and fewer calories.
The second part of the procedure reroutes food away from the upper part of the small intestine, which is the natural path of digestion. This cuts back on how many calories and nutrients your body is able to absorb. The small intestine is divided and a connection is made near the end of the small intestine.
The third part of the BPD/DS procedure changes the normal way that bile and digestive juices break down food. This cuts back on how many calories you absorb, causing still more weight loss. One end of the small intestine is connected to the duodenum, near the bottom of the stomach.
Open vs. laparoscopic BPD/DS
BPD/DS is done as either laparoscopic or traditional open surgery. In open surgery, the healthcare provider makes a cut in your belly area. Laparoscopic BPD/DS requires much smaller cuts and it uses small instruments with a lighted camera to perform the surgery. Laparoscopic surgery can help you recover more quickly and may reduce the risk for complications, such as infections and hernias. MT's surgeons use a laparoscopic surgical robot to help do part of the operation.
Benefits of the procedure
The BPD/DS can produce a large weight loss, more than 150 pounds, because it restricts how much food you can eat and also reduces how many calories you can absorb. It helps to maintain this weight loss over many years, probably better than either the gastric bypass or the sleeve gastrectomy. It reduces the amount of fat that your body will absorb. It also helps you lose weight. If you do eat fatty meals, you may have stomach cramping and loose stools. It also helps to control diabetes over the long term, even better than the gastric bypass or the sleeve gastrectomy.
How much does a Duodenal Switch (BPD/DS) costs?
The average cost of a Duodenal Switch (BPD/DS) in Europe is €9,000. But the prices in Iran and Turkey are much lower than USA and Europe and even lower than India. To see the price, visit the Treatment-Prices.