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Duodenal Switch

Biliopancreatic Diversion with Duodenal Switch (BPD), commonly known as duodenal switch, is a dual-approach bariatric surgery that can be effective for patients with severe obesity.

What is a Duodenal Switch?

Duodenal switch surgery, or biliopancreatic diversion with duodenal switch (BPD/DS), is a two-part bariatric surgery. This procedure helps patients lose weight through two mechanisms: it is restrictive in that it reduces the size of the stomach, and it is malabsorptive in that it reduces the calories and nutrients the body can absorb. Duodenal switch surgery also impacts hunger hormones, so patients feel less hungry after the procedure.1

Duodenal Switch Surgery: What to Expect

The Duodenal Switch Procedure

Duodenal switch surgery is performed under general anesthesia. This is a two-part procedure.

In the first stage of duodenal switch surgery, a gastric sleeve is created when 80% of the stomach is removed and creates a narrow sleeve from the remaining part of the stomach.

In the second stage of duodenal switch surgery, the first part of the small intestine (the duodenum) is rerouted, so that food bypasses much of the digestive tract and empties directly into the end of the small intestine.

 

Duodenal Switch Results

Bariatric surgery is a tool, and patients who commit to healthier lifestyle habits will experience optimal outcomes. Duodenal switch is a malabsorptive procedure and patients will have to pay close attention to nutrition and take daily supplements in order to maintain adequate vitamin and mineral levels. A successful duodenal switch patient may lose up to 80% of excess body weight within two years of surgery.4

 

SADI-S

ASA DS DiagramSADI-S, standing for Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, represents a cutting-edge approach in the field of bariatric surgery, aiming to assist patients in achieving significant weight reduction. This procedure integrates the creation of a smaller stomach pouch via sleeve gastrectomy with a strategic bypass of a part of the small intestine, thus minimizing the body’s ability to absorb calories. The dual action of SADI-S not only aids in substantial weight loss but also contributes to the improvement or resolution of metabolic syndromes, enhancing patients’ overall health and quality of life.

Who is a Candidate for Duodenal Switch?

The best way to determine if bariatric surgery is right for you is to schedule a consultation with our experienced weight loss surgeon. In general, candidates for duodenal switch have a BMI over 40 and do not have a history of digestive diseases. If you have questions about the duodenal switch or other weight loss procedures, contact us.

Gastric Balloon
ESG
Gastric Banding
Gastric Sleeve
Gastric Bypass
DS/SADI-S
Invasiveness

Non-Invasive

Non-Invasive

Minimal

Minimal

Minimal

Minimal

Excess Weight Loss*

20-40lbs

50%

40%

65%-70%

65%-70%

80%

Rate of Weight Loss*

Slow

Fast

Slower

Fast

Fast

Fastest

Average Procedure Time

Less than 30 minutes

Less than 1 hour

Less than 1 hour

Less than 1 hour

2 hours

2-3 hours

Typical Hospital Stay*

Out-patient

Out-patient

Out-patient

Out-patient

1 night

1 night

Insurance Coverage Available*

No

No

Yes

Yes

Yes

Yes

Financing Available

Yes

Yes

Yes

Yes

Yes

Yes

Self Pay Cost

$5,995

$8,995

$8,995

$9,995

$11,995

*Call for Pricing

Gastric Baloon

Invasiveness
Non-Invasive
Excess Weight Loss*
20-40lbs
Rate of Weight Loss*
Slow
Average Procedure Time
Less than 30 minutes
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
No
Financing Available
Yes
Self Pay Cost
$5,995

ESG

Invasiveness
Non-Invasive
Excess Weight Loss*
50%
Rate of Weight Loss*
Fast
Average Procedure Time
Less than 1 hour
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
No
Financing Available
Yes
Self Pay Cost
$8,995

Gastric Banding

Invasiveness
Minimal
Excess Weight Loss*
40%
Rate of Weight Loss*
Slower
Average Procedure Time
Less than 1 Hour
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
$8,995

Gastric Sleeve

Invasiveness
Minimal
Excess Weight Loss*
65%-70%
Rate of Weight Loss*
Fast
Average Procedure Time
Less than 1 Hour
Typical Hospital Stay*
Out-patient
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
$9,995

Gastric Bypass

Invasiveness
Minimal
Excess Weight Loss*
65%-70%
Rate of Weight Loss*
Fast
Average Procedure Time
2 Hours
Typical Hospital Stay*
1 night
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
$11,995

DS/SADI-S

Invasiveness
Minimal
Excess Weight Loss*
80%
Rate of Weight Loss*
Fastest
Average Procedure Time
2-3 Hours
Typical Hospital Stay*
1 night
Insurance Coverage Available*
Yes
Financing Available
Yes
Self Pay Cost
*Call for Pricing

Frequently Asked Questions About Duodenal Switch

What is the difference between gastric bypass and duodenal switch?

During gastric bypass surgery, the size of the stomach is made smaller by creating a small pouch that connects to the small intestine. In duodenal switch surgery, a narrow sleeve is created from a small portion of the stomach, then digestion is rerouted to reduce the calories a patient can absorb.

What are the risks of duodenal switch surgery?

Any surgical procedure is associated with some risks and complications. Risks of duodenal switch surgery include:

  • Procedure is not fully reversible
  • Possible nutrient deficiency
  • More frequent bowel movements

Contact Alabama Surgical Associates

If you are interested in learning more about duodenal switch and other weight loss surgery procedures, please call us at (256) 880-1977 or contact us here to schedule a consultation at Alabama Surgical Associates.

*Individual results may vary.