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.
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
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BPD/DS Weight-Loss Surgery
Hopkins Medicine
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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.
Benefits of Duodenal Switch
Resolution of Type 2 Diabetes
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Diabetes surgery: a new approach to an old disease
Rubino F, Moo TA, Rosen DJ, Dakin GF, Pomp A
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Up to 98%
of duodenal switch patients see a resolution of Type 2 Diabetes.
Improved Sleep Apnea
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Duodenal switch: long-term results
Marceau P, Biron S, Hould FS, Lebel S, Marceau S, Lescelleur O, Biertho L, Simard S
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Up to 90%
of duodenal switch patients are able to discontinue using their CPAP machine.
Improved High Cholesterol and High Blood Pressure
Following duodenal switch surgery, more than 70% of patients saw an improvement in high cholesterol, and
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Bariatric surgery: a systematic review and meta-analysis
Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K
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nearly 79%
of patients saw a resolution or improvement in high blood pressure.
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
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Duodenal Switch
Columbia Surgery
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up to 80%
of excess body weight within two years of surgery.
SADI-S
SADI-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.
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Gastric Balloon
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Non-Invasive
20-40lbs
Slow
Less than 30 minutes
Out-patient
No
Yes
$5,995
ESG
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Non-Invasive
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
$8,995
Gastric Banding
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
$8,995
Gastric Sleeve
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
$9,995
Gastric Bypass
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 2 hours
Out-patient
Yes
Yes
$11,995
DS/SADI-S
Invasiveness
Excess Weight Loss*
Rate of Weight Loss*
Average Procedure Time
Typical Hospital Stay*
Insurance Coverage Available*
Financing Available
Self Pay Cost
Minimal
40%
Slower
Less than 1 hour
Out-patient
Yes
Yes
*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
Step into Wellness: Your Path to a
Lighter, Brighter Future Starts Now
Connect with Alabama Surgical Associates to take a proactive step towards your weight loss
goals. With our expert team and comprehensive approach, you’ll find the guidance and
support you need to achieve lasting results and improved well-being.
Dr. Darrell Doucette has either authored or reviewed and approved this content.
Page Updated:
1 Hopkins Medicine. BPD/DS Weight-Loss Surgery. Available: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/bpdds-weightloss-surgery. Accessed April 4, 2022.
2 Rubino F, Moo TA, Rosen DJ, Dakin GF, Pomp A. Diabetes surgery: a new approach to an old disease. Diabetes Care. 2009 Nov;32 Suppl 2(Suppl 2):S368-72. doi: 10.2337/dc09-S341. PMID: 19875583; PMCID: PMC2811475. Available: https://pubmed.ncbi.nlm.nih.gov/19875583/. Accessed April 4, 2022.
3 Marceau P, Biron S, Hould FS, Lebel S, Marceau S, Lescelleur O, Biertho L, Simard S. Duodenal switch: long-term results. Obes Surg. 2007 Nov;17(11):1421-30. doi: 10.1007/s11695-008-9435-9. PMID: 18219767. Available: https://pubmed.ncbi.nlm.nih.gov/18219767/. Accessed April 4, 2022.
4 Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004 Oct 13;292(14):1724-37. doi: 10.1001/jama.292.14.1724. Erratum in: JAMA. 2005 Apr 13;293(14):1728. PMID: 15479938. Available: https://pubmed.ncbi.nlm.nih.gov/15479938/. Accessed April 4, 2022.
5 Columbia Surgery. Duodenal Switch. Available: https://columbiasurgery.org/conditions-and-treatments/duodenal-switch-bpd-ds. Accessed April 4, 2022.
