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Biliopancreatic Diversion with Duodenal Switch

Here at Fresno Bariatrics, our team of world-class bariatric surgeons have the skills and experience needed to perform a number of different weight loss operations designed to treat chronic obesity. We are one of only a few weight loss clinics offering biliopancreatic diversion with duodenal switch (also known as BPD-DS) - a complex, highly technical surgery used to help people who have a significant amount of weight to lose.

Bariatric Biliopancreatic Diversion

What’s Involved With Biliopancreatic Diversion/Duodenal Switch Surgery?

Biliopancreatic diversion with duodenal switch is a two-part surgical weight loss treatment that combines elements of both a sleeve gastrectomy and a gastric bypass. It involves the removal of approximately half (50 percent) of the stomach volume, and bypassing of approximately three-quarters of the small intestine (75 percent).

The first part of the small intestine (the duodenum) is disconnected then reattached to the end (distal) of the small intestine. As a result, when the patient eats food passes directly through the newly-created stomach into the last section of the small intestine. Following BPD-DS, patients experience significant changes in the capacity of their stomach and their metabolic functioning.

How Does Biliopancreatic Diversion/Duodenal Switch Promote Weight Loss?

Because this procedure dramatically reduces the capacity of the stomach, patients feel fuller on much less food than they did prior to the surgery, resulting in a significant reduction in caloric intake.

The anatomical changes resulting from a biliopancreatic diversion with duodenal switch also reduce dietary fat absorption by up to 70 percent. The hormones in the gut and blood sugar fluctuations that trigger feelings of hunger and fullness are impacted, which helps patients manage their food intake without feeling deprived.

Do I Qualify For Biliopancreatic Diversion Surgery?

Biliopancreatic diversion surgery is an invasive weight loss treatment for people who have a body mass index (BMI) of 50 or higher.

Biliopancreatic diversion with duodenal switch is considered to be a high-risk operation due in part to the fact that it is only performed on people who are classified as ‘super-obese’, and therefore tend to have comorbid conditions that can increase their chances of experiencing post-operative complications.

BPD-DS surgery leads to the greatest average weight loss among all the types of bariatric procedures currently offered; most patients who undergo a biliopancreatic diversion lose about 70 percent of their excess weight within 24 months of the procedure.

Researchers have recently discovered a positive link between biliopancreatic diversion surgery and a notable reduction in the symptoms of type-2 diabetes. Many BPD-DS patients have reported a complete remission of their type-2 diabetes within the first 5 years following their biliopancreatic diversion surgery.

Can A Biliopancreatic Diversion Be Reversed?

Due to the anatomical changes made during surgery, a biliopancreatic diversion cannot be reversed, however, it can be modified using laparoscopic surgical techniques.

When Is A Biliopancreatic Diversion Revision Needed?

While the vast majority of patients who have a biliopancreatic diversion will never need additional surgery, in some cases excessive side effects such as severe gastric distress or failure to lose sufficient weight need to be treated with a revision surgery.

Here at Fresno Bariatrics, our team of skilled bariatric surgeons specialize in biliopancreatic revision procedures using minimally-invasive techniques and cutting-edge surgical tools to help improve patient outcomes.

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About Fresno Bariatrics

Fresno Bariatrics, located in Fresno, California, is one of the most experienced weight loss surgery programs in the country. On both the state and national levels, we are a step above most other weight loss surgery programs. Our superb clinical outcomes have earned HealthGrades' five-star ratings and a Bariatric Excellence Award™ 6 years in a row, putting our program in the top five of all California hospitals.

Our team of bariatric surgeons, nurses, and life coaches are eager to help you through a personalized weight loss surgery program with long-term results. We've helped thousands of people reverse obesity with the assistance of LAP-BAND, Gastric Bypass, Sleeve Gastrectomy (Gastric Sleeve) and Revision Weight-Loss Surgery procedures.

Our world-class bariatric surgeons are board-certified in general surgery by the American Board of Surgery and are members of the American College of Surgeons.

Contact Us

Fresno Heart & Surgical Hospital
15 E Audubon Drive
Fresno, CA, 93720

(866) 433-8558