Biliopancreatic diversion with Duodenal switch

The biliopancreatic diversion with duodenal switch is a bariatric surgery procedure similar to the Roux-en-Y gastric bypass procedure in that it restricts stomach size, thereby limiting the amount of food that can be consumed, and reroutes the intestines to both limit the amount of food absorbed and alter the body’s metabolism. A biliopancreatic diversion surgery makes the stomach smaller and changing the normal process of digestion. This procedure provides severe malabsorption along with restriction and is suitable only for certain kind of diets and for revisions after primary procedure. The length of common channel is very less compared to Gastric Bypass providing for higher degree of malabsorption.

Biliopancreatic Diversion with Duodenal Switch Procedure

The stomach is connected to the esophagus to the top part of the small intestine. The surgeon then cuts the top of the small intestine, while leaving a portion of the duodenum where digestive chemicals make their way into the process. Another cut is made further down the small intestine (closer to where it meets the large intestine) and this part is connected to the duodenum. The loose part of the small intestine is attached to the small intestine at the bottom, allowing digestive chemicals from the duodenum to enter into the digestive process in the final stretch of the small intestine.

Candidate for Biliopancreatic Diversion with Duodenal Switch

This surgery is suitable for people who are more than severely obese or super obese (BMI of 50 or higher). This type of Weight loss surgery is suitable for people who are severely overweight and who have not been able to lose weight with diet, exercise, or medicine.

Benefits of Biliopancreatic Diversion with Duodenal Switch

  • Greater weight loss : Most people lose 70% to 80% of their excess weight with this type of weight loss surgery.
  • Greater dietary freedom : Most patients are able to eat whatever they want.
  • Diabetes treatment : Highest rate of type 2 diabetes cure

Authored By Dr.Nikhil Agnihotri

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