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Biliopancreatic diversion with duodenal switch (BPD-DS), commonly referred to as the duodenal switch, is an innovative bariatric surgical procedure that is both highly effective and more complex. Optimized for long-lasting results, a duodenal switch combines a stomach reduction with an intestinal reconfiguration to help patients achieve weight and health goals.

How BPD-DS Works

BPD-DS initiates with a sleeve gastrectomy, reducing stomach size to less than 30% of its original volume. This step reduces hunger hormone levels and amplifies the sensation of fullness, which supports controlled eating habits.

Next, the duodenum is reconnected to a “lower” portion of the small intestine, a step that bypasses 75-80% of the small intestine, driving malabsorption of calories. This both curtails caloric intake and triggers intestinal hormones that enhance insulin resistance. Thus, BPD-DS is a potential solution for managing type 2 diabetes.

Why Choose BPD-DS?

BPD-DS offers bariatric surgery patients the following benefits:

  • Effective Weight Loss: By restricting stomach size and reconfiguring the digestive system, BPD-DS empowers patients to shed excess weight and maintain a healthier lifestyle.
  • Type 2 Diabetes Management: The procedure's unique hormonal changes contribute to improved insulin resistance, potentially reducing dependence on diabetes medications.

Commitment and Care

The BPD-DS procedure requires commitment on the part of the patient. Due to its more malabsorptive nature, patients must supplement their nutrition with multivitamins and minerals to ensure your body receives essential nutrients, even as the procedure alters digestion.

Duodenal Switch for Bariatric Revisions

If weight regain after a different bariatric procedure has become a concern, BPD-DS is an option for surgery revision. The procedure's thoroughness in altering both the stomach and the intestine can provide renewed hope for effective weight management and metabolic health.

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My life is easier than it was before thanks to the gastric bypass surgery I had at Morristown Medical Center.

Robert DeGast, gastric bypass surgery patient at Morristown Medical Center