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The weight-loss surgical procedure called Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a safe and effective surgical option for those who have not found success with traditional non-surgery options like lifestyle modifications.
It involves reducing the amount of food and nutrients your stomach and body absorb. A sleeve gastrectomy is the first step in this procedure. This is when 80% of the stomach is removed, and the valve to the small intestines remains intact.
The second step is to connect the end of the intestines to the duodenum located by the stomach. It can help to lose more weight than gastric bypass or sleeve gastrectomy alone.
This surgical option is complex and is used in fewer cases where the benefits outweigh the risks. BPD/DS offers the most amount of weight loss available, so careful consideration of candidacy is of utmost importance. A bariatric surgeon may recommend BPD/DS in instances of a body mass index (BMI) exceeding 50, as well as the presence of serious health issues. Health issues that may accompany a high BMI include: