Biliopancreatic Diversion with Duodenal Switch (BPD/DS): is a Malabsorptive Procedure. A Malabsorptive Procedures reduces the size of the stomach. However, the pouch of the stomach remains a bit larger than other gastric reduction procedures. The stomach pouch is connected to the lower part of the small intestine. Since the stomach pouch connects to the lower part of the small intestine, the result is the absorption of calories and nutrients are reduced greatly. There are three types of Malabsorptive Procedures. The first type is called Biliopancreatic Diversion with a Duodenal Switch. The second type of Malabsorptive Procedure is termed the Biliopancreatic Diversion. Finally, the last method is the Extended Roux-en-Y Gastric Bypass Surgery.
| Biliopancreatic Diversion with Duodenal Switch is the less common of the different types of Malabsorptive Procedures. The procedure of Biliopancreatic Diversion is when the stomach removal is limited to the outer margin, creating a sleeve of the stomach. The duodenum, the first portion of the small intestine, is then divided in a way so that pancreatic and bile drainage are bypassed.
There are several advantages as to why someone would be prescribed this the procedure. The following name a few. They are:
- Biliopancreatic Diversion with Duodenal Switch has the highest rate of type 2 diabetes resolution of all the different Bariatric Surgery procedures: 98.9 percent.
- BPD has the highest rate of hyperlipidemia resolution: 99.1 percent.
- 75.1 percent of hypertension cases are resolved or improved.
- 91.9 percent of sleep apnea cases are resolved.
- Excess weight loss is roughly 70.1 percent.
- These operations often result in a high degree of patient satisfaction because patients are able to eat larger meals than with a purely restrictive or standard Roux-en-Y Gastric Bypass Procedure.
- These procedures can produce the greatest weight loss because they have the highest rates of malabsorption.
- Long-term maintenance of excess body weight loss can be successful if the patient adjusts to and maintains an easy-to-follow dietary, supplement, exercise, and behavioral routine.
- As with every type of Bariatric Surgery, the overall quality of life for patients improves greatly. A great deal of excess weight is lost, and patients experience resolution of co-morbidities, and improved appearance, social opportunities, and economic opportunities.
As with any surgery, there are some risks. They are:
- There is a period when the intestines adjust and bowel movements can be very liquid and frequent. This condition may lessen over time, but may be a lifelong condition.
- Abdominal bloating and foul-smelling stool or gas may occur.
- Patients and their primary care physicians should monitor for protein malnutrition, anemia, and bone disease throughout the patient’s life. Patients also need to take vitamin supplements for the rest of their lives. Not taking either of these precautions can lead to health issues that require treatment. In fact, it’s been found that if patients do not follow eating and vitamin supplement instructions closely, at least 25 percent will develop problems that require treatment.
- Changes to the intestinal structure can increase the risk of forming gallstones and the need for removal of the gallbladder.
- Patients should be aware of the possibilities of intestinal irritation and ulcers.
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