Biliopancreatic diversion with duodenal switch (BPD/DS)
Biliopancreatic Diversion with Duodenal Switch
Biliopancreatic Diversion With Duodenal Switch Guide in Turkey
Introduction
Weight loss surgery is the last option for patients who did not benefit from other obesity treatment methods. Biliopancreatic diversion with duodenal switch is among most common bariatric surgeries, alongside gastric bypass adjustable gastric banding and sleeve gastrectomy.
Overview
A biliopancreatic diversion with duodenal switch (BPD/DS) is an uncommon weight loss procedure. This procedure is usually done in two stages.
The first stage, is sleeve gastrectomy in which about 80% of the stomach is removed.
In the second stage, the digestive system is changed to bypass most of the intestine by connecting the end part of the intestine to the duodenum near the stomach.
BPD/DS is generally done as a single procedure; however, in some circumstances, the procedure may be performed as two separate operations.
Benefits of biliopancreatic diversion with duodenal switch
There are many benefits of biliopancreatic diversion with duodenal switch surgery, here are some of them :
• Satisfactory results:
This procedure gives the best results for reducing obesity.
• Feeling of full stomach:
This procedure affects bowel hormones to cause less hunger and more fullness after eating.
• Treatment of type 2 diabetes:
It is the most effective procedure for treatment of type 2 diabetes.
prepare for sleeve biliopancreatic diversion with duodenal switch
If you have decided to have a biliopancreatic diversion with duodenal switch, you should seek information about the risks associated with this procedure and the potential results.
In some cases, patients are asked to lose weight even before the surgery for different reasons.You will be submitted to additional lab tests and exams before the surgery, in addition to the dietary restrictions, and you are requested to quit smoking.
steps of biliopancreatic diversion with duodenal switch surgery
A biliopancreatic diversion with duodenal switch surgery includes the following steps:
Step 1-Anesthesia:
The surgeon will give you general anesthesia before surgery begins.
Step 2-Removes a large portion of the stomach:
After making the cuts with the open technique, the surgeon removes a large portion of the stomach and forms the remaining portion into a narrow sleeve.
Step 3-Maintaining the integrity of the pyloric valve and the duodenum:
The surgeon leaves intact the valve that releases food to the small intestine, known as the pyloric valve. A limited part of the small intestine that connects to the stomach, called the duodenum, also is left intact.
Step 4- Bypass a large segment of the small intestine:
The surgeon makes one cut through the part of the small intestine just below the duodenum. A second cut is then made farther down, near the lower end of the small intestine. Then the surgeon brings the cut end near the bottom of the small intestine up to the other cut end, just below the duodenum. This is to bypass a large segment of the small intestine.
Step 5-Close the incisions:
The surgeon finally closes the incisions.
recovery after biliopancreatic diversion with duodenal switch surgery
After biliopancreatic diversion with duodenal switch surgery, you should avoid solid foods and rely on fluids only until your stomach and intestines heal.
You’ll then follow a special diet plan that changes slowly from liquids to pureed foods. After that, you can eat soft foods, then move on to firmer foods as your body is able to tolerate them.
Your doctor will recommend that you take vitamin and mineral supplements after surgery, including a multivitamin, calcium and vitamin B-12. You’ll also have frequent medical checkups to monitor your health in the first several months after the surgery.
risks and complications of biliopancreatic diversion with duodenal switch
The risks and complications of biliopancreatic diversion with duodenal switch surgery are as follow:
• The possibility of complications is high:
This procedure has slightly higher complication rates than other procedures.
• The possibility of malabsorption is high:
BPD/DS has highest malabsorption and greater possibility of vitamins and micro-nutrient deficiencies.
• Reflux and heartburn:
After this procedure, reflux and heartburn can develop or get worse.
• The operation time is long:
More complex surgery requiring more operative time.
What is the biliopancreatic diversion with duodenal swich?
Biliopancreatic diversion with duodenal switch is a surgical weight loss procedure designed for individuals with severe obesity. It combines two key elements: a partial gastrectomy, which reduces the stomach’s size, and a rearrangement of the intestines that alters how food is absorbed. This technique not only limits food intake but also reduces nutrient absorption by bypassing a significant portion of the small intestine.
How do you prepare for a biliopancreatic diversion with duodenal switch?
Preparing for a biliopancreatic diversion with duodenal switch involves several important steps. First, the individual should schedule a thorough consultation with a qualified bariatric surgeon to discuss expectations and potential risks. Next, necessary preoperative evaluations, such as blood tests and imaging studies, must be completed to assess overall health. Following that, a nutritionist may offer guidance on dietary changes, emphasizing a high-protein, low-carb diet to set the foundation for post-surgery eating habits. Mental preparation is also essential, as support groups and counseling can help in adjusting to the lifestyle changes ahead.
What is a pyloric valve?
The pyloric valve, also known as the pyloric sphincter, is a muscular structure located at the base of the stomach. It controls the passage of partially digested food from the stomach into the small intestine. This valve is crucial for regulating the flow of food, ensuring that it is properly digested before entering the intestines.
Are there possible complications of biliopancreatic diversion with duodenal swich?
Biliopancreatic diversion with duodenal switch is a surgical procedure aimed at promoting weight loss and improving metabolic health. However, like any major surgery, it comes with potential complications. These may include nutritional deficiencies, such as vitamin D and B12 deficiencies, due to altered nutrient absorption. Patients might also experience gastrointestinal issues, such as diarrhea or malabsorption.
Does BPD/DS surgery take a long time?
BPD/DS surgery, or biliopancreatic diversion with duodenal switch, typically takes several hours to complete. The procedure itself can last between three to five hours, depending on the complexity of the individual case and the surgeon’s experience.
Results
After havind a biliopancreatic diversion with duodenal switch surgery it may be possible to lose 70% to 80% of your excess weight within two years. However, the amount of weight you lose also depends on your change in lifestyle habits.
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