Please enable JavaScript in your web browser to ensure this site works as intended.

Bariatric and Metabolic resources for a healthier life

Bariatric and Metabolic resources for a healthier life



Like other surgeries, the BPD-DS is a bariatric and metabolic procedure that helps you lose weight by making both physical and chemical changes to your digestive tract. The physical change limits the amount of food you can eat and the chemical changes affects the signals in your body that control your blood sugar levels, feelings of fullness, feelings of hunger and how your body processes and stores the calories from food.

When surgeons perform a BPD-DS, they physically change the upper part of your digestive tract

  • Surgeons create a small stomach pouch shaped like a tube. This makes the overall stomach size smaller, so it holds less food. The smaller stomach also helps you feel more full, so you eat less food.
  • Surgeons then divide the small intestine into 2 parts. The lower part is then attached to the new, smaller stomach.
  • After these changes to the digestive tract, food ends up going past most of the small intestine and does not mix with digestive enzymes until very far down the tract.
  • These changes reduce the amount of food you eat and make better use of the food you do eat.

Just like the gastric bypass and sleeve gastrectomy, BPD-DS also creates signaling changes in the digestive system. BPD-DS surgery changes the signals between the stomach, brain and liver. These signal changes make you feel less hungry and more full. They also affect how your body uses and stores the energy in food. This helps reset your body fat "set point" to a lower, healthier level so you can effectively lose weight.

BPD-DS procedure

The majority of BPD-DS procedures performed today use a minimally invasive laparoscopic technique. The entire procedure is done through a small incision in your abdomen. Most surgeons prefer this method because it results in shorter hospital stays, faster recoveries, smaller scars, and less pain than open surgical procedures.

Biliopancreatic Diversion with Duodenal Switch