Biliopancreatic Diversion with Duodenal Switch

BPD/DS is recommended for individuals who are considered severely obese.

Biliopancreatic Diversion with Duodenal Switch, or BPD

Louisiana Center for Weight Loss Surgery, a nationally accredited Center of Excellence, now offers another weight loss procedure: biliopancreatic diversion with duodenal switch, or BPD/DS. Dr. Walter Sartor is one of Louisiana’s few bariatric surgeons to offer this new surgery. LCWLS still offers the gastric bypass and gastric sleeve procedures, both of which greatly reduce excess body weight and obesity-related illnesses such as heart disease, high blood pressure, and especially type 2 diabetes. BPD/DS is recommended for individuals who are considered severely obese with a body mass index of at least 50, or a body mass index of 40 and type 2 diabetes.

BPD/DS, usually a laparoscopic surgery, addresses weight loss in three ways. First, the bariatric surgeon performs a gastric sleeve, the most common procedure at LCWLS. During the gastric sleeve, the surgeon removes a large portion of the stomach and creates a narrow sleeve. This creates a smaller stomach, allowing the patient to consume much smaller food portions while still feeling satisfied. Reducing the size of the stomach significantly reduces the appetite hormone “ghrelin” that stimulates the hunger response. The gastric sleeve (as opposed to the gastric bypass) also reduces the risk of “dumping syndrome,” which occurs when food, especially sugar, moves from the stomach into the small bowel too quickly.

The second stage of the procedure redirects food away from the upper part of the small intestine, which is the natural path of digestion. This decreases how many calories and nutrients one’s body can absorb. The small intestine is divided, and a connection is made near the end of the small intestine. Lastly, the procedure alters the traditional way that bile and digestive juices process food. This results in fewer calories absorbed by the patient, and subsequently, more weight loss.

The BPD/DS can yield significant weight loss—typically more than the gastric sleeve and gastric bypass—because it restricts how much food one can eat and how many calories and fat one can absorb. The procedure also helps patients to maintain long-term weight loss.

LCLWS is unique in that our program offers a full-time dietitian who works one-on-one with each patient to ensure his or her success. Because this new procedure reduces the absorption of essential vitamins and minerals, it is imperative patients work closely with our dietitian to ensure he or she is eating correctly and consuming the correct dosage of vitamins and minerals.

As with any of our weight loss surgeries, patients must adhere to a certain lifestyle; healthy diet and plenty of exercise are critical to long-term success. Our dietitian, Marci Parker, recommends a high-protein, low carb diet. She also suggested avoiding carbonated beverages.

This procedure is available at the Louisiana Center for Weight Loss Surgery.  Dr. Walter Sartor is board certified and extremely experienced with bariatric surgery procedures and their follow-up.  Procedures can be performed at P&S Surgical Hospital or St. Francis Medical Center.

Please call 866-821-LIVE (5483) for additional information or to make an appointment for your bariatric consultation today.  It could be the best decision you have ever made!

The Louisiana Center for Weight Loss Surgery is a partnership between Dr. Walter Sartor, P&S Surgical Hospital, and St. Francis Medical Center.