Here at NOVA Bariatrics

What is duodenal switch?

BPD / DS is a intricate weight-loss surgical procedure that restrains the ability to absorb calories, vitamins and minerals.

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Duodenal Switch

With the duodenal switch, you will lose more weight than the gastric bypass or sleeve gastrectomy. Typically healthcare providers may suggest the BPD / DS to severely obese people. Such people typically have a 50 or greater body mass index (BMI), or a 40 or greater BMI with extreme type 2 diabetes and other serious health problems.

               Weight Loss:
The Duodenal switch procedure produces around a loss of about 85-100% of excess weight. This means that a patient would be able to lose 150 pounds or more and is also able to maintain that state over many years.

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Dr. Alibhai

With Dr. Alibhai’s training in minimally invasive and robotic surgery, he performs a wide range of general surgical procedures as well including:

  • Robotic Gallbladder surgery
  • Robotic hernia surgery
  • Acid Reflux surgery

Mustafa H. Alibhai,MD,FACS,FASMBS


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Side Effects & Risks

Side Effects/ Risks:

  • Osteoporosis
  • Calcium/ Iron deficiencies
  • Internal bleeding
  • Infection
  • Hernia

Advantages of this procedure:

  • Significant long-term weight loss (perhaps the most drastic of all surgeries performed)
  • Reduces the amount of fat that body will absorb
  • Specifically helps with resolution of diabetes
  • Lower risk of “dumping syndrome”

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Procedure

  1. First the Duodenal switch procedure is performed with a sleeve. This includes a stapling instrument where a significant portion of the stomach is removed, leaving a tiny tube, or sleeve from the top neat the bottom of the stomach. With less filling in your stomach, the patient will feel a sense of fullness much faster and consume less
  2. Next a bypass portion of the surgery is performed, which affects the common pathway of food. The surgeon divides the first portion of the small intestine (duodenum) and the stomach is then re-routed (or “switched”) to the lower part of the intestine
  3. Lastly the Duodenal switch procedure changes the way that bile and digestive juices are broken down. The procedure causes more weight loss because of the decrease in calories
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