Biliopancreatic Diversion with Duodenal switch (BPD DS)
This operation involves a sleeve resection of the stomach along with surgical intervention in the small intestine, after which the passage of food unfolds through the “alimentary loop” (distal part of the jejunum) whereas pancreatic bile passes through the “Biliopancreatic loop” (duodenum and proximal part of the jejunum) with mixing of the two ultimately occurring in the “common loop” (ileum). BPD DS yields positive results within a short period of time, with excess weight loss of up to 75%, which makes this procedure appropriate for the treatment of extreme cases of obesity in patients with BMI greater than 45 kg / m2 more
For whom is bariatric surgery indicated?
1. For patients with BMI greater than 40 kg / m2
2. For patients with BMI of 35-40 kg / m2 in the presence of obesity related diseases, the improvement of which can be expected with a decrease in body weight (diabetes, diseases of the cardiovascular system, damaged joints, associated psychological problems).
3. To determine indications both the current BMI and the previous maximum BMI of a patient should be taken into account. It should likewise be mentioned here that weight loss achieved through intensive therapy before bariatric surgery and a decrease in BMI below 35-40 kg / m2 is not a contraindication to surgery.
Bariatric surgery is indicated for those patients who are capable of reducing their body weight by conservative procedures but cannot keep the achieved results long term and start gaining weight again. Thus, candidates for bariatric surgery are those patients who are unable to maintain reduced weight in spite of the ongoing treatment.