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Biliopancreatic diversion with duodenal switch (BPD/DS) is a rare weight-loss operation that consists of two primary phases.
The first step is a sleeve gastrectomy, which removes around 80% of the stomach, leaving a smaller tube-shaped stomach, similar to a banana. The valve that allows food to enter the small intestine (the pyloric valve) remains, as does a short piece of the small intestine that ordinarily links to the stomach (duodenum).
The second step connects the end of the intestine to the duodenum near the stomach, bypassing the remainder of the intestine. A BPD/DS both limits how much food one may consume and lowers nutritional absorption, particularly protein and fat absorption. This surgical procedure changes the size of the stomach and the length of the patient's small intestine and limits how much food the patient can consume, digest, and absorb.
In most cases, BPD/DS is performed as a single procedure; however, in rare cases, the procedure may be conducted as two consecutive operations – sleeve gastrectomy followed by intestinal bypass.
While a BPD/DS is quite adequate for patients with health risks due to being overweight, it has additional dangers, such as starvation and vitamin shortages. This technique is typically suggested for persons with a BMI of over 50.
Procedure
If you are eligible for a BPD/DS, your health care team will advise you on how to prepare for surgery. Before surgery, the individual may need a series of lab tests and exams.
The condition of the patient determines the doctor's practices in respect of bariaand the specifics of the surgery. Some procedures are conducted through traditional extensive or open abdominal incisions, while others are performed laparoscopically, using instruments through many small incisions in the abdomen.
The first step in a BPD/DS procedure is to remove a portion of the stomach. Following the open or laparoscopic incisions, the surgeon removes a large portion of the stomach and shapes the remaining portion into a narrow sleeve. The surgeon keeps unchanged the valve that allows food to enter the small intestine (the pyloric valve), as well as a small portion of the small intestine that links to the stomach (duodenum).
In the second step, the surgeon will make one cut through the small intestine just below the duodenum and another further down near the small intestine's lower end. The surgeon brings the cut end near the bottom of the small intestine to the other cut end, just below the duodenum. The result of the procedure is that it bypasses a major section of the small intestine.
After procedure care
Individuals may be asked to join a physical exercise programme and quit smoking. They may also need to plan for their recovery after surgery.
The duration of the individual's stay in the hospital will be determined by their recovery and the operation they are undergoing. The hospitalisation may last only two days if the bariatric surgery procedure for treatment of Obesity in Yeshwanthpur is performed laparoscopically.
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