Duodenal Switch ( BPD/SA) Biliopancreatic Diversion 
The duodenal switch surgery (also known as biliopancreatic diversion with duodenal switch) combines the sleeve gastrectomy with an intestinal bypass which increases the metabolic power of the procedure.
Advantages
- Results in greater weight loss than other surgical weight loss options.
- Allows patients to eventually eat near “normal” meals
- Reduces the absorption of fat by 70 percent or more
- Causes favorable changes in gut hormones to reduce appetite and improves the feeling fullness
- Is the most effective against diabetes compared to RYGB, LSG, and AGB
- Long-term weight loss, particularly for patients with a higher BMI (BMI of 55 or more).
Disadvantages
- Higher chance of chronic diarrhea and foul smelling flatulence.
- Inability to absorb enough vitamins and minerals to maintain proper nutritional levels.
- Requires strict adherence to the postoperative diet and to postoperative follow-up visits
Contact Dr. Andrei to schedule a complimentary consultation to assess if this weight loss procedure is an appropriate surgical option for you.