Understanding Laparoscopic Duodenal Switch
Laparoscopic Duodenal Switch (BPDDS or DS) is a complex weight loss surgery that involves multiple elements. The first is removal of a large part of the stomach, which promotes weight loss because you become full after just a small amount of food. The second element reroutes the food, bypassing the small intestine where digestion normally occurs. The procedure also alters the way bile and digestive juices break down food. This promotes weight loss by reducing the number of calories that can be absorbed.
Combining laparoscopic bypass of a portion of the intestine with a laparoscopic sleeve gastrectomy, DS surgery represents a powerful combination of “malbabsorptive” and “restrictive” weight loss. The result is the best and most durable weight loss of any of the major bariatric procedures.
Dr. Dennis Smith of WellStar Medical Group Comprehensive Bariatric Services is a pioneer in the laparoscopic DS technique. He was among the first bariatric surgeons to perform the DS surgery laparoscopically (with small incisions and instruments). He also serves as faculty for advanced DS courses for other bariatric surgeons. Dr. Smith attracts patients from across the country because of his experience, expertise and excellent record of safety.
Because the process involves malabsorption, there are possible complications related to insufficient vitamin and mineral intake and absorption, but these are usually controllable with oral supplementation. With proper maintenance and follow-up, the Duodenal Switch is a safe and very effective bariatric operation.
Laparoscopic Duodenal Switch