Biliopancreatic Diversion Surgery Solution for More Complex Conditions 

At the Augusta University Health Center for Obesity & Metabolism, our specialists offer a surgical solution for more complex conditions that require a greater weight loss. The biliopancreatic diversion with a duodenal switch (BDDS) is a highly specialized operation tailored to benefit those with extreme obesity or with severe diabetes. Currently, only five percent of patients qualify for this surgery.

First performed in 1979, the BDDS procedure employs both a sleeve and a technique similar to the Roux-en-Y bypass surgery. The complication for this surgery is higher than other procedures short term, although this is most generally because of the risks attributed to a patient’s co-existing diseases at the time of surgery. 

Dramatic Change in Appetite Hormones

The more extreme nature of this procedure results in a dramatic change in appetite hormones, stomach reduction and absorption in vitamins, minerals, and even major nutrients such as proteins and fats. Combined, these factors can create significant initial weight loss of seventy to eighty percent of excess body weight. 

Since the biliopancreatic diversion surgery is a longer and more specialized operation, patients will have a longer hospital stay and will be at a higher risk for complications. However, the benefits for patients with comorbid illnesses can be worthwhile: Patients who undergo this procedure who are generally severely affected by conditions like diabetes, hypertension, high cholesterol and sleep apnea experience the highest rate of improvement in these comorbid illnesses of any bariatric procedure, a benefit which off-sets the higher risk of the procedure. 

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