Skip to main content
SpringerLink
Log in

Laparoscopic Biliopancreatic Diversion with Duodenal Switch (BPD-DS) Surgery

  • Living reference work entry
  • First Online:
Obesity, Bariatric and Metabolic Surgery

  • 26 Accesses

Abstract

Biliopancreatic diversion with duodenal switch (BPD-DS) produces unmatched weight loss and superb resolution of comorbidities, particularly type 2 diabetes. However, BPD-DS remains a controversial procedure that polarizes opinion in both surgeons and patients. It combines surgical bypass of the majority of small intestine with a sleeve gastrectomy to produce greater weight loss and improved remission of comorbidities compared to that seen after Roux-en-Y gastric bypass. Moreover, it reduces the incidence of common side effects of a standard BPD such as marginal ulceration and dumping syndrome. With careful patient selection, meticulous technique, and attentive follow-up, BPD-DS offers outstanding long-term clinical results, a surprisingly good quality of life, and an effective revisional option when other procedures have failed. If performed badly, it is a recipe for protein-calorie malabsorption and a return to the bad old days of bariatric surgery from the 1970s. In this chapter, we explore the essentials of how to use this powerful tool – the nuclear option in the bariatric surgeon’s armamentarium – safely and effectively.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V. Bilio-pancreatic bypass for obesity: II. Initial experience in man. Br J Surg. 1979;66(9):618–20. https://doi.org/10.1002/bjs.1800660906.

    Article  CAS  PubMed  Google Scholar 

  2. Scopinaro N, Adami GF, Marinari GM, et al. Biliopancreatic diversion. World J Surg. 1998;22(9):936–46. https://doi.org/10.1007/s002689900497.

    Article  CAS  PubMed  Google Scholar 

  3. Michielson D, Van Hee R, Hendrickx L. Complications of biliopancreatic diversion surgery as proposed by Scopinaro in the treatment of morbid obesity. Obes Surg. 1996;6(5):416–20. https://doi.org/10.1381/096089296765556485.

    Article  CAS  PubMed  Google Scholar 

  4. Noya G, Cossu ML, Coppola M, et al. Biliopancreatic diversion for treatment of morbid obesity: experience in 50 cases. Obes Surg. 1998;8(1):61–6. https://doi.org/10.1381/096089298765555079.

    Article  CAS  PubMed  Google Scholar 

  5. Totté E, Hendrickx L, van Hee R. Biliopancreatic diversion for treatment of morbid obesity: experience in 180 consecutive cases. Obes Surg. 1999;9(2):161–5. https://doi.org/10.1381/096089299765553412.

    Article  PubMed  Google Scholar 

  6. Scopinaro N, Adami G, Marinari G. Biliopancreatic diversion: two decades of experience. In: Diesel M, Cowan G, editors. Update: surgery for the morbidly obese patient: the field of extreme obesity including laparoscopy and allied care. Toronto: FD-Communications; 2000. p. 227–58.

    Google Scholar 

  7. Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8(3):267–82. https://doi.org/10.1381/096089298765554476.

    Article  CAS  PubMed  Google Scholar 

  8. Marceau P, Hould FS, Simard S, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947–54. https://doi.org/10.1007/s002689900498.

    Article  CAS  PubMed  Google Scholar 

  9. DeMeester TR, Fuchs KH, Ball CS, Albertucci M, Smyrk TC, Marcus JN. Experimental and clinical results with proximal end-to-end duodenojejunostomy for pathologic duodenogastric reflux. Ann Surg. 1987;206(4):414–26. https://doi.org/10.1097/00000658-198710000-00003.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Marceau P, Biron S, Hould FS, et al. Duodenal switch: long-term results. Obes Surg. 2007;17(11):1421–30. https://doi.org/10.1007/s11695-008-9435-9.

    Article  PubMed  Google Scholar 

  11. Hess DS, Hess DW, Oakley RS. The biliopancreatic diversion with the duodenal switch: results beyond 10 years. Obes Surg. 2005;15(3):408–16. https://doi.org/10.1381/0960892053576695.

    Article  PubMed  Google Scholar 

  12. Dolan K, Hatzifotis M, Newbury L, Lowe N, Fielding G. A clinical and nutritional comparison of biliopancreatic diversion with and without duodenal switch. Ann Surg. 2004;240(1):51–6. https://doi.org/10.1097/01.sla.0000129280.68540.76.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Slater GH, Ren CJ, Siegel N, et al. Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg. 2004;8(1):48–55.; discussion 54–5. https://doi.org/10.1016/j.gassur.2003.09.020.

    Article  PubMed  Google Scholar 

  14. Newbury L, Dolan K, Hatzifotis M, Low N, Fielding G. Calcium and vitamin D depletion and elevated parathyroid hormone following biliopancreatic diversion. Obes Surg. 2003;13(6):893–5. https://doi.org/10.1381/096089203322618722.

    Article  PubMed  Google Scholar 

  15. Skroubis G, Sakellaropoulos G, Pouggouras K, Mead N, Nikiforidis G, Kalfarentzos F. Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass. Obes Surg. 2002;12(4):551–8. https://doi.org/10.1381/096089202762252334.

    Article  PubMed  Google Scholar 

  16. Rabkin RA, Rabkin JM, Metcalf B, Lazo M, Rossi M, Lehman-Becker LB. Nutritional markers following duodenal switch for morbid obesity. Obes Surg. 2004;14(1):84–90. https://doi.org/10.1381/096089204772787347.

    Article  PubMed  Google Scholar 

  17. Magee CJ, Barry J, Brocklehurst J, Javed S, Macadam R, Kerrigan DD. Outcome of laparoscopic duodenal switch for morbid obesity. Br J Surg. 2011;98(1):79–84. https://doi.org/10.1002/bjs.7291.

    Article  CAS  PubMed  Google Scholar 

  18. Matthews DR, Clark A. Neural control of the endocrine pancreas. Proc Nutr Soc. 1987;46(1):89–95. https://doi.org/10.1079/pns19870012.

    Article  CAS  PubMed  Google Scholar 

  19. Das UN. Vagus nerve stimulation as a strategy to prevent and manage metabolic syndrome. Med Hypotheses. 2011;76(3):429–33. https://doi.org/10.1016/j.mehy.2010.11.013.

    Article  PubMed  Google Scholar 

  20. Fielding G. Laparoscopic malabsorption procedures: controversies. In: Shauer P, Schirmer B, Brethauer S, editors. Minimally invasive bariatric surgery. New York: Springer; 2007. p. 355–62.

    Chapter  Google Scholar 

  21. Marceau P, Biron S, Hould FS, et al. Duodenal switch improved standard biliopancreatic diversion: a retrospective study. Surg Obes Relat Dis. 2009;5(1):43–7. https://doi.org/10.1016/j.soard.2008.03.244.

    Article  PubMed  Google Scholar 

  22. English WJ, DeMaria EJ, Brethauer SA, Mattar SG, Rosenthal RJ, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016. Surg Obes Relat Dis. 2018;14(3):259–63. https://doi.org/10.1016/j.soard.2017.12.013.

    Article  PubMed  Google Scholar 

  23. Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment. Am J Surg Jan 1989;157(1):93–102. https://doi.org/10.1016/0002-9610(89)90427-3.

  24. Søvik TT, Taha O, Aasheim ET, et al. Randomized clinical trial of laparoscopic gastric bypass versus laparoscopic duodenal switch for superobesity. Br J Surg. 2010;97(2):160–6. https://doi.org/10.1002/bjs.6802.

    Article  PubMed  Google Scholar 

  25. Prachand VN, Davee RT, Alverdy JC. Duodenal switch provides superior weight loss in the super-obese (BMI > or =50 kg/m2) compared with gastric bypass. Ann Surg. 2006;244(4):611–9. https://doi.org/10.1097/01.sla.0000239086.30518.2a.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Skogar ML, Sundbom M. Weight loss and effect on co-morbidities in the long-term after duodenal switch and gastric bypass: a population-based cohort study. Surg Obes Relat Dis. 2020;16(1):17–23. https://doi.org/10.1016/j.soard.2019.09.077.

    Article  PubMed  Google Scholar 

  27. Dapri G, Cadière GB, Himpens J. Superobese and super-superobese patients: 2-step laparoscopic duodenal switch. Surg Obes Relat Dis. 2011;7(6):703–8. https://doi.org/10.1016/j.soard.2011.09.007.

    Article  PubMed  Google Scholar 

  28. Dorman RB, Rasmus NF, al-Haddad BJ, et al. Benefits and complications of the duodenal switch/biliopancreatic diversion compared to the Roux-en-Y gastric bypass. Surgery. 2012;152(4):758–65.; discussion 765–7. https://doi.org/10.1016/j.surg.2012.07.023.

    Article  PubMed  Google Scholar 

  29. Hedberg J, Sundbom M. Superior weight loss and lower HbA1c 3 years after duodenal switch compared with Roux-en-Y gastric bypass – a randomized controlled trial. Surg Obes Relat Dis. 2012;8(3):338–43. https://doi.org/10.1016/j.soard.2012.01.014.

    Article  PubMed  Google Scholar 

  30. O’Brien PE, Hindle A, Brennan L, et al. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019;29(1):3–14. https://doi.org/10.1007/s11695-018-3525-0.

    Article  PubMed  Google Scholar 

  31. Hedberg J, Hedenström H, Karlsson FA, Edén-Engström B, Sundbom M. Gastric emptying and postprandial PYY response after biliopancreatic diversion with duodenal switch. Obes Surg. 2011;21(5):609–15. https://doi.org/10.1007/s11695-010-0288-7.

    Article  PubMed  Google Scholar 

  32. Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg Oct 2010;20(10):1393–1399. https://doi.org/10.1007/s11695-010-0233-9.

  33. Strain GW, Faulconbridge L, Crosby RD, et al. Health-related quality of life does not vary among patients seeking different surgical procedures to assist with weight loss. Surg Obes Relat Dis. 2010;6(5):521–5. https://doi.org/10.1016/j.soard.2010.03.291.

    Article  PubMed  Google Scholar 

  34. Søvik TT, Aasheim ET, Taha O, et al. Weight loss, cardiovascular risk factors, and quality of life after gastric bypass and duodenal switch: a randomized trial. Ann Intern Med. 2011;155(5):281–91. https://doi.org/10.7326/0003-4819-155-5-201109060-00005.

    Article  PubMed  Google Scholar 

  35. Velapati SR, Shah M, Kuchkuntla AR, et al. Weight regain after bariatric surgery: Prevalence, etiology, and treatment. Curr Nutr Rep. 2018;7(4):329–34. https://doi.org/10.1007/s13668-018-0243-0.

    Article  PubMed  Google Scholar 

  36. Biertho L, Thériault C, Bouvet L, et al. Second-stage duodenal switch for sleeve gastrectomy failure: a matched controlled trial. Surg Obes Relat Dis. 2018;14(10):1570–9. https://doi.org/10.1016/j.soard.2018.05.008.

    Article  PubMed  Google Scholar 

  37. Lee Y, Ellenbogen Y, Doumouras AG, Gmora S, Anvari M, Hong D. Single- or double-anastomosis duodenal switch versus Roux-en-Y gastric bypass as a revisional procedure for sleeve gastrectomy: a systematic review and meta-analysis. Surg Obes Relat Dis. 2019;15(4):556–66. https://doi.org/10.1016/j.soard.2019.01.022.

    Article  PubMed  Google Scholar 

  38. Robert M, Pasquer A. Laparoscopic revision of Roux-en-Y Gastric bypass to biliopancreatic diversion with duodenal switch: Technical points. Obes Surg. 2017;27(1):271–2. https://doi.org/10.1007/s11695-016-2423-6.

    Article  PubMed  Google Scholar 

  39. Heneghan HM, Kerrigan DD. Laparoscopic SADI-S as a salvage procedure for failed gastric bypass and sleeve gastrectomy: how I do it. Surg Obes Relat Dis. 2018;14(5):715–8. https://doi.org/10.1016/j.soard.2018.01.043.

    Article  PubMed  Google Scholar 

  40. Tran DD, Nwokeabia ID, Purnell S, et al. Revision of Roux-En-Y gastric bypass for weight regain: a systematic review of techniques and outcomes. Obes Surg. 2016;26(7):1627–34. https://doi.org/10.1007/s11695-016-2201-5.

    Article  PubMed  Google Scholar 

  41. Surve A, Zaveri H, Cottam D, Belnap L, Medlin W, Cottam A. Mid-term outcomes of gastric bypass weight loss failure to duodenal switch. Surg Obes Relat Dis. 2016;12(9):1663–70. https://doi.org/10.1016/j.soard.2016.03.021.

    Article  PubMed  Google Scholar 

  42. Halawani HM, Bonanni F, Betancourt A, Antanavicius G. Conversion of failed Roux-en-Y gastric bypass to biliopancreatic diversion with duodenal switch: outcomes of 9 case series. Surg Obes Relat Dis. 2017;13(8):1272–7. https://doi.org/10.1016/j.soard.2017.04.021.

    Article  PubMed  Google Scholar 

  43. Merz AE, Blackstone RB, Gagner M, et al. Duodenal switch in revisional bariatric surgery: conclusions from an expert consensus panel. Surg Obes Relat Dis. 2019;15(6):894–9. https://doi.org/10.1016/j.soard.2019.03.009.

    Article  PubMed  Google Scholar 

  44. Surve A, Zaveri H, Cottam D. A safer and simpler technique of duodenal dissection and transection of the duodenal bulb for duodenal switch. Surg Obes Relat Dis. 2016;12(4):923–4. https://doi.org/10.1016/j.soard.2016.02.022.

    Article  PubMed  Google Scholar 

  45. Bardaro SJ, Gagner M, Consten E, et al. Routine cholecystectomy during laparoscopic biliopancreatic diversion with duodenal switch is not necessary. Surg Obes Relat Dis. 2007;3(5):549–53. https://doi.org/10.1016/j.soard.2007.05.007.

    Article  PubMed  Google Scholar 

  46. Leyva-Alvizo A, Arredondo-Saldaña G, Leal-Isla-Flores V, et al. Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery. Surg Obes Relat Dis. 2020;16(1):158–64. https://doi.org/10.1016/j.soard.2019.10.016.

    Article  PubMed  Google Scholar 

  47. Ng PC, Sharp LS, Bermudez DM. Duodenal switch: fully stapled technique. Surg Obes Relat Dis. 2019;15(3):512. https://doi.org/10.1016/j.soard.2018.12.031.

    Article  PubMed  Google Scholar 

  48. Rosenthal RJ, Diaz AA, Arvidsson D, et al. International sleeve gastrectomy expert panel consensus statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19. https://doi.org/10.1016/j.soard.2011.10.019.

    Article  PubMed  Google Scholar 

  49. Lacy A, Ibarzabal A, Obarzabal A, et al. Revisional surgery after sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2010;20(5):351–6. https://doi.org/10.1097/SLE.0b013e3181f62895.

    Article  PubMed  Google Scholar 

  50. Uglioni B, Wölnerhanssen B, Peters T, Christoffel-Courtin C, Kern B, Peterli R. Midterm results of primary vs. secondary laparoscopic sleeve gastrectomy (LSG) as an isolated operation. Obes Surg. 2009;19(4):401–6. https://doi.org/10.1007/s11695-009-9804-z.

    Article  PubMed  Google Scholar 

  51. Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012;26(6):1509–15. https://doi.org/10.1007/s00464-011-2085-3.

    Article  PubMed  Google Scholar 

  52. Wu C, Liu Y, Yang Y, et al. Analysis of therapeutic targets for SARS-CoV-2 and discovery of potential drugs by computational methods. Acta Pharm Sin B. 2020; https://doi.org/10.1016/j.apsb.2020.02.008.

  53. Diprose P, Herbertson MJ, O’Shaughnessy D, Deakin CD, Gill RS. Reducing allogeneic transfusion in cardiac surgery: a randomized double-blind placebo-controlled trial of antifibrinolytic therapies used in addition to intra-operative cell salvage. Br J Anaesth. 2005;94(3):271–8. https://doi.org/10.1093/bja/aei044.

    Article  CAS  PubMed  Google Scholar 

  54. Ker K, Edwards P, Perel P, Shakur H, Roberts I. Effect of tranexamic acid on surgical bleeding: systematic review and cumulative meta-analysis. BMJ. 2012;344:e3054. https://doi.org/10.1136/bmj.e3054.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Magee CJ, Barry J, Javed S, Macadam R, Kerrigan D. Extended thromboprophylaxis reduces incidence of postoperative venous thromboembolism in laparoscopic bariatric surgery. Surg Obes Relat Dis. 2010;6(3):322–5. https://doi.org/10.1016/j.soard.2010.02.046.

    Article  PubMed  Google Scholar 

  56. Dallal RM, Bailey L, Nahmias N. Back to basics – clinical diagnosis in bariatric surgery. Routine drains and upper GI series are unnecessary. Surg Endosc. Dec 2007;21(12):2268–71. https://doi.org/10.1007/s00464-007-9368-8.

    Article  PubMed  Google Scholar 

  57. Mason RJ. Duodenal switch for morbid obesity: is it safe? Adv Surg. 2013;47:153–76. https://doi.org/10.1016/j.yasu.2013.02.010.

    Article  PubMed  Google Scholar 

  58. Buchwald H, Estok R, Fahrbach K, Banel D, Sledge I. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142(4):621–32.; discussion 632–5. https://doi.org/10.1016/j.surg.2007.07.018.

    Article  PubMed  Google Scholar 

  59. Biertho L, Biron S, Hould FS, Lebel S, Marceau S, Marceau P. Is biliopancreatic diversion with duodenal switch indicated for patients with body mass index <50 kg/m2? Surg Obes Relat Dis. 2010;6(5):508–14. https://doi.org/10.1016/j.soard.2010.03.285.

    Article  PubMed  Google Scholar 

  60. Sundbom M, Näslund E, Vidarsson B, Thorell A, Ottoson J. Low overall mortality during 10 years of bariatric surgery: nationwide study on 63,469 procedures from the Scandinavian Obesity Registry. Surg Obes Relat Dis. 2020;16(1):65–70. https://doi.org/10.1016/j.soard.2019.10.012.

    Article  PubMed  Google Scholar 

  61. Fazylov RM, Savel RH, Horovitz JH, et al. Association of super-super-obesity and male gender with elevated mortality in patients undergoing the duodenal switch procedure. Obes Surg. 2005;15(5):618–23. https://doi.org/10.1381/0960892053923699.

    Article  PubMed  Google Scholar 

  62. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514–23.; discussion 524. https://doi.org/10.1381/096089200321593715.

    Article  CAS  PubMed  Google Scholar 

  63. Kim WW, Gagner M, Kini S, et al. Laparoscopic vs. open biliopancreatic diversion with duodenal switch: a comparative study. J Gastrointest Surg. 2003;7(4):552–7. https://doi.org/10.1016/S1091-255X(02)00149-X.

    Article  PubMed  Google Scholar 

  64. Topart P, Becouarn G, Ritz P. Should biliopancreatic diversion with duodenal switch be done as single-stage procedure in patients with BMI > or = 50 kg/m2? Surg Obes Relat Dis. 2010;6(1):59–63. https://doi.org/10.1016/j.soard.2009.04.016.

    Article  PubMed  Google Scholar 

  65. Rabkin RA, Rabkin JM, Metcalf B, Lazo M, Rossi M, Lehmanbecker LB. Laparoscopic technique for performing duodenal switch with gastric reduction. Obes Surg. 2003;13(2):263–8. https://doi.org/10.1381/096089203764467180.

    Article  PubMed  Google Scholar 

  66. Baltasar A, Bou R, Miró J, Bengochea M, Serra C, Pérez N. Laparoscopic biliopancreatic diversion with duodenal switch: technique and initial experience. Obes Surg. 2002;12(2):245–8. https://doi.org/10.1381/096089202762552430.

    Article  CAS  PubMed  Google Scholar 

  67. Sudan R, Puri V, Sudan D. Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc. 2007;21(5):729–33. https://doi.org/10.1007/s00464-006-9171-y.

    Article  CAS  PubMed  Google Scholar 

  68. Biertho L, Lebel S, Marceau S, et al. Perioperative complications in a consecutive series of 1000 duodenal switches. Surg Obes Relat Dis. 2013;9(1):63–8. https://doi.org/10.1016/j.soard.2011.10.021.

    Article  PubMed  Google Scholar 

  69. Topart P, Becouarn G, Ritz P. Comparative early outcomes of three laparoscopic bariatric procedures: sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2012;8(3):250–4. https://doi.org/10.1016/j.soard.2011.05.012.

    Article  PubMed  Google Scholar 

  70. Weiner RA, Blanco-Engert R, Weiner S, Pomhoff I, Schramm M. Laparoscopic biliopancreatic diversion with duodenal switch: three different duodeno-ileal anastomotic techniques and initial experience. Obes Surg. 2004;14(3):334–40. https://doi.org/10.1381/096089204322917855.

    Article  CAS  PubMed  Google Scholar 

  71. Aasheim ET, Björkman S, Søvik TT, et al. Vitamin status after bariatric surgery: a randomized study of gastric bypass and duodenal switch. Am J Clin Nutr. 2009;90(1):15–22. https://doi.org/10.3945/ajcn.2009.27583.

    Article  PubMed  Google Scholar 

  72. Wanke CA, Pleskow D, Degirolami PC, Lambl BB, Merkel K, Akrabawi S. A medium chain triglyceride-based diet in patients with HIV and chronic diarrhea reduces diarrhea and malabsorption: a prospective, controlled trial. Nutrition. 1996;12(11–12):766–71. https://doi.org/10.1016/s0899-9007(96)00221-3.

    Article  CAS  PubMed  Google Scholar 

  73. Pak CY. Citrate and renal calculi: an update. Miner Electrolyte Metab. 1994;20(6):371–7.

    CAS  PubMed  Google Scholar 

  74. Reddy ST, Wang CY, Sakhaee K, Brinkley L, Pak CY. Effect of low-carbohydrate high-protein diets on acid-base balance, stone-forming propensity, and calcium metabolism. Am J Kidney Dis. 2002;40(2):265–74. https://doi.org/10.1053/ajkd.2002.34504.

    Article  CAS  PubMed  Google Scholar 

  75. Hurrell R, Egli I. Iron bioavailability and dietary reference values. Am J Clin Nutr. 2010;91(5):1461S–7S. https://doi.org/10.3945/ajcn.2010.28674F.

    Article  CAS  PubMed  Google Scholar 

  76. Watts D. The nutritional relationships of copper. J Orthomol Med. 1989;14:99–108.

    Google Scholar 

  77. Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248(5):714–20. https://doi.org/10.1097/SLA.0b013e3181884308.

    Article  CAS  PubMed  Google Scholar 

  78. Primavera A, Brusa G, Novello P, et al. Wernicke-Korsakoff encephalopathy following biliopancreatic diversion. Obes Surg. 1993;3(2):175–7. https://doi.org/10.1381/096089293765559548.

    Article  CAS  PubMed  Google Scholar 

  79. O’Kane M, Parretti HM, Pinkney J, et al. British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery-2020 update. Obes Rev. 2020;21(11):e13087. https://doi.org/10.1111/obr.13087.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Rabkin RA. Distal gastric bypass/duodenal switch procedure, Roux-en-Y gastric bypass and biliopancreatic diversion in a community practice. Obes Surg. 1998;8(1):53–9. https://doi.org/10.1381/096089298765555060.

    Article  CAS  PubMed  Google Scholar 

  81. Khwaja HA, Stewart DJ, Magee CJ, Javed SM, Kerrigan DD. Petersen hernia complicating laparoscopic duodenal switch. Surg Obes Relat Dis. 2012;8(2):236–8. https://doi.org/10.1016/j.soard.2011.11.012.

    Article  PubMed  Google Scholar 

  82. Wasserberg N, Hamoui N, Petrone P, Crookes PF, Kaufman HS. Bowel habits after gastric bypass versus the duodenal switch operation. Obes Surg. 2008;18(12):1563–6. https://doi.org/10.1007/s11695-008-9658-9.

    Article  PubMed  Google Scholar 

  83. Allen SJ, Martinez EG, Gregorio GV, Dans LF. Probiotics for treating acute infectious diarrhoea. Cochrane Database Syst Rev. 2010(11):CD003048. https://doi.org/10.1002/14651858.CD003048.pub3.

  84. Furet JP, Kong LC, Tap J, et al. Differential adaptation of human gut microbiota to bariatric surgery-induced weight loss: links with metabolic and low-grade inflammation markers. Diabetes. 2010;59(12):3049–57. https://doi.org/10.2337/db10-0253.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Patrone V, Vajana E, Minuti A, et al. Postoperative changes in fecal bacterial communities and fermentation products in obese patients undergoing bilio-intestinal bypass. Front Microbiol. 2016;7:200. https://doi.org/10.3389/fmicb.2016.00200.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Mukorako P, Lopez C, Baraboi ED, et al. Alterations of gut microbiota after biliopancreatic diversion with duodenal switch in wistar rats. Obes Surg. 2019;29(9):2831–42. https://doi.org/10.1007/s11695-019-03911-7.

    Article  PubMed  Google Scholar 

  87. Sánchez-Pernaute A, Rubio Herrera MA, Pérez-Aguirre E, et al. Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy: proposed technique. Obes Surg. 2007;17(12):1614–8. https://doi.org/10.1007/s11695-007-9287-8.

    Article  PubMed  Google Scholar 

  88. Brown WA, Ooi G, Higa K, Himpens J, Torres A, SADI-S/OADS I-atfrtlo. Single anastomosis duodenal-ileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) IFSO position statement. Obes Surg. 2018;28(5):1207–16. https://doi.org/10.1007/s11695-018-3201-4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Phoenix Health, Chester, UK

    David D. Kerrigan, Qutayba Almerie & Charlotte E. Harper

  2. Department of Bariatric Surgery, S. Maria Nuova Hospital, Florence, Italy

    Luca Leuratti

  3. Department of Upper Gastro-intestinal and Bariatric Surgery, Chelsea & Westminster Hospital, London, UK

    Haris A. Khwaja

Authors
  1. David D. Kerrigan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Qutayba Almerie
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luca Leuratti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Haris A. Khwaja
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Charlotte E. Harper
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David D. Kerrigan .

Editor information

Editors and Affiliations

  1. Homerton University Hospital, London, UK

    Sanjay Agrawal

Section Editor information

  1. Department of General and Bariatric Surgery, Whittington Hospital, London, UK

    Chetan Parmar

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Kerrigan, D.D., Almerie, Q., Leuratti, L., Khwaja, H.A., Harper, C.E. (2022). Laparoscopic Biliopancreatic Diversion with Duodenal Switch (BPD-DS) Surgery. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-54064-7_44-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-54064-7_44-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-54064-7

  • Online ISBN: 978-3-030-54064-7

  • eBook Packages: MedicineMedicine

Publish with us

Policies and ethics

Search

Navigation