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Bilio Pancreatic Diversion BPD - DS

Bilio pancreatic diversion with duodenal switch (BPD-DS)

This is one of the most effective weight loss procedures currently available though its popularity has declined recently. It is a combined procedure which involves creating a tube of the stomach like that for a sleeve gastrectomy and bypassing around two thirds of the total length of the intestine for malabsorption. Although still being done widely in the western world, it has not gained popularity in Asia because of the malabsorptive side effects leading to diarrhea and protein malnutrition particularly when diet is deficient in protein. It leads to 80-90% of excess weight loss with excellent resolution of comorbid illnesses.

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