Duodenal Switch Surgery in Pune & Mumbai

The Biliopancreatic Diversion with Duodenal Switch goes by many names. Some refer to it by the initials BPD-DS many call it the “Duodenal Switch” or just “The Switch.” This surgery is only performed on people who are severely obese body mass index (BMI) of 50 or higher and haven’t been able to lose weight any other way. The surgery also has helped to reduce obesity-related illnesses, including heart disease, high blood pressure, and especially type 2 diabetes.

In the BPD-DS, roughly one half of the stomach is permanently removed. The stomach goes from the shape of a small pineapple to the size and shape of a banana. It is a complex procedure that tackles weight loss in three different ways:

  • First, the surgery removes a large portion of the stomach to prevent overeating. With less stomach to fill, you will feel full more quickly and eat less food and fewer calories.
  • The second part of the procedure reroutes food away from the upper part of the small intestine, which is the natural path of digestion. This cuts back on how many calories and nutrients your body is able to absorb.
  • The third part of the BPD-DS procedure changes the normal way that bile and digestive juices break down food. This cuts back on how many calories you absorb, causing more weight loss. It allows food to bypass part of the small intestine so you absorb fewer calories.

How Does Duodenal Switch Work?

In contrast to standard gastric bypass surgery, the duodenal switch operation leaves the pyloric valve intact, which controls the flow of food from the stomach to the small intestine. This prevents dumping syndrome (aggravated emptying of food into the intestines).

By merging restriction (reduced stomach capacity) with malabsorption (bypassing the intestines), this operation allows patients to lose 80-85% of excess weight within two years while sustaining long-term weight stability.

Benefits of Duodenal Switch Surgery

  • Highest Rate of Long-Term Weight Loss: More effective than gastric bypass or sleeve gastrectomy
  • Significant Improvement in Obesity-Related Conditions: Helps resolve diabetes, high blood pressure, sleep apnea, and high cholesterol
  • Better Nutrient Absorption Than Traditional Bypass: The pyloric valve is preserved, reducing dumping syndrome
  • Long-Term Metabolic Benefits: Enhances insulin sensitivity, making it one of the best surgeries for diabetes remission

Since duodenal switch significantly alters nutrient absorption, lifelong vitamin supplementation and regular medical follow-ups are essential.

Post-Surgery Recovery & Lifestyle Adjustments

Recovery from duodenal switch surgery involves a disciplined diet regimen. Patients start with liquid diets, gradually advancing to soft and solid foods over weeks. Because the surgery decreases nutrient absorption, vitamin and mineral supplementation (such as iron, calcium, and B12) throughout life is needed to avoid deficiency.

Regular follow-ups with a bariatric specialist and maintaining a high-protein, low-carb diet are key to maximizing weight loss while preserving muscle mass and overall health.

Why Choose Laparo Obeso Centre for Duodenal Switch Surgery?

At Laparo Obeso Centre, we specialize in advanced weight loss surgeries, including Duodenal Switch, under the expertise of Dr. Shashank Shah. Our team offers personalized treatment plans, state-of-the-art facilities in Pune and Mumbai, and dedicated post-surgery support to ensure optimal results.

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