BPD without a switch?
Not entirely sure but the three parts of the op work together, and aren't usually done separately.
The biliopancreatic diversion (BPD) bit is to reroute the liver and pancreas enzymes down a new route, to separate them from the route your food takes. The duodenal switch is the other 'half' of this, and makes the second pathway, so I don't think you can have one without the other.
The third part is the sleeve gastrectomy.
Sal
The biliopancreatic diversion (BPD) bit is to reroute the liver and pancreas enzymes down a new route, to separate them from the route your food takes. The duodenal switch is the other 'half' of this, and makes the second pathway, so I don't think you can have one without the other.
The third part is the sleeve gastrectomy.
Sal
DS revision from failed lapband
the Bilio-Pancreatic Diversion - AKA: BPD - AKA: "the Scopinaro Procedure" in comprised of a LATERAL (side-to-side) gastrectomy rather than the DS's VERTICAL (up & down) gastrectomy.
that lateral gastrectomy is a key difference... with the lateral, the stomach is cut (roughly) in half and the lower portion (which contains the pylorus and upper duodenum) is tossed in the trash. since the pylorus (the natural outlet of the stomach) is no longer there, they must create a new connection from the new "stomach" to the intestine. With this man-made outlet, there is little to no regulation of contents exiting the stomach and entering the intestine. rapid emptying of contents from stomach into the intestine creates a spike in blood sugar, which then creates a spike in insulin production, which then can create a low blood sugar situation. This is known as "Dumping Syndrome" and is one of the drawbacks to this type of connection.
The other drawback is that getting rid of the lower stomach and the upper duodenum, you're also getting rid of the portions that are the main areas for iron and B12 (and a couple other vitamins) to be absorbed, so there's the risk of iron anemia as well as pernicious (sp?) anemia, which is B12 deficiency.
In simplest terms, the older "BPD" (not DS) is basically like a very distal RNY with a larger "pouch" and the lower remnant stomach removed
that lateral gastrectomy is a key difference... with the lateral, the stomach is cut (roughly) in half and the lower portion (which contains the pylorus and upper duodenum) is tossed in the trash. since the pylorus (the natural outlet of the stomach) is no longer there, they must create a new connection from the new "stomach" to the intestine. With this man-made outlet, there is little to no regulation of contents exiting the stomach and entering the intestine. rapid emptying of contents from stomach into the intestine creates a spike in blood sugar, which then creates a spike in insulin production, which then can create a low blood sugar situation. This is known as "Dumping Syndrome" and is one of the drawbacks to this type of connection.
The other drawback is that getting rid of the lower stomach and the upper duodenum, you're also getting rid of the portions that are the main areas for iron and B12 (and a couple other vitamins) to be absorbed, so there's the risk of iron anemia as well as pernicious (sp?) anemia, which is B12 deficiency.
In simplest terms, the older "BPD" (not DS) is basically like a very distal RNY with a larger "pouch" and the lower remnant stomach removed
Pre: 324 
Now: 185-190 
Great explanation Sean!
HW 341/SW 309/CW 169/GW 190 172 lb. loss with my DS - Subscribe to me on YouTube!
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If someone is suggesting this procedure to you -------run as fast as you can! I have only heard of this procedure being suggested recently to someone who had medical issues. Particularly if they are trying to sell you on this as opposed to the DS. They are not the same procedure and the BPD is not "just as good".
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