Laparoscopic Duodenal Switch

  • Manish Parikh
  • Michel Gagner
  • Alfons Pomp

Laparoscopic biliopancreatic diversion with duodenal switch (BPD-DS) is one of the most effective weight loss procedures currently available. Both short- and long-term weight loss exceed that of any other bariatric operation. BPD-DS involves a 150- to 200-cc sleeve or vertical gastrectomy, a duodenoileal anastomosis, and a long Roux-en-Y with a 150-cm alimentary limb and a 100-cm common channel (Fig. 14.1). The key features of this operation are that the lesser curvature, antrum, pylorus, first portion of the duodenum, and vagal innervation are all spared, while parietal cell mass is reduced, thus allowing a better digestive behavior while decreasing the likelihood of the dumping syndrome and marginal ulceration. Furthermore, by placing the ileoileal anastomosis 100 cm proximal to the ileocecal junction (instead of 50 cm, as in the classic Scopinaro BPD), metabolic disturbances and the number of surgical revisions for malnutrition or diarrhea are considerably less.


Sleeve Gastrectomy Laparoscopic Sleeve Gastrectomy Staple Line Internal Hernia Linear Stapler 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Manish Parikh
    • 1
  • Michel Gagner
    • 2
  • Alfons Pomp
    • 3
  1. 1.Department of Surgery, New York Presbyterian HospitalClinical Fellow in Laparoscopic and Bariatric Surgery, Weill Medical College of Cornell UniversityNew York
  2. 2.Chairman, Department of SurgeryMount Sinai Medical Center, Miami Beach
  3. 3.Leon C. Hirsch Professor of Surgery, Chief, Section of Laparoscopic and Bariatric SurgeryWeill Medical College of Cornell University, New York Presbyterian HospitalNew York

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