difference between BPD VS DS?
As a revision from a sleeve, it will just add the malabsorption component IF using the Hess method. The DS is also known as the BPD/DS.
BPD with DS is exactly the same surgery that we call simply the DS today. I think you're thinking of the BPD without the DS, also called the Scopinaro procedure. It was actually a pretty effective WLS, and is still done today---but it had some unpleasant side effects that Dr. Hess developed to DS to overcome.
If you really have a Scopinaro BPD, you have a very large pouch, distal RNY. It looks like this:
Notice there is NO Pyloric Valve in the Scopinaro BPD.
A true DS (sometimes called a BPD with DS/duodenal switch) looks like this:
BPD with DS is exactly the same surgery that we call simply the DS today. I think you're thinking of the BPD without the DS, also called the Scopinaro procedure. It was actually a pretty effective WLS, and is still done today---but it had some unpleasant side effects that Dr. Hess developed to DS to overcome.
If you really have a Scopinaro BPD, you have a very large pouch, distal RNY. It looks like this:
Notice there is NO Pyloric Valve in the Scopinaro BPD.
A true DS (sometimes called a BPD with DS/duodenal switch) looks like this:
Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135
The bPD without DS is considered an outdated procedure and rarely done in the USA anymore. It involved removing the lower half or so of the stoma*****luding permanent removal of the pyloric valve, combined with a very short (50 cm) common channel. It caused a lot of problems with diarrhea and also with nutritional deficiencies.
The modern DS, also called the BPD/DS which causes a lot of confusion, involves a sleeve stomach like what you already have, with dividion of the duodenum and bypassing roughly half of the small intestine and in most cases at least 100 cm common channel. The purpose of the DS was to obtain the excellent weight loss of the BPD but avoid the nutritional deficiencies and diarrhea problems, and the operation has been very successful on both counts.
The DS has the best results of any wls presently available for percentage excess weight loss, maintaining that weight loss, and resolution of almost all comorbidities.
Larra
The modern DS, also called the BPD/DS which causes a lot of confusion, involves a sleeve stomach like what you already have, with dividion of the duodenum and bypassing roughly half of the small intestine and in most cases at least 100 cm common channel. The purpose of the DS was to obtain the excellent weight loss of the BPD but avoid the nutritional deficiencies and diarrhea problems, and the operation has been very successful on both counts.
The DS has the best results of any wls presently available for percentage excess weight loss, maintaining that weight loss, and resolution of almost all comorbidities.
Larra
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