Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

This complex surgery combines a sleeve gastrectomy with intestinal bypass. It greatly reduces stomach size and significantly limits calorie and nutrient absorption. Patients can lose up to 70–90% of excess weight. It is particularly effective for severe obesity and metabolic issues like diabetes. Due to high malabsorption, strict lifelong vitamin and protein supplementation is essential. It carries higher nutritional risks and requires close monitoring.

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