As with standard Roux-en-Y gastric bypass surgery, a BPD/DS procedure combines both restriction and hormone changes, but unlike a gastric bypass, Biliopancreatic Diversion / Duodenal Switch surgery has a much stronger malabsorptive element. Whilst the procedure is much less commonly performed than any other obesity surgery, it has a number of potential advantages which, for the heavier patient, make it an option worth considering.
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