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Duodenal Switch

Losing weight and keeping it off can be a challenge, but being overweight can both shorten your life and decrease your quality of life.

Duodenal switch is a weight loss surgery that can help severely obese patients lose more weight than gastric bypass or sleeve gastrectomy.

See how Texas Center for Bariatrics & Advanced Surgery in Plano, TX, can help you live a healthier, longer, and more fulfilling life.

illustration of a duodenal switch

What Is a
Duodenal Switch?

Biliopancreatic diversion with duodenal switch, also known as BPD-DS, is a bariatric surgery option that combines a gastric sleeve with the rearrangement of the small intestine to both limit the number of calories the body can absorb and to lower the amount of food the patient requires to feel full. This surgery is both restrictive and malabsorptive, leading to highly effective weight loss. Biliopancreatic diversion with duodenal switch is reserved for patients with a BMI of 40 and greater.  Patients must take vitamins for life to maintain proper health.

This weight loss surgery allows patients to achieve more dramatic weight loss results than sleeve gastrectomy or gastric bypass alone.

An Under-Utilized Procedure With Incredibly Consistent Success

According to the American Society for Metabolic and Bariatric Surgery, there were only 5,525 BPD-DS performed in 2021. This is despite its immense success rate. A study of super-obese patients published in the peer-reviewed journal Obesity Surgery showed that duodenal switch patients achieved more weight loss than those who received a gastric bypass. 

Achieve Your Weight Loss Goals WITH THIS BARIATRIC SURGERY

Our board-certified surgeon, Dr. A. Joseph Cribbins, III, specializes in bariatric surgery and can help you realize your weight loss goals. He can provide you with a duodenal switch to achieve healthy weight loss if you are severely overweight or if your previous bariatric surgery failed to achieve desired results.

Whether you think a duodenal switch surgery may be the right bariatric procedure for you or you'd just like to explore your options, we invite you to meet with Dr. Cribbins to learn more about weight loss surgery. Request a consultation at Texas Center for Bariatrics & Advanced Surgery in Plano, TX, by filling out our contact form or calling:

(214) 501-1333

One Operation Can Change Your Life

Make the rest of your life the best of your life!

Doctor with patient
All appointments will be one-on-one with one of our doctors. The Texas Center for Bariatrics & Advanced Surgery never requires group seminars to get started.

"I found the right surgeon" 5-Star Reviews for Our Plano Practice


Hanna Gebray

Plano, TX


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I have been searching for the right surgeon over a year and I found the right surgeon. I am very satisfied with over all procedures and excellent customer service. Dr.Cribbins and Dr. chan are Amazing. 100% recommend Dr. Cribbins.

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Shelly Roeben

Plano, TX


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When choosing a Dr for a life changing experience Dr. Chen and his Staff definitely go above and beyond . From the moment we walked into the practice with warm welcomes and smiles to shortly there after being greeted by the best therapy Pup in town Bartly . Made the transition of anticipation, and anxiety put to rest. 

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Before you can qualify for any kind of bariatric surgery, you must meet with one of our bariatric surgeons where you can discuss your goals, concerns, and medical history during a consultation. The best candidates for a duodenal switch meet certain criteria, such as:

Have Tried Other Weight-Loss Methods

When traditional weight loss methods like dieting and exercise fail to get you results, bariatric surgery may be an option for you.

Have a BMI of 40 or Higher

Duodenal switch surgery is typically only recommended for patients who have a body mass index of 40 or higher.

Struggle With Obesity-Related Conditions

Patients who have weight-related health issues such as obstructive sleep apnea and type 2 diabetes can often benefit from duodenal switch surgery.

Ready to Make Lifestyle Changes

Changes include a healthy and varied diet along with vitamins and daily activity for optimum results.


Understanding the Classic Duodenal Switch Procedure

What To Expect During Your Procedure In Plano

Our Plano practice exclusively uses the ultra minimally invasive Da Vinci Xi® surgical system for faster healing, less scarring, and better results.

Day of Procedure

Our Plano practice exclusively uses the ultra minimally invasive Da Vinci Xi® surgical system for faster healing, less scarring, and better results.


You will first be placed under general anesthesia so you're comfortably unconscious throughout your procedure.


Dr. Cribbins, your bariatric surgeon, will make a few small incisions along your abdomen that he will use to insert a small surgical camera and surgical tools.

Create Gastric Sleeve

Your surgeon will turn your stomach into a gastric sleeve, giving it the appearance of a banana-sized tube. A gastric sleeve removes about 80 percent of the stomach, significantly reducing the amount of food you'll be able to consume.

Bypass Small Intestine

Your bariatric surgeon will then close off the middle section of your small intestine and attach the end section to the duodenum near the stomach. This will lower the number of calories your body absorbs.

Biliopancreatic Diversion

The middle portion of the small intestine is then connected to the end section of the small intestine, so bile and pancreatic digestive juices can flow into this part of the intestine.

Close Incisions

Dr. Cribbins will remove the surgical instruments and close your incisions so you can begin your recovery.

Our surgeons performing surgery

Using the Latest Technology


At Texas Center for Bariatrics & Advanced Surgery in Plano, all of our bariatric procedures are performed using the minimally invasive da Vinci® Xi surgical system. This system allows Dr. Cribbins & Dr. Chen to perform bariatric surgery from a console offering 3DHD enhanced vision for greater accuracy. They have complete control over the camera and surgical instruments that are being used to complete your surgery.  Dr. Cribbins is one of the most experienced surgeons in the country on the da Vinci Xi platform. The system provides several benefits, including:
  • The most advanced, fully wristed instruments available for bariatric surgery
  • More precision and less disruption of nearby tissue
  • 3DHD vision and an enhanced field of vision
  • Smaller incisions and less scarring
  • Faster recovery with less pain

Request Your 1-on-1 Consultation

Our Plano practice is dedicated to individualized treatment. We never require group seminars and charge no program fee. Every single appointment we conduct is a 1-on-1 session with a board-certified surgeon. Request yours today.

Alternative Procedures Simpler Than Duodenal Switch with incredible results

Single Anastomosis Duodenal Switch (SADI)

Commonly Referred to as Sleeve Enhancement Surgery

SADI-S surgery is a type of duodenal switch that involves a sleeve gastrectomy and the rearrangement of the small intestine. It is a simplified version of the classic BPD-DS procedure. SADI bypasses only 60% to 75% of the small bowel and has only one connection to the intestine, resulting in fewer complications.

This is a great primary surgery and a good option if you did not achieve desired weight loss goals after a vertical sleeve gastrectomy.

The SADI-S is a great weight loss surgery option in lieu of a gastric bypass as patients do NOT experience unpleasant dumping syndrome.

Diagram Single Anastomosis Duodenal Switch
Diagram of Omega Loop

Omega Loop or Mini-Gastric Bypass

The omega loop, also known as single anastomosis gastric bypass and mini-gastric bypass, is another kind of bariatric procedure that creates a small, elongated pouch out of the stomach from which the rest of the stomach is permanently divided. Like SADI, this technique requires only one connection, which makes the procedure easier to perform and involves fewer risks. 

Dr. Cribbins and Dr. Chen can help determine which bariatric surgery will be best for you during your consultation in Plano, TX.

Concerned About Costs?

We strive to make bariatric procedures as affordable as possible. We accept most health care insurance plans and our office coordinators will help you obtain approval from your insurance company. We also offer financing options that make surgery more affordable.

"the most welcoming, friendliest, patient, knowledgeable team" 5-Star Reviews


Lolita Wolstenholm

Plano, TX


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From the very beginning, Dr Cribbins and staff have been the most welcoming, friendliest, patient, knowledgeable team I have ever had the pleasant experience of encountering!

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Kairee Trowbridge

Plano, TX


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Very supportive and great at giving you the tools you need for your goals. Dr Cribbins has been fantastic past surgery at making me feel good about my progress. Highly recommend him and his team.

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Dr Joe Cribbins and Dr Edmund Chen award winning robotic weight loss surgeons dallas fort worth texas changing lives with bariatric surgery

Texas Center for
Bariatrics & Advanced Surgery

Our highly skilled and experienced board-certified surgeons specialize in ultra-minimally invasive general and bariatric surgery. They are affiliated with a number of national associations, including the:

  • American Board of Surgery
  • American Society for Metabolic and Bariatric Surgery (ASMBS)
  • American College of Surgeons (ACS)
  • Fellow American Society for Metabolic and Bariatric Surgery (FASMBS)

To request a consultation, contact us online or call (214) 501-1333 today.

Contact Us Today

This contact form is for appointments only.
For more information or medical concerns, you can reach our office at (214) 501-1333.
If this is a medical emergency, please call 911.

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