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Duodenal Switch & SADI-S (sleeve enhancement surgery)

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

The duodenal switch & SADI-S are weight loss surgeries that can help 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.

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.  This procedure is reserved for patients with a BMI of 50 and greater.  Patients must take vitamins for life to maintain proper health.
Diagram of duodenal switch technique
This weight loss surgery allows patients to achieve more dramatic weight loss results than sleeve gastrectomy or gastric bypass alone.

Alternative Procedures Simpler Than Duodenal Switch
with incredible results

Diagram Single Anastomosis Duodenal Switch

Single Anastomosis Duodenal Switch (SADI) commonly referred to as Sleeve Enhancement Surgery

SADI 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 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.

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 SADI-S or a duodenal switch, which may be exactly what you need to achieve healthy weight loss if you are over weight or if your previous bariatric surgery failed to achieve desired results.

If you think a duodenal switch may be the correct bariatric surgery option for you, we invite you to 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.

"Compassion and understanding" 5-Star Reviews for Our Plano Practice


Julie Castaldo


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My PCP recommended Dr. Joe. So, I called , got an appointment and I couldn’t be happier!! The amount of compassion and understanding that you get from the staff and Doc. Joe is second to none. Phenomenal, fantastic and super are just a few of the words I use to describe them and how I feel about my sleeve! Thank You. Doc Joe and Staff!!!!!!!!!

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DAndrea Sanders


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The quality and professionalism is top notch. The communication was and is great. They made me feel at ease when asking questions and were very clear of the procedure and the process. The best of all is, I was not treated as another number. Dr. Cribbins and he’s entire staff made me and my wife feel like real human patients and their willingness to show care and feeling. I recommend Dr Cribbins and his staff to anyone who is serious of losing weight and gaining their health back. On the scale of 1 to 5, my wife and give Dr. Cribbins and his staff 10⭐️‘S

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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 50 or Higher for a DS
or a BMI or 35 and Higher for a SADI-S

Duodenal switch surgery is typically only recommended for patients who have a body mass index of 50 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 where 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.


da Vinci surgical system
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.  He has 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 state on the da Vinci Xi platform. The system provides several benefits, including:
  • Smaller incisions and less scarring
  • 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
  • Faster recovery with less pain

"Dr Cribbins and his staff are amazing!" 5-Star Reviews


Tina Roberts


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Dr. Cribbins has operated on me twice. He is an excellent and experienced surgeon. I’ve had no surgical complications and trust him completely. I’ve lost 70 pounds. I started at 220 and currently weigh 150, which is my goal weight. Before and after photos attached.

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les garretson


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Dr Cribbins and his staff are amazing! I cannot say enough about this office. I would recommend anyone needing surgery check them out. I have never had a bad experience with any of the staff. Dr Cribbins has the BEST bedside manner than any doctor I have ever had.

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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.

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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