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Duodenal Switch in Plano, TX

A Powerful Surgery 
With Amazing Results

  • 70-90% Excess Weight Loss in 1-2 Years
  • ASMBS Bariatric Surgery Center of Excellence®
  • Board-Certified Bariatric Surgeons

Helping Patients Transform Their Lives

This young mother didn’t feel as happy as she could have during her trip to Disney. Once she returned home, she met with our team to discuss a duodenal switch. She went from 360 pounds to 225 in a single year and feels so much happier.

“At Disney, the walking was very extreme. I’m in my mid-thirties, and I didn’t want to have to get a walker or a motorized scooter. The care that I received was immaculate. Now, no matter where I’m at, it’s the happiest place on Earth.”

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. Now accepting Lantern.

 

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.

Duodenal Switch (BPD/DS) chart by Texas Center for Bariatrics & Advanced Surgery showcasing the esophagus, stomach sleeve, liver, gallbladder, lateral stomach removed, pyloric valve, BPL, duodenum, alimentary limb, common channel, appendix

“Results from the surgery are just amazing.”

Daniel says the changes he’s seen since undergoing bariatric surgery with our team in Plano, TX, have been mind-blowing. He’s lost about 260 pounds in total, and he lives life with less pain, more energy, and more confidence. If you’re looking to once again experience life instead of just sitting on the sidelines, as Daniel puts it, Texas Center for Bariatrics & Advanced Surgery is ready to hear from you.

Exploring Candidacy 
for Duodenal Switch Surgery

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 one-on-one consultation. The best candidates for a duodenal switch meet certain criteria, such as:

  1. 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.
  2. 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.
  3. 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.
  4. Ready to Make Lifestyle Changes Changes include a healthy and varied diet along with vitamins and daily activity for optimum results.
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Calculate Your BMI to See if You May Qualify

Understanding the Classic 
Duodenal Switch Procedure

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

“Dr Cribbens and his team are wonderful!  From surgery to now guidance has been wonderful, encouragement when needed, and smooth sailing.  Best choice I have made in a long time” — Megan, 5-Star Review
“Dr Cribbens and his team are wonderful!  From surgery to now guidance has been wonderful, encouragement when needed, and smooth sailing.  Best choice I have made in a long time” — Megan, 5-Star Review

Anesthesia

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

Incisions

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

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 then remove the surgical instruments and close your incisions so you can begin your recovery.

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 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 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

Alternative Procedures Simpler Than Duodenal Switch With Incredible Results

Texas Center for Bariatrics & Advanced Surgery graph of food flowing through the esophagus, stomach sleeve, and pyloric valve. Joining bile, it flows through the single anastomosis duodenal switch in the common channel meeting the appendix. the lateral stomach and gallbladder are removed while the spleen and BPL remains.

Single Anastomosis Duodenal Switch (SADI) or “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.

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

Texas Center for Bariatrics & Advanced Surgery graph of food (deep orange) flowing through the esophagus and then new stomach. the bypassed portion of the stomach has digestive juice (royal blue) flowing through the bypassed portion of small intestine
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 (ABS)
  • American Society for Metabolic and Bariatric Surgery (ASMBS)
  • American College of Surgeons (ACS)
  • American Society for Metabolic and Bariatric Surgery (FASMBS - Fellow)

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

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