Ellen
Hi, my name is Ellen and this is my four and a half year mark of my journey to weight loss. I had a Duodenal Switch which is the most extreme surgery you could have.Watch the story ↗Metabolic & bariatric care · Austin, South Austin & Cedar Park
Duodenal Switch Surgery.
At NuSelf, we specialize in life-altering bariatric procedures like the biliopancreatic diversion with duodenal switch (BPD-DS). Led by the renowned Dr. Sashidhar Ganta our team is committed to guiding you through a transformative journey towards lasting weight loss.
Understanding the biliopancreatic diversion with duodenal switch (BPD-DS)
The biliopancreatic diversion with duodenal switch (BPD-DS), a complex and highly effective form of bariatric surgery, combines restrictive and malabsorptive elements. It involves resizing the stomach to limit food intake and rerouting a significant portion of the small intestine to reduce calorie absorption, offering profound weight loss and health improvement outcomes.
Why duodenal switch is a metabolic operation
Duodenal switch combines a sleeve-shaped stomach with an intestinal bypass that separates the flow of food from digestive juices until farther along the bowel. It changes stomach capacity, nutrient absorption and the signals that help regulate appetite and blood sugar.
The sleeve removes much of the ghrelin-producing region of the stomach. Food then reaches the distal small intestine by a different route, affecting natural intestinal hormones such as GLP-1 and PYY. GLP-1 helps support glucose-dependent insulin release; PYY contributes to the feeling of fullness after eating. Human studies also show improved insulin resistance after duodenal switch. These effects work together with reduced calorie absorption and weight loss.
This makes duodenal switch an important option for selected patients seeking substantial weight loss or stronger metabolic treatment. It also creates a greater need for nutritional monitoring. Daily prescribed supplements, enough protein, regular laboratory testing and long-term follow-up are central to the treatment. Your surgeon reviews the benefits and nutritional demands with you so that the choice supports both your weight goals and your health.
The duodenal switch Procedure
During the BPD-DS procedure, our surgeons create a smaller, tube-like stomach pouch. Unlike a Sadi-S with a single anastomosis, the small intestine is then divided and rearranged to create two separate pathways and one common channel. The shorter pathway, the digestive loop, takes food from the stomach to the common channel. The longer pathway, the biliopancreatic loop, carries bile from the liver to the common channel. The significant reduction in the absorptive surface decreases calorie intake and nutrient absorption.
Eligibility for Duodenal switch
At NuSelf, primary metabolic and bariatric surgery may be considered with a BMI over 30 when an obesity-related condition is present, or a BMI over 35 without an associated condition. Conditions such as type 2 diabetes, sleep apnea and high blood pressure are part of your evaluation. We consider your health, previous treatment and readiness for long-term follow-up together. Insurance plans may apply different coverage requirements.
The NuSelf Difference in Duodenal switch
- Experienced Surgeons: Dr. Ganta brings years of experience and a track record of successful BPD-DS procedures. He is the first surgeon in Austin to perform the procedure, and since then, he has treated a number of patients successfully with a duodenal switch.
- Customized Care: We understand the importance of individualized care and provide tailored treatment plans for each patient’s unique journey.
Life after Duodenal switch surgery
Post-surgery, patients enter a lifelong commitment to maintaining their health. We support you with comprehensive nutritional counseling, lifestyle modification plans, and regular follow-ups to ensure sustainable weight loss and improved overall health.
Real people. Life-changing stories.
Will I be successful
Duodenal switch patients at NuSelf have shown excellent results in sustained initial weight loss and long term weight maintenance. Duodenal switch Bariatric surgery is a powerful and scientifically proven tool. With our support program and your commitment, we are confident that you can achieve the lasting success you deserve.
Safety and Risks of Bariatric Surgery in Austin
Your safety is our priority. Careful evaluation, experienced surgical care and attentive follow-up help us identify and address concerns. Your surgeon will explain the risks relevant to your procedure and health, including bleeding, infection, leaks, blood clots and nutritional problems where applicable.
How much weight will I lose
Substantial weight loss and improvements in metabolic health are possible. Results depend on your starting health, procedure, nutrition, follow-up and the time since treatment. Your surgeon will discuss a realistic expectation for you, including how progress is measured and maintained.
Health Benefits of Duodenal Switch
Health issues such as diabetes, high blood pressure, sleep apnea, heart problems, joint issues, fertility problems and many others improve significantly due to metabolic changes and weight loss. Switch has the best results with diabetes, high cholesterol, and triglyceride resolution.
Addressing Loose Skin and Body Changes
Loose skin can develop after substantial weight loss. Once your weight has stabilized, we can discuss your concerns and coordinate an evaluation with NuSelf Aesthetics for suitable nonsurgical or surgical options.
Can I enjoy food again?
Absolutely! Once you fully heal, you will be able to enjoy your dining experiences. Your food preferences and taste may change! Many patients seem to crave more healthy foods
Recovery and Aftercare
Recovery from Duodenal switch surgery involves a one night hospital stay and about a week of recovery. Our team is committed to providing excellent aftercare, ensuring you have the support and resources needed for a successful recovery and a great result. Your discharge and activity timeline are individualized according to your recovery and your surgeon’s instructions.
Financing Your duodenal switch Journey
Understanding the cost of bariatric surgery in Austin and Cedar Park is important. We offer transparent pricing information and assist with insurance processing and provide competitive self-pay options, ensuring you can make the best decision for your health.
Insurance coverage can vary, and many patients qualify. The insurance team at NuSelf has helped thousands of patients successfully navigate the insurance process.
For patients without insurance coverage for bariatric surgery, NuSelf offers comprehensive, affordable self-pay packages. Our team coordinates the procedure, facility, anesthesia and follow-up components of your proposed plan and provides a written package quote. Ask our Insurance Concierge about benefits, self-pay options, financing and the long-term support included in your plan.
Many people consider bariatric surgery an investment in long-term health, mobility and quality of life. Improvements in obesity-related conditions may change future healthcare needs and costs; the financial effect is individual.
Our Commitment to Advanced Bariatric Care
At NuSelf, we are committed to staying at the forefront of bariatric surgery techniques and advancements, ensuring our patients receive the best possible care and outcomes from their Duodenal switch procedure.
Start your journey Today to Lose weight and Live better
Embark on a life-changing journey with the biliopancreatic diversion with duodenal switch (BPD-DS) surgery at NuSelf. Contact us to schedule a consultation and explore how we can support you in achieving your weight loss and health goals.
Long-term nutrition and metabolic health
Protein intake, lifelong vitamin and mineral supplementation, and scheduled blood tests are essential after intestinal bypass. Your team monitors for deficiencies, bowel changes and other symptoms and adjusts your plan as your needs change.
The experience behind your care
Dr. Sashidhar Ganta
MD, FACS, FRCS, FRCSI
Founder & President · Robotic General and Bariatric Surgeon · Board-Certified · Yale Fellowship-Trained
20+ years. More than 6,000 bariatric patients. Advanced metabolic surgery and complex revisions.
Meet Dr. GantaA clear plan. One step at a time.
- Connect securely
Arrange your secure portal access for records, results and private communication.
- Review benefits or self-pay
Make the proposed treatment and expected patient responsibility clear.
- Meet your surgeon
Review your health, compare suitable treatments and ask your questions.
- Make a personal plan
Agree on preparation, timing, recovery and long-term follow-up.
Your next step
The life you want.
Let’s take the next step.
Meet your surgeon. Get answers about insurance and self-pay. Make a plan for your health—with a team that stays with you.
