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Dr. Jaime Ponce de Leon, Duodenal Switch specialist in Tijuana, Mexico.

Duodenal Switch Bariatric Surgery

Dr. Jaime Ponce de Leon is one the first bariatric surgeons in Mexico to offer the Laparoscopic Duodenal Switch Surgery!

The biliopancreatic diversion with duodenal switch bariatric surgery(BPD/DS) is a combined surgery that makes your stomach smaller and bypasses part of your small intestine for the best-reported, long-term percentage of weight loss.

The Duodenal Switch has been around since the 1980’s. It combines a restrictive component, just like the gastric sleeve, with a malabsorptive component, like a gastric bypass.

Dr. Jaime Ponce de Leon is a Board-Certified, Fellowship Trained, Surgeon. Additionally, Dr. Ponce de Leon has been certified as a Bariatric Surgeon by the Mexican College of Surgery for Obesity and Metabolic Diseases (CMCOEM). In this capacity, Dr. Ponce de Leon has completed specialized training and continuing education in bariatric surgery as well as performed a high number of surgeries each year. Dr. Ponce de Leon has also been named a Fellow of the American Society for Metabolic and Bariatric Surgery (ASMBS).


One of the advantages of the duodenal switch is preservation of the pylorus (the valve at the bottom of the stomach). This both minimizes dumping and prolongs the amount of time food stays in the stomach. Thus effectively giving a longer sensation of fullness, or satiety.

Duodenal Switch Bariatric Surgery

The restrictive part uses a sleeve gastrectomy to make the stomach smaller while it works normally. The DS surgery keeps the pyloric valve intact, unlike other surgeries that bypass it.

Keeping the pyloric valve intact lowers your risk of getting certain ulcers, or a blocked or narrowed opening (stoma).

The malabsorptive part of this surgery rearranges the small intestine to separate the flow of food from the flow of bile and pancreatic juices. This means you absorb fewer calories from most foods.

Further down the digestive tract, the divided paths are rejoined. Food and digestive juices begin to mix, and some absorption happens in the common tract as the food continues on its path toward the large intestine.

Advantages of the Duodenal Switch

  • Better long term weight loss than any of the other available bariatric procedures.
  • 98.9% resolution of type 2 diabetes.
  • 99% resolution of hyperlipidemia (high cholesterol).
  • 92% resolution of sleep apnea.
  • 83% resolution of hypertension (high blood pressure).
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