Mayo Clinic's approach

Teamwork

A team of medical experts, including endocrinologists, surgeons, dietitians and psychologists, helps identify candidates who could most benefit from weight-loss surgery. This team works intensively with you before and after your procedure to help achieve a long-lasting result. In some cases, follow-up care can be conducted by your hometown doctor, working closely with the Mayo team.

Minimally invasive approach

Mayo Clinic uses minimally invasive techniques for weight-loss surgery whenever possible. This approach offers smaller incisions, less pain, shorter hospital stays and faster recovery than traditional open surgery.

Comprehensive care

In addition to your weight-loss surgery, you may receive treatment from other Mayo Clinic specialists, including nutrition therapy, behavior modification and pharmacotherapy. For out-of-state patients, we offer efficient, condensed scheduling. We will work with providers in your area to meet your needs.

Expertise and rankings

Experience

Biliopancreatic diversion with duodenal switch (BPD/DS) is considered to be the most complex weight-loss surgery, with the most risk for complications. Mayo Clinic surgeons have extensive experience with this type of weight-loss procedure, with all three Mayo Clinic locations performing more than 100 BPD/DS surgeries each year.

Complex cases

Mayo Clinic specializes in repairing problems resulting from previous weight-loss surgery, and performing weight-loss surgery in patients with complicated medical histories who may not qualify for surgery at other institutions.

Nationally recognized expertise

Mayo Clinic in Rochester, Minnesota, continues to be accredited by MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) as a comprehensive center with adolescent qualifications the highest level of accreditation in bariatric surgery. Because of this accreditation, Mayo Clinic in Rochester, Minnesota, has also met Medicare's facility standards for bariatric surgery. Bariatric surgery accreditation promotes standard benchmarks and supports continuous quality improvement.

Mayo Clinic in Rochester, Minn., ranks No. 1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for digestive disorders by U.S. News & World Report.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

March 28, 2018
References
  1. Bariatric surgery procedures. American Society for Metabolic and Bariatric Surgery. https://asmbs.org/patients/bariatric-surgery-procedures. Accessed March 20, 2017.
  2. Lim RB. Bariatric procedures for the management of severe obesity: Descriptions. http://www.uptodate.com/home. Accessed March 20, 2017.
  3. Cameron JL. Laparoscopic surgery for morbid obesity. In: Current Surgical Therapy. Philadelphia, Pa.: Elsevier; 2017. http://www.clinicalkey.com. Accessed March 20, 2017.
  4. Jameson JL, et al., eds. Bariatric surgery. In: Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed March 20, 2017.
  5. AskMayoExpert. Weight management (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
  6. Bariatric surgery. National Institute on Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/health-topics/weight-control/bariatric-surgery/pages/overview.aspx. Accessed March 20, 2017.
  7. Lim RB. Bariatric operations: Perioperative morbidity and mortality. http://www.uptodate.com/home. Accessed March 20, 2017.
  8. Khatri VP. Laparoscopic sleeve resection with duodenal switch. In: Atlas of Advanced Operative Surgery. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Accessed March 20, 2017.
  9. Barbara Woodward Lips Patient Education Center. Bariatric surgery for weight loss. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  10. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Jan. 26, 2017.
  11. McKenzie TJ (expert opinion). Mayo Clinic, Rochester, Minn. April 10, 2017.

Biliopancreatic diversion with duodenal switch (BPD/DS)