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Next a large. The duodenal switch ds procedure gastric reduction duodenal switch grds is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect. Pin On D S Breadcrumb home services duodenal switch surgery. Duodenal switch surgery . The duodenal switch procedure is performed in a hospital or a surgery center using general anesthesia. The procedure is occasionally done as a secondary procedure after a failed gastric band surgery. It packs a one two punch against obesity. Duodenal switch surgery is a combination of a gastric sleeve and gastric bypass surgery. The first step is sleeve gastrectomy in which about 80 percent of the stomach is removed leaving a smaller tube shaped stomach similar to a banana. Duodenal switch one of the most complicated weight loss surgeries is also known as vertical gastrectomy with duodenal switch biliopancreatic diversion with duodenal switch ds or bpd ds. Biliopancreatic diversion with duodenal swi...