Biliopancreatic Diversion in Central London


Advanced metabolic and malabsorptive weight-loss surgery performed by leading bariatric surgeons at LSDC Healthcare.


At LSDC Healthcare, we offer Biliopancreatic Diversion (BPD) — one of the most powerful operations for treating severe obesity and metabolic disease.

This complex but highly effective procedure combines restriction and malabsorption, dramatically reducing calorie absorption while improving insulin sensitivity and blood sugar control.


Our consultant bariatric surgeons deliver this treatment within a comprehensive, multidisciplinary programme, supported by dietitians, psychologists, and endocrinologists to ensure lifelong safety and success.

What Is a Biliopancreatic Diversion?

A Biliopancreatic Diversion involves removing a portion of the stomach to restrict intake, then rerouting the small intestine so food bypasses much of its absorptive surface.

This reduces calorie and fat absorption while changing gut hormones responsible for appetite and glucose regulation.

A modified form, the Duodenal Switch, combines the benefits of sleeve gastrectomy with a shortened intestinal pathway, offering high efficacy for patients with severe obesity (BMI > 50) or uncontrolled Type 2 diabetes.

Who Is It Suitable For?

This procedure may be considered for patients who:

  • Have a BMI above 50, or BMI > 45 with major comorbidities.

  • Have failed previous bariatric operations or weight-loss programmes.

  • Require rapid metabolic correction of diabetes or hyperlipidaemia.

  • Are committed to long-term nutritional monitoring and follow-up.


Before surgery, every patient completes a detailed metabolic and nutritional assessment, psychological screening, and anaesthetic review.

Benefits of Biliopancreatic Diversion

  • Most powerful weight-loss results (up to 80–85 % excess-weight loss)

  • Resolution or remission of Type 2 diabetes, hypertension, and dyslipidaemia

  • Reduced appetite and altered gut-hormone profile

  • Long-term metabolic improvement and cardiovascular protection

Risks and Considerations

Because the surgery limits nutrient absorption, patients must commit to lifelong supplementation and regular monitoring of protein, vitamin A, D, E, K, iron, calcium, and B-complex levels.

Potential risks include diarrhoea, nutritional deficiency, and anaemia — all mitigated by structured follow-up at LSDC.

Recovery and Aftercare

Hospital stay is typically 2–3 nights, with return to light activity in 3 weeks.


Our aftercare pathway includes:

  • Regular reviews with surgeon, endocrinologist, and dietitian.

  • Tailored nutritional supplementation plans.

  • Body-composition and metabolic monitoring every 3–6 months.

  • Psychological support to sustain long-term motivation and adaptation.

Why Choose LSDC Healthcare?

  • Consultant-led bariatric surgery with CQC-approved standards.

  • Theatre access via Nuffield Health St Bartholomew’s and Aspire Bushy Hospital.

  • Integrated multidisciplinary aftercare: dietetic, psychological, and endocrinology input.

  • Transparent, fixed-price packages and full insurer recognition (BUPA, AXA, Aviva, Cigna, Healix).

  • Located minutes from Liverpool Street Station for convenient, discreet access.

Private Fees and Insurance

We provide transparent, fixed-price packages for self-pay patients.

LSDC Healthcare is recognised by BUPA, AXA, Aviva, Cigna, United Insurance , and more.

Our patient support team assists with pre-authorisation and claims to make the process seamless.

LSDC Healthcare

A couple of minutes outside Liverpool St Station, this excellent facility is conveniently located for Medical consultations in London.

This facility is open during the evenings making it an excellent choice for busy professionals.

LSDC Healthcare London

Book A Consultation

If you are living with severe obesity or poorly controlled diabetes and are exploring surgical options, arrange a consultation at LSDC Healthcare.


Our consultants will:

Evaluate your medical and metabolic profile.

Explain surgical options — including Duodenal Switch versus Sleeve or Bypass.

Develop a personalised, safe, and sustainable treatment plan with long-term follow-up.


Begin your journey towards transformative, consultant-led weight and metabolic control.

Frequently Asked Questions — Biliopancreatic Diversion

How does Biliopancreatic Diversion differ from Gastric Bypass?

BPD removes part of the stomach and bypasses a larger portion of the small intestine, causing more malabsorption and stronger metabolic effects than gastric bypass.

What weight loss can I expect?

Most patients lose 80–85 % of excess body weight within 18 months, provided they follow dietary and supplement guidelines.

Will I need lifelong supplements?

Yes. Vitamin and mineral supplementation is essential to prevent deficiencies due to reduced absorption.

Is the surgery reversible?

No. BPD is considered a permanent alteration of the digestive tract, but revisions are possible if medically necessary.

Is BPD covered by insurance?

Yes. Most major insurers cover complex bariatric and metabolic surgeries if clinical criteria are met. Self-pay options are available.

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23 Widegate Street, City of London, London, E1 7HP, United Kingdom

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