The duodenal switch surgery, also known as Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a powerful weight loss and metabolic surgery. This procedure is the second step to a vertical sleeve gastrectomy surgery. For super high BMI patient, it is recommended that they do DS in two stages. First the gastric sleeve to lose weight (about 60 to 80 lbs). Then small bowel portion of the surgery. Like gastric bypass, duodenal switch is restrictive and malabsorptive. It is so powerful that 98% of patients with type two diabetes are “cured” after the surgery.
Mexico Bariatric Center is in the forefront of Medical Tourism for bariatrics and duodenal switch surgery. MBC represents some of the most qualified surgeons in Mexico. Mexico Bariatric Center has an impeccable track record for patient outcomes and success. Check out this link to see why you should contact us first!
How Duodenal Switch Works?
Duodenal switch has evolved from the biliopancreatic diversion (BPD), which was primarily a malabsorptive weight loss surgery. BDP is rarely performed because of malnourishment issues, which were common.
Duodeonal Switch works by using two surgical techniques, malabsorptive and restrictive. This surgery is similar to gastric bypass surgery, yet duodenal switch produces more expected weight loss in three different ways.
1. In a similar fashion to gastric sleeve surgery, 70% of the stomach is cut and permanently removed. This restrictive technique allows patients to feel fuller faster, while also reducing ghrelin production.
2. The malabsorptive technique is when the large portion of the small intestines is rerouted, this impact makes patients absorb roughly 20% of the fat they eat.
3. It also makes changes to the normal way that bile and digestive juices break down food. This cuts back on how many calories you absorb and contributes to more weight loss.
Advantages of Duodenal Switch
- Duodenal Switch is somewhat reversible; the malabsorptive aspect can be reversed, and then act like a gastric sleeve surgery.
- Patients can consume a wide range of foods, similar to gastric sleeve.
- Dumping syndrome is a lot less common, unlike gastric bypass surgery.
Disadvantages of Duodenal Switch
- Requires lifelong dietary supplements to combat the malabsorption.
- The stomach increases in size and does not reverse.
- Gallstones are somewhat common with duodenal switch, as with another weight loss surgery.
Am I a Candidate for Duodenal Switch
Duodenal Switch is a powerful weight loss surgery that requires a patient with greater life-threatening diseases more than other surgeries. Because of duodenal switch high expected weight loss, patients will be required meet these requirements:
- Patients typically are required to have a body mass index of 40 or more.
- Patients with BMI of 35 can be candidates for duodenal switch as long as they have co-morbidities including type two diabetes, hypertension, high blood pressure, or other diseases.
Diet After Surgery
The daily supplements after Duodenal Switch procedure are crucial to help prevent nutritional deficiencies. The American Society for Metabolic and Bariatric Surgery (ASMBS) recommends:
- Vitamin A
- Vitamin D
- Vitamin K
- Calcium supplements and calcium-rich dairy beverages
- Vitamin B12 supplements
- Optional B-complex vitamin
You should eat nutritious meals that are high in protein, along with fruits, vegetables, whole grains, and omega-3 fatty acids. You should avoid meals high in sugar.
Cost of Duodenal Switch Surgery
The cost of duodenal switch surgery in Mexico will be considerable less than the U.S. and Canadian counterparts. Most patients will pay typically 1/3 the cost of the cost in the United States. Please contact our staff today to find out our exact cost for duodenal switch. Learn more…