Obesity is a chronic disease in which there is an excessive accumulation of fat in the body. Obesity has become a global epidemic, especially in countries like United States, Canada and Mexico. Bariatric surgery is a viable option for people with weight problem if diet and exercise alone is not working for them.
The duodenal switch surgery, also known as Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a powerful weight loss and metabolic surgery. BPD/DS procedure is the second step to a vertical sleeve gastrectomy surgery. The super obese patients and patients with failed sleeve or band surgeries can benefit from this surgery. In patients with super high BMI, 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, the duodenal switch is restrictive and malabsorptive. The first 2 parts of small intestine, i.e. duodenum and jejunum, are bypassed significantly reducing absorbtion of nutrients and help weight loss. It is so powerful that 98% of patients with type two diabetes are “cured” after the surgery.
In Laparoscopic Duodenal Switch, also called Minimally Invasive Surgery (MIS), 5 small incisions are made in the abdomen. In Open Duodenal Switch, however a long incision is made in the abdomen area. Laparoscopic surgery is a modern surgical technique that helps faster healing, less trauma to the body and less complications.
Mexico Bariatric Center is at 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 had Duodenal Switch Works?
The 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.
Duodenal 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 procedure 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.
How We Perform Duodenal Switch in Mexico
All of our surgeons performing Laparoscopic Duodenal Switch surgery adhere to specific techniques for the highest patient outcomes. The following steps are exercised by MBC surgeons to ensure the highest level of safety for patients.
- The patient is placed on the surgical table with the face-up and the arms spread apart.
- The anesthesiologist starts the general anesthesia and inserts a breathing tube into the windpipe.
- Small incisions (normally 5) are made in the abdomen area to access the abdominal cavity.
- Trocars are inserted through the incisions as a surgical instrument access port.
- The abdomen is inflated with carbon dioxide (CO2) gas to create space for surgery.
- The laparoscope camera is introduced through one of the incisions to view your organs.
- Small surgical instruments are introduced through ports to perform the surgery.
- The retractor is used to lift your liver.
- The first part of the surgery is performed by removing approximately 70% of the stomach along the greater curvature (as explained in the sleeve surgery).
- The GI tract is diverted beyond the first two parts of small intestine.
- The final segment of the small intestine, ileum, is attached to the stomach.
- Upon completion, the small incisions are closed by dissolvable sutures.
- The surgeon leaves a drain in the abdominal cavity to detect a leak.
Biliopancreatic Diversion with Duodenal Switch Procedure, Anatomy
The BPD/DS procedure takes about 2.0 to 2.5 hours from start to end. The actual surgery takes about 60 min to 90 min, depending on the patient’s BMI and surgeon’s skills and experience. Mexico Bariatric Center keeps our duodenal switch patients 2 to 3 nights in the hospital depending on their condition and overall health. Healing is rather fast and patients can return to work after two to four weeks following the surgery.
|Surgery Duration||Nights in Hospital||Nights in Hotel||Back to Work|
|2.5 Hours||3 Nights||2 (1 PreOp, 1 Post Op)||2 to 4 Weeks|
Mexico Bariatric Center (MBC) is one of the pioneering companies to offer duodenal switch surgery in Mexico. In addition to standard laparoscopic duodenal switch, MBC provides the revisional duodenal switch. To discover our current pricing for DS in Mexico, please contact our patient care coordinators today. MBC has helped hundreds to get on the loser’s bench and change their lives forever.
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 broad 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.
- Anemia – lack of enough healthy red blood cells or hemoglobin.
- Gallstones are somewhat familiar 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 necessary these requirements:
- Patients typically are needed to have a body mass index of 40 or more.
- Patients with BMI of 35 can be candidates for the 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 helping 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 duodenal switch surgery is the most expensive procedure comparing to gastric sleeve and gastric bypass. It is a more complicated surgery and only a small percentage of surgeons can perform this procedure. Self-pay U.S. patients can expect to pay $24,000 to $32,500. The cost of duodenal switch surgery in Mexico will be considerably 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…