Duodenal Switch

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. DS procedure is restrictive and malabsorptive: it offers restriction from the pyloric preserving vertical sleeve gastrectomy and malabsorption like gastric bypass.

The first two parts of the small intestine, i.e. duodenum and jejunum, are avoided significantly reducing absorption of nutrients and help weight loss. Preservation of the Pyloric Valve prevents marginal ulcers and dumping syndrome experienced in patients with bypass surgery. It is so powerful that 98% of patients with type two diabetes are “cured” after the surgery.

How We Perform Duodenal Switch in Mexico

As a part of the gastrointestinal (GI) tract, the small intestine or small bowel is connecting the stomach to the large intestine. Much of the digestion and absorption of food takes place in here. The small intestine has three regions: duodenum, jejunum, and ileum. 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.

Dr. Javier de la Garza

 

• 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.
The risk of complications is lower at centers that do more than 100 bariatric surgeries per year (SOURCE: WebMD and MBC Research Study).

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.

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.

Learn more about the various surgical hazards, and post-surgery complications after undergoing duodenal switch.
* Prices are subject to change. Not valid on blackout dates. Prices depend on the surgeon, surgery, additional fees, and schedule. Prices may rise because of BMI level and previous abdominal surgeries.
* All of the testimonials are covered in our disclaimers. Individuals results will vary; there is no guarantee stated nor implied.

 

Cost of Duodenal Switch Surgery

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The duodenal switch surgery is the most expensive procedure comparing to the 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.