Duodenal Switch Surgery, otherwise referred to as the biliopancreatic diversion with duodenal switch (BPD/DS), is a restrictive and malabsorptive weight loss surgery.
Duodenal Switch is a very powerful weight loss surgery in which only the extremely obese will be qualified for.
How Duodenal Switch Surgery Works:
Duodenal Switch is a combination surgery, similar to gastric bypass surgery, in which it uses two surgical techniques to produce weight loss: restrictive and malabsorptive.
First step of the procedure: the surgeon removes 70% of the stomach permanently. This step resembles the “gastric sleeve,” procedure – where patients will feel fuller quicker and produce less ghrelin production.
Second step of the procedure: the surgeon reroutes the the patient’s intestines allowing the patients to absorb roughly 20% of the fat they eat.
Third step of the procedure: the surgeon also changes the way the bile and digestive juices break food down – allowing patients to further reduce their caloric intake.
Duodenal Switch Complications:
All weight loss surgeries carry risks, including death. Risks include stomach leaking into the abdominal cavity, infection, blood clot in the legs (deep vein thrombosis, or DVT) or lung (pulmonary embolism). Some people develop gallstones or a nutritional deficiency.
The following are the major complications associated with duodenal switch:
- Dumping Syndrome: Dumping syndrome is very common and causes weakness, sweating, vomiting, diarrhea and nausea. These symptoms usually happen after eating high-calorie foods (junk food).
- Malnutrition: Because of the malabsorptive aspect, patients will need to include supplements and vitamins into their diet.
- Stools and Diarrhea: Patients will sometimes incur fool smelling stools and diarrhea after eating certain foods.
Duodenal Switch Candidacy
Because of the high-expected weight loss with duodenal switch, patients will need to meet these two restrictions:
- Patients will need a BMI of 40 or greater.
- Patients will need to have the co-morbidities: type 2 diabetes, hypertension, high cholesterol and other diseases.
Single Anastomosis Duodenal Switch
One variation of DS is Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). It only has one anastomosis and therefore is a less complicated surgery and takes less time to perform.
Cost of Duodenal Switch Surgery
Duodenal switch is a more costly surgery than gastric sleeve or gastric bypass, but is significantly less expensive in Mexico. Below are the best providers of duodenal switch in Mexico. If you’re interested, please contact us for more information.