Duodenal Switch also known as BPD-DS is a procedure that causes weight loss through a sleeve gastrectomy and intestinal bypass. In fact, the success of this weight loss surgery is very good. In general, patients who follow the recovery guidelines given by their surgeon and follow an active recovery experience a 60% weight loss within the first year. Some may even experience between a 75%-80% loss of excess weight between the first and second year.
According to the Obesity Reporter, “All patients see remarkable weight loss success as a result of duodenal switch surgery”.
This surgery is made-up of a restrictive and malabsorptive aspect. The restrictive part of the procedure deals with the removal of around 70% of the patient’s stomach and the majority of the duodenum, the malabsorptive part of the procedure involves the rerouting of a lengthy part of the small intestine which in turn creates two separate pathways and one shared channel. The purpose of this arrangement is to reduce the amount of time the body has to absorb the calories from food in the small intestine.In addition, it restricts the absorption of fat.
The first step of the procedure is to administer the patient with general anesthesia. Next, the small incisions are made in the abdomen, medical tools are inserted through these incisions. After, the surgeon will remove most of the stomach tissue and will staple it so that it becomes smaller, creating a sleeve-like shape. Next, the part of the small intestine which is still attached to the large one will be attached to the duodenum, creating a shorter path from the stomach to the colon. After, the end of the detached middle section of the small intestine will be attached to the large intestine, guaranteeing that the bile from the liver and the pancreatic fluid will flow into the colon. Finally, the surgeon will close the incisions. This surgery takes around 2 to 3 hours and the patient is expected to lose around 60% to 75% of their excess weight within a year.
After the surgery the patient can expect to lose an average of up to 80% excess weight in 18 months. In fact, after the first 3 months they can expect to already lose around 35% of excess weight and on average after the first year, they are expected to lose 75% of their excess weight.
The duodenal surgery is the most complex procedure out of the other commonly performed bariatric surgeries. In fact, only a handful of surgeons can perform this surgery because it’s very complex.
In the United States the average price for a duodenal surgery is between $24,000 to $32,500. However, the cost for the same surgery in Mexico is more affordable and doesn’t compromise quality. In Mexico the price of a duodenal switch surgery is between $8000 to $1200.
Mexico has a very affordable cost for a high quality weight loss procedure. Moreover, the low cost does not imply less professional health care services or quality. Contrarily, most facilities providing this procedure are staffed with the best bariatric surgeons in Mexico.
Duodenal Switch is affordable in Mexico due to factors such as:
"8 Months Post-op From Modified Duodenal Switch - Down 130 lbs and still losing!..."
As with many bariatric surgeries, the duodenal switch surgery is not for everyone. This surgery is recommended for patients that are at or above a 40 BMI (Body Mass Index) or that suffer from weight related health problems, such as hypertension, type II diabetes, high cholesterol, etc.
Patients who want to undergo duodenal switch surgery must have an online evaluation with their surgeon and discuss if this is the best option for them because, as stated before, this procedure might be the right one for some patients but not for others and the only way patients can figure out if they’re candidates is by having a consultation with a bariatric surgeon.
Follow up after surgery is extremely important. It's imperative that the patient follows their surgeon’s instructions and diet to minimize risks and side effects.
Duodenal Switch surgery is only one part of the path to good results. Success is not determined right after leaving the hospital. Weight loss will occur for 12 to 24 months following the operation and patients must follow their surgeon’s instructions.
It’s crucial to understand that bariatric surgery is a tool, it isn’t a permanent solution to obesity. It’s a tool for losing weight. Once it occurs you need to exercise and eat smart to stay slim. In addition, it’s important that patients understand that choosing a reputable and experienced surgeon is crucial for a good surgical outcome. Patients can find trusted duodenal switch surgeons in Mexico in the following links: CMCOEM, ASMBS and IFSO.