Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

The Duodenal Switch, or Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a powerful bariatric and metabolic surgery that combines two methods of popular weight loss procedures; the sleeve gastrectomy and the RNY gastric bypass. The BPD/DS is performed in two stages; restricting the stomach size and rerouting the small bowel.

Duodenal Switch Surgery is a viable option for morbidly obese patients who have significant weight to lose, typically with a BMI of 45+. It is one of the most aggressive obesity treatments among all weight-loss surgical procedures with sustainable long-term weight loss results and reversal of comorbidities.

BPD/DS (and its variations SADi-S and SIPS) is a complex procedure that only a handful of surgeons are capable of. With our leading surgical team, we believe that Mexico Bariatric Center® is the company with more duodenal switch patients across all of America.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Surgery Duration:
3 – 4 Hours

Hospital Stay:
3 Nights

Hotel Stay:
1 – 2 Nights

Back to Work:
3 – 4 Weeks

How Duodenal Switch Surgery Works

Duodenal Switch (DS) surgery utilizes both restriction and malabsorption mechanisms to yield significant weight loss.

Sleeve Gastrectomy to Reduce Stomach Volume

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. As a result, the stomach capacity holds less food while controlling calorie intake.

Bypass Intestines to Create Malabsorption

Next, rerouting the intestines is performed to induce malabsorption and therefore additional weight loss. The malabsorptive component occurs when the large portion of the small intestines is rerouted; this impact makes patients absorb only 20% of the fat they eat in comparison before surgery.

Feel Full Faster and Absorb Fewer Calories

The first two parts of the small intestine, i.e. duodenum and jejunum, are bypassed significantly diminishing the absorption of nutrients. It makes modifications to the normal process that bile and digestive juices breaking down food. In doing so, the duodenal switch cuts back on how many calories you absorb and contributes to more weight loss.

Michelle Duodenal Switch Surgery

“140 pounds down. If you are on the fence, I suggest you leap over. 😉 It’s worth it!!”

Michelle

Duodenal Switch Surgery

Duodenal Switch Before and After Photos

barbara before Duodenal Switch
barbara after Duodenal Switch
Barbara
Jamie before Duodenal Switch
Jamie after Duodenal Switch
Jamie
AJ before Duodenal Switch
AJ after Duodenal Switch
AJ
Meagan before Duodenal Switch
Meagan after Duodenal Switch
Meagan
Skyler before Duodenal Switch
Skyler after Duodenal Switch
Skyler
Ross before Duodenal Switch
Ross after Duodenal Switch
Ross
kate before
kate after
Kate
Christian DS before
Christian DS after
Christian
Kim DS before
Kim DS after
Kim
Roshni DS before
Roshni DS after
Roshni
Justin DS before
Justin DS after
Justin
Tiffany DS before
Tiffany DS after
Tiffany
Christopher Before
Christopher After
Christopher
David Duodenal Switch Before Picture
David Duodenal Switch After Picture
David
Michelle Duodenal Switch Before Picture
Michelle After
Michelle
Sapp - Before Gastric Sleeve Surgery
Sapp - After Gastric Sleeve Surgery
Sapp
Andi Mini Gastric Bypass Surgery Before and After

Is Duodenal Switch Right for Me?

Duodenal Switch is a bariatric surgery that can produce the greatest overall weight loss. BPD/DS has higher success rates for patients that are super morbidly obese or at greater risk of life-threatening diseases than other surgeries. Patients must meet the following eligibility requirements:

  • Patients typically are needed to have a body mass index of 40 or more.
  • Patients with a 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.

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Is BPD/DS in Mexico Safe?

Mexico Bariatric Center® offers Duodenal Switch in Tijuana starting from only $9,600 $7,995! This saves patients over 70% of the price that you can expect to pay in the United States and Canada.

1.

We are the most qualified provider of duodenal switch surgery in Mexico. Our team of highly trained bariatric surgeons has successfully completed hundreds of successful DS procedures.

2.
Out of dozen of weight loss surgery providers in Tijuana, there is nobody as experienced as super surgeon Dr. Rodriguez Lopez.
3.
We work in a high-volume hospital that specializes in bariatric surgery. Our private facility that goes above and beyond safety to practice under strict COVID-19 protocols and always using personal protective equipment.
  • Christian before and after DS surgery
  • Kate before and after DS surgery
  • Jamie before and after DS surgery
  • Justin before and after DS surgery
  • Dave before and after DS surgery
  • Tiffany after DS surgery
  • Danielle before and after DS surgery
  • Michelle before and after DS surgery
  • Roshini before and after DS surgery
  • David before and after DS surgery

What Does the DS Package Include?

Mexico Bariatric Center is one of the only providers providing duodenal switch surgery in Mexico. We represent some of the most qualified surgeons in Mexico, with two exclusive DS specialized surgeons Dr. Jesus Ceja and Dr. Rodriguez Lopez. Our surgical team has an impeccable track record for patient outcomes and success rates. If you are curious to learn more about the great benefits the duodenal switch has to offer, get approved today.

  • Private Ground Transportation
  • Accredited Hospital with ICU
  • Board Certified Surgeons
  • State-of-the-Art Equipment
  • 4.5 Star Hotel

  • Patient Coordination

  • 24/7 Surgical Team and Nursing Staff
  • 4.5 Star Hotel (2 nights)
  • Pre-Op + Post-Op Nutrition Program
  • Online Support Group
  • U.S. Surgeon Liaison
  • No Hidden Fees

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Major Benefits of Duodenal Switch Surgery

The BPD/DS can yield substantial excess weight loss, in many cases 150 pounds or more. It reduces your stomach’s capacity and detours fat and calorie absorption achieved by intestinal reconfiguration. Extreme weight loss is followed by many years of weight maintenance compared to any other bariatric operation.

An estimated 98% of patients with type II diabetes, 70% of patients with high blood pressure, and 75% of patients with high cholesterol are in remission or even cured after the surgery.[3]

The duodenal switch surgery additionally improves and cures more obesity-related health issues long term, even better than gastric bypass or vertical sleeve gastrectomy.  Some of these comorbidities include type 2 diabetes, stroke, high blood pressure, heart disease, sleep apnea, depression, and many more. Another significant benefit of the duodenal switch procedure is the preservation of the pyloric valve – leaving the bile and pancreatic fluid intact. This prevents marginal ulcers and dumping syndrome experienced by patients with Roux-en-Y gastric bypass.

Health Advantages

  • Type 2 diabetes
  • High blood pressure
  • Sleep apnea
  • Dyslipidemia
  • Hypertension
  • Lung disease
  • Arthritis
  • Headaches and migraines
  • High cholesterol
  • Infertility/PCOS syndrome
  • Cardiovascular disease
  • Back and joint pain
  • Nonalcoholic fatty liver disease

Why Choose Mexico Bariatric Center?

FDA Approved Surgical Equipment

FDA approved top-quality surgical equipment & modern medical techniques. We reduce complication rates and improve outcomes by applying safety standards and guidelines, techniques, and bariatric technology.

Surgeon's Load Management

Load management is a program we implemented at Mexico Bariatric Center to monitor the bariatric surgeon’s optimal load for any given day. The doctor’s load is managed based on the type of surgery and it’s level of complexity, as well as the total number of surgeries scheduled for that day.

Bariatric-Specialized Hospital Facility

Although the gastric sleeve surgery is straightforward, our world-class success rates are a testament to the safety protocols we follow, our team of the best bariatric surgeons in Mexico, as well as health protocols followed by our hospital, nurses, and staff.

Justin Bagwell - Duodenal Switch Surgery Before and After Photo
Danielle Kats Duodenal Switch Before and After Photo
Jamie Duodenal Switch Before and After Photo
Christopher Browers Duodenal Switch Before and After Photo
Michelle Christina - Duodenal Switch Surgery Before and After Photo

Starting at $8,995 $7,995*

Mexico Bariatric Center is located just across the border in Tijuana, Mexico. MBC strives to offer the most affordable, quality, and reliable all-inclusive packages to medical tourists around the world.

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Surgical Steps of the DS Procedure

The Duodenal Switch BPD DS / SADI-s procedures take over 3 hours from start to finish. The operation time depends on the patient’s BMI, pre-op diet, and the surgeon’s skills as well as experience. Patients’ healing is rather fast, and patients can return to work after two to four weeks following the surgery in Mexico. Mexico Bariatric Center keeps the patients 3 nights in the hospital for safer recovery.

These are the specific steps the surgeons use to ensure the highest level of safety and results for patients. After the patient is placed on the surgical table with the face-up and the arms spread apart.

This procedure is performed in two stages: First, the gastric volume reduction similar to sleeve gastrectomy to lose weight (about 60 to 80 lbs); Second, rerouting the intestines creates two pathways and a common channel to induce malabsorption and therefore additional weight loss.

The digestive loop is the pathway for food to travel from the stomach to the common channel. The biliopancreatic loop takes bile from the liver and the pancreatic enzymes to the common channel. Food digestion occurs when the switched intestines meet in the common channel. That is where food and digestive juices get mixed before it enters the large intestine.

Duodenal switch is so powerful that 98% of patients with type II diabetes are “cured” after surgery.

Anesthisia Icon

1. Anesthesia Administered

General anesthesia is administered by the anesthesiologist and a breathing tube (endotracheal tube) is inserted into the esophagus.

Laparoscopic Incisions Minimal Invasive Icon

2. Cut 5 Laparoscopic Incisions

Surgeon makes 3 to 5 laparoscopic incisions in the abdomen and trocars (hollow steel tubes) are placed through as a passageway for surgical instruments.

Trocars Gastric Sleeve Icon

3. Abdomen Filled and Liver Lifted

The abdomen is filled with CO2 to separate stomach wall from the small intestine. The liver is gently pushed aside with a retractor by the assistant surgeon.

Removing the Stomach

4. Removing the Stomach

The greater curvature is released starting from the antrum to approximately two inches from the pylorus and an endoscopic cutter/stapler then cuts and staples the stomach along the bougie inserted through the mouth as a guide.

Reroute Intestine

5. Duodenal Switch

The GI tract is diverted into the [1] jejunum (60% of the small intestine which then hooks up with the ileum) and the [2] duodenum. The small intestine is then detached from the new stomach, 3 cm below the pyloric valve, and attaches to the last 40% of the small intestine (ileum).

gastric sleeve drain inserted icon

6. Biliopancreatic Diversion

The remaining small intestine is reconnected back to itself approximately 5 feet from its entrance back to the colon. Upon completion, the small incisions are closed by dissolvable sutures. The surgeon leaves a drain in the abdominal cavity to detect any possible leaks after surgery.

Traveling with Mexico Bariatric Center

Cost of Duodenal Switch Surgery in Mexico

The duodenal switch surgery is the most expensive procedure and far more complicated which only a small percentage of surgeons have the expertise to perform. In the U.S., the duodenal switch out-of-pocket costs are between $24,000 to $32,500.

The cost of duodenal switch surgery in Tijuana, Mexico, however, is considerably less expensive than the U.S. and Canadian counterparts. Mexico Bariatric Center is proud to be one of the few select centers in Mexico to offer duodenal switch surgery starting at $9,600 $7,995.

Duodenal Switch Weight Loss Timeline

Patients are expected to lose on average 78% of their excess body mass because of two weight-loss components working together.

On average patients experience losing 1/2 pound to 1 pound per day for the first 3 months after duodenal switch surgery. Weight loss typically slows down between 6 to 9 months and maximizes at 12 to 18 months postoperatively.

Average Expected Weight Loss1

  • 3 months: 35% excess weight loss*
  • 6 months: 55% excess weight loss*
  • 12 months: 75% excess weight loss*
  • 18 months: 80% excess weight loss*

In 2 years by following the proper post-op diet, exercise, and taking bariatric vitamins, patients can shed all of their excess weight. For super-obese patients, skin removal may be needed to reach their ideal weight.

Christopher - Duodenal Switch Surgery Before and After Photo

Is BPD/DS Surgery Dangerous?

Advantages of Duodenal Switch

The duodenal switch procedure is an effectual weight loss surgery that benefits life-threatening obesity conditions.

Partially Reversible

The malabsorptive aspect can be reversed, acting as a standalone gastric sleeve.

Eat Broad Range of Foods

Patients can consume a broad range of foods, similar to gastric sleeve and bypass.

Dumping Syndrome is Uncommon

We are one of the few companies in Mexico that have multiple surgeons on our team that specialize in duodenal switch surgery.

Improve Health

A benefit of duodenal switch surgery is that it has high rates to improve or cure the most severe obesity-related health problems.

Before and After Pictures

Side Effects, Complications, and Risks

Due to intestinal re-routing, stools tend to be stronger smelling similar to gastric bypass. The stool becomes loose if too much fat is consumed. Consuming excess carbohydrates, fiber, or carbonated drinks can also worsen flatulence.

Requires Vitamins

Requires patients to follow strict vitamin and supplementation in order to combat the nutrient deficiencies & malabsorption.

No Revision Options

If the duodenal switch was not successful, there are no available revision options that have a high chance of success.

May Cause Anemia

Lack of iron after BPD/DS can cause anemia. This is why vitamins are so essential after surgery.

Risk of Gallstones

Gallstones are a common risk factor caused by losing weight after bariatric surgery.

Learn About Complications, Risks

Single Anastomosis Duodenal Switch (SADi-S)

Single Anastomosis Duodenal Switch (Single Anastomosis Duodeno–ileal Bypass with Sleeve Gastrectomy, SADI-S) is a new type of DS surgery that uses a single anastomosis (reconnection process).

In Single Anastomosis DS, there is only one surgical connection between the stomach and the small intestines, as opposed to two in the classical DS. This new procedure is showing promising results.

+ The total length of the small intestines varies from patient to patient, averaging about 6 meters, or 20 feet long.

Duodenal Switch Surgical Procedure: Open vs. Laparoscopic

Duodenal Switch surgery can be performed open or laparoscopically. In open (traditional) duodenal switch, a long incision is made in the abdomen area. Open bariatric procedures are no longer performed by surgeons in the U.S. and Mexico.

Laparoscopic surgery is a modern surgical technique that helps faster healing, less trauma to the body and fewer complications. In the laparoscopic duodenal switch procedure, also called Minimally Invasive Surgery (MIS), five small incisions are made in the abdomen.

SADi - Single Loop 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 the BMI levels and previous abdominal surgeries.

** All of the testimonials are covered in our disclaimers. Individuals’ results may vary. There is no guarantee made by statements on this website.

Last Updated: July 4, 2021, by Ron Elli, Ph.D.

Reviewed by Dr. Kimberly Langdon, M.D. August 2018

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