Duodenal Switch Surgery in Tijuana, Mexico
Duodenal Switch Surgery (DS), short for Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a viable option for people with significant weight to lose (super obese patients). DS is considered an aggressive operation, however, it has the best long-term weight loss results among all of the weight loss surgical procedures.
Duodenal Switch is restrictive and malabsorptive: it offers restriction like gastric sleeve and malabsorption like gastric bypass. This procedure is performed in two stages: First, the gastric sleeve to lose weight (about 60 to 80 lbs); Second, rerouting the intestines to induce malabsorption and therefore weight loss.
The DS procedure is gaining popularity because it has one of the highest expected weight loss as well as the most reduction in comorbidities compared to other procedures. Also, the patients from previous failed surgeries like gastric band, gastric sleeve, and gastric balloon can benefit from this procedure.
At Mexico Bariatric Center®, we offer Duodenal Switch in Tijuana starting at $6,995 – that is savings of 70% to 80% over the United States and Canada. As one of the only bariatric centers to provide this procedure, MBC works with highly qualified and experienced surgical teams.
Our All-Inclusive Duodenal Switch Package Includes;
Private Ground Transportation
Accredited Hospital with ICU (3 nights)
Board Certified Surgeons
State-of-the-Art Medical Equipment
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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Is Duodenal Switch Right For Me?
Duodenal Switch is a great option for super obese patients and patients with a failed sleeve or band surgeries can benefit from this surgery.
Because of it’s high expected weight loss, patients will need to meet these requirements:
Patients typically are needed to have a Body Mass Index of 45+
Ages between 16 and 65 (case by case basis)
Patients with BMI of 35-45 can be candidates as they have co-morbidities including type two diabetes, hypertension, high blood pressure, or other diseases
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.
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.
Average Expected Weight Loss 
- 3 months: 35% excess weight loss*
- 6 months: 55% excess weight loss*
- 12 months: 75% excess weight loss*
- 18 months: 80% excess weight loss*
The duodenal switch surgery is the most expensive procedure compared to the gastric sleeve and gastric bypass. It is a more complicated bariatric operation, 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 Tijuana, Mexico will be considerably less than the U.S. and Canadian counterparts. Most patients will pay typically 1/3 the expense in the United States.
Mexico Bariatric Center offers duodenal switch surgery starting at $6,995. Please contact our staff today to find out our exact price for duodenal switch. We have helped hundreds to get on the loser’s bench and change their lives forever. See why you should contact us first!
Starts at $7,295 $6,995*
These are the specific steps our surgeons use to ensure the highest level of safety and results for patients.
Step 1: Patient is placed on the surgical table with the face-up and the arms spread apart.
Step 2: General anesthesia begins and inserts a breathing tube into the windpipe.
Step 3: Small incisions (normally 5) are made in the abdomen area to access the abdominal cavity.
Step 4: Trocars (hollow steel tubes) are inserted through the incisions as a surgical instrument access port.
Step 5: The abdomen is inflated with carbon dioxide (CO2) gas to create space for surgery.
Step 6: Surgeon inserts a probe equipped with a built-in specialized camera (laparoscope) along with other small pencil-like surgical instruments.
Step 7: The retractor is used to lift your liver.
Step 8: The first part of the operation is performed by removing approximately 70% of the stomach, leaving behind a new small-sleeved stomach. An Endoscopic Cutter/Stapler cuts and staples the stomach along the greater curvature sized by the bougie inserted through the mouth to form the new stomach.
Step 9: The GI tract is diverted beyond the first two parts of the small intestine (60% of the small intestine), duodenum and jejunum and hooks up with the ileum – the last part of the small intestines. The small intestine is detached from the new stomach at about 3 cm below the pyloric valve.
Step 10: The final segment of the small intestine (40% of the small intestine called the Ileum) is attached to the new stomach.
Step 11: Upon completion, the small incisions are closed by dissolvable sutures.
Step 12: The surgeon leaves a drain in the abdominal cavity to detect any possible leaks after surgery.
Besides being one of the most effective weight loss procedures, another significant benefit of duodenal switch surgery is that it has high rates to improve or cure the most severe obesity-related health problems. Some of these comorbidities include type 2 diabetes, stroke, high blood pressure, heart disease, sleep apnea, depression, and many more.
Duration and Recovery of Duodenal Switch Surgery
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.
The duodenal switch procedure is an effectual weight loss surgery that requires a patient with greater life-threatening diseases more than other surgeries
Due to the intestinal re-routing, stools tend to be stronger smelling as in the case of gastric bypass. The stool gets loose if the patient consumes too much fat. Consuming too many carbohydrates, fiber, and carbonated drinks may worsen the flatulence.
Learn more about the various surgical hazards, and post-surgery complications after undergoing duodenal switch.
Advantages of Duodenal Switch
- Duodenal Switch is somewhat reversible; the malabsorptive aspect can be reversed and then acts as a gastric sleeve.
- Patients can consume a broad range of foods, similar to sleeve gastrectomy.
- Dumping syndrome is a lot less common, unlike RNY gastric bypass.
Disadvantages of Duodenal Switch
- Requires lifelong dietary supplements to combat malabsorption.
- The stomach increases in size and does not reverse.
- Anemia – lack of enough healthy red blood cells or hemoglobin.
- Gallstones are somewhat common with duodenal switch, as with any other bariatrics.
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.
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.
* 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 may vary. There is no guarantee made by statements on this website.
Last Updated: Jan of 2020 by Ron Elli, Ph.D.
Reviewed by Dr. Kimberly Langdon, M.D. August 2018