Duodenal Switch Surgery in Mexico: Certified Bariatric Surgeons $6,695

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.

Find Out if you Qualify

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

Surgery Duration
3 – 4 Hours

Hotel Stay
1 Night Pre-Op

Hospital Stay
3 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. This is done by combining aspects of the gastric sleeve and RNY gastric bypass procedures.

Similar to gastric sleeve surgery, 70% of the stomach is removed, bringing about a quicker feeling of fullness and satiety. This also reduces the production of the Grehlin, the hunger hormone. Subsequently, the small intestines are rerouted to decrease the body’s fat absorption by nearly 80% and significantly diminish calorie intake.

Day 1 - Arrival

Arrive one day prior to surgery before 12:00 pm PST. Transportation Included. Pre-Op Tests and Stay at Hotel.

Explore Day 1

Day 2 - Surgery

Transportation to Hospital Mi Doctor. Stay for 2 nights in our Hospital w/ ICU under 24/7 care.

Explore Day 2

Day 3 to 4 - Recover

Recover in Hospital. 2-3 Leak Tests. 3. Spend day/night at Hospital Mi Doctor under 24/7 care.

Explore Day 3

Day 5 - Departure

The driver takes you across the border to San Diego airport. Plan departure flight after 2:00 pm.

Explore Day 4

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.

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

Michelle

Duodenal Switch Surgery

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.

Why Choose Mexico Bariatric Center?

FDA Approved Surgical Equipment

By only working with advanced, FDA-approved surgical equipment & medical techniques, Mexico Bariatric Center has maintained low complication rates and greater surgical outcomes. We also adhere to strict safety standards and bariatric guidelines.

Surgeon's Load Management

Patient safety and comfort are non-negotiable at Mexico Bariatric Center. To maintain high surgery success rates, we established a thorough Load management program for our surgeons. 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

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.

Starting at $8,995 $6,695*

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.

Get Approved

Duodenal Switch Surgery All-Inclusive Package

Mexico Bariatric Center stands out as one of the few providers offering duodenal switch surgery in Mexico. Our team features some of the most skilled surgeons in the country, including Dr. Jesus Ceja and Dr. Rodriguez Lopez, who are exclusively specialized in DS procedures. With an outstanding record for successful patient outcomes, our surgical team is ready to provide you with the top-notch care you deserve. Discover the many benefits of the duodenal switch by getting approved for your procedure in Mexico today.

Private Ground Transportation
Accredited Hospital with ICU
Board Certified Surgeons

State-of-the-Art Equipment
4.5 Star Hotel
Optional Complication Coverage

24/7 Hospital Staff
Hospital Stay & Fees (3 nights)
Nutrition Program

Online Support Group
U.S. Surgeon Liaison
No Hidden Fees

Take the First Step!

Duodenal Switch Before and After Photos

Tiara

Taylor

Barbara

Jamie

AJ

Meagan

Skyler

Ross

Kate

Christian

Kim

Roshni

Justin

Tiffany

Christopher

David

Michelle

Sapp

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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Pros and Cons 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.

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.
Obesity-Related Health Issues: 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

Before and After Pictures

Disadvantages of Duodenal Switch

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 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

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.

1. Anesthesia Administered

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

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.

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.

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.

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).

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.

Our Hospital Facility

Is BPD/DS in Mexico Safe?

Mexico Bariatric Center® offers Duodenal Switch in Tijuana starting from only $9,600 $6,695! 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.

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 $6,695.

Pricing and Costs

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.

* 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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Duodenal Switch Surgery in Mexico