Duodenal Switch Surgery in Tijuana, Mexico

Duodenal Switch (DS) surgery is a viable option for super obese patients with significant weight to lose. 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 restrictions 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 additional 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.

Gastric Sleeve Surgery Schematic
  • Significant Weight Loss

  • Fewer Side Effects

  • Proper Stomach Function

  • Remission of Type 2 Diabetes

  • Cure of Comorbidities

Mexico Bariatric Center® offers Duodenal Switch in Tijuana starting at $7,295 $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 a network of highly trained surgeons, and other medical professionals like MBC’s super surgeon Dr. Rodriguez Lopez.

Dr. Christian Rodriguez Lopez - Duodenal Switch Surgeon in Mexico

Duodenal Switch Patient Testimonial

How I Shopped for Weight Loss Surgery in Mexico.

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 morbidly obese patients and patients with previous failed surgery like sleeve or band.

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

How Does Duodenal Switch Work?

In Duodenal Switch surgery, short for Biliopancreatic Diversion with Duodenal Switch (BPD/DS), the stomach size is reduced while the small intestines are “re-routed” or “switched.”

1. Restrictive Component – Initially, about 70% of the stomach is removed by vertical division at the larger curvature of the stomach reducing gastric capacity and acid production. This restrictive portion of the duodenal switch creates a new “sleeve-stomach” almost identical to gastric sleeve surgery.

Removing a large part of the fundus (top portion of the stomach) reduces the level of an appetite-stimulating hormone (hunger hormones – ghrelin) and changes the hormonal balance in the GI tract.

2. Malabsorptive Component – The “new stomach” is detached from the small intestine+ and is “switched” to the last part of the small intestine (3 meters). The other 2.75 meters of the small intestine is bypassed which accounts for the malabsorption part of the DS. This creates two limbs:

  • A gastric limb – carries the undigested food
  • A biliopancreatic limb – carries biliopancreatic juices

The rerouting of the intestine reduces the time for food to be digested which results in fewer calories and fat being absorbed into the body. This malabsorptive component is similar to RNY gastric bypass and mini gastric bypass.

Duodenal Switch Surgery in Mexico - Schematic of Duodenal Switch (DS)

How Much Weight Could I Lose with Duodenal Switch?

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.[1]

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 [2]

  • 3 months: 35% excess weight loss*
  • 6 months: 55% excess weight loss*
  • 12 months: 75% excess weight loss*
  • 18 months: 80% excess weight loss*
  • Roshni - Duodenal Switch Before and After Picture at Mexico Bariatric Center-min
  • David - Duodenal Switch Before and After Picture at Mexico Bariatric Center
  • Michelle - Duodenal Switch Before and After Picture at Mexico Bariatric Center-min

Cost of Duodenal Switch in Mexico

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!

Mexico duodenal switch price around the globe - Mexico Bariatric Center

Benefits of Duodenal Switch

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.[3]

  • Asthma/Breathing Issues
  • Type II Diabetes
  • Sleep Apnea
  • Dyslipidemia
  • Hypertension
  • Arthritis
  • Headaches and Migraines
  • High Cholesterol
  • Infertility/PCOS Syndrome
  • GERD and Acid Reflux
  • Cardiovascular Disease
  • Back and Joint Pain

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.

Michelle Duodenal Switch Surgery Before and After Photo

Side Effects, Complications, and Risks

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.

How Is Duodenal Switch Performed?

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,

Anesthesia

  • The anesthesiologist starts the general anesthesia and inserts a breathing tube into the windpipe.

Incision

  • Small incisions (normally 5) are made in the abdomen area to access the abdominal cavity.
  • Trocars are inserted through the incisions as a surgical instrument access port.
  • The abdomen is inflated with carbon dioxide (CO2) gas to create space for surgery.

Sleeve Gastrectomy

  • The laparoscope camera is inserted into the trocars to view your organs.
  • Small surgical instruments are introduced through ports to perform the surgery.
  • The retractor is used to lift your liver.
  • The first part of the surgery 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.

Small Intestine Sections

  • The GI tract is diverted beyond the first two parts of the small intestine, duodenum and jejunum (60% of the small intestine), and hooks up with the ileum. The small intestine is detached from the new stomach at about 3 cm below the pyloric valve.

Duodenal Switch

  • The final segment of the small intestine (the last 40% of the small intestine called ileum) is attached to the new stomach.

Biliopancreatic Diversion

  • The remaining small intestine is reconnected back to itself approximately 5 feet from its entrance back to the colon.

Close Incisions

  • 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.

Single Anastomosis Duodenal Switch

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: May of 2020 by Ron Elli, Ph.D.

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