Duodenal Switch Surgery for Weight Loss

Duodenal Switch Surgery is a viable option for morbidly obese patients who have significant weight to lose, typically with a BMI of over 40+. 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.

Duodenal Switch Surgery

Duodenal Switch Patient Testimonial

How I Shopped for Weight Loss Surgery in Mexico.

How Duodenal Switch Works

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.”

  • 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

Is Duodenal Switch in Mexico Safe?

Mexico Bariatric Center® offers Duodenal Switch in Tijuana starting from only $6,995! This saves patients over 70% of the price that you can expect to pay in the United States and Canada.

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.

Out of dozen of weight loss surgery providers in Tijuana, there is nobody as experienced as super surgeon Dr. Rodriguez Lopez.
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.
Michelle Duodenal Switch Surgery Before and After Photo

Our All-Inclusive Duodenal Switch Package

  • Private Ground Transportation

  • Accredited Hospital with ICU (2-3 nights)

  • Board Certified Surgeons

  • State-of-the-Art Medical Equipment

  • 4.5 Star Hotel (2 nights)

  • Pre-Op + Post-Op Nutrition Program

  • Online Support Group

  • U.S. Surgeon Liaison

  • Prepare Time-Off Requests Forms (FMLA)

  • No Hidden Fees

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Duodenal Switch Surgery-Biliopancreatic Diversion with Duodenal Switch BPD/DS

Is Duodenal  Switch Right For Me?

The duodenal switch surgery is a great option for severely 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

Cost of Duodenal Switch 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 $6,995.

Dr. Rodriguez Lopez-Duodenal Switch Surgeon in Mexico

Duodenal Switch in Mexico $7,295 $6,995*

Dr. Christian Rodriguez Lopez - Duodenal Switch Surgeon in Mexico

Weight Loss Expectations After Duodenal Switch

The percentage of excess weight loss is much more effective in terms of calculating weight loss than the average # of pounds.

Patients can expect weight loss of on average 1/2 pound to 1 pound per day for the first 3 months after surgery. Weight loss typically slows down between 6 to 9 months and maximizes at 12 to 18 months postoperatively.

Average Expected Weight Loss [1]

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

Patients can achieve 100% excess weight loss in 2 years by following a proper diet, exercise, and taking bariatric-specific supplements (like EmergeBariatrics.com). As for super obese patients, reconstructive plastic surgery is also needed to get to ideal weight.

Major Benefits of Duodenal Switch Surgery

A 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.[2]

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.

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]

  • 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

Surgical Steps of the 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.

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.

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

Side Effects, Complications, and Risks

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

Advantages of Duodenal Switch

  • Duodenal Switch is somewhat reversible; the malabsorptive aspect can be reversed to revert to a gastric sleeve.
  • Patients can consume a broad range of foods.
  • Dumping syndrome is a lot less common.

Disadvantages of Duodenal Switch

  • Requires lifelong vitamins + supplements to combat malabsorption.
  • No revision options if surgery fails.
  • Anemia caused by a lack of hemoglobin.
  • Gallstones are somewhat common.

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.

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