The duodenal switch weight loss surgery, also known as DS and biliopancreatic diversion with duodenal switch, is a type of procedure with combined malabsorptive and restrictive weight loss surgery.
Overview of Duodenal Switch
Nowadays the rate of obesity and its problems and illnesses is increasing, so the issue of weight loss has become more and more important. Although the best way to lose weight is to have a proper diet and exercise, sometimes the obesity problem is very serious, which is not easily resolvable, and other methods, such as surgery can be considered. The duodenal switch (DS) is a popular surgery because patients are able to eat a near-normal meal (in much smaller quantities) while still experiencing significant long-term weight loss. With this operation, the majority of the most stretchable portion of the stomach is permanently removed, but basic stomach structure remains the same
Duodenal Switch Recommended For:
- Patients with BMI 40 or more, this surgery may be considered, but it is usually performed for patients with BMI more than 50
- Patients older than 18-years old
- Patients with morbid obesity and life threating complications such as heart diseases, diabetes, sleep apnea, high cholesterol, high blood pressure and infertility
Before Duodenal Switch
It is necessary for patient to feel free to ask all kinds of questions about the surgery process and the results. They should tell the doctor their medical history and allergies, also medicines and supplements intake. The surgeon may ask to stop some medicines such as blood thinning and painkillers like ibuprofen some weeks prior to the surgery. They should to do some lab tests and physical exams. In addition if patient have diabetes they should manage their insulin and other medicines. The success rate of the surgery is highly depends on dietary and lifestyle change, they should start this change before the surgery. If patient is a smoker, it is essential to stop it six to eight weeks prior to the surgery and it is recommended to start a diet to reduce 5-10% of excess weight before surgery, because it reduces the duration of hospital stay and also helps to lose weight faster after surgery.
During Duodenal Switch
The surgery begins after general anesthesia is prescribed. Nowadays this surgery is usually performed laparoscopically. Thus after making some incisions on the abdomen, laparoscopy instruments are inserted by surgeon. The first step of the surgery is to remove about 70% of the stomach, so a tube-like stomach will be shaped. During the second step, the surgeon connects about 1 to 1.5 meters to the end of the intestine to the stomach valve called pyloric valve.
After Duodenal Switch
After this surgery, depending on the situation, patient will stay in the hospital for some nights. Drinking liquids can be started from the first day and gradually change to pureed foods, soft foods and then ordinary foods. Time schedule of this food change is based on body tolerance. The doctor will prescribe medications to prevent problems associated with reduced nutrient uptake, such as vitamins, minerals and protein. In addition, follow check-ups schedule is necessary to monitor health and vitamin, mineral and protein levels after surgery. (In any specialist’s office)
Duodenal Switch in Iran start from 4500$ to 5400$
Duodenal Switch cost in Tehran start from 4500$ to 5400$
Duodenal Switch cost in Mashhad start from 4600$ to 5500$
Duodenal Switch cost in Shiraz start from 4650$ to 5550$
Duodenal Switch cost in Ahvaz start from 4650$ to 5550$