Duodenal Switch in Mexico

Duodenal Switch Surgery

Bariatric Patient: Felica Before and After

Affordable Duodenal Switch in Mexico

Among the available bariatric surgeries, the duodenal switch, known medically as biliopancreatic diversion with duodenal switch (BPD-DS), stands out. This procedure, while complex and more invasive than other bariatric surgeries, is offered in Mexico, including centers in Tijuana.

Although, Duodenal Switch is a powerful bariatric procedure, Renew Bariatric’s bariatric surgeons opt not to perform this procedure due to the surgical risks

Renew Bariatrics recommends the Mini Gastric Bypass or the Gastric Bypass in Mexico as an alternative. 

Contact us today to learn more about your bariatric surgical options.

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What Is Duodenal Switch Surgery?

This is a form of restrictive and malabsorptive procedure. It produces the best result regarding excess body weight loss and resolution of other comorbid conditions. It is commonly called a biliopancreatic bypass or diversion with a duodenal switch.

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Alternatives to Duodenal Switch in Mexico

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Gastric Sleeve in Mexico

Gastric Sleeve Surgery in Mexico is an alternative to duodenal switch, providing patients with a less invasive surgical option. Gastric Sleeve is one of the best choices for a majority of patients seeking bariatric surgery.

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Mini Gastric Bypass in Mexico

Mini Gastric Bypass Surgery in Mexico is a comparable bariatric surgery to duodenal switch procedure. Mini Gastric Bypass is a less invasive procedure than the roux-en-y gastric bypass surgery, providing similar rates of weight loss.

A home diagram illustrating the anatomy of the stomach.

Gastric Bypass in Mexico

Gastric Bypass Surgery in Mexico is a comparable bariatric surgery to duodenal switch procedure. Roux-en-y Gastric Bypass procedure provides similar expected weight loss to the duodenal switch.

Duodenal Switch Surgery Information

  1. Vertical sleeve gastrectomy: Gastric sleeve surgery removes about 70% of the stomach along the greater curvature. This leaves a banana-shaped portion of the stomach that is fully functional. This is the restrictive aspect of the surgery related to the treatment of excess weight.
  2. During the procedure, the small intestine is rearranged to ensure that pancreatic juices and bile do not mix with food until the lower part of the small intestine. Because nutrient absorption primarily occurs in the small intestine, the food remains undigested and unabsorbed until the lower section, bypassing a substantial portion of the absorptive surfaces. This altered process represents the malabsorptive aspect of the surgery.
  3. Some surgeons do a prophylactic removal of the gallbladder during BPD-DS, as gallstone formation is a complication of rapid weight loss that follows the procedure. Another reason for this is that the biliary tree becomes inaccessible for endoscopic retrograde cholangiopancreatography (ERCP) after the procedure. However, this has been found unnecessary and not recommended unless a gallbladder stone exists before the surgery.
The surgery reduces the stomach size, resulting in early satiety and decreased hunger due to decreased ghrelin secretion. Moreover, the restructuring of the small intestine leads to a decrease in nutrient absorption.
The indication for BPD-DS is similar to that for other bariatric procedures. A body-mass index (BMI) >40 kg/m² or BMI >35 kg/m² and one or more significant comorbid conditions or weight-induced physical problems interfering with the performance of daily life activities are eligibility criteria for BPD-DS (Pentin & Nashelsky, 2005). This procedure is also considered a revision surgery when other complex procedures fail.
The duodenal switch has the highest weight loss potential among all weight loss surgeries as it combines both restrictive and malabsorptive procedures. The patient can lose as much as 57 kg at the end of the first year of the operation and up to 63 kg by the end of the second year (Biertho et al., 2016). In a systematic review by Buchwald et al., the percentage loss in body mass index at 24 months post-surgery was 73% (Anderson et al., 2013). One of the advantages of bariatric surgery is the resolution of comorbid conditions associated with obesity. Biertho et al. found a significant reduction in HbA1C (a marker of glycemic control) following this surgical procedure (Anderson et al., 2013).

One advantage of this system over intestinal bypass is the preservation of the intact pylorus, allowing it to regulate the emptying of stomach contents into the duodenum. Consequently, patients do not experience dumping syndrome. Additionally, foods undergo some degree of enzymatic digestion, and the duodenum remains intact, leading to relatively better nutrient absorption than gastric bypass for obesity.

Despite being the most effective bariatric surgery program regarding weight loss and reversal of comorbid conditions, the rate of DS is fast reducing due to the complexity of the operation, its time-consuming nature, the need for a highly skilled surgeon, and the high rate of complications.

One of the demerits of BPD-DS is the irreversibility of the restrictive procedure. In contrast to gastric banding, BPD-DS has the highest mortality rate in the first 30 days post-surgery when compared with other bariatric surgeries (Anderson et al., 2013).

BPD-DS is a highly effective bariatric surgical procedure that contains both restrictive and malabsorptive components. However, the complication rate is the highest compared to other bariatric procedures with proper patient selection. In the hands of a competent surgeon, most of the complications can be prevented/adequately managed.

Cost of Duodenal Switch Procedure in Mexico

The cost of duodenal switch in Mexico is much less expensive than in the US or Canada. The procedure cost varies and is depends on a variety of factors, including your current health status and surgical history. 

Renew Bariatrics ensures that our pricing of bariatric surgeries in Mexico is competitive and allows surgical options to a wider population. Learn more about your cost of bariatric surgery by apply for surgery.

Leading Bariatric Surgeons in Tijuana, Mexico

Renew Bariatrics works with the leading bariatric surgeons in Tijuana, Mexico. Each of them are capable of providing comprehensive surgical packages to meet your surgical goals. Contact our helpful staff to learn more.

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Dr. Jorge Green

Dr. Jorge Green is a leading bariatric surgeon in Tijuana, Mexico. Dr. Green can perform numerous bariatric surgeries including duodenal switch alternatives.

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Dr. Hector Perez

Dr. Hector Perez is a leading bariatric surgeon practicing in both in Tijuana and Mexico. Dr. Perez can perform numerous bariatric surgeries including duodenal switch alternatives gastric bypass and mini gastric bypass surgery.

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