The most requested surgery
Intended for weight loss if your BMI is> 50 is the Duodenal Switch.
The duodenal switch is the surgery performed to correct morbid obesity. The a mixed surgery that aims to reduce the capacity of the stomach and also decreases the length of the small intestine by reducing the absorption of food, achieving a significant weight loss.
Am I a candidate for a Biliopancreatic Diversion with Duodenal Switch?
The Duodenal Switch is a mixed technique:
- reduces gastric capacity to promote early satiety and
- limits the absorption of calories in the form of sugars or fats.
Therefore, if
- You’re of age,
- with a BMI> 55
- previous diets or other treatments have not worked for you
- if you have increased your weight due to a change in lifestyle, pregnancy, hormonal disorder
- if you suffer from type 2 diabetes mellitus, high blood pressure or another cardiovascular disease
!! YOU ARE A GOOD CANDIDATE !!
Make an appointment
Free first medical visit
In the first consultation of a biliopancreatic diversion with duodenal switch, we take a complete medical history with anamnesis and after exposing your expectations, the general surgeon assesses your case in a personalized way.
What is the price of the biliopancreatic diversion with duodenal switch?
At Guadalupe González Clinic we offer you the highest medical quality at the best price. We take care of everything so you don’t have to worry about a thing. All these services are included in the price of the Duodenal Switch:
-preoperative study (surgery, nursing, anesthesia consultation and all complementary tests included),
-operating room and hospitalization expenses,
-postoperative follow-up during hospital stay,
-postoperative medical check-ups until discharge.
Preoperative
In order for you to be able to do a duodenal switch in complete safety, we must assess your general condition based on your possible drug and environmental allergies, personal and family pathological history, habitual and past medication, possible previous surgical interventions, toxic habits (tobacco), etc.
It is also necessary to have a general analysis, chest x-ray and electrocardiogram. With this study you will be visited by an anesthesiologist who will verify the results, as well as solve your doubts.
Surgical technique
This technique was performed for the first time in 1976 by Dr. Scopinaro and later by Dr. Hess in 1988. Today it is only performed exclusively in extreme cases.
The duodenal switch is performed in the operating room, under general anesthesia.
The intervention usually lasts between 1.5 and 2.5 hours.
The surgery is performed laparoscopically, thanks to small incisions. Weight loss is achieved by two mechanisms, therefore it is a mixed technique. Thanks to vertical gastrectomy, a decrease in stomach capacity is achieved and, on the other hand, a section is made in the small intestine approximately 250cm from the ileocecal valve. The distal part is sutured to the duodenum and the proximal part about 50cm from its junction with the cecum.
This surgery involves performing a systematic cholecystectomy.
Since it is a complex surgery, it can sometimes be chosen to divide it into several surgical stages.
POSTOPERATIVE
Sometimes admission to the ICU may be required after surgery. At 24h the intake of liquids begins. Normally a three to five day income is required. During this stay you will receive intravenous analgesic and antibiotic treatment. Once you are discharged from the hospital, you must follow the surgeon’s instructions.
After discharge, you must follow a rigorous diet for 3-6 months after surgery without forgetting regular physical activity. Normally you will require a leave of 2 or 3 weeks, depending on your work activity.
During the first week there may be discomfort that is controlled with the usual medication.
Weight loss will be progressive, reducing excess weight by more than 75% after 5 years. Remission of obesity-associated comorbidities, such as hypertension, type 2 diabetes mellitus, dyslipidemia, and sleep apnea syndrome is also achieved.
FAQ’s
About Duodenal Switch
1.
What complications can appear if I perform a duodenal switch?
Hemorrhage, gastric suture leakage, infection or difficulties when reintroducing the diet could appear, but on very few occasions it is necessary to reintervene the patient for any of these reasons. The risk of mortality is very low. Difficulty tolerating foods that require a lot of digestion has been observed on rare occasions.
Deficits of certain elements such as vitamins, iron, calcium and proteins can appear, but if the guidelines are followed and taking the supplements the difficulties are few.
The depositional habit can be disturbed. Typically, patients have one to two bowel movements each day.