Duodenal Switch Surgery in Turkey

What is Duodenal Switch?

Duodenal switch (DS) is a weight loss surgery specifically for those with severe obesity that provides effective and lasting results. It is also called a biliopancreatic diversion with duodenal switch (BPD/DS). The duodenal switch, which is a stomach-restricting and absorption-blocking operation, provides a high rate of permanent absorption. It helps weight control by restricting the production of hunger hormone. Especially DS is an effective solution for the treatment of Type 2 diabetes. 

Why is a Duodenal Switch Surgery Performed?

Duodenal switch surgery is a procedure that regulates the volume of the stomach and small intestine in order to achieve weight loss. It is performed to reduce the amount of food the stomach can hold and to limit the absorption of nutrients that are eaten. Most of the food eaten after duodenal switch surgery goes to the lower segment of the small intestine. Therefore, malabsorption is high after DS surgery. Although people consume foods such as excess carbohydrates and sweets, weight loss continues.

Who is Duodenal Switch Surgery Suitable for? 

Duodenal switch surgery is a suitable treatment for people diagnosed with class III obesity. It is preferred in the treatment of people with metabolic disorders as a result of obesity. Heart disease, high blood pressure, high blood sugar and high cholesterol are improved as a result of DS surgery. In general, in order to undergo duodenal surgery, it is necessary to have a BMI of 40 and above or a BMI of 35 and obesity-related disorders. 

How Does the Duodenal Switch Work?

Duodenal switch surgery is performed by laparoscopic surgery. The patient is given general anesthesia before the operation. Duodenal switch surgery is performed in 2 stages. First, a gastric sleeve is made and then the intestine is bypassed. 

How Long Does a Duodenal Switch Surgery Take?

Duodenal switch surgery takes 3 hours on average. The duration of the operation depends on the surgeon's expertise and the complexity of the operation. 

How Much Weight Can You Lose with a Duodenal Switch?

Duodenal switch surgery provides dramatic weight loss. It has the most effective results of any bariatric surgery. Within the first 2 years after duodenal switch surgery, 80% of excess weight is lost. For example, someone who weighs 200 pounds can lose up to 140 pounds by maintaining regular weight loss after surgery. 

How Effective is the Duodenal Switch?

The results of duodenal switch surgery provide an effective and permanent weight loss. Generally, people who have duodenal switch surgery regain their desired body contours and health after 2 years. The high success of the surgery is also understood by the fact that people with Type 2 diabetes stop their medication after the operation. 

What Obesity-Related Conditions Can Duodenal Switch Surgery Help Treat?

Duodenal switch surgery provides successful results in the treatment of metabolic disorders. Duodenal switch surgery is useful in curing, stopping the progression of, and reducing the effects of diseases. In general, duodenal switch surgery helps treat the following conditions:

• High blood pressure
• Heart attack
• Stroke
• Vascular disease
• Coronary artery disease
• Obstructive Sleep Apnea
• Type 2 diabetes
• Nonalcoholic fatty liver disease
• Polycystic Ovarian Syndrome

How Does the Duodenal Switch Compare with Other Common Weight-loss Surgeries?

Duodenal switch surgery is more extensive than other weight-loss procedures. It involves more intervention in the digestive system. Therefore, it is preferred in cases where other weight loss surgeries are insufficient. 

What is the Difference Between Duodenal Switch and Gastric Bypass?

Duodenal switch and gastric bypass involve similar steps. Both surgeries control the calories absorbed by restricting the amount of food consumed. However, while duodenal switch surgery aims for more nutrient absorption, gastric bypass surgery focuses on nutrient restriction. 

What is the Difference Between the Duodenal Switch and the Gastric Sleeve?

Gastric sleeve surgery involves restricting the volume of the stomach and achieving regular weight loss, while duodenal switch surgery involves both restricting the volume of the stomach and shortening the length of the small intestine. In other words, the duodenal switch can be considered an improved version of the gastric sleeve. In weight loss methods, the most appropriate one for the person is preferred by considering the weight loss balance, risk and complication possibilities and expectations. 

Can Duodenal Switch Be Reversed

It is not possible to fully reverse duodenal switch surgery. However, if digestive problems are experienced, the intervention to the intestine of the operation can be reversed. The gastric sleeve side cannot be reversed. 

Is Duodenal Switch Safe?

Duodenal switch surgery is generally a safe procedure. However, because the duodenal switch is a complex surgery, it is performed in a limited number of operations worldwide, with a rate of about 1%. Vitamin deficiencies are caused by high absorption rates due to the shortened length of the small intestine.Therefore, surgeon selection and comprehensive postoperative care are essential for the safe management of DS surgery.

Duodenal Switch Complications

The duodenal switch in weight loss surgery carries more risk because it is a complex operation. Since it provides a high rate of malabsorption, some disturbances in the digestive system are likely to occur after surgery. In general, the risks and complications of duodenal switch can be listed as follows:

• Nutritional deficiency
• Decreased protein, albumin and blood levels
• Vitamin B12, vitamin D, iron, calcium deficiency 
• Chronic diarrhea
• Foul-smelling stools and gas
• Clot, embolism
• Anemia
• Fugitive
• Small intestine injury

Duodenal Switch Before and After

Standard medical tests and physical examination performed before duodenal switch surgery include the necessary steps for the patients' suitability for the operation and a safe process. 

All the steps to be followed before and after duodenal switch surgery and what needs to be done are conveyed to the patient by expert healthcare teams and it is possible to reach the relevant team in the whole process. It is important for patients to share every issue and concern they are curious about with their healthcare team and surgeon. 

Alcohol, tobacco or drugs should not be used for healthy weight loss. If necessary, therapy is recommended to help quit. 

Since duodenal switch surgery is a process that requires at least 2 years of follow-up, psychologist support can be obtained to help people feel psychologically ready. 

A diet program prepared by a dietician is applied before and after duodenal switch. During the process, people adopt programs divided into liquid diet, soft diet and solid diet. In the long term, a healthy eating habit is achieved permanently. 

Long-term Diet After Duodenal Switch

In order to maintain the weight lost after duodenal switch and to manage weight control in a healthy way, the diet prescribed by the dietitian should be followed completely. Basically, clear liquid diet, full liquid diet, puree diet and solid diet are applied respectively after duodenal switch surgery. The clear liquid diet is administered during the hospital stay, while the full liquid diet lasts approximately 14 days after discharge. The most important point to be considered while eating after surgery is that food should be consumed slowly and sip by sip. This will prevent bloating and nausea while eating.

Duodenal Switch Surgery Cost

Duodenal switch surgery costs are basically determined on a country-by-country basis. The doctor's expertise, the scope of the operation and additional services are at the forefront when determining the duodenal switch surgery, which costs an average of 15,000 dollars worldwide. Turkey duodenal switch surgery costs have appropriate figures worldwide.

USA: $18.000 -$ 25.000

United Kingdom: $20.000 -$27.000

Turkey: $6.000 - $12.000 

Duodenal Switch Cost in Turkey

Duodenal switch costs in Turkey are around 8000 dollars. Duodenal switch surgery costs in Turkey are determined by the nature of the operation, the surgeon's experience, duodenal switch surgery packages and additional services. You can contact us for detailed information about duodenal switch costs in Turkey.

Duodenal Switch in Turkey in Istanbul

Duodenal switch surgery is frequently performed in Istanbul in Turkey. Istanbul duodenal switch surgery is performed by specialized surgeons and patients receive a high level of health care thanks to personalized service packages. You can contact us to have duodenal switch surgery in Istanbul.

Duodenal Switch Turkey with Hop Health

Hop Health offers a safe and comfortable process to its clients who want to have duodenal switch surgery in Turkey. Hop Health, which prepares Turkey duodenal switch surgery packages with quality services, provides customization according to the wishes of the people. You can contact us to get information about duodenal switch surgery in Turkey and duodenal switch surgery packages in Turkey.