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April 14, 2008

Duodenal Switch (with Bilio-Pancreatic Diversion) Surgery Abroad

Mexico-Duodenal-Switch-Biliopancreatic-Diversion Biliopancreatic Diversion with Duodenal Switch (BPDDS) is a bariatric surgery that is claimed not to have the adverse side affects like ulcers, stomach closures and blockages, and the dumping syndrome associated with many weight loss surgery procedures, especially the gastric bypass.After this procedure the individual can eat larger portions than in case of gastric bypass. Duodenal Switch surgery in Mexico, India & Costa Rica are priced quite low compared to the USA, UK or Canada.

Duodenal Switch is also, believed to have better weight loss results than the common Roux-en-Y Gastric Bypass procedure. [refer: Duodenal Switch Patients Lose More Pounds and Fat]

The procedure involves a hybrid bariatric surgery approach where both the restrictive & malabsorptive aspects of the weight loss surgery are used.

As a first step, a vertical sleeve gastrectomy is performed making the stomach size small restricting the amount of food one eats(this part of the surgery is not reversible).

Second, is “duodenal switch” where the small intestine is divided in such a manner, that one pathway carries the food from the stomach directly to the larger intestine and the second pathway the “bilio-pancreatic loop” carries bile from the liver to the common path(this part of the weight loss surgery is reversible).

As a result the food passing through the intestine is mixed with the bile “digestive juices” for a very short period and thus a major amount of calories from the food are not absorbed.

Although it is believed to have many benefits to the patient, this is one of the most complex weight loss surgery. It is more demanding, takes a longer time & cannot be performed laparoscopically in all cases. It is suggested to consider only an experienced surgeon surgeon for this procedure.

The cost of duodenal switch (DS) surgery in USA is over $ 50,000. A more affordable option is Mexico, India or Costa Rica where the cost is about 60 to 70 less.

The individual should also be willing to adhere to a life long follow up program, if considering this obesity cure.

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