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Biliopancreatic duodenal switch (BPD/DS) surgery is performed to reduce the patients’ eating-drinking volume and the hunger hormone ghrelin. This operation restricts food consumption by removing the most stretchable part of the stomach. Similar to gastrectomy. In addition to that, calorie absorption is limited to by bypassing roughly one-half to three-fourths of the upper small intestine.
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WHAT IS BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH – DUODENAL SWITCH (BPD/DS)
Biliopancreatic diversion with duodenal switch, also known as duodenal switch is more complex than the others. Duodenal switch in Turkey is a two-part surgery. The first step is similar to gastric sleeve surgery. The second step of the surgery redirects food to bypass most of your small intestine, involves connecting the end portion of the intestine to the duodenum near the stomach, bypassing the majority of the intestine.
Duodenal switch surgery in Turkey is generally performed as one procedure; however, in select circumstances, the procedure may be performed as two separate operations (first sleeve gastrectomy then intestinal bypass once weight loss has begun) The surgeon may perform the surgery as two separate procedures depending on the patient’s medical condition.
This surgery both limits how much you can eat and reduces the absorption of nutrients. While it is extremely effective, it has greater risk, including malnutrition and vitamin deficiencies. For these reasons, surgeons do not perform this surgery as often.
BPD/DS Techniques in Turkey
Most surgeons prefer to perform BPD/DS in one section, but in some special conditions it may be performed as two different operations. Such as, one part is removing some part of the stomach like, sleeve gastrectomy and then second step is intestinal bypass.
How is a BPD/DS Surgery Done?
Duodenal switch surgery can be performed as two stages or in one stage depending on the patient’s medical condition.
Duodenal switch surgery is performed in a fully-equipped hospital with general anaesthesia with the assistance of Clinic Center in Turkey. The length of hospital stay will depend patient’s medical condition, recovery and which procedure been done.
Duodenal Switch in Turkey usually takes around 3-4 hours but some surgeons may also perform it in two parts depending on patient’s medical condition. After the surgery, patient will wake up in the recovery room, where medical staff monitors them for any complications.
Who is a Candidate for BPD/DS?
Duodenal switch procedure can perform if patient have:
BMI is 50 or higher (super obesity).
BMI is 40 to 50, and having serious weight-related health problem that can improve with weight loss. Some of these problems are sleep apnoea, type 2 diabetes, high blood pressure or heart disease.
It is really important that duodenal switch surgery candidates be healthy enough to having a surgical procedure such as this without the danger of a serious medical complication during the recovery process.
A How to Calculate Your BMI Index
Metric system: Formula: weight (kg) / [height (m)]2: Weight in kilograms divided by height in meters squared. If the height has been measured in centimetres, divide by 100 to convert this to meters.
Imperial: Formula: 703 x weight (lbs) / [height (in)]2: When using English measurements, pounds should be divided by inches squared. This should then be multiplied by 703 to convert from lbs/inches2 to kg/m2.
How to Get Ready for a BPD/DS?
Our Clinic Center partner surgeon may ask the patient to have a complete physical exam, blood tests, ultrasound of the gallbladder and visits with other health care providers before you have this surgery to make sure you are healthy enough to have surgery. Patients have to visit their doctor if having some medical problems such as diabetes, high blood pressure, and heart or lung problems to make sure they are under control for having surgery. Also, if the patient is a smoker, the patient should stop smoking several weeks before the surgery and not start to smoke again after the procedure. Smoking slows the recovery process and increases the risks of problems.
Patients have to inform the medical staff about the possibility of being pregnant and what medicines, vitamins, herbs, and other supplements they are taking.
During a week before surgery: Your Clinic Center surgeon may require you to stop taking some medicines that prevent blood clotting (blood thinner) such as aspirin, ibuprofen and others. (surgeon will inform about all forbidden medicines)
A day Before the surgery: The patient has to follow instructions about when to stop eating and drinking before surgery time, and take pre-operation the drugs if surgeon requests it.
Right before the procedure: Before going to the operating room, the patient will change into a surgical gown, and surgeons and nurses may ask several questions. In the operating room, the patient is given a general anaesthetic that keeps you asleep and comfortable during the procedure before surgery begins.
What are the Risks of BPD/DS?
Duodenal switch is major surgery that’s why it has many risks, some of these risks are very serious. Patients may discuss them with our Clinic Center partner surgeon for further information.
Risks for anaesthesia and surgical procedure in general are listed below;
- Allergic reactions to anaesthesia or post-operation medicines
- Excessive bleeding, blood clots, infection,
- Breathing or lung problems
- Heart problems
Risks for sleeve gastrectomy procedure are listed below;
- Gastritis (inflamed stomach lining), heartburn, or stomach ulcers, bowel obstruction, gallstones, hernias
- Gastrointestinal obstruction, gastroesophageal reflux
- Stomach perforation, injury to the stomach, intestines, or other organs during surgery
- Leaking from the cut edge of the stomach
- Low blood sugar (hypoglycaemia)
- Scarring inside your belly that could lead to a blockage in your bowel in the future
- Vomiting
- Nutritional deficiencies
- The brittle bone disease osteoporosis is due to the malabsorption of calcium and vitamin D, which are needed to maintain bone strength
- Night blindness due to malabsorption of Vitamin A
- Malabsorption of protein leads to malnutrition. This may lead to a second operation.
- Carbs can be well absorbed; this can decrease weight loss.
- Chronic diarrhoea. Patients may have many loose bowel movements in a day. In the duodenal switch, your surgeon shortens the amount of bowel that the food goes through and diverts the digestive juices. The food goes through half of the intestines and then does not meet the digestive juices until the tail end of the intestines. This cripples the digestive process, resulting in diarrhoea.
- Foul-smelling stools and gas
Very rarely, complications of the duodenal switch procedure can be fatal like every major surgery.
BPD/DS Results in Turkey
The most important thing that any weight-loss surgery candidate should know is that weight loss is individual. The amount and speed of weight loss change from person to person.
Duodenal switch in Turkey can provide long-term weight loss with excellent results. Most people lose about 70- 80% of their excess weight in the two years that follow the procedure. Weight loss will decrease over time by sticking to your diet and exercise from the beginning, you lose more weight.
On the basis of total weight loss the success rate of BPD / DS is extremely high. Duodenal switch in Turkey offers more long-term weight loss than any other procedure but the patient should always keep in mind that they must also be willing to make permanent changes to lead a healthier lifestyle, to lose weight and avoid complications from the procedure.
Duodenal switch can make it much easier for the patient to move around and perform routine daily activities, which could help improve their quality of life with help of Clinic Center.
What to Expect After a BPD/DS Surgery?
Duodenal switch in Turkey is the most complicated of the weight loss surgeries but also may be the most effective for weight loss. The primary advantage of loop duodenal switch surgery is that it combines intake limits the amount of food the patient can eat with substantial calorie malabsorption. This results in the highest percentage of unhealthy weight loss with the lowest risk of significant weight regain.
Patient will stay at the hospital for 1-3 days. Their vital signs which include the pulse, blood pressure and respiration will be monitored, and they’ll be checked to make sure that they’re not experiencing any post-surgery complications. Before being discharged, medical staff will provide them with detailed instructions on how to avoid complications, when they can resume certain activities and how their eating plan should change.
The patient may experience changes as their body reacts to the rapid weight loss in the first three to six months after the procedure such as; body aches, feeling tired as if the patient has the flu, feeling cold, dry skin, hair thinning and hair loss, mood changes. These reactions will also disappear when the body tolerates speed of the weight loss. Patients can always contact your Clinic Center medical consultant to learn more.
BPD/DS Recovery and Aftercare
Most people require about 4 to 6 weeks of recovery after surgery.
After procedure, patient will have a special diet plan given by Clinic Center surgeon that has many restrictions on how much and what the patient can eat and drink. Diet starts with liquids, no solid food because the stomach and intestines begin to heal. Then it changes slowly from liquids to pureed foods. After that, patients can eat soft foods, then move on to firmer foods as their body is able to tolerate them.
Our Clinic Center partner surgeon will recommend that the patient take vitamin and mineral supplements after surgery, including a multivitamin, calcium and vitamin B12. These are vital to prevent micronutrient deficiency and will likely be necessary for the lifetime of the patient.
Long-term, most patients who choose this type of surgery end up with lasting results. The body is unable to digest all of the food taken in; lifestyle changes are not as crucial as they are with other types of bariatric surgery. In addition, patients are able to eat substantially larger portions than those who have other types of restrictive weight loss surgeries, allowing for greater patient satisfaction.
Advantages of BPD/DS in Turkey assisted by Clinic Center
All-inclusive BPD/DS package of Clinic Center provides you with everything you might need during your BPD/DS abroad in Istanbul such as; the best BPD/DS surgeons, hotel accommodations, personal host for you to have best BPD/DS treatment in Istanbul by the assistance of Clinic Center
In addition to that, weight loss procedures such as duodenal switch may improve some of these conditions that often related to being overweight such as; Gastroesophageal reflux disease, Heart disease, High blood pressure, High cholesterol, Obstructive sleep apnoea, Type 2 diabetes, Stroke, Infertility, asthma.
BPD/DS Cost in Turkey
Turkey has become the country to go to if you need surgery. Whether it is for cosmetic reasons or health, Turkey has proved itself to 1000s of patients that it has the best doctors and when prices in Turkey are compared to the countries like the US or the UK, the price in Turkey for biliopancreatic diversion procedure is very affordable.
BPD/DS All-Inclusive Package
- Free physical consultation in London, online & video consultations all over the world
- Adjustable gastric band surgery carried out by the best plastic surgeons
- Best price guarantee
- 4 nights of accommodation at a 4-star hotel
- 1-night hospital stay if surgeon required
- VIP Transfer between the airport, hotel and hospital
- International patient host
- Special discount for group bookings
- Preoperative tests
- Consultation and Check up
- Medical garment
Fast Facts About Adjustable Gastric Band
| Procedure: | Limits patient’s eating-drinking volume and absorption of nutrients |
| Duration: | 3 to 4 hours |
| Stay: | 1-3 nights hospital, 6 nights hotel |
| Anesthesia: | General anaesthesia |
| Recovery: | 1-3 day to discharge, 1-3 weeks to back to work (depending on each patient’s medical condition) |
| What to bring: | Comfortable clothes that are easy to slip on or off as needed, (sweatshirts, button-down or zipped shirt, flip-flops, slippers or socks with tread etc.) |
| Side Effect: | Gastritis, heartburn, or stomach ulcers, bowel obstruction, gallstones, hernias, stomach perforation, injury to the stomach, intestines, or other organs during surgery, leaking from the line where parts of the stomach have been stitched, low blood sugar (hypoglycaemia), poor nutrition, dumping syndrome, causing diarrhoea, nausea or vomiting, scarring inside your belly, vomiting, allergic reactions to anaesthesia or post-operation medicines, excessive bleeding, blood clots, infection, breathing or lung problems, heart problems |
| Exercise: | After 6 to 8 weeks |
| Scars: | Small incisions (depending on surgery method) |
| Pain: | Mid-level (depends on the patient) |
| Results: | Discharge 1-3 days, patient should be able to move around without too much problem. |
| Combination of Surgeries: | Excess skin removal surgery (panniculectomy), is very common surgery people undergo after extreme weight loss. |
Adjustable Gastric Band FAQ
How long does adjustable gastric band surgery take?
The adjustable gastric band in Turkey usually takes around 45 to 90 minutes.
Will I feel any pain?
The procedure is usually performed under general anaesthesia and there is no possibility of having pain during the procedure. Most patients have some pain after surgery and they just need to take oral pain medications for a few days after surgery. The majority of patients felt that pain was not a major issue during their recovery.
Will I need special care when I arrive home?
You should be able to function completely on your own after your discharge. A small number of patients with physical disabilities before surgery sometimes require extra assistance.
When can I go back to work after surgery?
After surgery, most patients return to work after 1 week. Some may be able to work from home as early as one week after surgery. Because of the significantly reduced calorie intake, many patients have low energy for a few days after surgery. However, most patients gain their energy back once they start to have soft food.
When can I start exercising again after surgery?
You will start exercising in the hospital slowly. You can slowly start exercising after 3-4 weeks but the key is listening to your body and your surgeon. If you lift weights or do sports, stay low impact for the first month; avoid competition, think participation. Build slowly over several weeks. If you swim, your wounds need to be healed over before you get back in the water.
How long should I wait to get pregnant after surgery?
Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. If you need to eat more while you are pregnant, the gastric band can be loosened. After the pregnancy, the band is able to be made tighter again if you wish, and you can resume losing weight.
How do I know if I am successful with my weight loss?
Remember, success is not getting to your goal weight; it is getting to a “healthy” weight. If you have achieved a weight within approximately 40 pounds of your ideal body weight and maintain your weight, you are considered a success.
How will I know when to stop losing weight?
Your body knows how much weight it needs to lose. As long as you stick to your nutrition and exercise program, your body will adjust to the weight loss and stabilize at its appropriate weight.
Is it possible to regain my weight after adjustable gastric band procedure?
Remember, your gastric band is only a tool. It is not a cure for obesity. Snacking, drinking with meals, drinking caffeinated and carbonated beverages, not drinking enough water in between meals and not exercising are common behaviours that may cause you to regain your weight.
Does adjustable gastric band guarantee permanent weight loss?
No. A small percentage of patients will regain a substantial portion of the weight that is lost. This occurs primarily when the patient does not follow the dietary guidelines in the months and years following the procedure.
What do I do about excess skin after weight loss?
Most people can minimize excess skin by maintaining healthy nutrition, aerobic exercise and weight training. But if you need to have excess skin removed, we can help you consult with a plastic surgeon.
Must I be in good health to qualify for the surgery?
No, many of potential weight loss surgery patients are in poor health because of diseases caused by their obesity. These diseases include diabetes, high blood pressure, heart problems, lung problems, and kidney difficulties.
Will I need any preoperative tests?
Yes. To make sure the best possible outcome, your surgeon will administer specific blood tests, a chest x-ray, and an electrocardiogram (EKG) and more.
Can the surgery be reversed?
Adjustable gastric band surgery is both minimally invasive and completely reversible. But it is not advised. Reversing the surgery is considered another major procedure and you are at an increased risk for complications. Reversing the surgery also would increase your risk of regaining the weight you have lost.
Will I need to take vitamins?
There is no malabsorption with the gastric band because of that you will not require the same types of supplements as gastric bypass patients. Usually, taking a daily multivitamin with minerals along with eating a balanced diet is sufficient for most patients. Women may sometimes require a calcium supplement as well.
Will I feel the gastric band inside me?
Most patients are only aware of their gastric band when they eat. You may, however, notice your access port, particularly right after surgery when you are recovering, healing and still feel a little sore.
Can the gastric band be removed?
Although the Gastric Band System is not meant to be removed, it can be. In some cases this can be done laparoscopically. The stomach generally returns to its original shape once the band is removed. After the removal though, you may soon go back up to your original weight or even gain weight.
How many times can the gastric band be adjusted?
An adjustment is a quick, simple and relatively painless procedure. There is no limit to how many times it can be adjusted. Most patients need about three adjustments during the first year after surgery. Your gastric band can be adjusted as many times as your surgeon finds it necessary.
Biliopancreatic Diversion with Duodenal Switch Surgery FAQ
How long does BPD/DS take?
The duodenal switch in Turkey usually takes around 3 to 4 hours.
Will I feel any pain?
The procedure is usually performed under general anaesthesia and there is no possibility of having pain during the procedure. Most patients have some pain after surgery and they just need to take oral pain medications for a few days after surgery. The majority of patients felt that pain was not a major issue during their recovery.
Will I need special care when I arrive home?
You should be able to function completely on your own after your discharge. A small number of patients with physical disabilities before surgery sometimes require extra assistance.
When can I go back to work after surgery?
After surgery, most patients return to work after 1 to 3 weeks. Some may be able to work from home as early as one week after surgery. Because of the significantly reduced calorie intake, many patients have low energy for 1-2 weeks after surgery. However, most patients gain their energy back once they start to have soft food.
When can I start exercising again after surgery?
You can slowly start exercising after 6-8 weeks but the key is listening to your body and your surgeon. If you lift weights or do sports, do it lightly for the first month; avoid competition, think participation. Build slowly over several weeks. If you swim, your wounds need to be healed over before you get back in the water.
How long should I wait to get pregnant after surgery?
It is strongly advised that women wait at least year after surgery before getting pregnant. Just about a year postoperatively (depending on how much weight you needed to lose), your body will be fairly stable and you should be able to carry a healthy baby to term.
How do I know if I am successful with my weight loss?
Remember, success is not getting to your goal weight; it is getting to a “healthy” weight. If you have achieved a weight about 40 pounds of your ideal body weight and maintain your weight, you are considered a success.
How will I know when to stop losing weight?
Your body knows how much weight it needs to lose. As long as you stick to your nutrition and exercise program, your body will adjust to the weight loss and stabilize at its appropriate weight.
Is it possible to regain my weight after duodenal switch surgery?
Remember, your duodenal switch is only a tool. It is not a cure for obesity. Snacking, drinking with meals, drinking caffeinated and carbonated beverages, not drinking enough water in between meals and not exercising are common behaviours that may cause you to regain your weight.
Does duodenal switch surgery guarantee permanent weight loss?
No. A small percentage of patients will regain a substantial portion of the weight that is lost. This occurs primarily when the patient does not follow the dietary guidelines in the months and years following the procedure.
What do I do about excess skin after weight loss?
Most people can minimize excess skin by maintaining healthy nutrition, aerobic exercise and weight training. But if you need to have excess skin removed, we can help you consult with a plastic surgeon.
Must I be in good health to qualify for the surgery?
No, many of potential weight loss surgery patients are in poor health because of diseases caused by their obesity. These diseases include diabetes, high blood pressure, heart problems, lung problems, and kidney difficulties.
Will I need any preoperative tests?
Yes. To make sure the best possible outcome, your surgeon will administer specific blood tests, a chest x-ray, and an electrocardiogram (EKG) and more.
Can the surgery be reversed?
The duodenal switch can’t be reversed as a portion of the stomach is removed. However, this surgery can be changed into a different procedure.
Will I need to take vitamins?
If you have BPD/DS surgery, you will need to take vitamin and mineral supplements such as complete multivitamins, calcium with Vitamin D, iron and Vitamin C, Vitamin D, and Vitamin B12 and have regular blood testing for the rest of your life. This is done to prevent severe vitamin deficiencies and related complications. Even if you take the supplements as prescribed, you still may develop nutritional problems and need treatment.
Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. It is not advice on your specific needs and circumstances. It does not replace the need for you to have a thorough consultation, so you should get advice from a suitably qualified medical practitioner. Please bare in mind that as with all operations, there are risks involved in having cosmetic surgery.