Is the bariatric surgery that requires a higher training, training skills and complete surgical equipment, since it´s an extensive procedure consistent of three surgical phases. This is mostly known as Gastric Sleeve with Duodenal Cross, Bilio-pancreatic diversion with duodenal exclusion. D.S. or D.S.- B.P.D.
We are the only surgical team in Mexico with more than 7 years of experience and hundreds of successful cases in Duodenal Switch, we are the leaders and pioneers and the only ones who perform it currently.
The Duodenal Switch is a mixed procedure because it has a doble content of absortive and restrictive action. The restrictive part is the Gastric Sleeve (Vertical Sleeve Gastrectomy, Laparascopic Sleeve Gastrectomy) is the first step and consists in performing a resection of 86% of the stomach providing it in a cilindric form and with an inside diameter in a straw-size and eliminating from the body the receptors from the hunger hormone giving a different capacityof 98 to 148 milimeters.
In some patients, the Gastric Sleeve alone is enough but in patients with higher BMI´s this will be second by the Duodenal Switch, which is less risk to perform it in a second step and also has the advantage of preserving the piloric valve that avoids food pasage to the intestine before equilibrating it´s osmolarity until it is similar to plasma.
When performing a duodenal exclusion, food go through the small intestine and travels through the place where it´s anastomosed and it´s there where the food ingestion starts and the common channel if approximately 110 cm and after that, the next step is the colon.
The Duodenal Switch favors to eat less amount of food and providing more benefits, does not have hunger receptors and the new gastric pouch hardly it gets bigger.
The Duodenal Switch, D.S. Or D.S – B.P.D. Is performed as an open surgery by surgical teams with less experience, we perform it only laparoscopically because we are sure that this way guarantees better results in short and long term, there are no post-operative hernias and with less risk.
The Duodenal Switch is primarily performed more in Europe than the United States, where aproximately 25,000 are performed every year, where our surgeon was trained by the creator or the Duodenal Switch.
The Duodenal Switch is an excellent choice for patients with a BMI of 45 or higher. It is important to considerate that the Duodenal Switch is considered major surgery because includes four anastomosis and there are risks associated, such as: heart failure or sleep apnea.
How could I know if I am a candidate for Duodenal Switch?
First you have to decide to improve your quality of life and second to have a bariatric surgery. It is recommended that you contact with us to know if you are a candidate for this procedure or if the Gastric sleeve should be enough to control your obesity, our surgeon will review your case and he will determine the best choice for you.
It is of vital importance that in the precise instant that you decide to have a bariatric surgery, you initiate a full psychological preparation full of positivity and willing to improve your bad food and physical habits. It is recommended to include your family and the phsycian on this decision.
The surgeon will require a complete health questionnaire in which it is asked for complete honesty for simple health issues are according to treatment submitted.
It is important to stop drinking alcohol at least 5 days and stop smoking 2 months before the procedure, to avoid respiratory complications such as: pulmonary tromboemblisms or pneumonia.