Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery

Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery

Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery 

If you decide to have a Biliopancreatic Diversion with Duodenal Switch Surgery in Iran, reading this article can improve your knowledge about cost of Biliopancreatic Diversion with Duodenal Switch Surgery in Iran to a great extent and help you to choose the best doctor and hospital to undergo Biliopancreatic Diversion with Duodenal Switch Surgery in Iran.

In this article we provide you with a comprehensive description of Biliopancreatic Diversion with Duodenal Switch Surgeries in Iran and the cost of Biliopancreatic Diversion with Duodenal Switch Surgery in Iran.

 

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General information about Biliopancreatic Diversion with Duodenal Switch

The following table describes general information about Biliopancreatic Diversion with Duodenal Switch Surgery including Biliopancreatic Diversion with Duodenal Switch Surgery cost in Iran, recovery time, and to name but a few.

 

 

General Information

 

Cost

$ 3200 - 3700

Anesthesia

General

Hospital Stay

2-3 Days

Back to Work

1 to 3 Weeks

Duration of Operation

3-4 Hours

Minimum Stay in Iran

7-10 Days

 

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best Bariatric Surgeons in Iran. The price of a Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor. So if you are looking for the cost of Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery in Iran, you can contact us and get free consultation from Iranian surgery.

 

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What is Biliopancreatic Diversion with Duodenal Switch (BPD/DS)?

The Biliopancreatic Diversion with Duodenal Switch – abbreviated as BPD/DS – is a procedure with two components. First, a smaller, tubular stomach pouch is created by removing a portion of the stomach, very similar to the sleeve gastrectomy. Next, a large portion of the small intestine is bypassed.

BPD/DS is generally performed as a single procedure however, in select circumstances, the procedure may be performed as two separate operations — sleeve gastrectomy followed by intestinal bypass once weight loss has begun.

Why it's done

Healthcare providers may recommend the BPD/DS to people who are severely obese. These people usually have a body mass index (BMI) of 50 or greater or a BMI of 40 or greater with serious type 2 diabetes and other serious health problems. These health problems include:

. Type 2 diabetes

. Sleep apnea

. Heart disease

. Lung disease

. High blood pressure

. High cholesterol

. Nonalcoholic fatty liver disease

A BPD/DS is typically done only after you've tried to lose weight by improving your diet and exercise habits.

Before Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery

How you prepare

If you qualify for a BPD/DS, your health care team gives you instructions on how to prepare for surgery. You may need to have various lab tests and exams before surgery.

Food and medications

Before your surgery, give your surgeon and any other health care providers a list of all medicines, vitamins, minerals, and herbal or dietary supplements you take. You may have restrictions on eating and drinking and which medications you can take.

If you take blood-thinning medications, talk with your doctor before your surgery. Because these medications affect clotting and bleeding, your blood-thinning medication routine may need to be changed.

If you have diabetes, talk with the doctor who manages your insulin or other diabetes medications for specific instructions on taking or adjusting them after surgery.

Other precautions

You may be required to start a physical activity program and to stop any tobacco use.

You may also need to prepare by planning ahead for your recovery after surgery. For instance, arrange for help at home if you think you'll need it.

What you can expect

BPD/DS is done in the hospital. The length of your hospital stay will depend on your recovery and which procedure you're having done. When performed laparoscopically, your hospital stay may last around two days.

Before the procedure

Before you go to the operating room, you will change into a gown and will be asked several questions by both doctors and nurses. In the operating room, you are given general anesthesia before your surgery begins. Anesthesia is medicine that keeps you asleep and comfortable during surgery.

 

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The Advantages and Disadvantages

What are the Advantages and Disadvantages of Duodenal Switch?

Advantages:

. You will lose up to 70% of your excess weight within a year

. Allows patients to eventually eat near “normal” meals

. Causes favorable changes in gut hormones to reduce appetite and improve satiety.

. Duodenal switch surgery will cure or improve your diabetes, sleep apnea, hypertension, and at least 12 other conditions.

. You will feel full sooner while eating

. Your body will absorb fewer calories from the food you eat.

Disadvantages:

. Requires a longer hospital stay than the AGB or LSG

. Has a greater potential to cause protein deficiencies and long-term deficiencies in a number of vitamin and minerals, i.e. iron, calcium, zinc, fat-soluble vitamins such as vitamin D.

. Compliance with follow-up visits and care and strict adherence to dietary and vitamin supplementation guidelines are critical to avoid serious complications from protein and certain vitamin deficiencies.

. More frequent bowel movements.

Risks and Complications:

As with any major surgery, a BPD/DS poses potential health risks, both in the short term and long term.

Risks associated with BPD/DS are similar to any abdominal surgery and can include:

. Excessive bleeding

. Infection

. Adverse reactions to anesthesia

. Blood clots

. Lung or breathing problems

. Leaks in your gastrointestinal system

Longer term risks and complications of a BPD/DS may include:

. Bowel obstruction

. Dumping syndrome, causing diarrhea, nausea or vomiting

. Gallstones

. Hernias

. Low blood sugar (hypoglycemia)

. Vitamin deficiency/ Malnutrition

. Stomach perforation

. Ulcers

. Digestion issues

. Sagging skin

. Weight Regain

Is a Duodenal Switch right for me?

You may be eligible for Duodenal Switch surgery if:

. You have a body mass index (BMI) of 40 or more, OR

. Your BMI is between 35 and 39.9 and you have a serious obesity-related health problem.

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During Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery

The Procedure

How Duodenal Switch is performed

The first step is sleeve gastrectomy in which about 80 percent of the stomach is removed, leaving a smaller tube-shaped stomach, similar to a banana. However, the valve that releases food to the small intestine (the pyloric valve) remains, along with a limited portion of the small intestine that normally connects to the stomach (duodenum).

The second step bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach. A BPD/DS both limits how much you can eat and reduces the absorption of nutrients, including proteins and fats.

The operation can take between two and three hours, but this may vary between surgeons.

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After Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery

What happens after BPD/DS weight-loss surgery?

You will wake up in a recovery room. You will be given medicine to control pain. You will be moved to a hospital room. You will be asked to get out of bed to move around within the next day. This helps prevent blood clots in your legs. You will have liquid nutrition. Your team will tell you when you're ready to go home.

At first, you may have stomach or bowel cramping, or nausea. Tell your healthcare provider if pain or nausea is severe or doesn’t improve with time. Take pain medicines as prescribed.

Call your healthcare provider if you have any of the following:

. A fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider

. A red, bleeding, or draining incision

. Frequent or persistent nausea or vomiting

. Increased pain at an incision

. Pain or swelling in your legs

. Trouble breathing or chest pain

You will get instructions about how to adapt to your new diet after your surgery. You will likely be on liquid nutrition for a few weeks after surgery. Over time, you’ll start to eat soft foods and then solid foods. If you eat too much or too fast, you will likely have stomach pain or vomiting. You’ll learn how to know when your new stomach is full.

Your healthcare provider or nutritionist will give you more instructions about your diet. You’ll need to learn good habits like choosing healthy foods and not skipping meals. Your healthcare provider or nutritionist will also need to screen you for low levels of nutrients.

You will need to take daily supplements after BPD/DS surgery. These include:

. Vitamins A, D, and K

. Multivitamin

. Iron supplements

. Calcium supplements

. Vitamin B-12 supplements or injections

Work with your healthcare team after surgery to stay healthy. Make sure to:

. Follow the nutrition plan set up by your dietitian

. Get regular physical activity. Start slowly and build up to more activity.

. Talk with a counselor or weight-loss surgery support group to help you adjust.

Recovery

. Hospital Stay: You will be in the hospital for 2 to 3 days

. Time off Work: You will need to take 1 to 3 weeks off of work

. Full Recovery: You will be “fully recovered” in 4 to 6 weeks

. Pain: The pain is manageable – it’s the same as any laparoscopic surgery and managed with medication.

. Diet & Activity: There will be a slow transition from clear liquids to solid foods and back to regular activity and exercise.

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Biliopancreatic Diversion with Duodenal Switch Surgeons

How can I find the best Biliopancreatic Diversion with Duodenal Switch surgeon in Iran?

Bariatric surgeons in Iran can make your body more appealing. It is important that you seek the assistance of experienced and skilled Biliopancreatic Diversion with Duodenal Switch surgeons in Iran who have provided a suitable condition for people with limited budgets to undergo Biliopancreatic Diversion with Duodenal Switch in Iran easily. It is worth explaining that the quality provided by Iranian surgeons is far higher than other countries including Turkey and India.

Bariatric surgeons in Iran, have performed numerous procedures annually which make them more experienced than other countries’ plastic surgeons, due to high demand and low cost of Duodenal Switch in Iran, thousands of people travel to Iran every year to undergo Duodenal Switch in Iran with the best Bariatric surgeons at an affordable and reasonable price.

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Bariatric hospitals in Iran

Tehran hospitals                                                                        

  1. Moheb Kosar Hospital
  2. Imam Khomeini Hospital
  3. Ebnesina Hospital
  4. Parsian Hospital
  5. Pasteurno Hospital
  6. Kasra Hospital
  7. Treata Hospital

Shiraz hospitals

  1. Mirhoseini Hospital
  2. Ordibehesht Hospital
  3. Mir Hospital
  4. MRI hospital
  5. Dena Hospital
  6. Abualisina Hospital
  7. Ghadir Mother and Child Hospital

Mashhad hospitals

  1. Imam Reza Hospital
  2. Mehregan Hospital
  3. Hashemi Nezhad Hospital
  4. Farabi Hospital
  5. Mehr Hospital
  6. Sina Hospital
  7. Bentolhoda Hospital

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Biliopancreatic Diversion with Duodenal Switch surgery cost

How much does Biliopancreatic Diversion with Duodenal Switch surgery cost?

On average, the cost of Duodenal Switch in Iran is between $ 3200 - 3700.

Factors such as the surgeon’s location, credentials, and the type of facility where the procedure is being performed all impact the final cost.

 

10 Commom question about duodenal switch surgery

1How much weight can you lose with a duodenal switch?
How much weight can I expect to lose after a duodenal switch? Most patients can expect to lose 60% to 80% of their excess body weight over a 2-year period.
2Is a duodenal switch reversible?
Duodenal switch surgery is not reversible, and some people may have complications after the surgery. One of the complications of duodenal switch surgery includes protein, vitamin and mineral deficiencies.
3What is the difference between gastric bypass and duodenal switch?
During a gastric bypass, a surgeon shrinks the size of the stomach by making its upper portion into a smaller pouch and connecting that directly to the small intestine. In comparison, a duodenal switch involves "bypassing" much of the small intestine, where nutrients are absorbed.
4How is a duodenal switch performed?
The duodenal switch procedure is performed in a hospital or a surgery center, using general anesthesia. A laparoscopic procedure, the surgery begins with multiple half-inch long incisions in the area of the stomach and middle of the abdomen.
5What is a laparoscopic duodenal switch?
During duodenal switch surgery (also called “biliopancreatic diversion with duodenal switch” or “gastric reduction duodenal switch”) surgeons rearrange the intestine so that the food from your stomach and the juices from your liver spend less time mixing.
6What is the best surgery to lose weight?
Four common types of weight-loss surgery are: Roux-en-Y gastric bypass. Laparoscopic adjustable gastric banding. Sleeve gastrectomy. Duodenal switch with biliopancreatic diversion.
7What foods can you not eat after gastric bypass surgery?
Soft foods Ground lean meat or poultry. Flaked fish. Eggs. Cottage cheese. Cooked or dried cereal. Rice. Canned or soft fresh fruit, without seeds or skin. Cooked vegetables, without skin.
8How can I reduce my weight?
Here are 10 more tips to lose weight even faster: Eat a high-protein breakfast. ... Avoid sugary drinks and fruit juice. ... Drink water a half hour before meals. ... Choose weight loss-friendly foods (see list). ... Eat soluble fiber. ... Drink coffee or tea. ... Eat mostly whole, unprocessed foods. ... Eat your food slowly.
9What is Loop duodenal switch?
Procedure: Loop duodenal switch. The loop duodenal switch (L-DS) is a single anastomosis duodeno-intestinal bypass. In this simplified version of a BPD-DS, a sleeve gastrectomy is followed by a single anastomosis of the duodenum to the ileum in a loop fashion.
10Which is better gastric sleeve or bypass?
A new stomach pouch is created by making a small or large incision in the abdomen. Like vertical sleeve gastrectomy, it causes you to feel full for a long period after eating only a small portion of food. The main difference is that gastric bypass bypasses part of the digestive track whereas sleeve gastrectomy doesn't.

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