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Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery in Iran

duodenal switch in iran

Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Surgery in Iran

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 city and hospital to perform 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.

Read more about Bariatric surgery in Iran

General information about Biliopancreatic Diversion with Duodenal Switch

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

General Information



$ 3200 - 3700



Hospital Stay

2 Days

Back to Work

1 to 2 Weeks

Duration of Operation

3 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 Biliopancreatic Diversion with Duodenal Switch (BPD/DS) 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.

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.

Read more about Gastric sleeve surgery 

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

Read more about Mini gastric bypass surgery vs gastric bypass

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.

Read more about Gastric Bypass 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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. Results in greater weight loss than RYGB, LSG, or AGB, i.e. 60 – 70% percent excess weight loss or greater, at 5 year follow up.

. Allows patients to eventually eat near “normal” meals

. Reduces the absorption of fat by 70 percent or more

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

. Is the most effective against diabetes compared to RYGB, LSG, and AGB


. 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.


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)

. Malnutrition

. Stomach perforation

. Ulcers

. Vomiting

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

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The Procedure

The duodenum, or the first portion of the small intestine, is divided just past the outlet of the stomach. A segment of the distal (last portion) small intestine is then brought up and connected to the outlet of the newly created stomach, so that when the patient eats, the food goes through a newly created tubular stomach pouch and empties directly into the last segment of the small intestine. Roughly three-fourths of the small intestine is bypassed by the food stream.

The bypassed small intestine, which carries the bile and pancreatic enzymes that are necessary for the breakdown and absorption of protein and fat, is reconnected to the last portion of the small intestine so that they can eventually mix with the food stream. Similar to the other surgeries described above, the BPD/DS initially helps to reduce the amount of food that is consumed; however, over time this effect lessens and patients are able to eventually consume near “normal” amounts of food. Unlike the other procedures, there is a significant amount of small bowel that is bypassed by the food stream.

Additionally, the food does not mix with the bile and pancreatic enzymes until very far down the small intestine. This results in a significant decrease in the absorption of calories and nutrients (particularly protein and fat) as well as nutrients and vitamins dependent on fat for absorption (fat soluble vitamins and nutrients). Lastly, the BPD/DS, similar to the gastric bypass and sleeve gastrectomy, affects guts hormones in a manner that impacts hunger and satiety as well as blood sugar control. The BPD/DS is considered to be the most effective surgery for the treatment of diabetes among those that are described here.

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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. Your healthcare team will tell you when it’s OK to shower, drive, return to work, exercise, and lift objects.

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.

Read more about hospital in Iran

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 do 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 Bariatric surgeons in Iran more experienced than other countries’ plastic surgeons, due to high demand and low costs of Bariatric in Iran, thousands of people travel to Iran every year in a way that you can perform Bariatric in Iran by the best Bariatric surgeons with affordable and reasonable price.

The factors that the best Bariatric surgeons should have:
  1. Experience

Because of performing a great number of procedures, they become knowledgeable and highly skilled which make them very famous worldwide.

  1. Expertise in different types of Bariatric surgery

It is of paramount importance that your surgeon be expert in various types of Bariatric.

We are happy to introduce a great number of Iranian surgeons who have all two above-mentioned features.

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

Biliopancreatic Diversion with Duodenal Switch surgery cost in Iran

How much does Biliopancreatic Diversion with Duodenal Switch surgery cost?

On average, Biliopancreatic Diversion with Duodenal Switch surgery costs between $3200 - 3700 depending on surgeon’s fee and geographical location.

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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