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Duodenal Switch Surgery in India

Duodenal Switch Surgery in India

Duodenal Switch also known as: Biliopancreatic Diversion with Duodenal Switch (BPD-DS) or Gastric Reduction Duodenal Switch (GRDS) is an effective weight loss surgical procedure that is composed of two parts - Restrictive and Mal-absorptive component.
It is a complex and costly bariatric surgery that can be performed as a primary procedure or as a revision surgery for other weight loss surgeries.
 

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Duodenal Switch Cost In India

For A Patient From United States

Duodenal Switch Price USD 5,200 No. of Travellers 2 Days in Hospital 1 Days Outside Hospital 14 Total days in India 15

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Patient Testimonials For Obesity Or Bariatric Surgery Procedures in India

Patient Testimonial

Patient story - Duodenal Switch

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Donina Va’a from Australia Underwent a Successful Bariatric Treatment in India. She was extremely happy with the treatment as it showed visible improvements in her health

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Donina Va’a from Australia Underwent a Successful Bariatric Treatment in India. She was extremely happy with the treatment as it showed visible improvements in her health

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Top Doctors For Duodenal Switch Treatment in India View all (31)

Choose specialists in a city

Selected :
Doctor for Duodenal Switch - Dr. Deep Goel

Dr. Deep Goel

Obesity and Bariatric Surgeon

21 years of experience , New Delhi

Doctor for Duodenal Switch - Dr. Muffazal Lakdawala

Dr. Muffazal Lakdawala

Obesity and Bariatric Surgeon

22 years of experience , Mumbai

Doctor for Duodenal Switch - Dr. Ajay Kumar Kriplani

Dr. Ajay Kumar Kriplani

Obesity and Bariatric Surgeon

33 years of experience , Gurgaon

Doctor for Duodenal Switch - Dr. Arun Prasad

Dr. Arun Prasad

Obesity and Bariatric Surgeon

29 years of experience , New Delhi

Duodenal Switch

Diagnosis for Duodenal switch surgery 
 

Duodenal Switch surgery is a major surgery and should be considered at last resort when other weight loss alternatives have failed. Surgery advised in people with:

  • BMI of 40 or over

  • BMI of 35 or over with obesity-related illnesses such as: 

    • Diabetes mellitus type 2

    • Coronary heart disease

    • Sleep apnea

    • Osteoarthritis

  • Individual who are psychologically healthy and understand the lifestyle changes following surgery .

Duodenal switch Procedure 

Before procedure 

  • Patient  will be evaluated by the surgical team, clinical dietitian and a psychologist.

  • Complete medical history will be taken . 

  • Series of preoperative blood tests and x-rays are performed to check fitness for surgery

  • If you are a smoker, you will be advised to stop smoking 

  • The surgeon will explain you regarding the benefits , potential risks , after care after the surgery . 

During procedure 

  • Procedure may take 4-6 hrs .

  • Procedure has two components the restrictive component and malabsorptive component .

  • First, a smaller, tubular stomach pouch is created by removing a portion of the stomach.

  • Then, a large portion of the small intestine is bypassed.

  • The last portion small intestine is brought up and connected to the outlet of the newly created stomach. Roughly three-fourths of the small intestine is bypassed by the food stream. 

  • The bypassed small intestine is reconnected to the last portion of the small intestine .

  • Occasionally the removal of gallbladder is performed to prevent gallstone that often accompanies rapid weight loss .

  • Duodenal Switch is sometimes performed in two stages when the surgeon determines it is too risky for the patient to undergo the whole procedure at once. The surgeon will perform stage one, restrictive component, then when the patient has lost some weight  , then stage two, intestine switch, is performed.

After Procedure 

  • Kept in recovery room for monitoring of vitals 

  • There will be tubes and drains placed - Occasionally, a tube may be placed through the nose into the stomach at the end of surgery.

  • Medications for pain relieving will be administered after surgery.

  • Patient is made active soon, it  is a important  to prevent pneumonia, blood clots, and constipation. 

  • Compression stockings  are advised to help blood circulate, thereby preventing blood clots. 

  • A Spirometer is used to every hour to help prevent breathing problems.

  • Patient is kept nil by mouth (NBM) on day 1 after surgery.

  • If no signs of leak then on second day clear liquids and water administered. 

  • First week -Full liquids including 2 high protein drinks daily. 

  • Second and third week -Pureed soft food .

  • Followed by regular diet after consultation with dietician and surgeon.

  • Patients should schedule  postoperative visit 2-3 weeks after discharge.  Follow-up visits are scheduled every 6 months throughout lifetime. 

Complications of Duodenal switch  
 

All surgical procedures involve a degree of risk , there may be complications of duodenal switch like:

  • Stomach leak- Leakage from staple line along the line of resection of the stomach

  • Intestinal leak-leakage at site of intestinal anastomosis

  • Bowel obstruction

  • Excess bleeding

  • Infection

  • Malnutrition -Nutritional deficiency is one of the major complications of duodenal switch due to reduction in the absorptive surface. 

  • Deep vein thrombosis

  • Steatorrhea

  • Gastroesophageal reflux disease

  • Hair loss 

Factors Affecting Cost of Duodenal switch Surgery

  • The cost to the patient depends on a variety of factors like
  • The hospital, the patient chooses.
  • The room charges , OT, procedure charges 
  • Fee for the surgeon and team of doctors.
  • Cost of medicines 
  • Standard test and diagnostic procedures.
  • Cost of the follow –up care required after the procedure.

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