Duodenal Switch Surgery in Turkey

About Duodenal Switch Surgery in Turkey

Duodenal switch surgery in Turkey is a decrease in the volume of the stomach and length of the small intestine. By reducing the small intestine length, the amount of absorbed food is decreased. If the patient also has an active lifestyle, he/she can lose almost %75 of all body mass in 5 years. In addition to weight loss, patients will also stop struggling with diabetes, hypotony, dyslipidemia, and obstructive sleep apnea diseases. The duodenal switch is similar to gastric bypass in purpose because it reduces the amount of food entering your stomach and reduces the number of calories absorbed by your body. Because it is more of a malopsorbatice operation, it causes more side effects than other types of surgery.

Nowadays, there are many people around the world complaining of obesity disease, especially since it is responsible for many serious health issues like heartbreaks, strokes, liver and kidney problems, and many more health problems. Therefore, hundreds of thousands of people who complain of obesity started to have obesity surgeries.

Some doctors also call it “Gastric Reduction Duodenal Switch,” which is a weight loss surgery that involves both restrictive and malabsorptive aspects. The restrictive part of the surgery includes cutting up to 70% of the stomach and some of the duodenum. There are many types of obesity surgery, and each type has its own tools and ways of being done, but all of the types share the same goal, which is helping to cure obesity problems.

The average weight loss with a duodenal switch surgery in Turkey is 80% of excess weight over a two-year period. That’s well above the average weight loss from bariatric surgery overall, which is 55% to 65%. People who have duodenal switch also maintain more weight loss over the long term. Studies show an average sustained weight loss of 70% of excess weight over seven years. That means that if you were 200 lbs. overweight, you could lose an average of 140 lbs. and keep it off.

There is generally no hunger at all for the first few weeks to months after surgery. Hunger does come back eventually for most people. When it does, hunger is usually less than before the duodenal switch surgery and can be satisfied with much less food. As with Sleeve Gastrectomy and Gastric Bypass, switch operations reduce a “hunger hormone” called ghrelin. Healthy Türkiye will provide you find the best duodenal switch surgeons in Turkey.

Duodenal Switch Surgery Procedure in Turkey

The duodenal switch in Turkey is a weight-loss surgery designed to treat people who have severe obesity. A duodenal switch combines a sleeve gastrectomy with an intestinal bypass. The duodenal switch is the most complicated but also the most effective type of bariatric surgery. It’s especially effective against diseases such as type 2 diabetes.

The Pylorus is a muscle that is provided at the gastroduodenal junction which is responsible for the controlled transfer of gastric content into the small bowels. The Pylorus muscle also restrains the reflux of fluids, assisting digestion from the bile duct and pancreatic duct into the stomach. If the pylorus functions are not sufficient, then alkaline reflux may happen. The Pylorus muscle is sacrificed technically through biliopancreatic diversion (BPD). Therefore, the dumping syndrome might be frequent and severe. Furthermore, ulcer development in gastroileal anastomosis is more common in the absence of pylorus muscle.

Duodenal switch surgery is another type of biliopancreatic diversion (BPD) operation where the stomach is not divided horizontally and the pylorus muscle is preserved. The Postpyloric Duodenal Switch is a combination of a vertical sleeve gastrectomy surgery with a postpyloric duodenal switch transaction that preserves the pylorus muscle. The distal ileum is anastomosed to the postpyloric duodenal segment in a roux-n-y fashion.

The duodenal switch is the most drastic of all forms of bariatric surgery in Turkey. It is usually done in most obese patients as the second surgery in a two-stage procedure. The first stage is sleeve gastrectomy surgery.

There are four effects of duodenal switch surgery: Restriction, dumping, reduced appetite, and malabsorption. Every individual is affected by different degrees of each effect. All of these effects work together to help you drastically restain the calories coming into your body. The smaller stomach ensures you fill up on much less food. For the first few months after weight loss surgery, this may be only about a quarter of a cup. As time goes on, people might usually eat about a cup of food.

The intestines are much more sensitive than the stomach and this might cause unpleasant reactions to certain types of food. Usually, high-calorie foods, such as concentrated sugars and saturated fats, are the type that causes issues. Dumping might include nausea, diarrhea, cramping, and low blood sugar. These unpleasant side effects help you stay away from junk food and carbonated beverages. Please contact Healthy Türkiye if you are looking for the best bariatric surgeons in Turkey.

Duodenal Switch Surgery Turkey

The duodenal switch is a modified form of gastric bypass, but it is more drastic in terms of the amount of small intestine that it bypasses in Turkey. This is the main malabsorption procedure: the bypass is performed at the level of the duodenum, not at the level of the stomach. The result is that only around 75 cm of your small intestine, about one-sixth of the entire length, is available to digest and absorb foods, including vitamins and minerals.

Healthy Türkiye consultancy ensures that you understand the scope of the surgery, exactly what a duodenal switch will involve, and the impact it will have on your life in the future. You will lose weight but you will need to take vitamin, mineral, and protein supplements to avoid developing malnutrition. You might also need constant follow-up.

Duodenal switch surgery has a 90% success rate for weight loss. That signifies that 90% of people lose at least 50% of their excess weight in Turkey. Most lose more. The surgery has a similar success rate for the remission of related health problems. As much as 90% of people with Type 2 diabetes are able to discontinue their medications after a duodenal switch surgery. Because of its higher success rate, some patients who fail to lose enough weight with other bariatric surgeries choose to have revision surgery with a duodenal switch.

Duodenal Switch Surgery Procedure Turkey

Duodenal switch surgery in Turkey is usually only performed on those with a high body mass index (BMI) of 40 or above and on those who suffer from obesity-related health diseases such as hypertension, high cholesterol, and type II diabetes. There has proven to be a high success rate for long-term weight loss amongst those who have had duodenal switch surgery, with a marked reduction in BMI in the years following surgery.

Duodenal switch surgery is also known to positively impact obesity-related health conditions. Many individuals who have undergone a duodenal switch have shown a return to normal cholesterol and blood pressure levels. In addition, those with type II diabetes have shown a return to normal blood sugar levels, which is thought to be related to the hormone differences that can occur post-surgery which help to boost insulin sensitivity.

Your healthcare provider might advise you if they feel a duodenal switch is the most appropriate surgery for you based on your individual circumstances. The duodenal switch is a surgery that should be used with great caution in designated centers of expertise. Even though we at Healthy Türkiye have a great deal of experience with this operation, it still accounts for just 2% of our total workload.

The main concern after such an extensive intestinal bypass is the potential for protein energy malnutrition. Unlike older malabsorptive operations, the duodenal switch does allow a degree of protein absorption. However, strict compliance with a high protein (>100g/day) diet is essential if protein deficiency is to be avoided. Vigilant post-operative follow-up and regular blood exams (including vitamin A and D3 levels) are mandatory.

Healthy Türkiye helps individuals achieve better health through surgical management of obesity. Healthy Türkiye surgeons to specialize in all types of bariatric surgery in Turkey.

Good Candidate for Duodenal Switch Surgery in Turkey

Good candidates for duodenal switch surgery in Turkey are people who are dealing with morbid obesity. They have tried to lose weight through traditional methods like diet and exercise, but have been unable to do so. Patients willing to have duodenal switch surgery should be in good general health and strong enough to endure the surgical process without the danger of a serious medical complication during the recovery process. Some candidates may need to lose initial weight before their surgery to prepare their bodies for the intervention.

If your BMI of 45 or higher

If you have indomitable diabetes that requires the use of insulin

If you will be able to fulfill the conditions for follow-up and vitamin use, the duodenal switch procedure might be suitable for you.

The best way to find out if a duodenal switch is right for you and your needs is to contact our practice for a consultation. Healthy Türkiye will be able to discuss all of your bariatric surgery options with you and which may be ideal given your situation. Healthy Türkiye consultants will be more than happy to offer detailed information about all the procedures available.

Duodenal switch surgery is very effective for people with a very high body mass index (BMI). If you had weight loss surgery but you started gaining weight again, you might be suitable for duodenal switch surgery. In particular, patients who had gastric bypass in the past but now again gaining weight and whose sugar level is rising need to have duodenal switch surgery. You will not gain weight again after the duodenal switch.

How Is Duodenal Switch Surgery Performed in Turkey?

The first step of the duodenal switch surgery in Turkey is the removal of 85% of the stomach as in sleeve gastrectomy to leave a stomach in the form of a thin tube. This step has the effect of restraining food intake. In the second step, the duodenum is cut and divided from a few centimeters below the circular muscle layer known as the pylorus, to the point where bile and pancreatic fluids are carried.

The stomach outlet is anastomosed with the small intestine from 250 to 300 cm above the small intestine and large intestine opening. In other words, the length of the intestine where bile and other digestive enzymes mix with nutrients and lead to absorption is reduced to 250 centimeters. This method reduces the absorption of fat and calories in nutrients even at a higher rate than gastric bypass.

A duodenal switch achieves weight loss in two ways. Firstly, the sleeve gastrectomy significantly reduces your stomach size and affects the ghrelin, or “hunger hormone”, in your gut, decreasing your appetite and helping you feel fuller quicker, reducing your food intake.

Secondly, the small intestine is where most of the calories and nutrients from your food are absorbed. So, rearranging the small intestine so your food has less time to mix with digestive juices means your body has less time to absorb calories from the food you eat. The decrease in food intake and lower absorption of calories make a duodenal switch an effective weight loss procedure. Healthy Türkiye ensures you have cutting-edge duodenal switch treatment in Turkey.

Types of Duodenal Switch Surgery in Turkey

There are currently two different types of the duodenal switch in practice in Turkey. The original form is known as the biliopancreatic diversion with a duodenal switch (or sometimes, the gastric reduction with a duodenal switch). This is the version with the history and research behind it. The newer version, the loop duodenal switch surgery, was developed to simplify the procedure and reduce complications.

Open vs. laparoscopic: Duodenal switch surgery might be done as a traditional open surgery or as laparoscopic surgery. The laparoscopic method is less invasive, using narrow devices through small “keyhole” incisions instead of opening your abdominal cavity. Surgeons and patients usually prefer to use minimally invasive surgery methods when possible, but some people may require open surgery to manage their conditions. Sometimes a surgery that starts as laparoscopically may need to convert to open surgery.

Two steps: The duodenal switch is a two-step surgery that starts with a sleeve gastrectomy. Some patients have the sleeve gastrectomy as a standalone procedure, but if you have it as part of a duodenal switch, your surgeon will remove slightly less of the stomach, about 65%. The next step in the process, the intestinal bypass, might be done in the same surgery or as a second surgery sometime later. Your surgeon might advise two separate surgeries if they believe this would be safer for you based on your conditions.

The difference in the second part of the surgery is the intestinal bypass. Both versions begin the bypass by dividing your small intestine near the top, in the section known as the duodenum. The surgeon brings a lower section of your small intestine up to attach to the top, bypassing the middle. In this method, the duodenum is “switched” with a lower part of your small intestine.

The original duodenal switch bypasses most of your small intestine by about 80-90%. This drastically restricts how much nutrition your small intestine can absorb from your food, leading to significant weight loss but also a high risk of malnutrition. The modified (loop) version bypasses only about 50-60% to decrease this risk. The other difference is that the original duodenal switch surgery divides and reconnects your small intestine in two different places. The modified duodenal switch is simpler, with only one division and reconnection.

Advantages of Duodenal Switch Surgery in Turkey

The duodenal switch procedure in Turkey, which combines the effects of food intake restriction and absorption reduction, is one of the bariatric surgery operations that provide the highest weight loss ratios. Most patients can lose 80-100% of their excess weight within an average of 10 months. Moreover, it is one of the procedures that ensures the most substantial results in eliminating type 2 diabetes. Other accompanying metabolic conditions, such as hypertension, sleep apnoea, and high cholesterol levels, improve substantially and rapidly. The most significant adverse effect is frequent and smelly diarrhea in the early postoperative period, which gradually decreases after the intestinal adaptation process.

The average excess weight loss for patients who undergo the duodenal switch procedure is generally greater than with gastric banding or sleeve gastrectomy because it ensures the highest level of malabsorption. In a clinical study of duodenal switch surgery patients, 94% lost more than 70% of their excess weight in 1 year, 62% lost 75% of their excess weight in 3 years, and 31% lost 81% of their excess weight at 5 years.

The weight loss that results from the duodenal switch surgery has been shown to help resolve type 2 diabetes, high blood pressure, obstructive sleep apnea, and improve high cholesterol. After the duodenal switch surgery, there are no restrictions on the types of foods that can be eaten. In addition, the procedure allows for larger meals compared with other bariatric procedures because the remaining stomach is larger.

Recovery From Duodenal Switch Surgery in Turkey

After duodenal switch surgery in Turkey, you will need to follow up with a special diet program. You might return to work 2 weeks after surgery. During that process, you need to rest and avoid hard physical activities. You can begin certain activities 6-7 weeks after surgery. However, it can change depending on your health condition.

The weight loss process will vary from person to person, but there are some general trends. The most rapid weight loss occurs in the first three months after surgery. During this time, you might expect to lose about 30% of your excess weight. Weight loss slows down a bit for the next three months after surgery. By the one-year mark, you may have lost 50% to 75% of your excess weight. Weight loss typically peaks between 12 and 18 months after duodenal switch surgery. It can be 75% to 85% of your excess weight.

Diet & Life After Duodenal Switch Surgery

In Turkey, as in all weight loss surgeries, recovery time depends upon many factors, including the health of the individual, complications that might occur during the surgery, and how well the directions of the surgeon are followed by the patient after the surgery. Recovery from duodenal switch surgery can take three to four weeks before returning to a normal routine and activity. During this time there is typically moderate pain that might be relieved with the help of either over-the-counter medications or prescription pain relievers. Patients may expect their abdomen to be sore and tender for several weeks following duodenal switch surgery.

The recovery process will take time to transition to your long-term duodenal switch diet, up to 4 weeks, depending on your surgeon’s preferences. Here is how that transition will appear: There is also a good chance that you will permanently feel less hungry following the operation. When your stomach is empty, it secretes a hormone known as ghrelin into your bloodstream. This ensures your brain generates hunger impulses.

After you consume food, the amount of secreted ghrelin drops and slowly rises until your next meal. Since your stomach will be so much smaller after duodenal switch surgery, the amount of ghrelin it secretes may also go down. Less ghrelin in your system ensures you will feel less hungry than you did before surgery.

There will need to be some lifestyle changes made in order to keep recovering. This involves understanding proper nutrition so that the food that you eat is healthy. Since the stomach is smaller, you only want to put in food that will be beneficial to your body. In addition, portion size must be a priority. If you feel too full you could start vomiting or have to deal with nausea. In some situations, the stomach can become stretched. As a part of the recovery process, the patient needs to look at food in a much different way. This might be done best with the help of a nutritionist. In your bariatric surgery process, Healthy Türkiye books for you the best dietitians in Turkey.

Duodenal Switch Surgery vs. Gastric Bypass Surgery

The duodenal switch in Turkey is similar to the Roux-en-Y gastric bypass. Both include reducing your stomach (weight loss by restriction) and bypassing part of your small intestine (weight loss by malabsorption). In general, the duodenal switch surgery leans more on malabsorption, while the Roux-en-Y gastric bypass leans more on restriction. The duodenal switch decreases the size of your stomach by about 60% to 70% (vs. 70% to 80% with the Roux-en-Y). However, it also bypasses about 75% of the small intestine (vs. about 30% with the Roux-en-Y).

Patients who underwent duodenal switch surgery lost more weight and gained better control of diabetes and hypertension compared with those who had gastric bypass surgery. According to newly published research, people who had weight-loss surgery using the so-called duodenal switch method lost more of their extra body weight and had better control of diabetes and high blood pressure than those who had a more traditional gastric bypass. However, the duodenal switch also came with extra blood loss and longer hospital stays, and more patients who had the procedure ended up with nutrient deficiencies.

During a gastric bypass, a surgeon reduces the size of the stomach by making its upper portion into a smaller pouch and connecting it directly to the small intestine. In comparison, a duodenal switch involves “bypassing” much of the small intestine, where nutrients are absorbed. That puts patients who’ve had the surgery at greater risk of malnutrition and vitamin deficiencies in the future. So they have to watch their diet extra closely, researchers said.

Duodenal Switch Surgery vs. Gastric Sleeve Surgery

The duodenal switch in Turkey is a two-part surgery that begins with a gastric sleeve. In fact, the sleeve gastrectomy was originally improved as the first part of the duodenal switch. The gastric sleeve procedure reduces the stomach to a small, tubular “sleeve,” about 75% of its original size. The second part of the duodenal switch surgery goes a step further by bypassing much of the small intestine. This second part creates greater weight loss than the gastrectomy alone, but also more potential side effects.

The biggest difference between the two procedures is simply that the duodenal switch includes the entire gastric sleeve procedure and then adds onto it. In a more comprehensive sense, though, the biggest difference is that the duodenal switch technique is more complicated and invasive. The gastric sleeve method is done laparoscopically with only a few incisions, but the duodenal switch requires all of those incisions plus additional incisions so that the doctor can work with the small intestine. As with virtually all types of surgery, more incisions cause more risk and longer recovery times.

The goal of both surgeries is to reduce calorie intake and promote weight loss by creating an ongoing caloric deficit. They both also achieve this through decreased stomach size via the newly formed gastric sleeve; as noted earlier, the smaller stomach size assists patients to eat smaller meals and feel full after less food. The duodenal switch technique, however, additionally involves another type of weight loss mechanism: reduced nutrient absorption.

If you have tried your usual weight loss methods without much success, it might be time to consider a medical weight loss procedure like those offered at true you. Our highly trained staff is dedicated to helping you find the freedom from obesity that you’ve been seeking. If you’d like to learn more about our approach to weight loss or details about our offerings, contact us today to request a consultation.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

There are two main stages to the less common weight loss treatment known as biliopancreatic diversion with duodenal switch (BPD/DS). As a first stage, a sleeve gastrectomy is performed, in which a tube-like stomach (resembling a banana) is created by removing roughly 80% of the stomach. A little section of the small intestine’s usual connection to the stomach and the pyloric valve (which releases food into the small intestine) survive (duodenum).

The second step connects the intestine’s terminus to the duodenum close to the stomach, skipping through the bulk of the intestine in the process. The inability to properly digest food due to a BPD/DS lowers nutrient absorption, particularly protein and fat. Although sleeve gastrectomy and intestinal bypass are typically done at the same time during biliopancreatic diversion with duodenal switch it is possible to do the procedures separately in certain cases.

Although while a biliopancreatic diversion with duodenal switch is highly efficient, it comes with a higher risk of complications such starvation and vitamin shortages. Those with a BMI of 50 or higher are typically candidates for this surgery.

2024 Cost of Duodenal Switch Surgery in Turkey

The cost of the surgery package might be different, mostly according to the hospital and hotel you choose to stay in for all countries, including Turkey. We need to mention that duodenal switch surgery is not an easy operation. Only very highly qualified doctors can perform it. As before any other gastric surgery, you will have very detailed medical tests. These tests will point out if you are suitable for surgery or not. Your treatment plan might also be changed according to the test results. The price of duodenal switch surgery in Europe or the USA. It is higher than any other gastric surgery. However, it is much lower than if you would have it in Turkey

At Healthy Türkiye, we offer a range of weight loss surgeries, including gastric bypass, gastric sleeve, gastric band, duodenal switch, and other bariatric surgeries. If you would like to learn more about the different types of surgery that Healthy Türkiye presents, please contact us for all the latest information, or reach us to discuss further.

The prices may vary based on specific procedure requirements. Contact us for exact price information.

Why Choose Turkey for Duodenal Switch Surgery?

It is very important for your health to find the right surgeon and country for duodenal switch surgery, which is the most difficult and crucial operation among obesity surgeries. Choosing a duodenal switch in Turkey will be the safest option for you. Because there are the most experienced surgeons and clinics in Turkey for duodenal switch surgery and they provide service. You will also be sure that you are safe during the surgery in Turkey. Pre-operative exams and analyses will determine whether you are suitable for this surgery. This way, your operation will be done safely. You will also be checked by surgeons when you return to your country, even after surgery, and you will receive some advice on your diet plan.

Patients considering duodenal switch surgery in Turkey usually have one troubling question: Is it safe to travel to Turkey? The answer is yes. Turkey is one of the safest countries, with no domestic or international conflicts. Turkey has never been as safe and secure as it is now. Both the police and the army are included in keeping order in the country. Of course, patients should always be careful about themselves and their staff, avoid dangerous or dubious places and check the official statements about the current situation in a given country while they travel to a foreign country.

Internationally accredited hospitals and experienced surgeons are one of the main reasons why Turkey is very popular among those who want to undergo duodenal switch surgery is its high number of internationally accredited hospitals. There are over 30 Joint Commission International (JCI) accredited hospitals and clinics in Turkey, and many of them offer duodenal switch surgery. With international accreditation, patients might be sure to receive the highest level of care. These hospitals boast the most advanced technology and techniques for duodenal switch surgery, as well as top-notch services so patients can feel comfortable before, during, and after their operation.

In addition, the surgeons are highly experienced and skilled. Some of the surgeons have over 20 years of experience and have performed more than 5,000 successful duodenal switch surgeries. Many people who had duodenal switch surgery in Turkey leave positive reviews about their hospital and the results they got.

More affordable surgery: In general, duodenal switch surgery in Turkey can be 70% cheaper than in most Western countries. This means you might get slack in Turkey at lower prices than what you have to pay in your home country. For example, the cost of bariatric surgery in the United States ranges from 8,500 USD to 30,500 USD, while in Turkey, the price of the same procedure can start at as low as 3,900 USD. The cost of a duodenal switch in Turkey is often all-inclusive and may include 3 to 4 nights of hospital stay, post-operation physician and dietitian support, post-operation medication, transport, and accommodation in hotels.

Is Turkey Good for Weight Loss Surgery?

With improved surgical methods in Turkey being good for weight loss surgery and the experience of surgeons, duodenal switch surgery has become a safe and effective procedure. The success rate of the duodenal switch is approximately 80% to 90%. However, every medical treatment has a failure rate, and complications can still occur during and after bariatric surgery. Some of the main risks and complications of duodenal switch surgery are bleeding, blood clots, leakage from the staple line, heartburn, weight loss, excess skin, and vitamin or nutrient deficiency. As long as you choose the right hospital with international accreditation and a highly experienced and qualified doctor, there is nothing to worry about.

Healthy Türkiye is a professional medical assistant center based in Turkey. We have acquired all our experience on the international scene, ensuring our foreign patients’ fast service solutions with professionalism and singular attention. Not only on health problems, but also on travel, accommodation, transportation, and advice. With almost 1500 solution partners in health, we provide the opportunity to treat clients from all around the world by providing tailor-made solutions to their needs.

The clinics, health care services, and hospitals in Turkey are controlled by the Ministry of Health and the Independent Turkish Medical Associations. There are severe clinics that have JCI accreditation, ISO accreditation, and JACHO accreditation. Clinics meeting JCI accreditation standards belong to the top world-class medical regulations. Usually, clinics that are open to medical tourists use the most Modern methods and modern medical equipment to meet all the standards set by international authorities and strictly follow medical and healthcare guidelines.

All-Inclusive Package for Duodenal Switch Surgery in Turkey

Turkey is the first choice for those looking for the best and most affordable weight loss surgery. Turkey is home to renowned weight loss surgery specialists working from a number of high-quality clinics. The hospitals in Turkey are multi-disciplinary facilities that are not only equipped with the latest state-of-the-art technology but are also home to reputable bariatric surgery specialists. Healthy Türkiye’s surgeons are also well-versed in caring for international patients, with unique treatment packages that include airport pick-ups, clinic transfers, and accommodation in the overall cost of the treatment process.