Duodenal Switch in Mexico

The Duodenal Switch Mexico surgery is a restrictive and malabsorptive procedure. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat. As a result, following surgery, these patients only absorb approximately 20% of the fat they intake. Most surgeons will not perform the duodenal switch unless your Body Mass Index (BMI) is over 50 and your weight is causing serious health problems.

 

What Is Duodenal Switch Surgery?

The Duodenal Switch Mexico surgery is a restrictive and malabsorptive procedure. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat. As a result, following surgery, these patients only absorb approximately 20% of the fat they intake. Most surgeons will not perform the duodenal switch unless your Body Mass Index (BMI) is over 50 and your weight is causing serious health problems.

What is included in your surgery?

Surgery Duration

30 minutes

Nights in Hospital

2 Nights

Nights in Hotel

1 Pre Operative

Back to Work

1 to 3 weeks

$4,499

USD

$5,499

USD

$6,499

USD

$7,299*

USD

$5,699

USD

$6,699

USD

$7,699

USD

$8,499*

USD

weight loss surgery cabo san lucas

$4,999

USD

$5,999

USD

$6,999

USD

$7,799*

USD

$4,999

USD

$5,999

USD

$6,999

USD

$7,799*

USD

$7,999

USD

$8,999

USD

$9,699

USD

$10,299*

USD

$5,650

USD

$6,650

USD

$7,650

USD

$8,650*

USD

FAQs of The Duodenal Switch Mexico surgery

How Does Duodenal Switch Surgery Work? A biliopancreatic diversion changes the normal process of digestion by making the stomach smaller. It allows food to bypass part of the small intestine so that you absorb fewer calories. In a biliopancreatic diversion with duodenal switch a part of your stomach is removed, and the surgeon leaves the pylorus (the valve that controls food drainage from the stomach) intact. After surgery, you will feel satisfied more rapidly than when your stomach was its original size, this reduces your food intake. Bypassing part of the intestine also means that you will absorb fewer calories. This leads to weight loss.

Advantages of the Duodenal Switch: Most people lose 75 to 80% of their excess weight and stay at their new weight.

What to expect from the Duodenal Switch: The primary advantage of duodenal switch is that its combination of moderate intake restriction with substantial calorie malabsorption results in a higher percentage of excess weight loss versus a purely restrictive gastric bypass for all individuals.

Risks: All surgical procedures represent risks, in case of Duodenal Switch, the following might occur: Leaks on the staple line, splenic injury, bleeding, esophageal perforation and pulmonary embolism, this last complication is typical on patients with severe obesity and previous respiratory diseases and is not a surgical complication.

PRE-OPERATIEF DIET

Before having weight loss surgery, your surgeon has recommended that you follow a low sugar, reduced calorie diet for the next 14 days, it is essential you follow a special pre-operative diet for two weeks prior to having weight loss surgery. Patients will need to have a liquid diet during this time; the diet is to help shrink the liver prior to surgery. A shrunken liver during surgery gives the surgeon greater access to the exposed stomach laparoscopically, when preforming surgery and makes the surgery go easier, allowing the doctor to have more room to work around the liver.

The diet is low in fats and in carbohydrates, therefore, reducing the glycogen stores. This in returns reduces the size of the liver causing it to shrink and soften. When performing bariatric surgery the surgeon will need to lift your liver to access your stomach. Having a liver which is immobile, fatty, and heavy, will make it difficult for the surgeon to see and have access to the stomach. Following this diet you will lose weight prior to surgery, and more importantly you will reduce the size of your liver, resulting in a safer surgery.

Special Instructions
**Special Note for Patients with Diabetes
If you have diabetes and are treated with insulin or a sulphonylurea tablet (gliclazide, glibenclamide, tolbutamide, glimepiride, glipizide), you will need to adjust your insulin or medication. They will need to understand your calories will be around 800/day from the time you start this diet and medication management goal is to have less medication and not more food. For this reason please contact your Diabetes Specialist Nurse/Practice Nurse/GP/PCP before starting the preoperative diet to discuss your medication and any possible adjustments needed. It is also recommended you monitor your blood sugar closely. This diet will likely be a reduction for normal intake of carbohydrates and calories. Consult with your medical provider as needed.

**Special Note for Lactose Intolerant Patients.
If dairy products including milk give you gas, cramping, bloating or diarrhea you may be lactose intolerant. It is recommended you choose Boost Diabetic for your meal replacement choice because it is lactose free. If you choose to use a protein shake made with milk products take a Lactaid or similar lactase enzyme pill at the start of each meal containing one of these products. As you will see in the Pre-Operative diet snack choices include cottage cheese, and yogurt many lactose intolerant individuals are able to consume yogurt without experiencing gas or bloating. If you choose to eat cottage cheese it is recommended you take the lactase enzyme with your cottage cheese.

**NO CAFFINE, PEPPER, ALCOHOL, PEPPERMINT & NO OATMEAL.

** No Chewing gum with sugar or carb sweetener, breath mints, cough syrup, hard candy or cough drops they contain high amounts of sugar.

** Stop usage of tobacco products during this pre-operative diet and during the post-operative care informational you will receive.

Bariatric Pre-Operative Diet
Food Consumption
There are no caloric limitations on the liver shrinking diet. You are able to eat as much and drink as much as you like from the list of allowable things. We do suggest reasonable limits to aid in your weight loss of a maximum of 40-50 carbohydrates daily. Typical protein intake between 70-120 grams a day, through protein shakes. It is suggested you take a multi-vitamin during your pre-op diet and during post-op. Many patients have stated that Premier Protein & Unjury as being some of the better tasting shake choices.

Here is the list of Pre-Op Diet food to follow before having your weight loss surgery. You will be following something very similar to a liquid diet.

All the water you can drink
All the natural fruit juice you can drink (make sure it has No Sugar Added on the label)
Coffee or Tea (decaf only)
Low fat creamer, Skim or 1% milk, Soy milk
Sugar-free drinks only (Crystal Light, G-2 Gatorade, Diet PowerAde, Propel, etc.)
All the broth you can eat chicken or vegetable is OK
Please drink 3 Vitamin supplements per day Any Flavor is fine (with low sugar & carbs)
Diet V-8 fusion, etc.
Sugar-free Gelatin (no fruit added)
Sugar free popsicles
Sugar-free pudding
All the plain yogurt you can eat (Greek yogurt has almost double the amount of protein per serving)
We are aware this can be a challenge for many of our patients to do for the entire period of time. If you get hungry it is okay the first week to eat 4 ounces of fish, lean turkey, chicken breast, ham, roast beef, but it must be baked, broiled, or grilled (NO FRIED FOODS). The day prior to surgery attempt to drink all clear liquids such as water, broth, clear juice, Kool-Aid (sugar free), pulp free drinks, lemonade, grape juice, apple juice, broth, etc.

The Night Before your Surgery, DO NOT EAT OR DRINK anything after Midnight 12 am and we need you on a 100% Fast that day when you arrive for surgery.

POST-OPERATIVE DIET

It is important for you to make healthy food choices after your surgery to help you with weight loss and to maintain your nutritional health. A changed eating pattern is important for weight loss, to avoid stomach pains, and to prevent nutritional deficiencies.



WHY SHOULD YOU FOLLOW THIS POST OPERATIVE DIET?

FOR A SUCCESSFUL WEIGHT LOSS

  • To help you to achieve the maximal amount of weight loss.
  • To help prevent nutritional deficiencies and other complications.

It is important to note that lifestyle and behavioral changes are necessary to be successful with your weight loss journey.

    • Eat three meals a day and limit unnecessary snacking in-between meals. This weight loss surgery is a restrictive procedure, which means that the success of weight loss depends on what you are eating. Unhealthy snacking in-between meals (e.g. pretzels, crackers, cookies, etc.) or eating frequently may prevent successful weight loss or cause weight gain due to excess calorie intake.
    • Eat slowly and chew your food until LIQUID. Failure to do so can cause pain, nausea, vomiting, and irritate your new pouch. It is very important to chew very thorough until it is liquid. Also, remember to cut your food into small pieces before eating it. Try waiting one minute in between bites. Allow at least 30 minutes for a meal
    • Avoid concentrated sugar. Keep sugar out of the first 3 ingredients on the food label. The number of sugar grams on the label includes both added and natural sugars; therefore, it is important to read the ingredients to find out what type of sugar the food contains. Aim to keep the “sugars” down to 15 grams or less per serving to help limit “empty calories” in your diet. Avoid these simple sugars, especially if within the first 3 ingredients on food labels: sugar, dextrose, high fructose corn syrup, corn syrup, glucose, sucrose, molasses, and honey Note: Artificial sweeteners such as NutraSweet/Equal®, saccharine/Sweet & Low®, and sucralose/Splenda® are acceptable to use.
    • Limit high fat foods. Low fat is 3 grams or less per serving on a food label. Examples of high fat foods: potato chips, fried foods, fast food, bacon, sausage, hot dogs, bologna, pepperoni, cream soups, Alfredo sauce, donuts, cakes, cookies, and pastries.
    • Stop eating when you feel comfortably satisfied. Overeating can cause nausea, vomiting, and the size of your stomach to stretch. It can take 6-9 months for your new stomach size to stabilize.
    • Drink adequate fluids to prevent dehydration. Aim for 48-64 fl oz (6-8 cups) of fluid per day.
    • Sip on your beverages, no gulping!
    • Avoid carbonated beverages, beverages containing sugar and alcoholic beverages.
    • Choose sugar-free, non-carbonated drinks such as: Crystal light®, Fruit 2O®, Diet Snapple®, Propel Fitness Water, Light Minute Maid® drinks, Diet Ice Tea, etc.
    • Limit fat free milk to less than 16 ounces per day, limit 100% real fruit juice to less than 8 ounces per day (try diluting with water).

TIPS

  • Wean off carbonated and caffeinated beverages before surgery to help prevent withdrawals.
  • Choose beverages with 10 calories or less per serving.
  • If plain water sits heavy and you are having problems tolerating it add a sugar-free flavoring (e.g. True Lemon®, lemon or orange slice, etc.)
  • Increase your fluid intake if any of the following signs are present: dark urine, headache, dizziness, lethargy, a white coating on the tongue.
  • AVOID eating and drinking at the same time. Avoid drinking with your meal, then wait at least 30 minutes after a meal to resume drinking.
  • Choose your food wisely, at each meal protein should be consumed first, then vegetables and fruits, then “whole” grains.
  • Exercise!
  • Aim for at least 30 minutes every day.
  • Exercise helps maintain long-term weight loss.
  • Even 5 minutes at a time, as tolerated, is a start, and increase the time and frequency as tolerated.
  • The first four weeks, the primary exercise used should be walking. After four weeks, try introducing strength exercises.
  • Always speak with your doctor if you have never exercised.
  • Protein. You need to consume at least 60-80 grams of protein per day in the form of food and/or supplements.

Protein Content of Common Foods

Meats, Poultry, and FishPortion SizeGrams of Protein
Beef/Turkey Jerky1 oz dried10-15 Grams
Beef, Pork, Poultry, Fish1 oz (2 Tbsp)7 Grams
Cheese, hard (low-fat)1 oz7 Grams
Kraft free/Healthy Choice1 oz 1 slice5 Grams
Borden fat free singles1 oz 1 slice5 Grams
Cottage cheese, Ricotta (part skim)2 Tbsp3.5 Grams
Imitation Crab Meat1 oz3 Grams
Crabmeat1 oz (2 Tbsp)6 Grams
Shrimp, Lobster1 oz6 Grams
Egg1 oz6 Grams
Baby Food Meat1 oz (2 Tbsp)4 Grams
Potted Meats/Spam Lite2 oz8.5 Grams
Hot Dog, Low-fat (average)1 oz3.5 Grams
Tuna Fish1 oz7 Grams

Legumes and Nuts

Legumes and NutsPortion SizeGrams of Protein
Almonds1 oz dried6 Grams
Cashews1 oz4 Grams
Lentils½ cup cooked9 Grams
Lima Beans½ cup cooked7 Grams
Peanut butter2 Tbsp7 Grams
Red kidney beans½ cup cooked8 Grams
Soy beans½ cup cooked14 Grams
Tofu1 slice5 Grams
Refried beans½ cup6 Grams
Sunflower seeds1 oz5 Grams
Chili with beansdrained ½ cup10 Grams

Milk and Dairy

Milk and DairyPortion SizeGrams of Protein
Milk, skim, 1%, or lactaid8 oz8 Grams
Soy milk8 oz7 Grams
Yogurt, fat free, no sugar added6 oz8 Grams
Greek Style Yogurt, plain, nonfat5 oz13 Grams
Sugar free pudding, made with milk½ cup4 Grams

Protein Supplements

There are many brands of supplements available (ready-to-drink or powders). Some examples;

  • Look for drinks made with Whey Protein Isolate (this is absorbed well), vs. whey protein concentrate, which has lactose, or milk sugar Strive for a protein with at least 20 grams of protein per serving Mix with skim or 1% milk for an additional 8 grams of protein per serving Aim for a product with less than 3 grams of sugar per serving. Avoid and/or limit protein collagen-based products (incomplete form of protein that is missing tryptophan, an important building block of protein)
  • Examples: Ready to drink – Atkins®, E.A.S. Myoplex Carb Sense®, Zero Carb Isopure® Powders – Designer®, Unjury®, Nectar®, Premier protein®

Vitamin and mineral supplements

  • You are required to take supplement for the rest of your life to prevent deficiencies.
  • Multivitamin; One chewable or liquid multivitamin with minerals per day. Take with food. Examples: Centrum Chewables®, Flintstone Complete®
  • Calcium; 1500 mg of calcium citrate per day (take one chewable 3 times daily) Maximum of 600 mg at one time for absorption Must contain vitamin D (at least 200 IU) Examples: Twinlab® chewable calcium wafers (2 tab, 3x a day), Citracal® plus D (2 tabs, 3x a day), Solaray Calcium plus D and Mag (2 wafers, 3 times a day)

SAMPLE Table for Taking Your Supplements

Breakfast
Multivitamin (NOT with dairy)
Snack
Lunch 500-600 mgs
Calcium
Snack 500-600 mgs
Calcium
Dinner 500-600 mgs
Calcium
Snack

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1

Get Pre-Qualified

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2

Choose a Surgery date

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3

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