Duodenal Switch Surgery: Your Path to Sustainable Weight Loss

Duodenal switch surgery

Weight loss surgery is a complex decision, so you must conduct extensive research before undergoing the procedure. Here, we have all of the information about duodenal switch surgery available all in one convenient location, from its purpose to who it’s best suited for and the costs involved to details on who it might benefit!

What is duodenal switch surgery?

Duodenal switch surgery is a surgical process used to alter both the stomach and small intestine, altering both through distancing part of the duodenum from being attached directly to the stomach in order to allow food to bypass most of it and potentially eliminate gastric bypass surgery.

Ds switch surgery is an innovative bariatric procedure that has proven to be one of the most successful weight loss surgeries available today, with patients losing, on average, 80.8 more pounds over time than with gastric banding (source). 

While reversible, this form of weight loss surgery does come with its own set of risks; please read on for more details!

Who can have d switch surgery?

Who can have duodenal switch surgery

People looking into duodenal switch surgery must meet specific criteria in order to achieve optimal results. Here are the main considerations:

  1. Age 18+
  2. BMI 40+
  3. Good overall health
  4. Willingness to adopt healthy habits
  5. Ongoing medical supervision for diabetes
  6. Commitment to postoperative care

HayatMed Clinic, located in Istanbul/Turkey, is highly experienced in performing plastic surgery with satisfactory results and affordable cost, according to patients’ evaluations. We offer a free consultation on WhatsAppor contact us by filling out the form.

How does duodenal switch surgery work?

d switch surgery combines restrictive and malabsorptive approaches. A surgeon creates an antecolic sleeve gastrectomy pouch at the top of your stomach, leaving behind an expanded section to act as a reservoir for food. This procedure removes approximately two-thirds of your stomach capacity but still leaves approximately 40% more space available afterward.

To further limit your ability to absorb nutrients from food, the surgeon devises bypasses that direct part of your small intestine directly into this reservoir rather than allowing digested food to pass to its final destination in your colon. Your duodenum then attaches directly above this bypassed section rather than passing underneath as is usually done.

The duodenal switch operation

The Duodenal Switch Surgery Procedure

DS switch surgery is performed under general anesthesia, ensuring you are completely unconscious throughout the operation.

Here’s an overview of the procedure:

  1. A small abdominal incision is made, and a camera is inserted to provide a visual guide during surgery.
  2. A portion of the stomach is removed to create a new pouch, either through staples or stitches, depending on the surgical approach.
  3. The new pouch is connected to a section of the intestine, forming two separate pouches for food digestion.
  4. Any remaining stomach portions are sealed, creating an opening valve known as the “J-Pouch” for bile flow.

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d switch surgery Benefits

Duodenal Switch Benefits

Here are five benefits of duodenal switch surgery:

  1. Duodenal switch surgery helps achieve weight loss for morbidly obese individuals.
  2. It improves diabetes management and reduces the need for insulin.
  3. This procedure enhances overall quality of life compared to other methods.
  4. Duodenal switch surgery effectively lowers cholesterol levels and improves cardiovascular health.
  5. It reduces the risk of gallstones and gallbladder disease by reducing bile fat.

duodenal switch cost

The cost of D switch surgery varies based on various factors, including surgeon fees, facility of surgery, and individual insurance coverage. 

As the duodenal switch operation is an intricate and longer hospital stay process than gastric bypass or sleeve gastrectomy surgeries, its costs tend to be higher.

How Much Will d Switch Surgery Cost in Turkey?

Being that duodenal switch surgery is an intricate process, you must know its costs beforehand. In Turkey, the average price ranges between $8,000 and $10,000.

Duodenal switch operation Cost in the United States?

The average cost of d-switch surgery in the US is roughly $23,000. In comparison, exact pricing varies based on where and who performs your procedure; this figure serves as an estimator of what could be involved with this procedure.

D Switch Surgery Cost in the UK?

Duodenal switch surgery typically costs between £10,000 and £13,500 in the UK compared to some clinics that charge as much as £20,000 for this process. Keep in mind that prices can differ depending on your location and healthcare provider.

Risks & complications

1. duodenal switch Risks:

  1. Infection at the surgical site can lead to discomfort, fever, and chills. Contact your physician if you suspect infection.
  2. Bleeding can occur due to blood thinners or other issues. Seek help for severe pain, nausea, vomiting, or bright red blood.
  3. Common reactions include nausea and drowsiness. Notify your physician of unusual symptoms after surgery.
  4. Surgery increases the risk of blood clots. Medications may be prescribed for prevention.

2. duodenal switch complications 

  1. Hernias are a primary risk, where part of the intestine protrudes through the surrounding tissue. They often develop where stomach removal occurs or at small bowel connections.
  2. Signs of intestinal blockage may include abdominal pain, nausea, vomiting, bloating, gas, and loss of appetite. Notify your physician if these symptoms arise for prompt intervention.
  3. These occur when intestinal parts disconnect, allowing contents to leak and potentially causing severe infection. Timely surgical treatment is crucial if this happens.

weight loss surgeries before and after

Diet After Duodenal Switch Surgery?

Once we’ve discussed your procedure and diet, let’s move on to how we eat post-surgery.

Your post-op diet must include five or six small meals throughout the day with no sugary drinks like soda, fruit juices, or alcohol for two weeks prior to and two weeks post-surgery; instead, your focus should be protein (meat), vegetables, and fruits in moderate quantities; if nausea or vomiting from pain medications prevent this, speak to your surgeon about possible other forms of nutrition during this period.

foods to avoid after the duodenal switch

Gastric Sleeve Diet

After a d switch surgery, it’s vital to follow a dietary plan for a smooth recovery and optimal weight loss. Here’s a concise list of foods to avoid or limit:

  1. Avoid fried foods, fatty meats, and full-fat dairy due to digestion difficulties.
  2. Steer clear of sweets and sugary beverages to prevent dumping syndrome (nausea, cramps, diarrhea).
  3. Initially, limit high-fiber foods like whole grains, beans, and fibrous veggies; reintroduce them gradually.
  4. Avoid carbonated drinks to prevent gas and discomfort.
  5. Limit or avoid alcohol due to quicker absorption and potential irritation.
  6. Stick to small, frequent meals to prevent stomach stretching and discomfort.
  7. Opt for tender meat and veggies for easier digestion, avoiding hard-to-digest foods.
  8. Skip very spicy dishes that may irritate the stomach.
  9. Avoid whole nuts/seeds; consider small amounts of nut butter.
  10. Steer clear of high-sugar alcoholic drinks to prevent dumping syndrome and excess calories.

Duodenal Switch vs. Gastric Sleeve

Before choosing from weight loss surgeries such as duodenal switch operation and gastric sleeve procedures, it’s essential to comprehend their differences in effectiveness and outcomes fully:

1. d switch surgery:

  • It is effective for weight loss due to restricted food intake.
  • Reduces calorie and carbohydrate absorption by up to 50%, aiding in long-term weight management.
  • More successful in treating diabetes than gastric sleeve surgery, leading to improved blood sugar levels, reduced insulin requirements, and better cholesterol profiles post-surgery.

Read Also: Gastric Sleeve Vs. Bypass: What Are The Differences

2. Gastric Sleeve:

  • Gastric sleeve surgery is another highly successful weight-loss strategy, consisting of the removal of part of the stomach to form a smaller stomach pouch and restrict how much food can be eaten in one sitting.
  • Gastric sleeve surgery is generally seen as being less complex and more suitable for certain patients, making it an attractive option over duodenal switch surgery.

Read Also: Gastric Sleeve Cost: What You Need To Expect

duodenal switch vs. roux en y

duodenal switch operation and Roux-en-Y gastric bypass surgeries both provide effective weight loss solutions; however, each offers distinct surgical techniques and outcomes. Below is a comparison between them:

1. d switch surgery:

  1. Removal of a portion of the stomach to create a smaller stomach pouch (similar to gastric sleeve surgery).
  2. Diverting food away from the duodenum and upper small intestine reduces calorie and nutrient absorption.
  3. This surgery is well-known for achieving substantial and lasting weight loss.
  4. It’s highly effective in managing type 2 diabetes.
  5. However, due to malabsorption, ongoing nutritional supplementation and healthcare monitoring are essential.

2. Roux-en-Y Gastric Bypass:

Advantages And Disadvantages Of Gastric Bypass Surgery

  1. Gastric bypass creates a small stomach pouch.
  2. Redirects the small intestine, reducing calorie absorption.
  3. It is effective for weight loss and can treat type 2 diabetes.
  4. There is less malabsorption and nutritional complications than the Duodenal switch.
  5. It requires ongoing nutritional monitoring, but it’s less complex.

HayatMed Clinic, located in Istanbul/Turkey, is highly experienced in performing plastic surgery with satisfactory results and affordable cost, according to patients’ evaluations. We offer a free consultation on WhatsAppor contact us by filling out the form.

Read Also: Mini Gastric Bypass In Turkey


Duodenal Switch surgery can be an extremely successful weight loss strategy for those with BMIs of 40 or above who have tried diet and exercise but have failed to reach their weight goals. After this procedure, patients can eat less food while still feeling satisfied – which reduces hunger pangs significantly!

It also works by restricting caloric intake so your body uses up its fat stores instead, leading to lasting weight loss – with many who have gone through this operation maintaining their new weight without further surgeries!

Why Choose HayatMed Clinic for Weight Loss Surgery in Turkey

HayatMed provides high-quality medical care in Turkey at competitive prices. Our employees are committed to providing the highest healthcare and support.

Our doctors specialize in their field and have over 20 years of experience. Get your free consultation on WhatsApp or contact us by filling out the form here.

frequently asked questions

You may be a candidate for weight loss surgery if you are:

  1. Overweight or obese, with a body mass index (BMI) at or above 40.
  2. Unable to lose weight through diet and exercise alone. Weight loss surgery can help people who have failed to lose weight despite trying for at least two years.
  3. Suffering from severe health conditions related to being overweight, such as type 2 diabetes or high blood pressure. 

Your doctor might also recommend bariatric surgery if your obesity is causing other health problems, such as arthritis in your back or hip joints, from carrying around extra pounds. In some cases, bariatric surgery is covered by insurance when it’s used as part of a treatment plan for these conditions; most often, this will be after other treatments have failed and more than one condition is being treated simultaneously.

The Duodenal Switch procedure is a surgical technique designed to assist weight loss by restricting how much food can be eaten at once.
The Duodenal Switch is a weight loss surgery that restricts how much food you can eat by dividing your stomach into two sections: one smaller and one larger. As a result, eating less food fills you up more quickly, and overeating is less likely.
The Duodenal Switch helps your body absorb fewer calories after eating, decreasing how much fat your body stores as fat cells. Furthermore, this surgery reduces hunger pangs, so those who undergo this surgery are better equipped to maintain weight loss over time.

Duodenal switch surgery is usually not reversible and causes permanent changes to the digestive tract, making reversal complicated and rarely attempted.

Even though a duodenal switch can help facilitate weight loss, if dietary and lifestyle recommendations aren’t adhered to, carefully regaining can occur.

Duodenal switch surgeries typically last from three to four hours; however, exact times may depend on individual circumstances and the experience of surgical teams involved in performing this procedure.

Duodenal switch procedures often lead to substantial weight loss – typically, 70% or more of excess body fat is shed as a result. However, individual results may differ.

Duodenal switch surgery should generally be considered safe when performed by experienced surgeons, although all surgeries carry potential risks and complications that should be discussed with your healthcare team prior to going forward with it.

Under certain medical circumstances, gastric bypass procedures may be revised into duodenal switches if medically necessary. Any decision should be based on individual health circumstances and should be discussed with a surgeon beforehand.

Duodenal switch surgery after gastric bypass may be considered, though such decisions usually depend on thorough analysis by healthcare providers.

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This article was Medically reviewed by Dr. Hakan Evrüke

About the author

Binsy George
Binsy George

Binsy brings over 13 years of expertise to the HayatMed Clinic Blog. With a passion for healthcare communication, she has crafted insightful articles that demystify complex medical topics, empowering readers to make informed decisions about their well-being.
Her wealth of experience ensures that each blog post is a reliable source of knowledge, fostering a deeper understanding of health and medical advancements.

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