Medical Health, Obesity & Weight Loss

Duodenal Switch Surgery

woman coming to doctor for duodenal treatment

Duodenal switch surgery, also known as biliopancreatic diversion with duodenal switch (BPD-DS), is a complex bariatric surgery procedure performed to help individuals with severe obesity achieve significant weight loss. It is a combination of two surgical techniques: sleeve gastrectomy and intestinal bypass.

Here are the key steps involved in duodenal switch surgery:

Sleeve Gastrectomy: The first part of the procedure involves performing a sleeve gastrectomy. This involves removing a large portion of the stomach, leaving behind a smaller, banana-shaped stomach pouch. The reduced stomach size restricts the amount of food that can be consumed, leading to decreased calorie intake.

Intestinal Bypass: In the second part of the surgery, the small intestine is rearranged to create a malabsorptive component. The surgeon divides the small intestine, rerouting it to form two separate pathways. The shorter pathway, called the common channel, allows food to mix with digestive enzymes and bile, while the longer pathway carries digestive juices further downstream. This arrangement reduces the absorption of calories and nutrients from food.

The combination of sleeve gastrectomy and intestinal bypass in the duodenal switch surgery restricts the amount of food intake and reduces the absorption of calories and nutrients, leading to significant weight loss.

Duodenal switch surgery is known for its ability to produce substantial weight loss and provide favorable outcomes for individuals with severe obesity. It offers both restrictive and malabsorptive effects, making it one of the most effective bariatric procedures for long-term weight loss. However, it is a more complex surgery and carries a higher risk of complications compared to other bariatric procedures.

As with any bariatric surgery, duodenal switch surgery requires careful consideration, evaluation, and consultation with a healthcare professional. It is essential to thoroughly discuss the potential risks, benefits, and long-term implications of the surgery before making a decision. Regular follow-up appointments, lifestyle modifications, and adherence to dietary guidelines are crucial for successful outcomes after duodenal switch surgery.

What Is The Complications in Duodenal Switch Surgery?

Duodenal switch surgery, also known as biliopancreatic diversion with duodenal switch (BPD-DS), is a complex weight loss surgery that involves two components: a sleeve gastrectomy to reduce stomach size and a bypass of a significant portion of the small intestine. While it can be an effective procedure for long-term weight loss, it also carries potential complications. It’s important to consult with a healthcare professional for accurate and personalized information. Here are some possible complications associated with duodenal switch surgery:

Nutritional deficiencies: Due to the bypass of a large portion of the small intestine, individuals who undergo duodenal switch surgery may be at a higher risk of developing nutritional deficiencies. These can include deficiencies in vitamins (such as vitamin D, vitamin B12, and folate) and minerals (such as iron, calcium, and zinc). Lifelong supplementation and close monitoring of nutrient levels are typically necessary.

Dumping syndrome: Dumping syndrome can occur after duodenal switch surgery, especially when high-sugar or high-fat foods are consumed. It involves rapid emptying of stomach contents into the small intestine, leading to symptoms such as nausea, vomiting, diarrhea, abdominal cramps, lightheadedness, and sweating.

Malabsorption-related complications: The bypassed portion of the small intestine can result in malabsorption of nutrients, which can contribute to complications such as diarrhea, steatorrhea (fatty stools), excessive gas, and bloating.

Stomal stenosis: Stomal stenosis refers to a narrowing of the connection (stoma) between the stomach and the small intestine. It can lead to symptoms such as difficulty swallowing, food intolerance, nausea, and vomiting. Further surgical intervention may be required to address this complication.

Internal hernias: Internal hernias can occur after duodenal switch surgery, where a loop of the small intestine becomes trapped or twisted within the abdominal cavity. This can cause bowel obstruction, which may require emergency surgery.

Gallstones: Rapid weight loss after duodenal switch surgery can increase the risk of gallstone formation. These can lead to symptoms such as abdominal pain, nausea, and vomiting. In some cases, gallbladder removal surgery (cholecystectomy) may be necessary.

Wound infections: As with any surgical procedure, there is a risk of wound infections at the incision sites. Prompt medical attention and appropriate management can help mitigate this risk.

Thromboembolism: Surgery, in general, carries a risk of developing blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism). Preventive measures such as early ambulation, compression devices, and blood-thinning medications are typically employed to minimize this risk.

It’s important to remember that these complications are potential risks associated with duodenal switch surgery, but not everyone will experience them. The overall success and safety of the procedure depend on various factors, including the individual’s overall health, adherence to post-operative guidelines, and the experience and skill of the surgical team. Consulting with a qualified healthcare professional can provide you with more accurate and personalized information based on your specific situation.

Soraca Med Clinic

Soraca Med began its journey in 2021 with the main goal of excellence in healthcare, since then our mission is “Be As You Like”. Soraca Med has been an unprecedented example with the way it pushes itself to take a rapid steps forward and make a difference in the medical field.

At Soraca Med Clinic our motto is ‘Be As You .’ We believe everyone deserves access to affordable and premium services. With our attractive pricing strategy, we make sure that cost is not a barrier to achieving the health and beauty you desire. Our medical services cost approximately 70% less than those in the EU/US, without compromising on quality. Our team of top doctors in Turkey is dedicated to help you restore your health and enhance your natural beauty.

Apera Health Group

Apera Health Group is a renowned health tourism organization that specializes in bariatric surgery and has received accreditation from prominent healthcare institutions worldwide. With an impressive record of 50,000 satisfied patients, Apera Health Group operates numerous healthcare centers in Turkey and Europe.
Situated in the heart of Turkey, Apera Prime Hospital in Istanbul offers a comprehensive range of treatments and services. Apera ensure a seamless experience for Apera patients by providing transfers between the airport, hotel, and hospital using our luxurious VIP fleet. Apera transportation services comply with both local and international regulations, establishing a foundation of trust with Apera patients.


CatchLife Eye is dedicated to providing top-notch eye care services led by Dr. Selim Güldiken, a highly skilled eye surgeon. Dr. Güldiken is certified in performing laser vision correction surgeries like LASIK and No Touch Laser (TransPRK), as well as lens replacement surgeries using Johnson & Johnson TECNIS Synergy and Alcon’s Acrysof® and PanOptix® intraocular lenses (IOLs). He has a remarkable track record and is a respected speaker at national conferences. Dr. Güldiken’s extensive experience in vision correction and cataract surgeries ensures that patients at CatchLife Eye receive personalized care and exceptional outcomes.


Turkeyana Clinic is dedicated to providing natural and comprehensive aesthetic solutions. They prioritize enhancing overall appearance rather than simply focusing on individual improvements. The success of their cosmetic work is measured by its seamless integration and the difficulty of noticing it. Turkeyana Clinic believes that beauty encompasses both the body and soul, and they aim to create a personalized approach for each individual. They consider aesthetic medicine as a unique form of art and provide a range of surgical and non-surgical options tailored to each patient’s needs. Their commitment lies in delivering satisfying results while prioritizing patient safety and well-being.

Memorial Hospital

Memorial Hospital Group, the first Turkish hospital to achieve JCI accreditation, offers world-class healthcare services through its 11 hospitals, 2 medical centers, and 1 wellness center across 5 cities in Turkey. With over 20 years of experience, the hospital employs more than 7,500 staff members and serves approximately 75,000 international patients from over 167 countries every year. They specialize in various key medical fields such as Orthopedics, Cardiology, Neurosciences, Urology, Gynecology, Hematology, and Gastroenterology. The hospital conducts a significant number of cardiovascular surgeries and angiographies annually, including advanced procedures like TAVI, Mitra Clip, and CTO Lead Extraction. 

They also excel in Oncology with their integrated team approach and cutting-edge technology, offering treatments like TrueBeam STx, PET-CT, and ELEKTA Versa HD. The hospital’s transplant centers are renowned globally, performing 260 liver, 350 kidney, and 350 bone-marrow transplants each year. Additionally, Memorial Hospital Group serves as an international reference center for In-Vitro procedures, handling 9,000 cycles annually. With a patient base of 2.4 million and 85,000 surgeries conducted per year, the hospital provides multilingual staff and interpretation services to cater to diverse international patients. The hospital is dedicated to enhancing the patient and guest experience, actively seeking patient feedback through face-to-face interviews, surveys, and implementing improvement projects accordingly at their International Experience Center.

Acibadem Hospital

Acibadem, a healthcare provider based in Istanbul, Turkey, has grown from a small neighborhood hospital to become a global leader in healthcare services. With 24 hospitals, 16 outpatient clinics, and supporting service companies, Acibadem has established itself as a super brand in the industry. In 2012, Acibadem entered into a joint partnership with IHH Healthcare, the world’s second largest healthcare chain.
The expansion of Acibadem’s footprint overseas began in 2011 with the opening of Acibadem Sistina Hospital in Skopje, Macedonia. Subsequently, Acibadem acquired Tokuda Group and City Clinic Group in Bulgaria in 2016, becoming the largest healthcare service provider in the country. In 2017, Acibadem further expanded its presence with the launch of Acibadem International Medical Center in Amsterdam, boasting an indoor area of 5,000 square meters.

Acibadem stands out not only for its hospitals and clinics but also for its integrated special healthcare ecosystem. The ecosystem includes various healthcare support institutions and Acibadem University, which trains future healthcare professionals through dynamic and contemporary educational programs.
Within the Acibadem group, several institutions work to enhance the patient experience. Acibadem Project Management focuses on turnkey hospital establishment projects, while Acibadem Labmed, Labvital, and LabCell offer a range of services such as pathology, food control, stem cell banking, and cord blood banking. Acibadem Technology develops and improves in-house software, including the “Hospital Information System.” APlus addresses hygiene and catering requirements, while Acibadem Mobile provides emergency and home care services.
Acibadem’s hospitals are known for their excellence and adherence to global standards. The group boasts 11 Cancer Centers, 16 Heartcare Centers, 14 In Vitro Fertilization Centers, 10 Organ Transplantation Centers, 10 Spine Centers, 3 Sports Medicine Centers accredited by FIFA, and 6 Robotic Surgery Centers. These centers are nationally and internationally accredited, equipped with advanced technology, and staffed by experienced experts in their respective fields.
Acibadem Healthcare Group has also become a center of attraction for health tourism. Patients from around the world choose Acibadem for its advanced technology and international quality standards. The International Patient Services Center provides comprehensive support to patients from the initial inquiry until their return home. With information offices in 25 countries and 46 cities, patients can easily access travel and treatment plans. Upon arrival in Turkey, patients are warmly welcomed at the Health Point desk and provided with translation support in 20 different languages. Private transportation ensures a smooth transfer to the hotel or hospital, and patients receive assistance throughout their treatment journey.

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