Maximum Metabolic Power for Super Obesity
Understanding Duodenal Switch
Duodenal Switch (BPD-DS) and its variant SADI-S are the most potent tools in bariatric surgery, combining sleeve restriction with extensive intestinal malabsorption.
Your Consultation in Istanbul:
- BMI > 50 Assessment: Determining if this procedure is the necessary ’next level’ for patients with super obesity.
- Malabsorptive Mapping: Explaining how bypassing a significant portion of the small intestine maximizes calorie and fat reduction.
- Pylorus Preservation: Discussing how keeping the stomach’s natural exit valve (pylorus) prevents dumping syndrome common in other bypasses.
- Metabolic Reset: Evaluating the 95%+ success rate for type 2 diabetes remission associated with this procedure.
| Mechanism | Component | Purpose |
|---|---|---|
| Restriction | Sleeve Gastrectomy | Smaller Portions |
| Malabsorption | Intestinal Bypass | Maximum Weight Loss |
| Hormonal | GLP-1/GIP Effect | Metabolic Control |
Mastering the Most Complex Bariatric Procedures
Surgical Excellence
Our bariatric surgeons are among the few worldwide with the volume and skill to perform SADI-S and BPD-DS with high safety standards and precision.
Technical Strategies:
- SADI-S (Single Anastomosis): Implementing the modern, simplified duodenal switch that reduces operative time and surgical risk.
- Laparoscopic Expertise: Utilizing advanced energy devices and staplers to perform this extensive rerouting with keyhole techniques.
- Staged Surgery: For patients with very high risk, we may perform the sleeve first and the ‘switch’ component 12 months later.
- Dual Leak Testing: Rigorous intraoperative testing of the duodenal and intestinal connections to ensure a perfect seal.
| Procedure | Duration | Hospital Stay | Complexity |
|---|---|---|---|
| SADI-S | 2-2.5 Hours | 3-4 Nights | High |
| Classic BPD-DS | 3-4 Hours | 4-5 Nights | Maximum |
| Staged Switch | 1.5 Hours | 2 Nights | Moderate |
Commitment to Lifelong Vitality
Intensive Nutrition
Because of the high degree of malabsorption, Duodenal Switch patients require the most intensive nutritional and vitamin monitoring of any procedure.
The Nutritional Roadmap:
- High Protein Targets: Prioritizing 90-100g of protein daily to prevent muscle wasting and support tissue repair.
- Fat-Soluble Vitamins: Sticking to a strict protocol of Vitamins A, D, E, and K, which are absorbed much less after this surgery.
- Bone Health Monitoring: Regular Calcium and Vitamin D supplementation to ensure long-term skeletal strength.
- Annual Blood Panels: Lifelong metabolic monitoring coordinated by BB Global Health’s specialist dietitians.
BB Global Health provides a ‘Super-Bariatric Support’ pack with tailored high-dose vitamins specifically for Duodenal Switch patients.