Bilio-Pancreatic Diversion with Duodenal Switch
Steps Involved in IVF:
Procedure Description
The Bilio-Pancreatic Diversion with Duodenal Switch (BPD/DS) is a complex bariatric surgery designed for individuals seeking significant weight loss, especially those with severe obesity and related health conditions. This procedure combines restrictive and malabsorptive elements to limit food intake and reduce calorie absorption, leading to sustained weight loss. Primarily, it involves two stages: reducing the stomach size and rerouting part of the small intestine to change the digestive process. By significantly limiting nutrient absorption, BPD/DS promotes substantial and lasting weight reduction.
During the first phase, the stomach is reshaped to reduce its volume. Surgeons remove a portion of the stomach, leaving a tubular structure similar to a "sleeve," which limits the food volume a person can consume in one sitting. This stage restricts food intake and provides a sensation of fullness more quickly. The next phase, known as the duodenal switch, involves rerouting the small intestine to decrease calorie and nutrient absorption further. A portion of the small intestine is bypassed, reducing the surface area available for nutrient absorption. This alteration not only supports weight loss but also influences the levels of bile and digestive enzymes, further limiting calorie absorption.
BPD/DS is a highly specialized procedure, recommended primarily for patients with a body mass index (BMI) over 50 or those facing severe obesity-related conditions. Given its effectiveness, it’s increasingly popular among individuals seeking long-term weight management solutions. However, patients must commit to lifestyle changes, dietary adjustments, and medical follow-ups to maintain health and avoid potential deficiencies.
Procedure Duration
The Bilio-Pancreatic Diversion with Duodenal Switch is a lengthy and intricate procedure. The surgery itself takes approximately 3 to 4 hours, depending on the patient's anatomy and any previous surgeries that might affect the procedure. Performed under general anesthesia, the procedure is usually laparoscopic, which reduces recovery time and minimizes scarring. However, in some cases, an open surgery approach may be required, which typically has a longer recovery period.
Following surgery, patients remain in the hospital for 2 to 4 days to ensure there are no immediate complications. During this time, medical staff closely monitor vital signs, hydration levels, and pain management needs. Patients begin by consuming liquids and then gradually reintroduce soft foods, allowing the digestive system to adjust to its new structure and function. The immediate post-operative phase demands close monitoring to manage initial discomfort and identify any early signs of complications.
The recovery timeline varies for each individual, but most patients can return to their normal routines within 4 to 6 weeks. During this period, they may experience fatigue as the body adjusts to lower calorie absorption. Patients are advised to gradually resume physical activity and follow dietary guidelines provided by their healthcare team. Regular follow-ups are essential to monitor vitamin levels, especially given the malabsorptive aspect of the surgery, and to ensure long-term health maintenance.
Benefits
- Significant Weight Loss: Provides effective, sustained weight loss, especially for individuals with severe obesity.
- Improves Obesity-Related Health Conditions: Can help improve or even resolve conditions like type 2 diabetes, hypertension, and sleep apnea.
- Long-Term Results: Due to its malabsorptive nature, patients typically see longer-lasting results compared to restrictive procedures alone.
- Enhanced Quality of Life: Achieving a healthier weight can improve mobility, self-esteem, and mental well-being.
- Reduced Hunger Hormone Levels: The procedure often affects hunger-regulating hormones, reducing appetite and helping patients maintain dietary discipline.
Potential Destinations
- Mexico: Known for its highly qualified bariatric surgeons and cost-effective options, Mexico offers numerous facilities with English-speaking staff and a strong focus on medical tourism. The close proximity to the United States also makes it accessible for follow-up visits.
- Turkey: With a reputation for high standards in healthcare and experienced bariatric specialists, Turkey has become a popular destination for weight-loss surgery. Many hospitals are accredited and offer affordable packages that cater to international patients.
- India: India’s medical facilities are renowned for their state-of-the-art technology and skilled surgeons. Many hospitals are internationally accredited and offer comprehensive packages for medical tourists, including pre- and post-operative care at competitive prices.
- Thailand: Thailand’s hospitals are widely recognized for their high-quality healthcare services and attentive patient care. Known for its hospitality and affordable pricing, Thailand has a well-established medical tourism infrastructure, making it a popular choice for bariatric procedures.
- Poland: For European patients, Poland offers high-quality medical services at competitive prices. Many facilities in Poland cater specifically to international patients, providing personalized care and modern facilities for a seamless medical tourism experience.
Risks & Considerations
- Nutritional Deficiencies: Due to the malabsorptive nature of BPD/DS, there is a risk of deficiencies in vitamins and minerals, including vitamins A, D, E, and K, as well as iron and calcium. Regular supplements and monitoring are essential.
- Digestive Issues: Many patients experience changes in digestion, including frequent bowel movements and gas. These effects vary but can be managed with dietary adjustments and medications.
- Long-Term Follow-up Needs: Regular follow-ups are crucial for monitoring nutrient levels, adjusting supplements, and ensuring overall health. Patients must commit to lifelong medical management.
- Surgical Complications: As with any major surgery, there is a risk of complications such as infection, bleeding, or blood clots. Selecting a highly skilled surgeon and accredited facility reduces these risks.
- Psychological Impact: The drastic lifestyle changes post-surgery can affect mental health. Patients may need psychological support to adapt to new eating habits and manage expectations for body image and weight loss.
How to Choose the Right Doctor and Hospital
Selecting a qualified doctor and hospital for the Bilio-Pancreatic Diversion with Duodenal Switch is essential for a successful outcome. Patients should look for a surgeon with specific experience in bariatric surgery, ideally one who has performed numerous BPD/DS procedures. Checking the doctor’s credentials, certification in bariatric surgery, and patient testimonials can provide insight into their expertise and patient satisfaction.
It’s equally important to select an accredited hospital with a solid reputation for quality care, infection control, and post-surgical support. Medical tourists may consider facilities with international accreditation, as this often ensures a standard of excellence and a focus on patient safety. A hospital with a dedicated bariatric surgery department, multilingual support, and transparent pricing will help ensure a smooth and comfortable experience.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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