Duodenal Switch Procedure

Improve Your Quality of Life with the Duodenal Switch Procedure
This bariatric surgery requires a higher training skills and more extensive surgical equipment, since it is a procedure consisting of three surgical phases. The procedure is mostly known as Gastric Sleeve with Duodenal Cross, Bilio-pancreatic diversion with duodenal exclusion: D.S. or D.S.- B.P.D.
Dr.Huacuz's team is the only surgical team in Mexico that performs it currently. As the leaders and pioneers in such surgery, they have more than 7 years of experience and hundreds of successful cases.
The Duodenal Switch is a mixed procedure because it has a double content absorptive and restrictive action. The restrictive part is the Gastric Sleeve (Vertical Sleeve Gastrectomy, Laparoscopic Sleeve Gastrectomy) is the first step and consists in performing a resection of 86% of the stomach providing it in a cylindrical form and with an inside diameter in a straw-size and eliminating from the body the receptors from the hunger hormone giving a different capacity of 98 to 148 millimeters.
In some patients, the Gastric Sleeve alone is enough but in patients with higher BMIs this will be second by the Duodenal Switch, which is less risky to perform it in a second step and also has the advantage of preserving the pyloric valve that avoids food passage to the intestine before equilibrating its osmolarity until it is similar to plasma.
When performing a duodenal exclusion, food goes through the small intestine and travels to begin food digestion through the common channel, and after that, the next step is the colon.
The Duodenal Switch patients eat less food andhaving a smaller gastric pouch, possess reduced hunger.
The Duodenal Switch, D.S. or D.S – B.P.D. can be performed as an open surgery by surgical teams with less experience, while Dr. Huacuz performs this procedure laparoscopically for better short and long term results, with no risk of post-operative hernias and quicker recovery.
The Duodenal Switch is primarily performed in Europe than the United States, where approximately 25,000 are performed every year. Dr. Huacuz was trained by the creator of ththis technique.
The Duodenal Switch is an excellent choice for patients with a BMI of 45 or higher. It is important to consider that the Duodenal Switch is considered major surgery because includes four anastomosis and there are risks associated, such as heart failure or sleep apnea.
How could I know if I am a candidate for Duodenal Switch?
First you have to decide to improve your quality of life and second to have a bariatric surgery. It is recommended that you contact with us to know if you are a candidate for this procedure or if the Gastric Sleeve can control your obesity. Dr. Huacuz will review your individual case.
It is of vital importance that as you make the decision to have bariatric surgery, you psychologically prepare, have a positive outlook, are willing to change your bad food and physical habits. Your family should be included in your decision and give their support.
It is important to stop drinking alcohol at least 5 days, and stop smoking 2 months before the procedure, to avoid respiratory complications such as pulmonary thromboembolisms or pneumonia.
What's Included?
Transportation from the San Diego Airport to Tijuana, Mexico and back to San Diego
Flights are not included in package pricing. However, flights and miscellaneous expenses can be included in financing
Nutritional Evaluation
Cardiologist Evaluation
Pre-op testing including EKG, if required.
Post surgery evaluation
Post surgery-Rays
Long Term Support
Hospital Fees
Surgery Fee
Anesthesiologist Fee
Medications upon discharge
1 night in hospital*
Free wifi
In room safe
* some surgeries require a longer hospital stay
TWO NIGHTS at the 5 Star Lucerna Tijuana Hotel
Should you choose to add nights before or after your surgery you will receive a substantial room discount
Include Hiatal Hernia repair or gallbladder removal Surgery at the same time as your bariatric surgery for an additional $500

Doctors in the Sun patients enjoy a level of support that is well beyond industry norms. Your long term success is enhanced by support from a team that truly cares, which is exactly what you'll have when you join the Doctors in the Sun family.
Tijuana
Tijuana is a modern, cosmopolitan city. Tijuana was first settled by the Spanish in the 16th century. Today Tijuana is a large city of over 1.7 million people and is one of the fastest growing cities in Mexico. Many US retailers are a common sight in Tijuana. Starbucks, Costco, Walmart, Sears, TGI Fridays, to name just a few, are there. Residents are polite and friendly, and they are patient with those that don’t speak Spanish. It is common in the Spanish culture that men are very respectful of women, chivalry has not been lost! Children are respectful of their elders. Religion is very much entrenched in Mexican day to day living. Education is valued, students appear to be very focused on their studies. Our Tijuana experiences have always been enjoyable and we can't wait to return.