WHAT IS DUODENAL SWITCH BILIO-PANCREATIC
DIVERTION (BPD-DS) PROCEDURE?

Biliopancreatic Diversion (BPD) was first developed in 1979 by Italian surgeon Dr. Implemented by Scapinaro. Duedonal Switch (DS) or biliopancreatic diversion (BPD) surgery; It is a highly malabsorption and partially restrictive surgery. We can say that it is the most powerful combination of both sleeve gastrectomy and gastric bypass technique.
Duodenal Switch procedure; Obesity is 98%, Type 2 Diabetus Mellistus remission rate is 95-98%, Dyslipidemia remission rate is 90-95%, Hypertension remission rate is between 80-95% and it is the most powerful technique in Metabolic Surgery and especially Metabolic Syndrome that accompanies Morbid Obesity and cannot respond to medical treatments.
(Obesity+Type2Diabetes Mellitus+Hypertension+Dyslipidemia) is the only treatment option for existing patients. However, correct patient selection is very important for Bilio-pancreatic Diversion-Duodenal Switch (BPD-DS).

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WHO IS APPLIED TO DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?
Op. Dr. Ersun Topal

Duodenal Switch-Biliopancreatic Diversion procedure is suitable for the following people;
Patients with BMI>50 and above
Patients with BMI>50 and Type 2 Diabetes Mellitus
Patients with BMI>50 and Metabolic Syndrome
Patients with BMI>50 and Hypertension and/or Dyslipidemia
Patients with BMI>40 and Metabolic Syndrome
Patients with BMI>40 and uncontrolled (medical therapy resistant) Type 2 Diabetes Mellitus
Patients with BMI>40 and Type2DM relapse after sleeve gastrectomy
Patients with BMI>40 and Type2DM relapse after Rny Gastric Bypass.

WHICH SURGEON SHOULD I CHOOSE FOR DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS) SURGERY?
Op. Dr. Ersun Topal

Obesity The most important criterion in Bariatric and Metabolic surgery is the choice of surgeon. Surgeons who have performed a total of 400 or more bariatric surgical procedures according to IFSO criteria are considered “expert surgeons”.
Your surgery will be performed by Expert Bariatric Surgery Specialist, Ersun Topal, MD, General Surgeon. He has 9 years of bariatric surgery experience and >1500 cases (sleeve gastrectomy, rny gastric bypass, omega/mini gastric bypass, sadi-s, duodenal switch-biliopancreatic). diversion, revisionally surgery) has extensive experience and is a member of IFSO and Turkish Obesity Surgery Society

IS THE DUODENAL SWITCH PROCEDURE A SAFE PROCEDURE?
Op. Dr. Ersun Topal

It is the most risky bariatric surgery procedure among bariatric surgical techniques. The surgeon’s experience and the quality of titanium staples used are very important. Only U.S FDA (Food and Drug Administration; The FDA is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products) approved Medical Device Company Endoscopic Staples is used in our clinic.

WHAT SHOULD I DO BEFORE DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?
Op. Dr. Ersun Topal

You should start “healthy eating” from the moment you decide to have the surgery, you should quit alcohol for your liver health, For your lung health, you should quit smoking. You must stop all painkillers (ibuprofene, diclophenac, Naproxen and etc non-steroidal anti-inflammatory drugs) except Paracetamole. You should start to drink 1 of the over-the-counter Proton Pomp Inhibitor drugs (Pantaprasole, Esomeprazole, Lansaprasole ext.) every morning on an empty stomach.

IS CHECK-UP REQUIRED BEFORE DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS) PROCEDURE?
Op. Dr. Ersun Topal

Before obesity surgery, blood tests, chest X-ray, Electro-cardiography, upper gi endoscopy (with and under sedation anesthesia) will be performed. If you have heart disease or diabetes, your consultations will be made.

DO I HAVE TO PAY EXTRA CHARGES FOR CHECK-UP PROCEDURES BEFORE DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

Op. Dr. Ersun Topal

You will not pay extra-charges for the “standard tests and examinations” that must be done before the surgery.

WILL I HAVE PAIN AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS) SURGERY?
Op. Dr. Ersun Topal

Before your surgery begins, pre-medication will be administered to control analgesia. Also “A patient controlled analgesia (PCA) system allows you to give yourself a dose of intravenous pain medicine, with the push of a button. This system decreases any pain and anxiety you may feel while waiting for medicine.

IS STAPLER QUALITY IMPORTANT IN DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS) SURGERY?
Op. Dr. Ersun Topal

In bariatric and metabolic surgery, the quality of the stapler to be used determines the quality of the surgery. Only Medical Device Company Tri-Staple Tech original American product is used in our clinic. We definitely do not use the cheaper Chinese made staplers.

HOW WILL I FEED AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?
Op. Dr. Ersun Topal

After your surgery, you will start feeding with foods prepared by your Bariatric Surgery Dietitian in accordance with the “AACE/TOS/ASMBS Guidelines Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient”.

Transportation from Istanbul Airport to
Bursa is Very Easy

Transportation from Istanbul Airport to our Clinic in Bursa with our VIP Vehicle Only Takes One Hour
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Frequently Asked Questions
Questions

Sleeve Gastrectomy Bursa Diabetes And Obesity Surgery Clinic
WILL I PAY FEE FOR BARIATRIC DIETICIAN FOLLOW-UP AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

Our Bariatric Surgery Dietitian, who is part of our clinical team, will follow you online free of charge for the first year.

WHEN CAN I STAND UP AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

Early mobilization of patients is recommended 4 hours after bariatric surgery.

WILL A COMPANY BE REQUIRED AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS) SURGERY?

Our clinical nurses will take care of you closely. A company will not be required.

HOW MANY DAYS WILL I STAY IN THE HOSPITAL AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

You will be discharged from the hospital after 72-96 hours in routine conditions after bariatric surgery.

WHEN CAN I SHOWER AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

You can shower 3 DAYS after laparoscopic bariatric surgery.

CAN I MAKE A CITY TOUR WHEN I DISCHARGE FROM THE HOSPITAL AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

After being discharged from the hospital, Istanbul or Bursa, Iznik (Iznik is the place where the first ecumenical (universal) council of Christianity was held. In other words, in 325 AD, 228 bishops from all over the world attended and the basic principles of the Christian religion were discussed and decided. The only church accepted by the Christian sect, St. Koimesis Church, St. Neophytos Basilica) Ephesus, Meryem Ana church can be visited.

WHEN SHOULD I START SPORTS AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

Activities such as walking, jogging, cardio, yoga in the first week after bariatric and metabolic surgery, swimming running spinning from the 2nd week, pilates, step, aerobic, zumba, weight lifting from the 3rd week.

WHEN CAN I HAVE POST-BARIATRIC AESTHETIC SURGERY AFTER DUODENAL SWITCH BILIO-PANCREATIC DIVERTION (BPD-DS)?

Post-bariatric aesthetics after bariatric surgery can completely change depending on the demands of the patients. It may be needed in some patients. 18 months after your surgery is the ideal time for post-bariatric aesthetic procedures.

Op. Dr. Ersun Topal
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