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Duodenal Switch (Sadi-S)

Duodenal switch (SADI-S) is a powerful weight loss surgery used to treat severe obesity; it is offered by successful and experienced surgeons in Turkey. This method reduces both food intake and calorie absorption by changing the structure of the stomach and intestines. Duodenal switch can be more effective than other weight loss methods by providing rapid weight loss and long-lasting results; it is especially recommended for individuals with obesity-related health problems. The most frequently asked questions include the cost of surgery, aftercare, risks and the rate of weight loss achieved.

What is Duodenal Switch (SADI-S) Surgery?

The duodenal switch is a complex bariatric procedure that involves two components:

Stomach Reduction: Similar to sleeve gastrectomy, a portion of the stomach is removed to limit food intake.
Intestinal Bypass: A significant portion of the small intestine is bypassed, reducing calorie and nutrient absorption.

This dual mechanism makes SADI-S surgery one of the most powerful options for treating severe obesity and related health conditions.

How SADI-S Surgery Works

Restrictive Component: By reducing stomach size, patients feel full faster and consume fewer calories.
Malabsorptive Component: The bypassed portion of the small intestine decreases nutrient and calorie absorption, accelerating weight loss.
Hormonal Benefits: The procedure influences gut hormones, improving blood sugar control and reducing hunger.

Differences Between Duodenal Switch and Other Bariatric Surgeries

Feature	Duodenal Switch (SADI-S)	Gastric Bypass	Sleeve Gastrectomy
Weight Loss Effectiveness	Highest	Moderate	Moderate
Nutrient Absorption	Significantly reduced	Moderately reduced	Normal
Suitability for Severe Obesity	Best option	Suitable	Suitable

Why Choose Duodenal Switch in Turkey?

Turkey offers a combination of affordability, quality, and convenience, making it a top choice for patients considering duodenal switch surgery.

Advantages of Bariatric Surgery in Turkey

Cost-Effective Solutions: Duodenal switch in Turkey is significantly less expensive than in Western countries, providing high-quality care at a fraction of the cost.
Comprehensive Medical Packages: Many clinics include consultations, surgery, accommodation, and aftercare in their pricing.
Accessibility: Turkey’s medical tourism industry is well-developed, with clinics located in major cities like Istanbul and Antalya, making travel and recovery convenient.

Quality Standards and Expertise in Turkish Medical Facilities

Turkish clinics are known for:

State-of-the-art surgical equipment and facilities.
Surgeons with extensive training and international certifications.
Accreditation by global healthcare organizations like JCI (Joint Commission International).

Patients benefit from personalized care and a focus on safety and comfort throughout their journey.

Duodenal Switch Cost in Turkey

What Affects the Cost of Duodenal Switch?

The duodenal switch cost varies based on several factors:

Clinic Reputation: High-end clinics with advanced facilities may charge higher fees.
Surgeon Expertise: Experienced surgeons with international recognition often have higher rates.
Included Services: Some packages include pre-surgery evaluations, hospital stays, transportation, and post-operative care, affecting overall costs.

Comparison: Duodenal Switch Prices in Turkey vs. Other Countries

Turkey: $6,000 – $10,000
USA: $20,000 – $30,000
UK: $15,000 – $25,000

Preparing for SADI-S Surgery

Thorough preparation is key to ensuring the success of SADI-S surgery in Turkey. Clinics in Turkey provide detailed guidance to help patients get ready for their duodenal switch procedure and achieve optimal outcomes.

Necessary Pre-Operative Tests and Health Assessments

Before surgery, patients undergo a comprehensive evaluation to determine their eligibility and reduce the risk of complications:

Medical History Review: Assessment of existing conditions like diabetes, hypertension, or heart disease.
Diagnostic Tests:
- Blood tests to evaluate organ function and overall health.
- Imaging studies like ultrasounds or X-rays to assess the abdominal area.
- Endoscopy to examine the stomach lining for abnormalities.
Psychological Assessment: A mental health evaluation ensures patients are prepared for the lifestyle changes required after surgery.

Required Diet and Lifestyle Adjustments Before Surgery

To improve the safety and success of the procedure, patients are often instructed to follow specific pre-surgery guidelines:

Pre-Operative Diet:
- A high-protein, low-carbohydrate diet helps shrink the liver, reducing risks during surgery.
- Liquids-only diets may be required in the final days before the procedure.
Smoking and Alcohol Cessation: Patients are advised to quit smoking and avoid alcohol for at least two weeks prior to surgery to promote healing.
Hydration: Staying well-hydrated supports better recovery and overall health.

The Duodenal Switch Procedure

The duodenal switch surgery is a complex operation performed by expert bariatric surgeons using advanced techniques to ensure safety and effectiveness.

Step-by-Step Overview of Duodenal Switch Surgery

Anesthesia: Patients are placed under general anesthesia to ensure comfort throughout the procedure.
Stomach Reduction: The surgeon removes a large portion of the stomach, leaving a smaller, sleeve-shaped pouch.
Intestinal Bypass: A section of the small intestine is rerouted, bypassing the majority of the digestive tract to reduce calorie and nutrient absorption.
Closure and Monitoring: The incisions are closed, and the patient is transferred to recovery for monitoring.

The procedure typically lasts 3-4 hours and is often performed laparoscopically to minimize recovery time and reduce complications.

Anesthesia and Surgical Safety Measures

Turkish clinics prioritize patient safety through:

Advanced anesthesia protocols to reduce risks and ensure comfort.
Continuous monitoring of vital signs during the surgery.
Highly trained surgical teams experienced in managing complex bariatric procedures.

Recovery and Aftercare Following Duodenal Switch

Recovery from SADI-S surgery requires careful adherence to dietary and lifestyle changes, along with close follow-up care.

Hospital Stay and Immediate Post-Surgery Recovery

Hospital Stay: Patients typically remain in the hospital for 2-3 days, allowing medical teams to monitor recovery and manage any immediate concerns.
Pain Management: Medications are provided to ensure comfort during the initial recovery phase.
Early Mobilization: Patients are encouraged to walk within 24 hours to reduce the risk of blood clots and promote healing.

Dietary Guidelines for Post-Surgery

The post-operative diet progresses through four stages to ensure healing and adaptation:

Stage 1: Clear Liquids (First Week): Includes water, broth, and sugar-free drinks.
Stage 2: Full Liquids (Weeks 2-3): Incorporates protein shakes, smoothies, and pureed soups.
Stage 3: Soft Foods (Weeks 4-5): Soft, easily digestible foods like mashed vegetables and scrambled eggs are introduced.
Stage 4: Solid Foods (Week 6 Onward): Patients transition to a long-term diet focusing on small, protein-rich meals.

Timeline for Full Recovery and Returning to Daily Activities

2 Weeks: Most patients can resume light activities and desk jobs.
4-6 Weeks: Full recovery is achieved, allowing patients to return to normal routines, including exercise.
3-6 Months: Significant weight loss is noticeable, and patients adjust fully to their new lifestyle.

Potential Risks and Complications of Duodenal Switch

Although duodenal switch (SADI-S) is a highly effective and safe procedure, like all surgeries, it carries some potential risks and long-term considerations. Understanding these risks and how they are managed can help patients make informed decisions.

Common Side Effects

Nausea and Vomiting: Often occurs during the initial recovery period as the body adjusts to smaller food portions.
Diarrhea or Loose Stools: A result of the malabsorptive component of the surgery, which alters digestion.
Fatigue: Temporary and common due to reduced calorie intake during recovery.

Long-Term Considerations and Risk Mitigation

Nutrient Deficiencies: The bypassed portion of the small intestine limits nutrient absorption, potentially leading to deficiencies in:
- Vitamins (B12, D, A)
- Minerals (calcium, iron, zinc) To mitigate this, patients must take lifelong supplements and attend regular check-ups.
Gastric Leakage: A rare but serious complication that occurs when the new stomach pouch or intestinal connections do not heal properly. This risk is minimized with advanced surgical techniques and thorough post-op monitoring in Turkish clinics.
Weight Regain: Though rare, weight regain can occur if dietary and lifestyle guidelines are not followed.

Real Patient Reviews and Experiences

Hearing from others who have undergone duodenal switch in Turkey provides valuable insights into the procedure’s effectiveness and the quality of care offered.

Success Stories from International Patients

One patient from the UK shared:
“I chose Turkey for my duodenal switch surgery due to the affordability and reputation of the clinics. The care was outstanding, and I’ve lost over 60kg in just a year. My diabetes is now under control, and I feel healthier than ever!”

Another patient said:
“The clinic team was exceptional, guiding me through every step. The results have been life-changing—not only have I lost weight, but I’ve also gained back my confidence and energy.”

Patient Testimonials on SADI-S Surgery

Patients frequently praise:

The professionalism of Turkish surgeons and medical staff.
The high-quality facilities and personalized aftercare.
Comprehensive packages that make the process stress-free for international travelers.

Frequently Asked Questions

How Much Does Duodenal Switch Cost in Turkey?

The duodenal switch cost in Turkey ranges between $6,000 and $10,000, depending on the clinic, surgeon, and included services.

What are the Differences Between SADI-S and Gastric Bypass?

SADI-S: Combines a sleeve gastrectomy with a single intestinal bypass, offering more significant malabsorption and greater weight loss potential.
Gastric Bypass: Includes a smaller stomach pouch and rerouting of the intestines but has a lower malabsorptive effect.
Suitability: SADI-S is ideal for patients with severe obesity or those requiring higher weight loss.

Is Duodenal Switch Recommended for People with Diabetes?

Yes. Duodenal switch surgery is highly effective for individuals with type 2 diabetes, often leading to significant improvements in blood sugar control or complete remission.

The indicated treatments are performed in the hospitals that we have agreements with.