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Biliopancreatic Diversion with Duodenal Switch in Korea

Treatment Overview

Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is an advanced bariatric surgery designed for patients with severe obesity. The procedure combines two techniques: a sleeve gastrectomy to reduce stomach size and a bypass of a significant portion of the small intestine to limit calorie and nutrient absorption. This dual approach leads to substantial weight loss and improved metabolic health. Korea has emerged as a top destination for BPD/DS due to its experienced surgeons, minimally invasive techniques, and comprehensive care for international patients.

Purpose & Benefits

BPD/DS is intended to treat severe obesity and associated metabolic disorders. Key benefits include:

  • Maximum and sustained weight loss for patients with morbid obesity.
  • Significant improvement or remission of type 2 diabetes, hypertension, and sleep apnea.
  • Enhanced long-term metabolic health and reduced cardiovascular risk.
  • Combination of restrictive and malabsorptive techniques ensures durable results.
  • Improvement in quality of life, energy levels, and mobility.

Ideal Candidates

BPD/DS is suitable for:

  • Individuals with a Body Mass Index (BMI) of 50 or higher.
  • Patients with a BMI of 40–49.9 who have severe obesity-related comorbidities.
  • Adults aged 18–65 who have not achieved sustained weight loss through diet, exercise, or medications.
  • Patients committed to lifelong dietary changes, nutritional supplementation, and follow-up care.

Possible Risks & Complications

While effective, BPD/DS carries certain risks:

  • Surgical complications such as bleeding, infection, or reactions to anesthesia.
  • Nutritional deficiencies (protein, fat-soluble vitamins A, D, E, K, and minerals).
  • Diarrhea or malabsorption-related digestive issues.
  • Rare complications like leaks at the surgical site, bowel obstruction, or ulcers.
    Korean hospitals minimize risks through advanced laparoscopic techniques, thorough pre-operative assessment, and structured post-operative monitoring.

Techniques & Technology Used

Korean hospitals use modern techniques to ensure safety and effectiveness:

  • Laparoscopic Surgery: Minimally invasive approach for faster recovery and minimal scarring.
  • Robotic-Assisted Surgery (optional): Enhances precision in complex procedures.
  • High-Definition Imaging & Navigation: Ensures accurate sleeve creation and intestinal reconstruction.
  • Post-Operative Monitoring: Tracks patient recovery, nutrition, and early detection of complications.

Treatment Process in Korea

  1. Consultation: Medical history review, BMI evaluation, and assessment of obesity-related conditions.
  2. Pre-Operative Testing: Blood work, imaging scans, and nutritional assessment.
  3. Surgery: Performed under general anesthesia, typically lasting 3–5 hours.
  4. Hospital Stay: Usually 3–5 days with monitoring by a multidisciplinary medical team.
  5. Post-Operative Care: Dietary guidance, nutritional supplementation, exercise plan, and regular follow-ups.

Recovery & After-Care

  • Immediate Post-Surgery: Light walking, hydration, and liquid diet.
  • Weeks 2–4: Gradual transition from liquid to soft foods, then solid foods.
  • Nutritional Supplements: Lifelong vitamins, minerals, and protein supplements to prevent deficiencies.
  • Follow-Ups: Regular monitoring for weight loss, nutritional status, and metabolic improvements.
  • Lifestyle Adjustments: Focus on healthy eating, portion control, and consistent physical activity.

Results & Longevity

  • Patients typically lose 70–90% of excess body weight within 12–24 months.
  • Long-term improvement or remission of type 2 diabetes and other obesity-related conditions.
  • Sustained weight management requires lifelong adherence to diet, supplements, and follow-ups.
  • Korean patients report high satisfaction due to successful outcomes, expert care, and advanced technology.

Why Korea Is a Top Destination

  • Highly skilled bariatric surgeons with expertise in complex procedures like BPD/DS.
  • Advanced hospitals with modern surgical technology and facilities.
  • Comprehensive pre- and post-operative programs for international patients.
  • Competitive costs compared to Western countries without compromising quality.
  • English-speaking staff, concierge services, and medical tourism support for international patients.

Cost Range

  • Surgery alone: $12,000 – $20,000 USD
  • Full packages (including pre-op tests, hospital stay, post-op care, and medical tourism services): $15,000 – $25,000 USD

Popular Clinics in Korea

  • Seoul National University Hospital – Bariatric Surgery Center
  • Asan Medical Center – Weight Loss Surgery Department
  • Samsung Medical Center – Obesity & Metabolic Surgery
  • JK Plastic Surgery & Bariatric Center
  • Korea University Anam Hospital – Bariatric Surgery Unit

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