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Roux‑en‑Y Biliopancreatic Diversion with Duodenal Switch in Korea

Treatment Overview

Roux‑en‑Y Biliopancreatic Diversion with Duodenal Switch (RY-BPD/DS) is an advanced bariatric surgery designed for patients with severe obesity and complex metabolic disorders. The procedure combines a sleeve gastrectomy with intestinal bypass to restrict food intake and reduce calorie absorption while optimizing hormonal regulation for metabolism and diabetes control. Korea offers world-class RY-BPD/DS procedures using laparoscopic or robotic-assisted techniques along with comprehensive pre- and post-operative care, making it an ideal destination for international patients seeking high-precision bariatric surgery.

Purpose & Benefits

RY-BPD/DS provides extensive benefits for patients with severe obesity and metabolic conditions:

  • Maximum and sustained weight loss for morbidly obese patients.
  • Improvement or remission of type 2 diabetes and insulin resistance.
  • Reduction in obesity-related comorbidities such as hypertension, dyslipidemia, and sleep apnea.
  • Enhanced metabolic function and hormonal balance.
  • Long-term improvement in quality of life and overall health outcomes.

Ideal Candidates

RY-BPD/DS is recommended for:

  • Adults with BMI ≥ 50, or BMI ≥ 40 with comorbidities.
  • Patients with BMI 35–39.9 who have severe obesity-related health issues.
  • Individuals with type 2 diabetes or metabolic syndrome requiring surgical intervention.
  • Adults aged 18–65 committed to lifelong dietary adherence, nutritional monitoring, and lifestyle changes.

Possible Risks & Complications

While generally safe, potential risks include:

  • Surgical complications such as bleeding, infection, or anesthesia reactions.
  • Nutritional deficiencies (protein, vitamins A, D, E, K, B12, calcium, iron, zinc).
  • Dumping syndrome or gastrointestinal disturbances.
  • Rare complications including leaks, strictures, bowel obstruction, or ulcers.
    Korean hospitals mitigate risks through careful pre-operative evaluation, advanced minimally invasive techniques, and structured post-operative nutritional and metabolic monitoring.

Techniques & Technology Used

Korean hospitals utilize advanced methods for optimal outcomes:

  • Laparoscopic RY-BPD/DS: Minimally invasive surgery reduces recovery time and scarring.
  • Robotic-Assisted Surgery (optional): Enhances precision in complex cases.
  • Combined Sleeve & Bypass Technique: Restricts food intake while limiting calorie absorption.
  • Post-Operative Metabolic Monitoring: Tracks weight, nutrient intake, blood sugar, and hormonal changes.
  • Multidisciplinary Care: Surgeons, dietitians, endocrinologists, and psychologists collaborate for comprehensive support.

Treatment Process in Korea

  1. Consultation: Assessment of BMI, metabolic disorders, and comorbidities.
  2. Pre-Operative Testing: Blood tests, imaging, nutritional and hormonal assessments.
  3. Surgery: Performed under general anesthesia, typically lasting 3–5 hours.
  4. Hospital Stay: 3–5 days with multidisciplinary monitoring.
  5. Post-Operative Care: Includes dietary counseling, supplementation, exercise planning, metabolic monitoring, and regular follow-up visits.

Recovery & After-Care

  • Immediate Post-Surgery: Early ambulation, hydration, and liquid diet.
  • Weeks 2–4: Gradual progression from liquid to soft foods, then solid foods under dietitian supervision.
  • Nutritional Supplements: Lifelong supplementation to prevent deficiencies.
  • Lifestyle Support: Balanced diet, exercise, portion control, and behavioral guidance.
  • Regular Follow-Ups: Monitoring of weight, metabolic improvements, and nutritional balance.

Results & Longevity

  • Patients achieve maximum weight loss compared to other bariatric procedures.
  • Significant improvement or remission of type 2 diabetes, hypertension, and dyslipidemia.
  • Lifelong adherence to diet, supplements, and follow-ups ensures sustained outcomes.
  • High patient satisfaction due to comprehensive care, long-term metabolic benefits, and effective obesity management.

Why Korea Is a Top Destination

  • Expert bariatric surgeons experienced in advanced metabolic surgeries like RY-BPD/DS.
  • Hospitals equipped with the latest laparoscopic and robotic-assisted technology.
  • Structured pre- and post-operative programs tailored for international patients.
  • Competitive pricing without compromising quality or patient safety.
  • English-speaking staff, concierge services, and full medical tourism support.

Cost Range

  • Surgery alone: $14,000 – $25,000 USD
  • Full packages (including pre-op testing, hospital stay, dietary counseling, post-op care, and medical tourism support): $18,000 – $30,000 USD

Popular Clinics in Korea

  • Seoul National University Hospital – Bariatric & Metabolic Surgery Center
  • Asan Medical Center – Advanced Obesity & Duodenal Switch Surgery Department
  • Samsung Medical Center – Bariatric & Metabolic Surgery Unit
  • JK Plastic Surgery & Bariatric Center – Duodenal Switch & Obesity Care
  • Korea University Anam Hospital – RY-BPD/DS & Metabolic Surgery Unit

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