Duodenal switch surgery is a weight loss procedure combining two surgeries: gastric sleeve, which makes your stomach smaller, and intestinal bypass, which shortens the path from your stomach through your small intestine. The two parts of this procedure work together to promote weight loss by limiting how much food you can eat and decreasing the amount of calories and nutrients your body absorbs. Duodenal switch surgery may be a recommended treatment for patients with extreme obesity who have been unable to lose weight with diet and lifestyle changes.
| National Minimum Price | $26,687 | (Bristol, TN) |
| National Average Price | $43,367 | |
| National Maximum Price | $73,390 | (Bristol, TN) |
| Price Range | |
|---|---|
| Boston, MA Duodenal Switch Cost Average | $34,400 - $94,600 |
| Seattle, WA Duodenal Switch Cost Average | $23,800 - $65,400 |
| Baltimore, MD Duodenal Switch Cost Average | $21,200 - $58,200 |
| Denver, CO Duodenal Switch Cost Average | $23,400 - $64,400 |
| Detroit, MI Duodenal Switch Cost Average | $20,600 - $56,600 |
| Minneapolis, MN Duodenal Switch Cost Average | $29,300 - $80,400 |
| San Diego, CA Duodenal Switch Cost Average | $29,100 - $80,000 |
| San Francisco, CA Duodenal Switch Cost Average | $31,600 - $86,700 |
| St. Louis, MO Duodenal Switch Cost Average | $23,000 - $63,200 |
| Tampa, FL Duodenal Switch Cost Average | $20,500 - $56,300 |
| Name | Location | Price Range |
|---|---|---|
| River Oaks Hospital | Flowood , MS | $18,700 - $51,300 |
| Duke Raleigh Hospital | Raleigh , NC | $21,500 - $59,100 |
| Pennock Hospital | Hastings , MI | $20,100 - $55,300 |
| Avera Heart Hospital of South Dakota | Sioux Falls , SD | $18,000 - $49,400 |
| Holy Spirit Hospital | Camp Hill , PA | $21,800 - $60,000 |
| Providence Portland Medical Center | Portland , OR | $35,600 - $97,900 |
| East Texas Medical Center Tyler | Tyler , TX | $19,000 - $52,300 |
| Fort Walton Beach Medical Center | Fort Walton Beach , FL | $18,700 - $51,300 |
| Doctors Hospital at Renaissance | Edinburg , TX | $19,200 - $52,700 |
| Mat-su Regional Medical Center | Palmer , AK | $28,600 - $78,600 |
| Washington County Hospital | Hagerstown , MD | $21,000 - $57,700 |
| Florida State Hospital | Chattahoochee , FL | $18,600 - $51,100 |
| Callaway Community Hospital | Fulton , MO | $19,800 - $54,400 |
| Albany Surgery Center | Albany , GA | $27,700 - $76,100 |
| Ingham Regional Medical Center | Lansing , MI | $23,100 - $63,400 |
| Trinity at Terrace Park | Bettendorf , IA | $20,900 - $57,500 |
| Same Day Surgery Center | Rapid City , SD | $20,300 - $55,800 |
| Crouse Hospital | Syracuse , NY | $23,800 - $65,500 |
| North Florida Regional Medical Center | Gainesville , FL | $21,400 - $58,700 |
| Maui Memorial Medical Center | Wailuku , HI | $28,700 - $78,800 |
| Renown Regional Medical Center | Reno , NV | $21,600 - $59,400 |
| Carondelet Holy Cross Hospital & Health Center | Nogales , AZ | $157,700 - $433,500 |
| Billings Clinic Hospital | Billings , MT | $21,000 - $57,700 |
| Coffee Regional Medical Center | Douglas , GA | $54,300 - $149,300 |
| Willis-knighton Bossier Health Center | Bossier City , LA | $18,700 - $51,300 |
| Munroe Regional Medical Center | Ocala , FL | $19,400 - $53,200 |
| Christus Santa Rosa Surgery Center | San Antonio , TX | $16,500 - $45,200 |
| Lewis-gale Medical Center | Salem , VA | $20,500 - $56,300 |
| Synergy First Medical | Brooklyn , NY | $24,800 - $68,000 |
| Citizens Memorial Hospital | Bolivar , MO | $18,600 - $51,100 |
Duodenal Switch Surgery Cost and Procedure Information
Duodenal switch surgery, also called biliopancreatic diversion with duodenal switch (BPD/DS), is one of the most complex types of bariatric surgery. Most candidates for this surgery have a body mass index (BMI) of 50 or higher or severe obesity-related disease. Examples of obesity-related health conditions include heart disease, high blood pressure, obstructive sleep apnea, nonalcoholic fatty liver disease, weight-bearing osteoarthritis, and diabetes,
Due to the procedure’s complexity, duodenal switch carries a greater risk of complications than other bariatric surgeries. However, it also has a higher success rate, with most patients losing about 80% of their excess weight during the two years after their procedure.
The price of your duodenal switch depends on many factors, including the surgeon and healthcare facility you choose, whether your procedure is performed at an inpatient or outpatient facility, and how much (if any) of your surgery is covered by your health insurance.
Patient Preparation for Duodenal Switch Surgery
Before your duodenal switch surgery, your medical team will give you health guidelines to help you prepare for surgery. These may include diet and exercise recommendations, advice to stop smoking, and changes to your blood-thinning or diabetes medications. Your provider may also order different lab tests to make sure your body is ready for surgery.
It’s a good idea to prepare for your recovery before the day of the surgery. This means arranging for a ride home from the hospital, making your home recovery-friendly, and talking to your provider about any questions, fears, or doubts you may be experiencing. Remember, you always have the right to get a second opinion.
What to Expect During and After Duodenal Switch Surgery
Duodenal switch surgery can be performed traditionally through a single large incision or laparoscopically, which involves a series of small incisions. During the procedure, a surgeon removes 60 to 70% of the stomach, leaving a small, banana-shaped sleeve. This limits the amount of food your stomach can hold. Then, either in the same surgery or a follow-up procedure, they disconnect the stomach from the small intestine and reattach it further down, bypassing about 80-90% of the small intestine.
Because duodenal switch surgery is so complex, it may take longer than other bariatric surgeries. Performing the two parts of the procedure may take a few hours or more, not counting the time needed for preparation and recovery. You’ll be given general anesthesia before your procedure, so you’ll be asleep during the surgery and won’t feel any pain.
Most of the time, a duodenal switch is performed as an inpatient procedure, meaning you’ll stay at the hospital or surgery center for at least a day or two as your medical team monitors you for complications.
After you return home, you’ll go through a few different phases of recovery. First, you’ll be on a liquid-only diet as your stomach and small intestine start to heal. Then, you can gradually add in different foods when your provider says you’re ready. During this time, you’ll follow specific guidelines for caring for your incisions and reintroducing physical activity into your daily routine. You should be able to return to work within a few weeks.
Weight loss from duodenal switch surgery can begin immediately after your procedure and peak at around the one-year mark. By that time, many patients have lost around 50 to 75% of their excess weight. Weight loss can continue for up to two years or more after your surgery, depending on your diet and lifestyle habits.
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