Prices in Germany are normally 65% below the cost of a Duodenojejunal Bypass in the US and are individually quoted. They include all medical expenses, the hospital stay, surgeon's fees, operation room fees, anesthesia, anesthesiologist's fees, medicine, nursing, semi-private room, meals, pre-op diagnosis, local phone and English TV.
The Duodenojejunal Bypass is now receiving a great deal of interest in a new field called metabolic surgery, although this procedure was originally done to relieve the pain of patients with intestinal cancer. As other bariatric procedures are proving, a particular section of the duodenum is deeply involved in Type II diabetes. When this section of the duodenum is bypassed with surgery, Type II diabetes, seems to disappear almost over night, establishing glucose homeostasis. In the Duodenojejunal Bypass sections of duodenum are bypassed via an end-to-end anastomosis. The biliopancreatic secretions are also diverted into the distal jejunum through a choledochojejunostomy, a surgical anastomosis of the common bile duct and the jejunum. As with the duodenal switch, the pyloric valve is preserved, but unlike the duodenal switch no gastric sleeve or other procedure is performed on the stomach.
A large weight loss is also a result of Duodenojejunal Bypass, because much of the absorption of food occurs in the duodenum.