The duodenal switch surgery is a combination of mal absorptive and restrictive surgery for weight loss. It decreases the quantity of food that one can take and the quantity of calories which get absorbed and utilized by the body. With this surgical procedure, there is creation of a stomach pouch that is moderately sized, plus some part of the ileum is bypassed. For people that are considering duodenal switch surgery in Mexico, it is important to understand what is involved.
The surgery is performed either in a hospital or surgical center. To begin with, half-inch long incisions are made in stomach areas as well as in the middle of the abdomen. These incisions are made such that the stomach remains attached to the first segment of the small intestine. The first segment of the small intestine is known as the duodenum. It is then separated from other sections of the ileum.
What follows is the attachment of the duodenum to lower parts of the small intestine. As this is done, most of the first and second segments of the ileum are bypassed. When this is done, the surgical doctor affirms that there are no leakages before he or she withdraws the instruments used. The incisions are then closed using either sterile tapes or absorbable sutures.
The procedure has excellent results. The average patient loses about 70 or 80 percent of their excess weight within two years of the procedure. Patients that go for this procedure are more likely to suffer from nutritional deficiencies than with other surgery types. For the lifetime of the patient, they will have to be using nutritional supplements such as minerals and vitamins. These will prevent nutritional deficiencies.
In the long run, patients that go for the duodenal switch will achieve lasting results. The fact that the body is not able to absorb all the ingested food means one does not have go for lifestyle changes as is the case with various other types of bariatric surgery. In addition, a patient is able to eat larger food portions and thus get better satisfaction.
The benefits of the procedure are many. In addition to the main benefit which is weight loss, patients will have better eating quality due to a more normal stomach. Since the stomach portion with the hunger stimulating hormone is removed, appetite and hunger are reduced. Persons that take anti-inflammatory drugs will have no fear of contracting ulcers. In the event of mal absorptive complications, the intestinal bypass can be partially reversed.
Among the disadvantages, there is increased chance of serious diarrhea, gas and foul smelling fecal matter. When there is significant mal-absorption, one is likely to suffer from anemia, deficiency of proteins and vitamins and metabolic bone diseases. These affect 10 percent to 15 percent of patients. When carbohydrates are taken in excess, one may suffer from crampy abdominal pain, insufficient loss of weight or long term regain of weight.
Being a surgical procedure, there are some expected complications. Some of them are post-operative nausea, duodenal leak, fistula and small bowel obstruction. The complications are however not common especially when the procedure is done professionally.
The surgery is performed either in a hospital or surgical center. To begin with, half-inch long incisions are made in stomach areas as well as in the middle of the abdomen. These incisions are made such that the stomach remains attached to the first segment of the small intestine. The first segment of the small intestine is known as the duodenum. It is then separated from other sections of the ileum.
What follows is the attachment of the duodenum to lower parts of the small intestine. As this is done, most of the first and second segments of the ileum are bypassed. When this is done, the surgical doctor affirms that there are no leakages before he or she withdraws the instruments used. The incisions are then closed using either sterile tapes or absorbable sutures.
The procedure has excellent results. The average patient loses about 70 or 80 percent of their excess weight within two years of the procedure. Patients that go for this procedure are more likely to suffer from nutritional deficiencies than with other surgery types. For the lifetime of the patient, they will have to be using nutritional supplements such as minerals and vitamins. These will prevent nutritional deficiencies.
In the long run, patients that go for the duodenal switch will achieve lasting results. The fact that the body is not able to absorb all the ingested food means one does not have go for lifestyle changes as is the case with various other types of bariatric surgery. In addition, a patient is able to eat larger food portions and thus get better satisfaction.
The benefits of the procedure are many. In addition to the main benefit which is weight loss, patients will have better eating quality due to a more normal stomach. Since the stomach portion with the hunger stimulating hormone is removed, appetite and hunger are reduced. Persons that take anti-inflammatory drugs will have no fear of contracting ulcers. In the event of mal absorptive complications, the intestinal bypass can be partially reversed.
Among the disadvantages, there is increased chance of serious diarrhea, gas and foul smelling fecal matter. When there is significant mal-absorption, one is likely to suffer from anemia, deficiency of proteins and vitamins and metabolic bone diseases. These affect 10 percent to 15 percent of patients. When carbohydrates are taken in excess, one may suffer from crampy abdominal pain, insufficient loss of weight or long term regain of weight.
Being a surgical procedure, there are some expected complications. Some of them are post-operative nausea, duodenal leak, fistula and small bowel obstruction. The complications are however not common especially when the procedure is done professionally.
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