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.
It is performed in a surgical centre or hospital through the use of general anesthesia. It starts with incisions that are half-inch long and are made in the area of the stomach and the middle of the abdomen. The stomach is left attached to the first segment of the ileum known as the duodenum which is then separated from the other parts of the small intestine.
The duodenum then gets attached to the last segment of the small intestine. The second and third sections of the small intestine are bypassed. Thereafter, the surgeon has to confirm that there are no leakages prior to removing the instruments used for the procedure. This is then followed by closure of the incisions. There are many ways of closing the incisions but the most common is the use of absorbable sutures or sterile tapes.
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.
There are various advantages of the procedure. The normal stomach will enable those affected to have better eating quality. Because of the removal of the stomach portion that manufactures the hormone that stimulates hunger, hunger and appetite will be greatly reduced. There will be no increase in formation of ulcer for those using anti-inflammatory drugs. Besides, the intestinal bypass can be reversed partially for people having mal-absorptive complications.
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.
There is the possibility of having complications just like is the case with most surgeries. These include duodenal leak, small bowel obstruction and post-operative nausea. If performed by experienced surgeons, chances of complications are minimal.
It is performed in a surgical centre or hospital through the use of general anesthesia. It starts with incisions that are half-inch long and are made in the area of the stomach and the middle of the abdomen. The stomach is left attached to the first segment of the ileum known as the duodenum which is then separated from the other parts of the small intestine.
The duodenum then gets attached to the last segment of the small intestine. The second and third sections of the small intestine are bypassed. Thereafter, the surgeon has to confirm that there are no leakages prior to removing the instruments used for the procedure. This is then followed by closure of the incisions. There are many ways of closing the incisions but the most common is the use of absorbable sutures or sterile tapes.
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.
There are various advantages of the procedure. The normal stomach will enable those affected to have better eating quality. Because of the removal of the stomach portion that manufactures the hormone that stimulates hunger, hunger and appetite will be greatly reduced. There will be no increase in formation of ulcer for those using anti-inflammatory drugs. Besides, the intestinal bypass can be reversed partially for people having mal-absorptive complications.
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.
There is the possibility of having complications just like is the case with most surgeries. These include duodenal leak, small bowel obstruction and post-operative nausea. If performed by experienced surgeons, chances of complications are minimal.
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