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.
There is then attachment of the duodenum to the lower part of the ileum. This is done while bypassing most of the second and also third small intestine segments. The surgeon confirms that there are no leakages, after which the instruments used are withdrawn followed by closing of the made incisions. Closure of the incisions is done using absorbable sutures or sterile tape.
The results of the procedure are excellent. On average, a patient will lose between 70 and 80 percent of the excess weight after two years following the surgical procedure. There are increased risks of suffering from nutritional deficiencies with this procedure than with the other weight loss procedures. For their lifetime, the patient will have to use nutritional supplements like vitamins and minerals.
In the long term, the majority of patients that opt for the procedure will have lasting outcomes. Since the body cannot absorb all the food that is taken in, one does not need to consider lifestyle changes as with the other forms of bariatric surgery. Further, patients can eat larger food portions compared to those that go for the other restrictive surgeries. This allows for greater satisfaction in patients.
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.
There are some disadvantages as well. For instance, there is increase probability of suffering from chronic diarrhea and gas. With increased mal-absorption, one could suffer from anemia, lack of proteins and metabolic diseases of bones. About 15 percent of people are affected by these conditions. Excessive intake of carbohydrates leads to abdominal pain or insufficient weight loss. There could also be regaining of weight in the long term.
Just like any other surgical procedure, there is the possibility of risks and complications. These include small bowel obstruction, duodenal leak, fistula and post-operative nausea. The chances of complications are minimal 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.
There is then attachment of the duodenum to the lower part of the ileum. This is done while bypassing most of the second and also third small intestine segments. The surgeon confirms that there are no leakages, after which the instruments used are withdrawn followed by closing of the made incisions. Closure of the incisions is done using absorbable sutures or sterile tape.
The results of the procedure are excellent. On average, a patient will lose between 70 and 80 percent of the excess weight after two years following the surgical procedure. There are increased risks of suffering from nutritional deficiencies with this procedure than with the other weight loss procedures. For their lifetime, the patient will have to use nutritional supplements like vitamins and minerals.
In the long term, the majority of patients that opt for the procedure will have lasting outcomes. Since the body cannot absorb all the food that is taken in, one does not need to consider lifestyle changes as with the other forms of bariatric surgery. Further, patients can eat larger food portions compared to those that go for the other restrictive surgeries. This allows for greater satisfaction in patients.
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.
There are some disadvantages as well. For instance, there is increase probability of suffering from chronic diarrhea and gas. With increased mal-absorption, one could suffer from anemia, lack of proteins and metabolic diseases of bones. About 15 percent of people are affected by these conditions. Excessive intake of carbohydrates leads to abdominal pain or insufficient weight loss. There could also be regaining of weight in the long term.
Just like any other surgical procedure, there is the possibility of risks and complications. These include small bowel obstruction, duodenal leak, fistula and post-operative nausea. The chances of complications are minimal when the procedure is done professionally.
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