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  • By Jocelyn Davidson


    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 The surgeon confirms that there are no leakages, after which the instruments used are withdrawn followed by closing of the made incisions.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 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.

    For the long term, people that opt for this type of surgery will have lasting outcome. Because the body is not able to absorb all the ingested food, lifestyle changes are not a necessity as is the case with other bariatric surgeries. In addition to that, the patient will be able to eater larger food portions than they would with other types of restrictive surgery. This results in greater satisfaction in patients.

    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.

    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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