Duodenal Switch Weight Loss Surgery!The Duodenal Switch procedure, also known as the Bilio-Pancreatic Diversion with Duodenal Switch procedure or the Vertical Gastrectomy with the Duodenal Switch. This procedure generates weight loss by restricting the amount of food that can be eaten with the removal of stomach or vertical Gastrectomy (the greater curvature so that the volume is approximately one third its original) and by limiting the amount of food, specifically fat, that is absorbed into the body Duodenal Switch. This has a significant component of malabsorption, which seems to augment and help maintain long-term weight loss. Who is an ideal candidate Duodenal Switch Surgery?If a person meets the following guidelines, weight loss surgery may be an appropriate measure for permanent weight loss:
Duodenal Switch Surgery how it works?The stomach is restricted by dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a banana and measures from 4-7 ounces (120-250cc) depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary.Advantages of Duodenal Switch Surgery:The main advantage of the Duodenal Switch surgery is that by using two approaches, weight loss tends to be achieved more quickly and more permanently.The more normal stomach allows for better eating quality the patient experiences no Dumping Syndrome because the pylorus is preserved as the pyloric valve between the stomach and small intestine is preserved. Gastric dumping syndrome, or rapid gastric emptying, happens when the lower end of the small intestine, the jejunum, fills too quickly with undigested food from the stomach. In addition, people with this syndrome often suffer from low blood sugar, or hypoglycemia, because the rapid "dumping" of food triggers the pancreas to release excessive amounts of insulin into the bloodstream. |
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