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 can either be performed in a surgical center or hospital and general anesthesia is used. Half-inch long incisions are made in several areas of the stomach as well as the middle of the abdomen. As a result, the stomach is left attached to the first small intestine segment. This segment is known as the duodenum. There is then separation of the duodenum from remaining sections of the ileum.
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 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.
It can either be performed in a surgical center or hospital and general anesthesia is used. Half-inch long incisions are made in several areas of the stomach as well as the middle of the abdomen. As a result, the stomach is left attached to the first small intestine segment. This segment is known as the duodenum. There is then separation of the duodenum from remaining sections of the ileum.
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 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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