Complications of Duodenal Switch
Usually speaking, as the level or enormity of a surgical method increases, so does the risk and complications of surgery. Amongst the weight loss surgery processes, Duodenal Switch Surgery is the most complex method and consequently, also bears the highest prospective for complications.
Duodenal switch surgery is helps many obese persons to reduce their threat from diabetes, arthritis and other life-threatening circumstances. Complications are obvious with the surgery and one should take into consideration the complications related with the surgery before electing surgery. In general, the surgical complications for Duodenal Switch surgery are up to 5 to 10 percent.
Complications of duodenal switch include:
- Problems with healing at incision site
- Infection
- Bowel obstruction
- Leaking
- Pulmonary embolus or blood clots traveling to the lungs
- Swellings
- Blood clots forming in the legs
- Pneumonia
Other complications of duodenal switch surgery include:
- Failure of kidney
- Wound to the spleen which necessitates removal during surgery
- Bleeding
Complication rates of duodenal switch
- Small bowel obstruction 2.0%
- Duodenal leak 1.5%
- Pneumonia 0.5%
- Distal Roux-en-Y leak 0.25%
- Acute respiratory distress syndrome 0.25%
- Deep vein thrombophlebitis 0.7%
- Duodenal stomal obstruction 0.75%
- Splenectomy 0.9%
- Death 1.0%
- Acute respiratory distress syndrome 0.25%
The rate of complication in the post-operative phase, like infection, leaking from staple breakdown, dehiscence, stomal stenosis, sores and deep thrombo-phlebitis could be as high as 10% or more. As consequences of these very above complications, a few patients might have to to spend additional time in the ICU. A long-suffering might also have need of more time in the ICU if their physical condition is poor initially.
A few of the complications related with Duodenal Switch are more long term, and might not become apparent for some time following DS surgery. The long term complications of DS comprise nutritional and vitamin deficiencies which are usually preventable with adequate supplementation.
Deficiencies in vitamin A, vitamin D, protein and calcium might take place which can end result as anemia, osteoporosis, hernia, and diarrhea. Duodenal Switch patients should dedicate oneself to healthy diet and supplemental vitamins and minerals, and should have their blood tested each year.