Duodenal Switch Surgery

Weight loss surgery is one of the most important decisions an individual can ever take which is a life altering decision. After plastic surgery, Weight loss surgery is the most preferred forms to smack the medicinal world. Nowadays there are many options for reducing the excess weight. If you are the one who is suffering from obesity then the duodenal switch surgery is the great idea to explore.

The procedure of Duodenal switch is also known as Biliopancreatic Diversion with Duodenal Switch (BPD-DS), vertical gastrectomy with duodenal switch. Duodenal switch surgery helps sufferer to reduce their weight by two different means which comprises restrictive and malabsorption which make up this method as a blend style weight loss surgery.

In restrictive portion surgeons bisects the stomach and removes more than 85% of the stomach. This part of the duodenal switch procedure is not reversible. Unlike the unmodified RNY and BPD, where both use a gastric “pouch” and bypasses the outlet valve (pylorus), the Duodenal Switch procedure keeps the pyloric valve to remain intact. This reduces the option of dumping syndrome, stoma closures, marginal ulcers, and blockages, which can happen after other gastric bypass processes.

In this very surgery the surgeons divides small intestine into two pieces and rearrange to separate food from the digestive juices thus creating malabsorption. The digestive juices bile is now away from the digesting food and journeys for over 500 cm in the bypassed small intestine.

Digestive juices and foodstuffs combines and tours together for over 100 cm in the common limb. Thereby bile and food is ultimately away for most of the length of the intestines. This helps to absorb fewer fats and calories that you eat. As a result patients can only absorb approx 20% of the fat and calories they intake. In comparison to Roux-en-Y gastric bypass the common limb for mixing of bile and food is approx 5 times longer. As a result, the Roux-en-Y gastric bypass has least malabsorption compared to the DS.

This procedure of Duodenal switch discreetly limits food intake at the same time drastically restricting the absorption of calories, mainly the obesity causing calories from fat, starches and complex carbohydrates. Though patients are not restricted in the types of food they are capable to eat, whole vegetables and tolerating meats without trouble.