The surgical procedure to do a duodenal switch combines mal-absorptive and restrictive surgery meant for losing weight. This procedure reduces the food quantity one is able to take and the amount of calories the body can absorb and utilize. The surgical procedure is used to create a stomach pouch of moderate size and bypassing some section of the small intestine. For people that look to go for duodenal switch surgery in Mexico, it is essential that they know what to expect.
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.
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 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.
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.
The benefits of the procedure are diverse, starting of course with the efficient loss of weight. One will have better quality of eating because of the normal stomach. There is the removal of the part of the food pouch that has the hormone that stimulates hunger, which means hunger and appetite are considerably reduced. For people that take anti-inflammatory drugs, formation of ulcer will not be increased. It is also possible to partially reverse the intestinal bypass in case one is having mal-absorptive complications.
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.
Being a surgical procedure, there are some expected complications. Some of them are post-operative nausea, duodenal leak, fistula and small bowel obstruction. The complications are however not common especially when the procedure is done professionally.
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.
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 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.
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.
The benefits of the procedure are diverse, starting of course with the efficient loss of weight. One will have better quality of eating because of the normal stomach. There is the removal of the part of the food pouch that has the hormone that stimulates hunger, which means hunger and appetite are considerably reduced. For people that take anti-inflammatory drugs, formation of ulcer will not be increased. It is also possible to partially reverse the intestinal bypass in case one is having mal-absorptive complications.
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.
Being a surgical procedure, there are some expected complications. Some of them are post-operative nausea, duodenal leak, fistula and small bowel obstruction. The complications are however not common especially when the procedure is done professionally.
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