Duodenal Switch

Duodenal Switch
The duodenal switch procedure, also known as biliopancreatic diversion with duodenal switch (BPD-DS), alters the typical digestive process to permanently reduce the amount of calories absorbed by the body. By changing the signals between the stomach, brain, and liver, this metabolic surgery can assist in establishing a lower and healthier body fat set point. Along with reducing the size of the stomach to limit food intake, this malabsorptive procedure also helps to achieve this objective.

Duodenal Switch Procedure

During the procedure, the outer edge of the stomach is excised, resulting in a small, tubular stomach. Subsequently, the first segment of the small intestine is divided into two portions. The first segment, referred to as the alimentary limb, is attached to the stomach pouch, enabling food to travel through this segment. The second segment, known as the biliopancreatic limb, keeps digestive juices from the pancreas and gallbladder separate until they converge at the common channel. This modification reroutes the digestive process, resulting in the absorption of substantially fewer calories from the ingested food.
Compared to other bariatric procedures, the duodenal switch surgery offers more consistent weight loss results, particularly for super morbidly obese patients, whose Body Mass Index exceeds 50. Correspondingly, it is similarly linked to high rates of improvement or resolution of obesity-related health issues, such as diabetes, hypertension, and sleep apnea, while carrying the lowest likelihood of weight regain relapse. The benefits include:

  • Achieves the greatest average weight loss among bariatric procedures
  • Ensures excellent long-term maintenance of weight loss
  • Associated with a high rate of improvement in obesity-related medical problems
  • Minimizes the risk of dumping syndrome.

What to Expect from Duodenal Switch Surgery

The duodenal switch surgery is typically performed in a hospital setting, with patients requiring a brief 1- to 3-day stay. This procedure can be conducted laparoscopically, either with or without robotic assistance, or through an open surgical approach. The surgery combines a modified gastric sleeve with a significant intestinal bypass. The gastric sleeve offers a restrictive aspect by curbing food intake, while the bypass limits the intestine’s ability to absorb calories, especially those derived from fat. The harmonization of these two components results in effective weight loss.

Patients who undergo the minimally invasive duodenal switch procedure are typically released from the hospital after one to three days and resume work duties within an average of one to two weeks.

Following surgery, it is crucial to attend follow-up appointments and post-surgical assessments with a qualified physician specialized in managing post-bariatric patients. These appointments allow your physician to monitor your progress closely and facilitate the long-term success of your surgery. Since the duodenal switch surgery entails extensive metabolic changes, long-term follow-up care is especially vital to ensure optimal outcomes.

Ideal Candidates for Duodenal Switch Surgery

​Although the duodenal switch produces exceptional results, not everyone can qualify to have it done. Here are a few parameters that determine candidacy. 

  • Severe Obesity: If your Body Mass Index (BMI) is 40 or higher, we put you on the consideration list. This is because the duodenal switch procedure is effective for those who have a significant amount of weight to lose and show no effect on diet change and exercise alone.
  • Weight-Related Health Concerns: Comorbidities such as type 2 diabetes, sleep apnea, or other obesity-related conditions can help you pass the barriers for getting this surgery. This procedure significantly improves your metabolic health, potentially leading to remission of these conditions and a drastic improvement in your quality of life.
  • Ready for Lifelong Commitment: Weight loss surgery is not a one or two-day program. It is a lifetime commitment to oneself for the results to shine. Lifestyle changes that include dietary modification and the inclusion of an exercise routine are a must after surgery.

Preparing For The Surgery

We offer a proper care instructions that can help you prepare for the duodenal switch surgery. It starts with the pre-op diet guide that aims to shrink your liver by depleting its stored glycogen. It is a crucial step as a larger liver can make the surgery more challenging. As far as food items are concerned, our bariatric specialists allow liquid, low-carbohydrate diets, or may specify a meal plan to cater your special needs.

Moreover, medical testing is also an essential part of our preparation process. We run blood and urine work, EKG, x-rays, and testing of the GI tract, along with esophagogastroduodenoscopy (EGD), cardiac evaluation, etc. This protocol is designed to maximize your safety, minimize risks, and ensure that your bariatric surgery yields the best results.

Initiate Your Consultation Today!

To people contemplating duodenal switch surgery in Irving, Arlington, or Paris of Texas, Nova Bariatrics is an excellent option. Our highly experienced surgical team can evaluate your candidacy and determine if the procedure is appropriate for you. With our extensive experience and dedication to patient safety, we perform multiple operations each day with outstanding outcomes. To learn more about the procedure, contact our clinic today at (469) 639-0953, and take control of your health destiny with Nova Bariatrics!

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