Duodenal Switch

Duodenal Switch Overview

As one type of bariatric surgery, the Duodenal Switch procedure consists of restrictive and malabsorptive aspects. The goal of this procedure is to greatly reduce the time the body has to absorb calories from food in the small intestine, which also limits the amount of fat absorption. After surgery, patients will absorb approximately 20% of the fat they intake.

The restrictive aspect of Duodenal Switch, which is also referred to as DS Gastric Bypass, involves removing approximately 70% of the stomach. The malabsorptive aspect of Duodenal Switch involves rerouting a portion of the small intestine and creating two separate channels. The pathway that is shorter than the other, known as the digestive loop, takes food from the stomach straight to one of the channels. The longer pathway, also known as the biliopancreatic loop, then carries bile to the channel. The channel, which is a part of the small intestine, is where the contents of the digestive path mixes with the bile before emptying to the large intestine.

Duodenal Switch is considered for patients with severe obesity. Having a mild weight problem is not a reason to undergo Duodenal Switch. Individuals who consider weight loss surgery need to discuss their options and learn about the risks and recovery involved in these procedures before making a decision.

When you use 1800mySurgeon, you are assured of making an informed decision because all of our Board-Certified Surgeons are prescreened and continually monitored. The qualified patient coordinators at 1800mySurgeon are prepared to help you find Board-Certified Surgeons in your area, who specialize in Duodenal Switch procedures, or we can provide a background check on any surgeon you choose.

Having Realistic Expectations for Duodenal Switch

Being honest with yourself about how your body will change and how those changes will affect your life is important. Disappointment may happen, especially if you believe plastic surgery will fix your life problems, save your marriage or cure depression. Having the Duodenal Switch procedure will result in significant weight loss. Weight loss may boost your self-confidence, but that won’t change who you are or the way other people feel about you.

Questions to Ask Your Prospective Surgeon

Once you’ve made an appointment for a consultation, take the time to prepare a list of questions and concerns you want to address with your prospective plastic surgeon. The consultation is your opportunity to assess the plastic surgeon as much as it is their opportunity to determine your candidacy for the procedure. Take your time, be thorough and know that you are never required to commit to a procedure or a plastic surgeon because you’ve had a consultation, even if the consultation is free.

Duodenal Switch may involve different techniques. You want to make sure that you choose a plastic surgeon whose work you admire. You will be able to see the outcome of some of their surgeries by looking at before-and-after pictures. Have the plastic surgeon thoroughly explain their procedure and why they value a certain technique more than others.

Make sure to speak to the anesthesiologist before you schedule a surgery, and inform them of any allergies or reactions you have to any medications. Make sure to tell both your plastic surgeon and the anesthesiologist if you have any pre-existing medical conditions.

This list of information may help you compile your questions and may encourage you to do some further research on the many different aspects of Duodenal Switch:

  • Do I qualify for Duodenal Switch?
  • How can I prepare for Duodenal Switch surgery?
  • What type of Anesthesia will be used?
  • Will malabsorption cause malnutrition?
  • When can I go back to work and return to my normal daily activities?
  • What are the costs involved in Duodenal Switch surgery?

If you're consulting with a surgeon from1800mySurgeon, you can rest assured that you will be meeting with a qualified Board-Certified Surgeon. If you already have a surgeon in mind, our qualified patient coordinators can also perform a background check before you schedule your consultation. Most importantly, always trust your instincts during the consultation. The success of your surgical experience will be based on how you feel about your surgeon, the surgery, your recovery and your result.

Duodenal Switch Recovery

Since the Duodenal Switch is a major operation, recovery may require about 3 to 5 days of hospital stay, followed by a couple of weeks of rest at home. The incision may be painful and your surgeon may give you prescription medication.

A liquid diet is mandatory for 2 to 3 days after the surgery, followed by pureed food for another week or so. If tolerated, the patient can slowly begin eating solid food. Much of the weight loss will be evident 12 to 18 months after the Duodenal Switch procedure.

Duodenal Switch Surgery Risks

As with any surgical procedure, the Duodenal Switch procedure can carry some risks. These procedures are suited only for morbidly obese patients who are in a constant struggle to lose weight and have had little to no success with traditional weight loss methods.

Duodenal Switch can be a lengthy procedure, which increases the risks of complications from anesthesia. Make sure your plastic surgeon addresses all of your questions and concerns to your satisfaction.

During your consultation, you will want to ask your plastic surgeon about the following risks:

  • What are the chances that I will get an infection?
  • What are there risks of death during surgery?
  • Will I have nutritional deficiencies in the future?

It is important to remember that no plastic surgeon can guarantee your satisfaction with Duodenal Switch nor can they deny any risk factors. No matter how rarely risks occur, every surgery carries a certain amount of risk, and you have to decide for yourself if your potential desired result is worth the risk.

Long Term Results of Duodenal Switch

Most Duodenal Switch patients are quite satisfied with their results. Duodenal Switch patients lose about 60% to 80% of their excess body weight. Patients also show an improvement in obesity morbidities, including type 2 diabetes and high blood pressure. Patients also report a better overall health and quality of life.

Choosing Your Surgeon

At 1800mySurgeon, we are here to help you make an informed decision. One of the most important aspects for a successful outcome of your procedure is to choose the right surgeon; therefore all of our Board-Certified Surgeons are prescreened and continually monitored. We can help you find Board-Certified Surgeons in your area, who specialize in Duodenal Switch, or we can provide a background check on any surgeon.