Duodenal Switch Surgery In Mexico

By Jocelyn Davidson


The duodenal switch surgery is a combination of mal absorptive and restrictive surgery for weight loss. It decreases the quantity of food that one can take and the quantity of calories which get absorbed and utilized by the body. With this surgical procedure, there is creation of a stomach pouch that is moderately sized, plus some part of the ileum is bypassed. For people that are considering duodenal switch surgery in Mexico, it is important to understand what is involved.

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 run, patients that go for the duodenal switch will achieve lasting results. The fact that the body is not able to absorb all the ingested food means one does not have go for lifestyle changes as is the case with various other types of bariatric surgery. In addition, a patient is able to eat larger food portions and thus get better satisfaction.

The benefits of the procedure are many. In addition to the main benefit which is weight loss, patients will have better eating quality due to a more normal stomach. Since the stomach portion with the hunger stimulating hormone is removed, appetite and hunger are reduced. Persons that take anti-inflammatory drugs will have no fear of contracting ulcers. In the event of mal absorptive complications, the intestinal bypass can be partially reversed.

There are some disadvantages as well. For instance, there is increase probability of suffering from chronic diarrhea and gas. With increased mal-absorption, one could suffer from anemia, lack of proteins and metabolic diseases of bones. About 15 percent of people are affected by these conditions. Excessive intake of carbohydrates leads to abdominal pain or insufficient weight loss. There could also be regaining of weight in the long term.

Just like any other surgical procedure, there is the possibility of risks and complications. These include small bowel obstruction, duodenal leak, fistula and post-operative nausea. The chances of complications are minimal when the procedure is done professionally.




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