Could a Duodenal Switch be the Right Weight Loss Procedure for You?

Dr. Ayotunde Adeyeri copyBy: Ayotunde Adeyeri, M.D., FASMBS 

Choosing a weight loss surgery procedure is a very personal decision based on in-depth discussion between a qualified surgeon and the patient, and takes into consideration many factors. In some cases, a patient may need to change from one bariatric procedure to another for various reasons, including post-op complications or if the volume of anticipated weight loss is not achieved. In these cases, a more complex but highly successful bariatric weight loss surgery called a duodenal switch (DS) may be the solution to ultimately achieve the desired goal weight.

While duodenal switch surgery is a more advanced procedure, it offers the patient the greatest volume of potential weight loss, in many cases. Duodenal switch surgery decreases both the quantity of food that can be accommodated by the stomach and the number of calories that can be absorbed and used by the body. A combination of gastric sleeve and gastric bypass surgery, DS surgery is considered to be one of the more specialized weight loss surgery procedures and is only performed by bariatric surgeons who have successfully undergone procedure-specific training.

Duodenal switch procedures involve stapling off about 70 percent of the stomach and leaving the rest connected to a lower area of the intestine. This operation prevents bile and digestive juices from processing food further down the intestine, which results in less caloric absorption. Because of this longer period between eating and digestion of food, the food travels to the colon faster, and patients do not process the full amount of calories.

Duodenal switch surgery delivers excellent outcomes, with the average patient losing 70 to 80 percent of excess weight in the two years that follow the procedure. And patients will not experience dumping syndrome. However, patients who choose this type of surgery are at higher risk for nutritional deficiencies than other types of weight loss surgery. Daily supplements, including vitamins and minerals, and the consumption of healthy foods will be necessary.

If you are considering changing your existing bariatric procedure in an effort to resume weight loss, talk with a board certified bariatric surgeon who specializes in performing duodenal switch weight loss surgery to determine if this procedure might be right for you.

Ayotunde Adeyeri, M.D., FASMBS, is a board certified and fellowship-trained laparoscopic, bariatric and general surgeon and medical director of the Institute for Weight Loss at Raritan Bay Medical Center, a member of the Meridian Health family. The Institute provides individualized medical and surgical solutions and support for individuals seeking weight loss, including nutrition and lifestyle counseling. The Institute for Weight Loss is accredited as a Comprehensive Bariatric Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) recognizing the Institute’s high standards for patient safety and quality of care. For more information or to attend a free bariatric surgery seminar, call 855.TIME.4.ME.

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