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Duodenal Switch Surgery

Of all of the different forms of weight loss surgery which are nowadays the sleeve gastrectomy with duodenal switch is perhaps the most .

What is Duodenal Switch Surgery ?

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The Duodenal Switch procedure, also known as the Bilio-Pancreatic Diversion with Duodenal Switch procedure or the Vertical Gastrectomy with the Duodenal Switch. This procedure generates weight loss by restricting the amount of food that can be eaten with the removal of stomach or vertical Gastrectomy (the greater curvature so that the volume is approximately one third its original) and by limiting the amount of food, specifically fat, that is absorbed into the body Duodenal Switch. This has a significant component of malabsorption, which seems to augment and help maintain long-term weight loss.

Advantages of Duodenal Switch Surgery : -

The main advantage of the Duodenal Switch surgery is that by using two approaches, weight loss tends to be achieved more quickly and more permanently.

The more normal stomach allows for better eating quality

The patient experiences no Dumping Syndrome because the pylorus is preserved as the pyloric valve between the stomach and small intestine is preserved. People who have undergone the DS do not experience the Dumping Syndrome common with people who have undergone the Roux-en-Y Gastric Bypass Surgery. Those who undergo the Duodenal Switch often find that comorbidities such as Dumping Syndrome, Diabetes mellitus Type 2, Arthritis, and high blood pressure are significantly relieved in a short time after the surgery.

Gastric dumping syndrome, or rapid gastric emptying, happens when the lower end of the small intestine, the jejunum, fills too quickly with undigested food from the stomach. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue. "Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types.

In addition, people with this syndrome often suffer from low blood sugar, or hypoglycemia, because the rapid "dumping" of food triggers the pancreas to release excessive amounts of insulin into the bloodstream.

Risks and Complications : -

Despite the fact that duodenal switch weight loss surgery enjoys the advantage of providing weight loss using both restriction and malabsorption, it is the extent to which the malabsorption element dominates in the duodenal switch that gives rise to a lot of the argument which surrounds this type of surgery. By way of comparison, the traditional Roux-en-Y operation has a much shorter bypass and the length of intestine over which food is digested is about five times greater .

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