Duodenal Switch Surgery In Mexico

By Jocelyn Davidson


Duodenal switch surgery combines restrictive and mal absorptive surgery for weight loss. It is done to minimize the food amount an individual is able to consume and also the amount of calories getting absorbed and used by the body. It involves creation of a moderately sized stomach pouch and bypassing of some small intestine sections. Persons considering duodenal switch surgery in Mexico should get to know the details about the procedure before opting for it.

It is performed in a surgical centre or hospital through the use of general anesthesia. It starts with incisions that are half-inch long and are made in the area of the stomach and the middle of the abdomen. The stomach is left attached to the first segment of the ileum known as the duodenum which is then separated from the other parts of the small intestine.

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 term, the majority of patients that opt for the procedure will have lasting outcomes. Since the body cannot absorb all the food that is taken in, one does not need to consider lifestyle changes as with the other forms of bariatric surgery. Further, patients can eat larger food portions compared to those that go for the other restrictive surgeries. This allows for greater satisfaction in patients.

The benefits of the procedure are diverse, starting of course with the efficient loss of weight. One will have better quality of eating because of the normal stomach. There is the removal of the part of the food pouch that has the hormone that stimulates hunger, which means hunger and appetite are considerably reduced. For people that take anti-inflammatory drugs, formation of ulcer will not be increased. It is also possible to partially reverse the intestinal bypass in case one is having mal-absorptive complications.

Among the disadvantages, there is increased chance of serious diarrhea, gas and foul smelling fecal matter. When there is significant mal-absorption, one is likely to suffer from anemia, deficiency of proteins and vitamins and metabolic bone diseases. These affect 10 percent to 15 percent of patients. When carbohydrates are taken in excess, one may suffer from crampy abdominal pain, insufficient loss of weight or long term regain of weight.

Being a surgical procedure, there are some expected complications. Some of them are post-operative nausea, duodenal leak, fistula and small bowel obstruction. The complications are however not common especially when the procedure is done professionally.




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