Wednesday, October 8, 2014

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.

It can either be performed in a surgical center or hospital and general anesthesia is used. Half-inch long incisions are made in several areas of the stomach as well as the middle of the abdomen. As a result, the stomach is left attached to the first small intestine segment. This segment is known as the duodenum. There is then separation of the duodenum from remaining sections of the ileum.

There is then attachment of the duodenum to the lower part of the ileum. This is done while bypassing most of the second and also third small intestine segments. The surgeon confirms that there are no leakages, after which the instruments used are withdrawn followed by closing of the made incisions. Closure of the incisions is done using absorbable sutures or sterile tape.

The results of duodenal switching are excellent. Patients will be able to lose 70 to 80 percent of the excess weight within a period of two years. On the downside, patients are likely to contract nutritional deficiency diseases than would be the case if they used other weight loss surgeries. As a result, they will have to keep using nutritional supplements for their entire life. These supplements include vitamins and minerals.

For the long term, people that opt for this type of surgery will have lasting outcome. Because the body is not able to absorb all the ingested food, lifestyle changes are not a necessity as is the case with other bariatric surgeries. In addition to that, the patient will be able to eater larger food portions than they would with other types of restrictive surgery. This results in greater satisfaction in patients.

There are various advantages of the procedure. The normal stomach will enable those affected to have better eating quality. Because of the removal of the stomach portion that manufactures the hormone that stimulates hunger, hunger and appetite will be greatly reduced. There will be no increase in formation of ulcer for those using anti-inflammatory drugs. Besides, the intestinal bypass can be reversed partially for people 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.

There is the possibility of having complications just like is the case with most surgeries. These include duodenal leak, small bowel obstruction and post-operative nausea. If performed by experienced surgeons, chances of complications are minimal.




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