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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.

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 The surgeon confirms that there are no leakages, after which the instruments used are withdrawn followed by closing of the made incisions.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 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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