Duodenal Switch Surgery for Treating Obesity

Duodenal Switch Surgery for Treating Obesity:

Obesity is one of the most dangerous diseases of the age where they cause many health problems, where obesity causes arthritis, fatty liver, and also GERD. Of course obesity is also the main reason of diabetes. Besides obesity causes high blood pressure, so obesity treatments become very common.

One of these procedures is duodenal switch surgery for treating obesity. This surgery depends on removing the upper part of stomach which is the pouch, and this part which contain food and drink.

Also the upper part or the pouch is connected to small intestine after one and half meter away, to decrease food absorption. So, patient eat less food and he can lose weight easily.

Obesity Reasons:

  • Obesity is the main reason for many diseases.
  • Also there are several reasons for obesity.
  • One of the main reason is eating much food that we need.
  • Where person needs a certain rate of calories daily.
  • And if person exceed this rate, so excess food will accumulate as fats.
  • Also genetic factors will affect on body and how it deals with food and accumulate fats.
  • Besides, the lack of exercising and not practicing sports are one of obesity reasons.
  • There are some health conditions like who suffer from polycystic ovary.
  • Not sleeping enough will cause make imbalance in hormones and makes person feels hungry.

Duodenal Switch Procedure 

Duodenal Switch Surgery for Treating Obesity Surgery:

This surgery reduces stomach size, so it reduces the amount of sugar to keep the normal level of sugar in blood. This surgery also helps to slow down the absorption of sugar, so patient of type 2 diabetes can be treated.

In addition to, this surgery helps to reverse insulin resistance in body. Duodenal switch surgery helps pancreas to di its functions better. This surgery works for all weights and all degrees of obesity. This surgery is very safe and has short recovery period. And patient can return home after 2 days of the surgery.

Tips Before Duodenal Switch Surgery:

  • You must make examinations and tests.
  • Where you must make fating blood sugar test liver function test, and kidney function test.
  • It is necessary also to make x-ray on abdominal and gallbladder to ensure that there are not any stones on gallbladder.
  • You must quit smoking before the surgery at least before 2 weeks before the surgery.
  • It is important to tell the doctor about your medical history.
  • If you are taking any medications continuously you must tell the doctor.
  • You must fast before the surgery 12 hours.

Tips After Duodenal Switch Surgery:

  • You must take nutritional supplements and vitamins for 2 years after duodenal switch surgery.
  • Also you must drink enough water after surgery daily.
  • You must walk for half an hour daily to keep the surgery results.
  • It is important to follow up with the doctor for a while.
  • In the first months after the surgery, you must make blood tests and examinations.

Recovery Period After Duodenal Switch Surgery:

  • Patient stays in hospital for 2 days.
  • Patient can practice his normal life after 3 to 5 weeks.
  • But patient must avoid any hard activity.
  • It is important to follow up prescribed diet by doctor.

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How Is Duodenal Switch Surgery Performed?

  1. Duodenal switch surgery is performed by 2 ways, the first way is the traditional way.
  2. The first way depends on open the abdominal normally which leaves scars.
  3. As for the second way, it depends on the laparoscope.
  4. This way is performed by making small incisions in the abdomen.
  5. Where these incisions do not exceed 2 cm.
  6. And laparoscope is inserted inside these incisions.
  7. The surgery divides into two parts, the first part is sleeve gastrectomy or removing the bigger part of the stomach.
  8. And doctor leaves the smaller part which is connected to esophagus and duodenal.
  9. Then doctor closes this part to form thin and long tube to form stomach.
  10. As for the second part, doctor makes two parts from the small intestine.
  11. The second parts start from the duodenal and the second in the middle of the small intestine or near from the end.
  12. Then doctor connects the two parts together, so food do not pass from this area.
  13. And this reduces food absorption to help to lose weight.

The Candidates for Duodenal Switch Surgery:

  • This surgery suits patient from 16 to 65 years old.
  • This surgery suit whose BMI is 35 or more.
  • Also this surgery suits heart diseases patients and blood pressure patients.
  • This surgery suits type 2 diabetes.
  • Duodenal switch surgery suits also who suffer from hiatal hernia and GERD.
  • And this surgery suits who prefer eating sweets and sugar.

Tips While Eating After Duodenal Switch Surgery:

  • It is important to drink a lot of liquids daily.
  • Stop eating before feeling full.
  • Avoid drinking while eating and drink water between meals.
  • Wait 30 minutes after eating to drink water.
  • You have to avoid drinking before eating with 30 minutes.
  • It is important to chew food slowly.
  • Avoid also food and juices that contain a lot of sugar or fats.
  • Where you must avoid soft drinks and fried food.

Duodenal Switch Surgery Cons:

  • Patient will suffer a lack of vitamins and nutrition.
  • Because of the inability of body to absorb food.
  • So, patient must take vitamins for two years after surgery.
  • Patient may suffer from problems in digestion.
  • Some patients may suffer from blocked intestine after surgery.
  • You must choose experienced and skilled doctor to avoid these problems.
  • It is rare for patient to suffer from gallstones.
  • Sometimes doctor has to remove the gallbladder before the surgery.
  • It is possible for patient to suffer from ulcers in stomach or in intestine.
  • And to avoid these problems, you must choose skilled doctor.
  • Where most of these problems can happened because of unskilled doctor.

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