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Friday, October 17, 2014

Duodenal Switch Surgery In Mexico

By Jocelyn Davidson


The surgical procedure to do a duodenal switch combines mal-absorptive and restrictive surgery meant for losing weight. This procedure reduces the food quantity one is able to take and the amount of calories the body can absorb and utilize. The surgical procedure is used to create a stomach pouch of moderate size and bypassing some section of the small intestine. For people that look to go for duodenal switch surgery in Mexico, it is essential that they know what to expect.

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.

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 The surgeon confirms that there are no leakages, after which the instruments used are withdrawn followed by closing of the made incisions.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 run, patients that go for the duodenal switch will achieve lasting results. The fact that the body is not able to absorb all the ingested food means one does not have go for lifestyle changes as is the case with various other types of bariatric surgery. In addition, a patient is able to eat larger food portions and thus get better satisfaction.

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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