jeudi 23 octobre 2014

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.

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.

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.

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.

The benefits of the procedure are many. In addition to the main benefit which is weight loss, patients will have better eating quality due to a more normal stomach. Since the stomach portion with the hunger stimulating hormone is removed, appetite and hunger are reduced. Persons that take anti-inflammatory drugs will have no fear of contracting ulcers. In the event of mal absorptive complications, the intestinal bypass can be partially reversed.

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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