Duodenal Switch is an obesity surgery method that provides weight overruns that are both restrictive in the stomach and malabsorptive. The restrictive part of the surgery involves the removal of approximately 70-75% of the stomach and a large part of the duodenum, or twelve finger intestines. For this restriction, the left side of the patient’s stomach is removed first. As a result, the stomach becomes a thin and long tube. This part of the surgery is a procedure that can no longer be undone. The most important part of the surgery is the reorientation of a long part of the small intestine to create two separate paths and a common canal. The short one of these two ways is the small intestine, which will take what comes from the stomach to the canal. The longer intestinal part is the part where bile and other digestive enzymes mix with food and lead to absorption. In short, the purpose of these arrangements is to selectively limit fat absorption by reducing the time the body takes to get calories from foods in the small intestine. After Duodenal Switch surgery, patients lose two-thirds of their excess weight within 2 years. This method is a heavier operation than other surgeries, but thanks to this method, more effective weight loss is seen
Duodanal Switch, you can eat small and frequent meals. Because the new and small one can’t have big meals. Likewise, your stomach cannot tolerate large amounts of fat, alcohol or sugar. Therefore, if you want to get through this surgery with minimal complications, you will surely need to reduce your fat intake, fast food foods, sugar-containing cakes, frozen foods, sweets, cookies and confectionery.
In an average of two years afterduodenal switch surgery, you lose two-thirds of your excess weight. Although this surgery is heavier than other surgeries, there is also a more effective weight loss compared to other surgeries.
In the aftermath of surgery, the stomach is tubed and thus the absorption will decrease as the last 250 cm of the small intestine is used for food passage while food intake is restricted. In this way, you have the advantage of losing weight more effectively. Since the valve at the exit of the stomach will not be disturbed, there is no bile escape and consequently no stomach ulcers. Since this valve is preserved, symptoms such as low blood pressure, fainting and vomiting due to the passage of nutrients to the small intestine, i.e. Dumping Syndrome, will not be seen. As with bypass surgeries, the dysfunctional part of the stomach, which is not accessible, is not left in the body. Duodenal Switch surgeries are known as one of the most effective methods provided for morbidity treatment and control of diabetes. For those who gain weight in the long term after gastric surgery, the transition to this surgery will be very simple.
As can be seen in all absorption-disrupting procedures, electrolyte and vitamin deficiencies can be seen in this surgery