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2017-01-09 21:35:19 GMT 2017-01-13 12:00:00 (GMT -05:00) Eastern Time (US & Canada) Yes (click here to learn more about ) Closed 26 26 0 direct invitation(s) have been sent by the voice seeker resulting in 0 audition(s) and/or proposal(s) so far. Voice123 SmartCast is seeking 40 auditions and/or proposals for this project (approx.) Invitations sent by SmartCast have resulted in 26 audition(s) and/or proposal(s) so far.
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The DS combines a Sleeve Gastrectomy with a Long Limbed Bypass of the small intestine.
The procedure is done laparoscopically via trocars that
are placed through incisions in the abdominal wall. The abdomen is gently inflated, allowing us to see into the interior of your abdomen as we proceed.
We first complete a Sleeve Gastrectomy by removing about 80% of the stomach from the body. This leaves a long, narrow tube for a pouch. Next, the duodenum, or the first portion of the small intestine, is divided just past the outlet of stomach (the pyloric valve). Then, a spot in the latter portion of the small intestine is selected, and the bowel is divided there.
The far end of that small intestine division is then brought up and connected to the near end of where the bowel was divided just past the pylorus. This becomes the Alimentary Limb. Next, we reconnect the near end of the small intestine division to a spot about 100 centimeters from the end of the small intestine, where it joins the colon. This last section of the small intestine becomes the Common Channel.
Now when you eat, food comes down through the stomach pouch, depicted as a blue stream here, and moves into the small intestine just past the exit of the stomach.
Meanwhile, the bile and pancreatic enzymes, depicted by the yellow stream, necessary for the breakdown and absorption of protein and fat in digestion, travel down their usual path through the bypassed small intestine (now called the Biliopancreatic or Bypassed Limb). The green stream depicts where they are allowed to mix with the food in the last section of small intestine, the Common Channel.
Advantages of The Duodenal Switch: At their 5-year follow-up, patients experience more weight loss than with the Roux-en Y Gastric Bypass , Laparoscopic Sleeve Gastrectomy , or Laparoscopic Adjustable Gastric Banding, usually more than 80% of their excess body weight. Patients are also more able to maintain their weight loss than with the other procedures.
Fat absorption is reduced significantly. Changes in gut hormones result in appetite reduction, improved satiety and blood sugar control, and the DS is the most powerful bariatric operation at achieving these changes.
The DS is considered to be the most effective surgery for the treatment of diabetes.
Things to consider before proceeding with the DS: When done at experienced centers, the DS has similar complication rates and mortality risks to the Roux-en Y Gastric Bypass. Late "mixing" of digestive enzymes and food can cause a higher potential for long-term vitamin and mineral deficiencies like iron, calcium, zinc, and fat-soluble vitamins, such as vitamin D, and there is a small chance of having protein absorption issues.
Compliance with follow-up visits and care, coupled with strict
adherence to dietary and vitamin supplementation guidelines, is
critical in order to avoid serious nutritional problems, and it is for this reason that the DS is considered a higher risk operation.
The DS involves a slightly longer hospital stay on average than Roux-en Y Gastric Bypass or the Laparoscopic Sleeve Gastrectomy, but patients still usually go home after one night in the hospital.
To learn if the DS is right for you...
Contact Florida Hospital Obesity Medicine and Surgery Institute
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