Laparoscopic Duodenal Switch

Laparoscopic Duodenal Switch Treatment & Diagnostics in Chembur, Mumbai

Laparoscopic Duodenal Switch

When a person’s weight increases beyond the healthy BMI levels, health complications such as stress, sleep apnea, hypertension, and diabetes arise. Bariatrics is the branch of medical science that involves getting rid of excess weight through medically approved techniques. A significant part of bariatrics revolves around bariatric surgeries that reduce weight by using surgical procedures.

A laparoscope is a medical-grade camera that is attached to a catheter, which is used by a doctor to view the organs inside a person’s body. A duodenal switch is a bariatric surgery that involves sleeve gastrectomy and bypassing much of the small intestine. The medical name for the surgery is GRDS - Gastric Reduction Duodenal Switch.

Duodenal Switch

Duodenal switch (also known as BPD-DS) is an effective type of weight-loss surgery with a biliopancreatic diversion combined with a duodenal switch. This bariatric surgery is performed in two stages: restrictive and malabsorptive. The majority of the curved portion of the patients stomach is removed. This restrictive part of the surgery is known as sleeve gastrectomy.

The initial portion of the small intestine (duodenum) that connects the stomach, liver, and pancreas is also removed. The sleeved stomach is then connected to the lower intestine as almost two-thirds of the small intestine is bypassed. The duodenum is thus directly connected to the ileum (final/distal small intestine), as the jejunum (middle small intestine) is bypassed and connected to the ileal end. This is the restrictive part of the process, as the switch reduces the absorption of fats.

Who qualifies for a duodenal switch?

Doctors may recommend the duodenal switch to severely obese patients, with a 50+ BMI, or 40+ BMI with serious health disorders such as:

• Type 2 diabetes
• Fatty liver disease
• Hypertension
• Coronary heart disease
• Sleep apnea
• GERD
• Osteoarthritis
• Lung disorder
• Hypercholesterolemia

If you suffer from obesity and either of these comorbidities, you should consult a bariatric surgeon near you.

You can request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.

Call 1860 500 2244 to book an appointment.

Why is laparoscopic duodenal switch conducted?

The laparoscopic duodenal switch requires smaller cuts and smaller instruments than an open BPD/DS. Laparoscopic surgery helps you to recover fast and reduce infections and hernia. It is conducted for reducing the patient’s obesity, and other related illnesses. Since the surgery reduces the time needed for the food to pass through the small intestine, absorption of calories and fat is reduced drastically. Upon completion of the switch, you can only absorb 1/3 of the fat you consume, which helps in the weight loss process. As lesser calories are captured by the intestines, glucose absorption declines. This makes the duodenal switch an effective cure for type 2 diabetes.

What are the benefits of the laparoscopic duodenal switch?

The bariatric surgery of a laparoscopic duodenal switch has the following benefits:

• Metabolic effect promoting weight loss
• Euglycemia (reduced blood sugar) preventing diabetes
• Preserved pyloric valve
• Reversible malabsorption
• Diet can be normal
• Hyperlipidemia, hypertension, and sleep apnea is treated fully
• Ghrelin (hunger hormone) removed

What are the risks or complications of the laparoscopic duodenal switch?

Patients that undergo BPD-DS must be wary of the following disadvantages and risks:

• Restrictive DS is irreversible
• Gallstones
• Vitamin and mineral deficiency
• Flatus, diarrhea
• Leak, infection, blood clots, abscess, etc.
• Hernia
• Bowel Obstruction
• Malnutrition

Conclusion

Laparoscopic duodenal switch is one of the most effective methods where you can expect a 60% to 80% reduction in excess body weight. A healthy lifestyle combined with dietary supplements is critical for maintaining weight loss. If you are excessively obese, and alternatives for weight control have been ineffective, then this bariatric surgery could be the solution. If you seek consultation for a laparoscopic duodenal switch surgery in Mumbai,

request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.

Call 1860 500 2244 to book an appointment.

References

Duodenal switch - Wikipedia

Duodenal Switch (BPD-DS) | Columbia University Department of Surgery (columbiasurgery.org)

BPD/DS Weight-Loss Surgery | Johns Hopkins Medicine