Duodenal Switch vs. Gastric Balloon

Duodenal Switch

A Lighter Me does not recommend the duodenal switch procedure. A gastric sleeve operation is more affordable and often has less complications.

Overview

Duodenal switch surgery combines a sleeve gastrectomy and an intestinal bypass. During this procedure, approximately 60 to 70 percent of the stomach is removed; this results in the stomach forming into the shape of a tube. After that, two thirds or more of the intestine is bypassed, which leaves only a few feet inside the intestine where digestive enzymes and food can meet; this causes malabsorption. After surgery, the body will be unable to absorb a majority of the calories and nutrients that are eaten, so very high weight loss often occurs. This procedure got its name because the duodenum, the first part of the intestine, is divided and attached to the lower section of the small intestine. The pylorus, the outlet muscle that controls the emptying of the stomach, is preserved during this surgery; this often results in dumping syndrome. This surgery has been shown to result in the most reliable and longest lasting results of all weight loss procedures.

Patient Eligibility

Good candidates for this surgery have a body mass index (BMI) greater than 40. Individuals with lower BMIs may still be eligible for this procedure if they have weight-related medical problems.

Average Weight Loss Results

Most patients lose between 60 and 80 percent of their excess body weight over a 2-year period. Ten years after surgery, most patients have shown to still have a total weight loss of approximately 70 percent.

Recovery Time

The average recovery time is between 3 and 4 weeks.

Common Side Effects

After duodenal switch surgery, patients often experience decreased absorption, which causes more frequent and looser bowel movements and increased flatulence. Patients should also be closely monitored for vitamin, mineral, and protein deficiencies, due to the decrease in the absorption of nutrients.

Cost

Most insurance companies will not cover this surgery, and it can cost as much as $20,000.

References:

http://www.columbiasurgery.org/conditions-and-treatments/duodenal-switch-bpd-ds

Gastric Balloon (Intragastric Balloon)

A Lighter Me does not recommend the gastric balloon surgery. For a better option, speak with one of our coordinators about a gastric sleeve surgery.

Overview

The intragastric balloon is one of the newer weight-loss procedures that is available for individuals who have tried to lose weight on their own but have not had much success. During this procedure, a silicone balloon that is filled with saline is placed in the patient’s stomach. This balloon makes the patient feel fuller faster, and it also limits how much food can be consumed at one time. It may also slow down the process of the stomach emptying, and it may change hormone levels that control appetite. All of this should contribute to moderate weight loss. The balloon is usually left in the stomach for up to 6 months, and then it is removed through an endoscope.

Patient Eligibility

The ideal candidate for this procedure has a BMI between 30 and 40, is willing to make lifestyle and diet changes, and has not had any type of stomach or esophageal surgery in the past.

Average Weight Loss Results

During the first 6 months after the procedure, patients can expect to lose approximately 10 to 15 percent of their body weight; however, many patients have reported a weight loss of more than 30 percent. The amount of weight loss depends greatly upon the patient’s adherence to diet and lifestyle changes.

Recovery Time

Typically, a liquid diet is required for the first week after the procedure. Soft foods will then be permitted, and after about three weeks, patients are usually able to return to a normal diet and normal activities.

Common Side Effects

About one-third of patients experience pain and nausea for the first few days following the procedure. These side effects can typically be treated with oral medication, and they usually are not very serious.

Cost

This procedure is typically not covered by insurance. Although it varies, the average cost is just above $8,000.

References:
https://www.mayoclinic.org/tests-procedures/intragastric-balloon/about/pac-20394435