Duodenal Switch vs. Gastric Bypass2019-01-26T06:53:25+00:00

Duodenal Switch vs. Gastric Bypass (Roux-En-Y)

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 Bypass (Roux-En-Y)

A Lighter Me helps patients receive affordable, quality gastric bypass surgery in Mexico. Speak with one of our coordinators about a gastric bypass surgery.

Overview

Gastric bypass surgery is sometimes completed laparoscopically. It typically takes several hours. During the procedure, the surgeon will staple off the upper section of the stomach so it is just a small pouch, about the size of an egg. This pouch is then attached to a part of the small intestine called the Roux limb. This forms a “Y” shape, which is why this procedure is often referred to as Roux-en-Y. This not only reduces the amount of food the patient can consume, it also forces the food to bypass the rest of the stomach and the upper part of the small intestine. After the procedure, the amount of fat and calories that is absorbed from food is reduced and so is the amount of vitamins and minerals. Dramatic weight loss is common after this procedure, and it can also help to reduce or eliminate other health-related problems, such as heartburn, reflux, and other conditions that are common in overweight individuals.

Patient Eligibility

The ideal candidate will have a BMI over 40 or a BMI between 35 and 40 and a weight-related health condition, such as sleep apnea, high blood pressure, heart disease, or type 2 diabetes.

Average Weight Loss Results

The amount of weight loss depends upon the patient’s adherence to diet and lifestyle changes, but on average, people will lose about 100 pounds after gastric bypass surgery. Weight loss typically happens fairly quickly. One year after the surgery, weight loss stops and a patient’s weight stabilizes. At this time, it is very important to maintain healthy eating and exercise habits in order to not regain the weight that was lost.

Recovery Time

Patients are often required to stay in the hospital for a day or two after surgery. An all-liquid diet is required during the first week or two; soft foods are then slowly added into the patient’s diet, and within a month of surgery, regular food can be consumed. Normal activities can also typically be resumed at this time.

Common Side Effects

Patients may experience body aches, dry skin, mood changes, temporary hair thinning, tiredness, and feeling cold during the first year following surgery. This is due to the rapid weight loss. Once the weight loss stops, these symptoms usually go away.

Cost

Some insurances will cover part of the cost of gastric bypass surgery. In the US costs range anywhere between $8,000 and $27,000 without insurance.

References:
https://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/roux-en-y_gastric_bypass_weight-loss_surgery_135,65