Duodenal Switch vs. Gastric Sleeve2019-01-26T06:53:26+00:00

Duodenal Switch vs. Gastric Sleeve

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 Sleeve (Sleeve Gastrectomy)

A Lighter Me recommends the gastric sleeve procedure. Speak with one of our coordinators about a gastric sleeve surgery.

Overview

A sleeve gastrectomy is typically performed laparoscopically. During this procedure, approximately 80 percent of the stomach is removed. The stomach then becomes more of a tube shape, similar in shape to a banana. The surgeon will make small incisions in the upper abdomen and then insert small instruments through those incisions to complete the procedure. Since the stomach becomes much smaller, the amount of food a person can consume after this procedure is much more limited. This surgery also prompts hormonal changes, which often causes weight loss as well. The hormonal changes can also help with certain weight-related health conditions, such as high blood pressure and heart disease.

Patient Eligibility

Individuals who have a BMI of 40 or higher are often good candidates for this procedure. This surgery may also be an option for those who have a BMI between 35 and 40 and also have serious weight-related health problems, such as type 2 diabetes, high blood pressure, or sleep apnea. Someone with a BMI as low as 30 may be eligible for this surgery if he or she has very serious weight-related health problems.

Average Weight Loss Results

Individuals who have this surgery may lose up to 60 percent of their total body weight, sometimes even more, within two years. The likelihood of success greatly depends on the person’s adherence to lifestyle changes and eating habits.

Recovery Time

For the first week after the procedure, the patient is only allowed to consume sugar-free, noncarbonated liquids. The next three weeks will consist of only pureed foods. After that, patients are typically able to resume a normal diet. Over the first few months after surgery, patients will need to have frequent checkups to ensure that everything is going smoothly.

Common Side Effects

Patients often experience body aches, tiredness, feeling cold, dry skin, hair thinning and loss, and mood changes for up to 6 months after the surgery.

Cost

The cost of this procedure varies greatly. The total cost in the US can sometimes exceed $20,000. A Lighter Me provides access to quality surgeons in Mexico who perform this surgery at a fraction of this price.

References:
https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183
https://www.medicinenet.com/lap_band_surgery_gastric_banding/article.htm#who_are_candidates_for_the_lap_band_system