Duodenal Switch vs. Mini Gastric Bypass2018-09-04T16:21:09+00:00

Duodenal Switch vs. Mini Gastric Bypass

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

Mini Gastric Bypass

A Lighter Me helps patients receive the mini gastric bypass surgery.

Overview

During a mini gastric bypass surgery, the stomach is made smaller, and the intestines are rerouted. It is performed laparoscopically by making 4 to 6 small incisions in the abdomen. The stomach is reduced by up to 90 percent, and then it is attached approximately 6 feet down the small intestines; this allows for food to bypass the upper intestines. It is sometimes chosen over a regular Roux-en-Y gastric bypass because it has a lower likelihood of complications, it has less side effects, and it is reversible. The weight loss results for mini gastric bypass are usually fairly comparable to those of Roux-en-Y gastric bypass. Mini gastric bypass makes patients feel fuller faster, allows for less absorption of calories and minerals, and is known to significantly improve overall health. Weight loss with this procedure is often fast and dramatic. Most people are also able to keep the weight off long term.

Patient Eligibility

In general, the best candidates for mini gastric bypass are those with a BMI over 40 or those with a BMI between 35 and 40 plus other weight-related health conditions.

Average Weight Loss Results

On average, within the first 3 months after the surgery, patients lose about 30 percent of their excess body weight. Within a year, 60 to 75 percent of excess body weight is often gone. After 10 years, most patients still show a total weight loss of 70 percent of their excess body weight. Results depend upon the patient’s adherence to diet and lifestyle changes.

Recovery Time

Patients typically must stay in the hospital for a day or two after surgery. They can usually return to work in 10 to 14 days, and most should be fully recovered after 3 weeks.

Common Side Effects

Patients may experience gallstones from the rapid weight loss and kidney stones from not drinking enough fluids. Hair loss is also somewhat common during the first 3 to 6 months after surgery. Sagging skin can also happen due to the rapid shedding of a significant amount of weight.

Cost

Most insurances do not cover mini gastric bypass. The average cost of the surgery ranges from $15,000 to $25,000 in the US. A Lighter Me helps patients receive the mini bypass surgery at a fraction of the cost. Learn more about the mini gastric bypass.

References:
https://commons.pacificu.edu/cgi/viewcontent.cgi?article=1242&context=pa