Duodenal Switch

The duodenal switch, also known as pancreatico-duodenal diversion, is a weight-loss surgery procedure which provides perhaps the greatest results in regards to overall weight loss and co-morbidities resolution amongst all other surgery types.

The resolution rates of diabetes have often best achieved with a duodenal switch plus overall weight loss has also been best achieved with a duodenal switch. Presently, there are no surgical programs in San Antonio, Corpus Christi Austin, or Laredo that provide the duodenal switch with routine frequency. Like any other surgical procedure, it is all-important to weigh the pros and cons of each procedure and to apply these benefits and risks for one’s own personal situation.

The duodenal switch may be the optimal procedure in patients who are super-obese such that their Body Mass Index is over 60kg/m2. However, the risk of surgery in any patient with a body mass index over 60 is extremely high. Once again this goes back to weigh the risks and benefits for duodenal switch.   is up and approved procedure are the two most insurance carriers it requires a sip extra special degree or surgical expertise and it is Texas bariatric specialists opinion that it should be saved for patients should be saved for surgeons who specializes solely in this procedure or primarily with procedure and the surgeons who have had significant experience in this procedure those of surgeons are available in media areas of San Antonio Corpus Christi Boston.  If one were to find a surgeon who were to be who offers a specialization of the duodenal switch important considerations to will be aggressively this is of reoperation in death and nutritional complications these at risk should be disc should be discussed with this specialized surgeon however it is an overwhelming opinion of the most bariatric surgeons that the duodenal switch has a risk profile or reach exceeds on its benefit profile more specifically the risk of major morbidity and death after the duodenal switch is significantly higher than laparoscopic gastric bypass in addition to long-term nutritional consequences of the duodenal switch can be quite profound including chronic renal stones vitamin A deficiency which may lead to a compliant night blindness or other fat-soluble vitamin deficiencies and time malnutrition secondary to low protein levels.  As such it remains a individualized assessment as to whether these risks can be outweighed by the benefits that can be provided in certain patients once again the only patient that Dr. Patel would consider a duodenal switch in our patience level up the body mass index greater than 60 in the literature there still remains a controversy in regards to what may be the optimal therapy for patients with such a high body mass index.  Most surgeons believe that meet laparoscopic gastric bypass is the best procedure or force for these patients and if out a procedure could not be achieved safely that a stage procedure begins to be considered the two-stage procedure would start with a slew gastrectomy we could then be followed by either the duodenal switch over gastric bypass and a figure of again a duodenal switch is located can be seen on here and surgeons with the specialized expertise may be found from time to time through Internet research and off the American side of metabolic and bariatric surgery website.