A duodenal switch operation is an example of a partial malabsorbtieve operation. The duodenal switch works powerfully in diabetes, but because of the side effects made only for obese people with a BMI of over 60.What is a duodenal switch?
A duodenal switch operation is actually a combination of a sleeve- stomach reduction and an intestinal bypass. Thus, it is actually a combination of a malabsorbtieve and restrictive operations. The sleeve- stomach reduction ensures that you are full faster and eat less in a day, while the intestinal bypass diet consumes less. First, the stomach is made smaller. This removes a large portion of the stomach. However, the intestines remain, they should only be diverted. After the stomach is made smaller, there are connections to be made between the duodenum and the small intestine. The result is that the food but still can end up in 250 to 300 cm in the small intestine, and also it can be digested in 75 to 100 cm thereof. The surgery can be performed at one time and takes about two hours.
What are the advantages and disadvantages of a duodenal switch?
A disadvantage of the duodenal switch is that not only food, but also important vitamins and nutrients are less recognized. You will, therefore, for the rest of your life every day to take multiple supplements. In addition, the fat from the foods you eat less digested and then come undigested into the stool. This causes diarrhea after eating fat, sometimes with an altered body odor.
The benefit of this operation is the beneficial effect on reducing your overweight and the fact that you (as diabetespatiënt being) after surgery less or no medication or insulin more need for diabetes type two.
See complications of stomach surgery for a summary picture of the complications that may occur.
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