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BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH

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BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH

This operation is considered the most effective treatment for severe obesity and type 2 diabetes.

It consists of a sleeve gastrectomy-type stomach resection combined with the creation of an intestinal short circuit.

Its purpose is to reduce the absorption of ingested foods.

This results in semi-liquid secretions, about three or four times a day, often very foul-smelling due to the presence of poorly digested food.

As patients eliminate food too quickly, they can develop protein malnutrition with vitamin/mineral deficiencies requiring lifelong oral supplements..

For these reasons, follow-up should be more frequent than for other procedures.

This is a major operation, taking between 3 and 4 hours.

It is also performed laparoscopically, under general anaesthetic, like the above-mentioned procedures, using 5 or 6 incisions of 5 to 15 mm.

In clinics, they only offer a duodenal switch to patients with a very high BMI (>50-60 kg/m2).

As an alternative to standard gastric bypass, to optimize long-term weight loss.

Nevertheless, the high risk of severe nutritional deficiencies and sometimes disabling diarrhea must be specifically considered in patients eligible for duodenal switch.

Results

-Eating comfort is good, with easy passage of food, but intestinal transit is accelerated.

- Feeding in the first month is blended and then can be normal, as long as you eat small meals and chew properly.

The average weight loss achieved is around 40% of the initial weight at 10 years after surgery..

- The operation can lead to remission of type 2 diabetes in 90-95% of cases, hypertension in 75% of cases, and improvement or even normalization of the lipid profile in 95% of cases.

VERY IMPORTANT! It's the medical team at our partner clinics who will decide which medical procedures are best suited to each patient's situation! You are the only one, together with the doctors, to decide on the desired care.

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