Duodenal Switch Surgery in New Jersey
Being classified as overweight or obese can put you at risk for many health problems like high blood pressure and cause diseases like type 2 diabetes. Losing excess body weight is the only way to combat these medical conditions, but doing so alone can be difficult and time-consuming, and if your health is at risk, there may be no time to waste. Garden State Bariatrics performs life-changing bariatric procedures like duodenal switch surgery, gastric bypass, and gastric sleeve, also known as sleeve gastrectomy at one of our three New Jersey locations including Millburn, Toms River, and Browns Mills.
Weight Loss Surgery to Improve Diabetes or Sleep Apnea
Duodenal switch surgery, also referred to as biliopancreatic diversion, can help you shed excess weight and may also reverse many of the health conditions you developed as a result of your weight gain.1 Please feel free to reach out to us if you would like to schedule a consultation.
What Is Duodenal Switch Surgery?
Duodenal switch surgery is a laparoscopic weight loss procedure that combines two techniques in one, with the goal of making the stomach smaller and rerouting the intestines. Together, these two components prove to be an effective way to lose weight and improve health issues caused by being overweight. The two techniques used to complete duodenal switch surgery include:
- Restrictive Component: This part of the procedure reduces the size of the stomach to limit the amount of food and calories that can be ingested. We will divide the stomach vertically and remove two-thirds of it. The remaining stomach is shaped like a banana and is reduced to 8-10 ounces.
- Malabsorptive Component: This part of the procedure rearranges the duodenum, or the first part of the small intestine, which separates the flow of food from the flow of digestive juices.2 The rearrangement causes the food to empty directly into the end of the small intestines, bypassing most of the digestive tract. This results in malabsorption, in which fewer calories and nutrients are absorbed by the body, helping to aid in weight loss.
What Conditions Does the Surgery Treat?
Duodenal switch surgery helps overweight and obese individuals lose weight and can effectively address many health concerns caused by excess weight. It is the most effective treatment for improving diabetes, hyperlipidemia, high cholesterol, high triglycerides, and sleep apnea. The procedure has been performed by doctors for more than twenty years and has shown to be very successful in treating Type II diabetes. Your doctor can help you determine if this is the right procedure to help you lose weight and combat other health concerns.
Benefits of Duodenal Switch Surgery
Duodenal switch surgery is an excellent first step to leading a healthier life. Many doctors recommend this procedure to patients who are severely obese as a way to help them quickly lose weight and address any concerns caused by their obesity. Typically, we suggest you consider duodenal switch surgery over other bariatric procedures if you have a body mass index (BMI) of 50 or greater or if you have a BMI of 40 or more in addition to severe Type II diabetes. Though it’s a complicated procedure that requires a hospital stay, the duodenal switch can provide numerous benefits, including:
- Effective Treatment for Diabetes: Duodenal switch is very effective at treating type 2 diabetes with some studies showing a greater than 90% cure rate for the disease.3
- Produces Rapid Weight Loss: The procedure can result in rapid weight loss, helping you get your health concerns under control quickly without a high risk of developing dumping syndrome.4 With a much smaller stomach, you get full faster. Not to mention, the path your food must travel is much shorter, resulting in less calorie absorption. The combination of restriction and malabsorption leads to rapid weight loss, with many patients shedding up to 65-75% of their excess weight.5
- Suppressed Appetite: Though the surgery won’t completely eliminate your desire to eat, it will help control your appetite. The procedure affects hormones in the gut, helping to reduce hunger and increase satiety.
Possible Risks or Concerns
If you’re considering bariatric surgery, you may be wondering if there are any risks involved. As with any surgery, duodenal switch surgery can present some concerns. However, your doctor will be able to tell you more about how these can be avoided and what to expect during the surgery and for your follow-up healthcare so you can be sure you’re prepared. With the right team of doctors on your side, you can feel confident before your procedure. Some of the possible downfalls of the duodenal switch technique include:
- Complex Procedure: Because duodenal switch surgery involves two components, it’s more complicated than other bariatric procedures. This can create more risk for potential problems and other concerns.
- Only Partially Reversible: The duodenal switch is not fully reversible since this procedure involves removing a portion of the stomach. The intestinal portion of the surgery, however, can be reversed.
- Possible Deficiencies: While the procedure helps you absorb fewer calories by shortening the distance food travels, this also means your body will have less opportunity to absorb essential vitamins and minerals. This can lead to deficiencies so yearly monitoring of vitamin levels is essential after this surgery.
- More Frequent Bowel Movements: Similar to vitamin deficiencies, the shortened intestine can increase the frequency of bowel movements, including a very rare side effect of diarrhea. This is generally caused by fatty foods and may be managed by diet alterations.
Why Choose Garden State Bariatrics For DS Surgery?
Because the duodenal switch procedure is the most complex form of bariatric surgery, you want to be sure you have a caring and trustworthy team of bariatric surgeons looking after you. The highly-skilled surgical team at Garden State Bariatrics is an excellent choice to perform your procedure. Our board-certified surgeons have received extensive training in this bariatric surgical procedures and know how to handle any complication should one arise during or after the procedure. Our facilities in Toms River, Browns Mills, and Milburn, NJ are equipped with the latest technology and equipment to aid in successful surgery. Please contact us to schedule a consultation and learn about your weight loss options.
1 Johns Hopkins Medicine. BPD/DS Weight-Loss Surgery. Available: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/bpdds-weightloss-surgery. Accessed August 18, 2021.
2 Columbia Surgery. Duodenal Switch (PBD-DS). Available: https://columbiasurgery.org/conditions-and-treatments/duodenal-switch-bpd-ds. Accessed August 18, 2021.
3 Cleveland Clinic. BARIATRIC SURGERY MAY CURE TYPE 2 DIABETES IN SOME PATIENTS. Available at: https://my.clevelandclinic.org/ccf/media/files/Bariatric_Surgery/bariatric_surgery_cure_type2_diabetes.pdf. Accessed August 18, 2021.
4 Columbia Surgery. Duodenal Switch (PBD-DS). Available: https://columbiasurgery.org/conditions-and-treatments/duodenal-switch-bpd-ds. Accessed August 18, 2021.
5 Annals of Surgery. Duodenal Switch Provides Superior Weight Loss in the Super-Obese (BMI ≥50kg/m2) Compared With Gastric Bypass. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856567/. Accessed August 19, 2021.