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Duodenal switch is a weight loss surgery in which approximately 70 percent of the stomach is cut and removed from the body, along with a minor portion of the proximal part of the small intestine, hence the name duodenal switch (duodenum=small intestine). The food intake capacity is thus reduced drastically as the individual starts feeling full after eating two or three bites or morsels of food. This is a major contribution in the weight loss for heavy and obese individuals who find it hard to workout vigorously and mobilize their fats.
Indications for a duodenal switch are as follows:
Duodenal switch is one of the most complex bariatric surgery procedure that is generally done in three steps.
In step one, a sleeve gastrectomy is done. In this procedure, a long suture is made in the upper central portion of the abdomen and three fourths of the stomach including the fundic part is removed. This leaves behind a small tube or sleeve like part of the stomach starting from top to bottom. Thus the only part of the stomach you have now is the tube or sleeve portion. With this volume of stomach left inside you, you eat less because you feel full very soon. In step two, food is rerouted away from the upper part of the small intestine which is usually the natural pathway for digestion. This cuts back on how many calories and nutrients your body is able to absorb. The small intestine is divided and a connection is made near the end of the small intestine. The step three changes the normal manner in which bile and other digestive juices break down the food particles. This cuts back on how many calories you absorb, causing still more weight loss. One end of the small intestine is connected to the duodenum, near the bottom of the stomach.
The duodenal switch can be done either laparoscopic or by the conventional open surgery. In the open surgery, a cut or an incision is made in the belly. Contrary to this, the laparascopic approach will require even smaller cuts both in number as well as in length.either BPD/DS is done as either laparoscopic or traditional open surgery. In open surgery, the healthcare provider makes a cut in your belly area. Thus the instruments used will be smaller, the illumination gadgets used too are small. Laparoscopic surgery can help you recover more quickly and may reduce the risk for complications, such as infections and hernias. Some bariatric surgeons use a laparoscopic surgical robot to help in certain parts of the operation.
You will be considered an ideal candidate for a duodenal switch, if you suffer from any of the following symptoms:
The ideal time of recovery from a duodenal switch procedure is three to four weeks after which the patient can start with regular exercises and diet. During this period it is mandatory for the individual to check for any complications and report to the doctor concerned. the healing and recovery period however can vary from person to person depending upon the host response.
The success rate of a duodenal switch procedure largely depends upon the dietary monitoring and motivation for physical exercises. Patients undergoing a duodenal switch fail to gain weight even after ten years post the surgical procedure, contributing to about 90 percent success of the procedure. The same weight can be maintained for a period of 15 to 18 years without the need for any second surgical intervention.
A duodenal switch has the following advantages:
You will be required to pay a cost of 2,50,000 INR for the duodenal switch surgery here in India, minus the hospital stay and the post operative care and medications which will be roughly around 50,000 INR. This amount is peanuts as compared to the cost you will be expected to pay in countries abroad, probably the Indian cost is 60 percent lesser than the fees you will be paying there.
A tremendous variety of treatment procedures are carried out in India, with the duodenal switch surgery being one of them finding a place in every hospital here. Team MedcureIndia highly recommends the duodenal switch procedure to be followed here considering the low cost, high efficiency and excellent results.
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