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DS/BPD - duodenalswitch |
The most powerful weight
loss surgery available, the DS/BPD is a combination of a long limb
intestinal bypass called a BPD (bileopancreatic diversion) with a specific
type of stomach stapling called a "sleeve gastrectomy" which
removes 75 - 90 percent of the stomach but leaves the structure in tact as
far as the lower stomach valve. Some DS patients can possibly digest
vitamin B12. However, one surgeon has told his patients to seek iron
infusion right after surgery because in his experience, 50 percent of his
DS patients required iron infusion later on. Because the gall
bladder often goes bad in this procedure, it is usually removed at the
time of surgery to avoid later surgery for removal. DS patients are
expected to cannibalize muscle and bone tissue for a few months after
surgery and if they do not, this can cause a bad type of malnutrition.
Scopinaro suggests testing patients to make sure they are obtaining
protein from muscle and calcium from bone mass (see report below)
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