DS/BPD - duodenalswitch

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Things to note:
  • 90% or more of your stomach is stapled off and removed from the body
  • Most of your small bowel is bypassed.
  • This means you could suffer protein malnutrition in a few years in addition to other types of malnutrition
  • in 1999, less than 25 percent of WLS surgeons were doing this surgery because they said the weight loss isn't any better than the others and therefore, not worth exposing their patients to the increased risks. (Likely, less surgeons do this procedure in 2015 because of the availability of other procedures which are as effective and much less risky)
  • The long term risks with the DS/BPD may be similar to those of the old intestinal bypass, according to the ASMBS but one can find more long term intestinal bypass patients surviving than DS patients.  Perhaps one factor in this is because intestinal bypass patients have in-tact stomachs so can digest proteins and fats.
  • Some patients you talk to, will make you think this is not a risky surgery - don't believe them.
  • Longer term patients tend to either get takedowns or be rather silent about the repercussions. Some do not survive...
  • In a takedown, although the stomach cannot be restored, the small bowel can be reconnected. The sooner the patient gets a takedown, the greater the chance the bypassed small bowel can start working again.