What You Need To Know About The Duodenal Switch Procedure

One of the newer weight loss surgery procedures is one you may not know about: the biliopancreatic diversion with duodenal switch, or simply, Duodenal Switch (DS). While approximately 2% of weight loss surgeries in America are currently DS, the procedure is growing in popularity and is also one of the most successful and effective at countering extreme obesity and other related ailments, like diabetes.

One of the bariatric surgeons performing the procedure is the renowned Dr. Folahan Ayoola, the Medical Director of Bariatrics at Texas Health Flower Mound. The DS surgery is “technically difficult,” says Dr. Ayoola, but has “the lowest failure rate.”

Here’s how it works:

First, a small stomach pouch is created by removing a portion of the stomach, reducing the stomach by approximately 80%. This is similar to a sleeve gastrectomy. Then, a large portion of the small intestine is bypassed, which causes the body to absorb fewer calories and fats (this relates to the “malabsorptive” element of this procedure).

One major advantage of the DS surgery is its effectiveness – it can result in weight loss of 60-70%, up to the five-year follow-up, if not more. Another benefit is it “causes favorable changes in gut hormones to reduce appetite and improve satiety.”

Bariatric Surgery Source describes it as “the best procedure for weight loss and health improvement,” noting the procedure can improve a variety of conditions such as diabetes and sleep apnea, and even potentially cure those ailments.

Another major benefit of DS that many potential WLS patients may not know is your post-WLS diet is more favorable to the patient than in other procedures. “The diet is actually rich in fat and protein,” says Dr. Ayoola. “Our patients eat lots of bacon. They put cheese on their scrambled eggs…It’s a relatively pleasant eating experience after this operation.” Here’s more information about post-DS nutrition.

Still, the Duodenal Switch procedure is not for everyone. Doctors suggest it is best for patients with particularly high BMIs at least of 45-50. Also, it requires an aggressive follow-up schedule with your doctor, so as to avoid “serious complications from protein and certain vitamin deficiencies,” according to ASBMS.org. Also, the procedure requires a longer hospital stay than other less-invasive WLS surgeries.

Think the Duodenal Switch procedure may be for you? Find out more about what Texas Health Flower Mound has to offer, and request an appointment.