Duodenal Switch Forum (DS)

Duodenal Switch is a weight loss surgery procedure that can be performed as a revision procedure, or be revised itself. Insufficient weight loss is potentially but rarely a reason for the revision of Duodenal Switch. Excessive weight loss, malnutrition, and/or vitamin deficiency are also potential reasons for the revision of Duodenal Switch, however less than 5% of Duodenal Switch procedures will require revision surgery.

If patients experience inadequate weight loss, reducing the size of the stomach and shortening the common limb may be beneficial. For those who experience excessive weight loss and nutritional deficiencies, surgically lengthening the common limb and food limb will provide an effective solution, partially reversing the Duodenal Switch. When such a procedure should be performed, the amount of intestinal elongation must be determined on a case-to-case basis. These revisions of the Duodenal Switch are far smaller than the original Duodenal Switch procedure.

Patients seeking a revision of their Duodenal Switch in order to increase caloric, protein, and/or nutrient absorption, are often concerned about the potential of weight regain; this is of course a valid concern. With this said, it is possible to minimize weight regain by preserving most of the metabolic aspects of Duodenal Switch while reversing the malabsorptive component of Duodenal Switch.

A revision or conversion to Duodenal Switch may be beneficial for those who have been unsuccessful or had complications with their weight loss surgery procedure.

• Lap-Band and gastroplasty patients with insufficient weight loss or other complications patients can be revised to Duodenal Switch.
• Vertical Sleeve Gastrectomy patients can be converted to Duodenal Switch in a relatively straightforward manner since the Vertical Sleeve Gastrectomy is one component of Duodenal Switch.
• Gastric bypass patients who experience inadequate weight loss, severe dumping and marginal ulcers, may benefit from a revision to Duodenal Switch.

For more information about revision weight loss surgery, you can also visit ObesityHelp?s Revision Weight Loss Surgery Forum.

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This information has been provided by Dr. John Husted. To learn more about Dr. Husted, please visit http://www.johnhustedmd.com/.