Duodenal Switch Surgery Riskier Than Gastric Bypass
Duodenal Switch Surgery Riskier Than Gastric Bypass
The first randomized comparison of gastric bypass and duodenal switch surgery, published in the Annals of Internal Medicine, shows greater weight loss and improvements in cardiovascular risk factors with duodenal switch, but at the expense of more adverse events.
Two years after gastric bypass or duodenal switch was performed on some 60 patients with superobesity (BMI, 50 to 60), most cardiovascular risk factors improved in both groups. Duodenal switch patients had greater weight loss than bypass patients (mean loss, 74 vs. 51 kg), as well as greater reductions in total and LDL cholesterol. However, they also had more adverse events (62% vs. 32%); in particular, malnutrition-related events such as night blindness, severe iron deficiency, and protein calorie deficiency occurred only after duodenal switch.
on 10/28/11 5:58 pm
You won't malabsorb CALORIES forever, maybe a year give or take a few months, but vitamins, you will always malabsorb. You dodged no bullet there.
on 11/10/11 5:43 am
on 11/18/11 3:10 am - PA
This study/article was done in NORWAY and not the US.
ALL the patients were given the same aftercare - which in itself is WRONG.
DS and RNY require different vitamins, minerals because of the malabsorption.
I HIGHLY reccomend you do your research on both surgeries before making any decisions.