Duodenal Switch Surgery

Averages 85% in excess weight loss.

The Duodenal Switch is one of the most effective weight loss surgeries, leading to the highest excess weight loss and minimal weight regain. Originally, it was a two-part procedure requiring large abdominal incisions. The first step was a sleeve gastrectomy, reducing stomach size for restricted intake. After recovery and initial weight loss, the second surgery rerouted the intestines to minimize calorie absorption, enhancing weight loss and preventing regain. Today, it is performed as one laparoscopic procedure using six small incisions, resulting in faster recovery and fewer complications.

Benefits of Duonenal Switch Surgery

Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis, JAMA. 2004 Oct 13;292(14):1724-37.

How Duodenal Switch Works

Duodenal Switch (DS) surgery is performed laparoscopically using six small incisions and a camera for visualization. The downstream intestines are connected directly to the end of the stomach sleeve while maintaining the valve that controls stomach emptying. Most of the intestines carry only digestive juices, with about five feet involved in nutrient absorption. This limits calorie absorption, requiring increased protein and vitamin supplementation. It also restricts certain food types for optimal health and weight maintenance.

Patient Benefits and Long-Term Health Improvements

Patients undergoing Duodenal Switch surgery not only experience dramatic weight loss—with many achieving around 85% excess weight loss—but also see significant improvements in obesity-related conditions. Enhanced blood sugar control, resolution of diabetes, reduced cancer risk, improved blood pressure levels, and resolution of sleep apnea symptoms are common outcomes. These benefits, coupled with improved mobility and quality of life, contribute to a more active and healthier lifestyle.

Post-Operative Care and Lifestyle Changes

A successful recovery from the Duodenal Switch (DS) requires a commitment to lifelong dietary adjustments and regular follow-up care. Initially, patients transition from a liquid diet to soft foods before gradually reintroducing solid foods. Emphasis on essential vitamin and mineral supplementation, along with a high-protein diet, is crucial to prevent nutrient deficiencies due to reduced intestinal absorption. Regular appointments with Dr. Brewer and your healthcare team help monitor progress, address potential complications, and tailor nutritional plans to individual needs.

Risks and Considerations

While the Duodenal Switch offers excellent weight loss results, it is important to understand the potential risks. These may include complications such as infections, leaks at the surgical connections, or nutrient malabsorption. A detailed preoperative assessment and an honest discussion with Dr. Brewer about these risks are essential. By understanding the long-term commitment required for dietary management and supplementation, patients can make informed decisions about their weight loss journey.

Support and Long-Term Success

Long-term success after Duodenal Switch surgery often involves a comprehensive support system. Participation in support groups, ongoing nutritional counseling, and a structured exercise program can make a significant difference in maintaining weight loss and overall health. Many patients find that peer support, coupled with regular medical follow-ups, provides the motivation and guidance necessary to sustain a healthy lifestyle over the years.

Frequently Asked Questions

Who is an ideal candidate?
Individuals with a body mass index (BMI) greater than 50 who have struggled with traditional weight loss methods and are committed to long-term lifestyle changes may be excellent candidates for Duodenal Switch surgery.
What does recovery look like?
Most patients resume light activities within a few weeks, though adapting to new eating habits and achieving full recovery can take several months. Close communication with your healthcare team is key during this transition.
How is nutrient absorption managed?
Since the surgery limits the length of the intestine available for nutrient absorption, patients must adhere to a carefully planned diet and take daily supplements to prevent deficiencies.

To learn more or schedule a consultation, visit Bryan Brewer MD or call (214) 838-7171.

To Learn More or Meet with Dr Brewer

Locations

Dallas

Brewer Bariatrics & Medical Weight Loss

1151 N Buckner Blvd, Suite 308
Dallas, TX 75218

214-324-6127
(fax) 214-324-6627

Rockwall

Brewer Bariatrics & Medical Weight Loss at Texas Health Rockwall

3142 Horizon Rd, Suite 202Rockwall, TX 75032

469-698-1622
(fax) 469-698-1236