The Duodenal Switch (DS) is one of the most powerful tools that we have in modern weight loss surgery. It leads to significant weight loss and improvement in medical co-morbidities, however, many surgeons do not perform the DS because it is thought to have greater risks and difficulty in performing
With nearly triple the incidence of worldwide obesity since 1910 plaguing the current world population, significant medical strides have been made to alleviate morbid obesity. Of the many bariatric procedures available today, the Vertical Sleeve Gastrectomy (VSG) is one of the premier procedures to treat morbid obesity. The Sleeve Gastrectomy
There is no doubt that for the vast majority of patients with type 2 diabetes, bariatric (or, as some surgeons prefer to call it, “metabolic”) surgery, can lead to marked improvement and even remission of diabetes. A paper published in The Lancet by Geltrude Mingrone and colleagues shows that even
Blood clots developing in the deep veins (Deep Venous Thrombosis, or DVT) of the legs and thighs of bariatric patients are a major cause of concern and morbidity. These clots are especially dangerous because they can break free and travel through the heart and lodge in the main arteries of
One piece of advice that well-intentioned bariatric surgeons and dietitians usually give to their patients is to NEVER drink through a straw after WLS. The reasoning provided for this counsel is usually along the lines that a patient who drinks through a straw will swallow too much air in the
It is clear that weight loss surgery (WLS) is the treatment of choice for obesity and its associated diseases such as diabetes. Patients are typically able to achieve a sustained loss of 50-80% of excess body weight, with robust improvements in high blood pressure, diabetes, and obstructive sleep apnea.[1] However,
Weight loss procedures help patients get a significant amount of weight off. Patients have improvements in mobility and co-morbid conditions such as sleep apnea, diabetes, high blood pressure, cholesterol and joint pain. All the benefits of weight loss are clearly evident to everyone. How do we wrap our head around
The decision to have bariatric surgery is a life-changing decision. Most of my patients can recall the exact moment they made the decision. For some, it was finding out they had Type 2 diabetes, and for others, it was getting out breath on the playground with their kids. Whatever the
As discussed in the Anatomy and Physiology of the DS, the changes in the anatomy created by the Duodenal Switch operation create altered absorption of various vitamin and minerals which can lead to deficiencies if you are not eating properly and taking the proper supplements. This article will discuss these
The most important job of a Duodenal Switch (DS) patient is to make sure that you not only eat well with the proper amounts of protein and fluids but to take the vitally important vitamins and supplements after surgery. This will ensure not only excellent weight loss, reduction of co-morbidities,
