KODE Medical Focus: Switch duodenal surgery | KSNF/KODE

KODE – You’ve probably heard of gastric bypass or gastric sleeve surgery. But another surgical option is a growing trend, helping some patients achieve the best health outcomes.

“Absolutely, you take someone who maybe spends a lot of money every month on medicine, can’t walk, can’t play with his grandkids, you know, can’t do the things he wants to. do,” said Freeman surgeon Dr. T Brad Coy.

When the problem is obesity, and especially cases associated with diabetes, Duodenal Switch surgery may be the answer.

“You do a gastric sleeve to eliminate the initial weight loss. And then you take the first part of the small intestine, and you bypass a lot of the small intestine. And this is where we get most of our nutrient absorption. So you bypass a section and then sew the duodenal to the ileum where you will get some absorption, but not as much as you normally would.

There are a few potential issues to consider.

“So the side effect is diarrhoea. It’s malabsorption. So you have to keep an eye on the patients. But the patients we’ve treated so far have done very well and have stopped their diabetes medications. relatively quickly.”

The goal is not just weight loss.

“Improving the metabolic function of the patient, trying to eliminate or improve diabetes, high blood pressure, the overall health of the individual.”

Patients can expect to take vitamins for the rest of their lives to ensure they are getting the nutrients they need.

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