The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy is the most recent bariatric operation to be developed. It is a combination of a sleeve gastrectomy with an intestinal bypass. The SADI-S has all the weight loss benefits of the duodenal switch but with fewer potential concerns like vitamin deficiencies, malnutrition, and diarrhea. The long-term weight loss is very good, as well as the remission of type 2 diabetes.
Have you been struggling with weight loss? Is your body mass index 40 or more, and do you have an underlying medical condition that is related to obesity, like Type 2 diabetes, high blood pressure, or sleep apnea? You may be a good candidate for a duodenal switch in Bellevue. Reach out to our team to learn more about bariatric surgery options and comprehensive weight loss care.
The duodenal switch is a weight loss surgery for individuals who have severe obesity. The surgery has been done for over 20 years and has become more common in the last several years. The procedure is a highly effective way of losing weight and improving health-related issues.
It combines principles of calorie restriction and malabsorption and can be combined with a biliopancreatic diversion. During your consultation with our skilled surgeon in Bellevue, you will discover how a duodenal switch can help you lose weight.
The surgeon reduces the size of the stomach under general anesthesia. This modification restricts your food intake and means you feel full more quickly. Next, the surgeon bypasses the middle of the small intestines by attaching the duodenum to the lower intestine. Typically, the surgery takes about 3 hours, and you stay in the hospital for up to 3 days after surgery.
The duodenal switch requires a lifelong change in eating and supplementation. For example, foods that are high in fat or sugar can cause you to develop excess gas, diarrhea, and stomach cramping. It is recommended that you eat small meals that are high in protein and include foods that are high in omega-3 fats so you feel full faster and longer.
Currently, this procedure is the most reliable weight loss procedure with long-term results. Duodenal switch surgery is like gastric bypass surgery in that it restricts calories and creates malabsorption to lose weight. However, during gastric bypass surgery, a greater portion of the stomach is removed, whereas a larger portion of the small intestines is bypassed during the duodenal switch surgery.
The ideal Bellevue candidate for duodenal switch surgery has a body mass index over 40 and has been unsuccessful in their weight loss efforts. They also have weight-related health conditions that may include heart disease, non-alcoholic fatty liver disease, and lung disease.
The ideal candidate will not have uncontrolled chronic diseases that increase their risk of adverse events from anesthesia. They must also quit smoking four to six weeks before surgery and commit to stopping smoking after surgery to reduce the potential risks of adverse events and infection.
The surgery creates a problem with malabsorption that leads to weight loss. However, it also increases the likelihood that you will develop vitamin deficiencies, including vitamins A, D, E, K, calcium, and iron. These deficiencies can lead to osteoporosis, kidney stones, anemia, and several other life-threatening conditions. You must commit to taking a lifetime of supplements to prevent your risk of malnutrition.
Before surgery, your physician will typically order x-rays, electrocardiogram, and blood work to determine your ability to withstand general anesthesia and the surgery. You will likely be started on a liquid protein diet and asked to discontinue any over-the-counter medications that could increase the risk of bleeding.
Talk with your doctor about all your prescription and over-the-counter medications and supplements. Most people can return to their daily activities between two and four weeks after surgery. For the first two weeks, you eat an all-liquid diet before starting to incorporate soft foods during the third and fourth weeks.
In addition to the nutritional and fluid deficiencies that can occur, you may also experience gastric reflux as a result of the surgery. Your weight loss results will vary depending on several factors. However, most people find the most rapid loss occurs in the first three months. Weight loss slows down in the coming months, but at the one-year mark, you can expect to have lost from 50% to 75% of your excess weight.
The duodenal switch in Bellevue can help you lose a significant amount of weight and improve your overall health. Call our office today for your consultation, and we will answer your questions and address all your concerns. Our team will work with you every step of the way. Start your weight loss journey today.
Duodenal switch surgery alters the way your intestines work, so your body is not able to absorb all the calories and nutrients from the food you eat. This helps you lose weight, but it also means that you need to be deliberate about the food you eat and make sure you take your vitamins and supplements every day.
Everyone is a bit different, and your surgeon will help prescribe the vitamins and nutrients you will need to take every day. Most likely, you will need a good multivitamin, calcium, iron, vitamin D, and possibly others. Your doctor will use blood work to determine where you may have gaps that require supplementation.
Maybe. After bariatric surgery, alcohol normally affects your system much faster and much stronger. Your surgeon will help guide you on whether alcohol in moderation will be okay for you after you fully heal. Alcohol is also full of empty calories, which can hinder your weight loss efforts or even cause you to gain weight if you are not careful.
After duodenal switch surgery, your follow up appointment schedule will be fairly intense, with appointments at 2 weeks, 1 month, 3 months, 6 months, 9 months, and 1 year. After the first year you will need to have a regular scheduled check-up every year for the rest of your life.
Ignoring your dietary guidelines after bariatric surgery can lead to issues like stomach upset, diarrhea, or nutritional deficiencies. It can affect your health and your weight loss results if you do not follow your diet plan.
Yes. It is common to have loose skin after you lose a significant amount of weight. The amount of loose skin you will be left with depends on how much weight you lose, your age, and the elasticity of your skin. Some people choose to undergo body contouring surgery to eliminate loose skin later to put the final touches on their transformation.
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