Laparoscopic Duodenal Switch

Laparoscopic Duodenal Switch

Laparoscopic biliopancreatic diversion or duodenal switch is recommended in patients whose BMI is 50 or higher. It is an invasive procedure, which makes the stomach smaller in size and helps to limit the food consumption.

What is Laparoscopic Biliopancreatic diversion?

Laparoscopic biliopancreatic diversion is a surgical procedure in which a part of the stomach is removed. As the stomach size is decreased, the rate of nutrient absorption is decreased in the stomach. This causes loss of appetite in the patient. The surgical procedure of laparoscopic biliopancreatic diversion takes around two and a half to four hours.

Who are eligible for laparoscopic Biliopancreatic diversion?

  • Individuals with the following conditions are eligible for laparoscopic biliopancreatic diversion.
  • Patients having a BMI of 50 and higher
  • Patients suffering from heart burn
  • Patients who are binge eaters
  • Patients who consume lot of sweets
  • Patients who are on treatment for diabetes mellitus type 2, arterial hypertension, hyperlipoprotenemia

Advantages of laparoscopic biliopancreatic diversion:

The following are some of the benefits of laparoscopic biliopancreatic diversion:

  • Success rate is high, nearly 70-90% excess weight loss
  • Alternative procedure for patients in whom restrictive procedures like balloon, banding, and sleeve gastrectomy procedures have failed
  • Another option for patients who are not responding to nonsurgical treatments

During laparoscopic Biliopancreatic diversion:

Initially, the patient is given anesthesia. The surgeon makes either small or large incision on the stomach, and a part of the stomach is surgically removed. The complete procedure is performed with the help of a camera. The left over portion of the stomach is joined to the lower part of the small intestine.

After laparoscopic Biliopancreatic diversion:
The patient may require 4-6 days of hospital stay after the surgery. The patient is advised to take a special diet and proper vitamin intake for a gradual weight reduction. It is recommended to perform physical activities only after 3-5 weeks of surgery.

Risks and complications of laparoscopic Biliopancreatic diversion:

The following are the risks of Biliopancreatic diversion, which include:

  •  Infection at the incision site
  • Reduced absorption of proteins, fat, calcium, iron, and vitamins in the body
  •  Anemia
  •  Deficiency of vitamin A, D, E, K and beta carotene

The following are the complications associated with a laparoscopic biliopancreatic diversion:

Short-term complications:

  •  Gastric stricture
  •  Internal adhesion and bound obstruction
  • Anastomatic leak leading to peritonitis
  • Staple line bleeding

Long-term complications:

  • Osteoporosis
  • Stomach ulcers
  •  Dumping syndrome
  • Protein mal absorption
  • Vitamin deficiencies

Patients can achieve long-term benefits of laparoscopic biliopancreatic diversion only when the patients follow the recommended lifestyle modifications and healthy diet.

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