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I think I’m too FAT.

That’s
what I used to think until
I met
www.GoMexicoMedical.co
m
in Phoenix.
The Duodenal Switch (DS) procedure, also known as Biliopancreatic Diversion with Duodenal
Switch (BPD-DS) or Gastric Reduction Duodenal Switch (GRDS), is a weight loss surgery
procedure that is composed of a restrictive and a malabsorptive aspect.

The restrictive portion of the surgery involves removing approximately 70% of the stomach
along the greater curvature.

The malabsorptive portion of the surgery reroutes a lengthy portion of the small intestine,
creating two separate pathways and one common channel. The shorter of the two pathways, the
digestive loop, takes food from the stomach to the common channel. The much longer pathway,
the biliopancreatic loop, carries bile from the liver to the common channel. The common channel
is the portion of small intestine, usually 75-150 centimeters long, in which the contents of the
digestive path mix with the bile from the biliopancreatic loop before emptying into the large
intestine. The objective of this arrangement is to reduce the amount of time the body has to
capture calories from food in the small intestine and to selectively limit the absorption of fat. As
a result, following surgery, these patients only absorb approximately 20% of the fat they intake.

Sources

1. ^ "Coding for Obesity". http://www.fortherecordmag.com/archives/ftr_012604p39.shtml.


Retrieved on 2007-10-14.
2. ^ Prachand VN, Davee RT, Alverdy JC (2006). "Duodenal switch provides superior
weight loss in the super-obese (BMI > or =50 kg/m2) compared with gastric bypass".
Ann. Surg. 244 (4): 611–9. doi:10.1097/01.sla.0000239086.30518.2a. PMID 16998370.
3. ^ Hess DS, Hess DW, Oakley RS (2005). "The Biliopancreatic Diversion with the
Duodenal Switch: Results Beyond 10 Years". Obesity Surgery 15 (3): 408–16.
doi:10.1381/0960892053576695. PMID 15826478.
4. ^ Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K
(2004). "Bariatric surgery: a systematic review and meta-analysis". JAMA. 292 (14):
1724–37. doi:10.1001/jama.292.14.1724. PMID 15479938.
5. ^ Baltasar A, Bou R, Bengochea M, Arlandis F, Escriva C, Mir J, Martinez R, Perez N
(2001). "Duodenal switch: an effective therapy for morbid obesity--intermediate results".
Obesity Surgery 11 (1): 54–8. doi:10.1381/096089201321454114. PMID 11361169.
6. ^ Marceau P, Biron S, Hould FS, Lebel S, Marceau S, Lescelleur O, Biertho L, Simard S
(2007). "Duodenal Switch: Long-Term Results". Obesity Surgery 17 (11): 1421–30.
doi:10.1007/s11695-008-9435-9. PMID 18219767.
7. ^ Weight-control Information Network, National Institutes of Health. Gastrointestinal
Surgery for Severe Obesity

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