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The Cornell Weight Loss Surgery Program: Dietary Guidelines for Duodenal Switch Surgery Liz Golden berg MPH, RD, CDN Theresa Kinsella MS, RD Jamie Sherry MS, RD, CDN 2127465294 www.CornellWLS.comBPD/DS
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01
Consultation: The first step in the process of getting a duodenal switch surgery is to schedule a consultation with a qualified surgeon. During this consultation, the surgeon will evaluate your medical history, conduct a physical examination, and discuss the potential risks and benefits of the procedure.
02
Pre-operative preparations: Once you have decided to proceed with the duodenal switch surgery, your surgeon will provide you with detailed instructions on how to prepare for the procedure. This may include dietary restrictions, medications to stop or adjust, and tests or scans that need to be done before the surgery.
03
Surgery day: On the day of the surgery, you will be admitted to the hospital and prepared for the procedure. The duodenal switch surgery is performed under general anesthesia. The surgeon will make several small incisions in the abdomen to access the stomach and small intestine.
04
Switching the anatomy: In a duodenal switch surgery, the surgeon first divides the stomach into a small sleeve-shaped pouch. This reduces the size of the stomach, limiting the amount of food it can hold. Next, a segment of the small intestine is bypassed and connected to the newly created stomach pouch. This rerouting of the intestine affects digestion and absorption of nutrients.
05
Recovery and follow-up: After the surgery, you will be closely monitored in the hospital for a few days. Pain medications and antibiotics may be provided to manage discomfort and prevent infection. Your surgeon will give you specific instructions on diet, physical activity, and wound care during the recovery period. Follow-up appointments will be scheduled to ensure that the healing process is progressing well and to address any concerns or complications.

Who needs duodenal switch surgery?

01
Severe obesity: Duodenal switch surgery is primarily recommended for individuals with severe obesity or those who have a body mass index (BMI) of 40 or higher. It is also suitable for individuals with a BMI between 35 and 40 who have obesity-related comorbidities like diabetes, hypertension, obstructive sleep apnea, or mobility issues.
02
Failed weight loss attempts: Duodenal switch surgery may be considered for individuals who have attempted other weight loss methods, such as dieting, exercise, and medication, without significant or sustainable results. It is often regarded as a last resort for those struggling with obesity and its associated health complications.
03
Commitment to lifestyle changes: Candidates for duodenal switch surgery must demonstrate a willingness to commit to lifelong lifestyle changes, including adopting a healthy diet and engaging in regular physical activity. This surgery is not a quick fix but rather a tool to help individuals achieve significant weight loss and improve their overall health.
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Duodenal switch surgery is a weight loss procedure that involves removing a portion of the stomach and rerouting the small intestine to promote weight loss.
Individuals who have undergone duodenal switch surgery are required to file information about the procedure.
To file duodenal switch surgery, individuals need to provide details about the surgery, including the date of the procedure, the surgeon's name, and any complications that occurred.
The purpose of duodenal switch surgery is to help individuals with severe obesity lose weight and improve their overall health.
Information that must be reported on duodenal switch surgery includes the date of the procedure, the surgeon's name, any complications, and the outcome of the surgery.
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