Laparoscopic Duodenal Switch Surgery
One of the most effective weight loss procedures for the super obese is the duodenal switch. The duodenal switch is a surgery combining the sleeve with the biliopancreatic diversion. The mechanism of action is neurohormonal—there is increased GLP 1 (‘I’m full’ hormone) and a decrease of ghrelin (‘I’m hungry’ hormone). With duodenal switch weight loss surgery, the size of the stomach is reduced to limit food intake and the small intestine is "switched" around to alter the digestion process and limit food (calorie) absorption. This bariatric operation has greatly improved the health and quality of life for many seriously obese individuals by helping them achieve and maintain significant long-term weight loss (up to 85% excess weight loss).