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DUODENAL SWITCH

DUODENAL SWITCH

Dr. Thoman was the first surgeon on the central coast to perform the laparoscopic duodenal switch and uses it primarily after someone has regained weight after another procedure. The duodenal switch works like all the other metabolic weight loss procedures, but is much more radical because it bypasses most of your intestines and a lot of what you eat gets pooped out.

ADVANTAGES

The duodenal switch is the most effective of all weight loss surgeries but also comes with the highest risk for problems. It is performed laparoscopically and the recovery is similar to the others.

RESULTS

Laparoscopic duodenal switch results in over 80% excess weight loss on average. However, when it is performed as a revision after sleeve or gastric bypass the weight loss is less and more unpredictable.

RISKS AND COMPLICATIONS

During your consultation, Dr. Thoman will thoroughly review your health history and discuss the risks and complications associated with Duodenal Switch surgery, including:

Pulmonary Embolism

A potentially fatal blood clot in the lung.

Gastric leak

Leakage of stomach contents resulting from improper healing.

Stomal Stenosis

Narrowing of stomach requiring an endoscopy or surgery

Internal hernia

Intestine becomes caught in an internal defect (usually after 100 pounds is lost) occurs in around 2% of patients.

Marginal Ulcer

Erosion of the lining of the intestine occurs in around 4% (usually treated with an antacid but may require surgery)

Malnutrition and severe diarrhea

The food is not completely absorbed and you can lose too much protein and nutrients. It is critically important to follow the diet and take your vitamins after this procedure. More so than the other surgeries. You may need another operation to give some of the intestine back if it gets too bad.

Diet after surgery

After surgery on the stomach it is important to not stress it until it has healed. That is the reasoning behind taking only liquids for the first 2 weeks and then mushy foods for 2 weeks and then slowly advancing to a more normal diet. Protein is important for healing and this is emphasized early on. Also important is staying hydrated. It can be difficult to even drink initially while your stomach is still swollen. Taking small sips all-day long works best. Sugar free popsicles will often go down when water doesn’t. Adding cucumber or fruit to your water also can help it go down easier. After 6 weeks everything has healed and your diet should include only healthy whole-foods and nothing processed. There is no need to take protein shakes after 6 weeks. You have a new set point for weight and your body is trying to get you down to it by decreasing your hunger. If you are not hungry then don’t eat. If you are hungry then eat healthy. This will apply for the rest of your life. There is no reason to “diet” anymore. Some people feel better taking multiple smaller meals, which is fine. Everyone is different and the important thing is to listen to your body and stop eating when you are full. Eating slowly is also important for the rest of your life, as should we all!

FOLLOW-UP

Dr. Thoman will see you at 2 weeks after surgery to make sure you are healing ok. Then he will see you at 2 months, 6 months and on your 1-year anniversary every year until he retires. At these visits we will talk about exercise and how you are doing. Blood work will be done before each of these to make sure you’re healthy and your vitamin levels are ok.

Success Stories

Be inspired to take control of your weight loss struggle. Read the testimonials and success stories shared by some real patients who visited Dr. Thoman for weight loss surgery in California.

THE SILVAS’ GASTRIC BYPASSES

When it comes to weight loss, there’s success in numbers. The Silvas know that firsthand – this husband and wife decided to begin their weight loss journey together, and relied on Dr. Thoman to help them on their way. For each other and their children, they decided that their transformation couldn’t wait any longer, and they have nothing but kind words for Dr. Thoman and his staff.

LYNDA GORDON’S GASTRIC BYPASS

After spending over half her life morbidly obese, Lynda was constantly tired, depressed, and embarrassed because of her size. Being the mother of 3 young children and a kindergarten teacher, she decided it was time to change her life when her weight reached 305 pounds. Read her story of success after visiting Dr. Thoman for minimally-invasive gastric bypass weight loss surgery in California.

GEORGE’S WEIGHT LOSS SURGERY

I just wanted to take a moment to say thank you to all staff and to Dr. Thoman for the excellent care I received through my whole weight loss experience.