January 14, 2019

If you're one of the millions of Americans who resolved to lose weight this year, the CAMC Weight Loss Center offers safe, effective and proven bariatric surgery options to help you reach your goals, including lap band, gastric bypass, laparoscopic  sleeve gastrectomy and balloon placement.

Another surgical option now available at the Weight Loss Center, called duodenal switch, is becoming increasingly popular because patients are able to eat near-normal meals (in much smaller quantities) while still experiencing significant long-term weight loss. Drs. Samuel Rossi and Robert Shin, CAMC's board certified bariatric surgeons, are specially-trained in the complex, aggressive procedure.

Duodenal switch is a combination of two surgical techniques: restrictive and malabsorptive.

First, the surgeon removes part of the stomach to create a smaller, tube-shaped stomach pouch to restrict the amount of food you can eat.

Next, the surgeon bypasses about three-quarters of the small intestine, which reduces the calories that can be absorbed.


WATCH: Robert Shin, MD, bariatric surgeon with the CAMC Weight Loss Center, explains the long-lasting results of the duodenal switch procedure.


With duodenal switch, most patients lose 60 to 80 percent of their excess body weight over a two-year period. Clinical trials have demonstrated maintaining weight loss of about 70 percent beyond 10 years.duodenal%20switch.jpg

"According to studies, the duodenal switch procedure produces the best weight loss outcome," said Robert Shin, MD. "It also is a good procedure for resolving Type 2 diabetes as well as long-term weight loss maintenance."

If you have a body mass index (BMI) greater than 40, you may be a candidate for duodenal switch surgery. Others with lower BMIs, but with obesity-related illnesses such as diabetes, may also be candidates. It can also be effective for people with very high BMIs of greater than 55. However, this complex surgery does have more complications than other weight loss procedures and may not be the right choice for certain high risk individuals, including those with heart failure and sleep apnea.

"Just like other weight loss surgeries, patients have to complete a psychological assessment and commit to making lifestyle changes," Shin said. "Duodenal switch can be an option for patients who've failed at other weight loss surgeries, gained weight back or struggle with controlling Type 2 diabetes. This operation can give you the best chance of resolving those kinds of medical conditions."

Patients who have this type of surgery are at a higher risk for nutritional deficiencies than with other types of weight loss surgery. Nutritional supplements, including vitamins and minerals, also may be necessary for the patient's lifetime.

The first step in determining if any weight loss surgery is right for you is by evaluating your medical condition and overall well-being. To schedule an appointment or attend one of our free monthly informational sessions about weight loss options, call the CAMC Weight Loss Center at (304) 388-4965 or visit camc.org/WeightLoss for more information.

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