Biliopancreatic Diversion with a Duodenal Switch (BPD/DS)A duodenal switch is the name given to a type of obesity surgery. There are two aspects called the restrictive and malabsorptive, which means that less food is ingested and so the absorption of fat s reduced dramatically. After such a surgery the patient can only eat small amounts of food and the fat is not absorbed into the blood stream, which in turn leads to a lower calorie intake and weight loss. Only 20% of the fat contained in the food is absorbed. Patients have to take vitamin and mineral tablets, as due to only certain parts of the food being absorbed, deficiencies in essential nutrients are common.
During the operation the size of the stomach is reduced and the small intestine is rearranged so that food travels down a separate part of the intestine from bile and pancreatic juices or enzymes. This means that 3 channels are formed: the ‘digestive’ channel, the ‘biliopancreatic’ and a third channel, which forms a junction at the end of the other two and is where food and these juices mix before entering the large intestine and the food is broken down. .
The surgeon removes up to 85% of the stomach during the procedure and reshapes what's left into a tubular form. The valve between the stomach and the small intestine (Pyloric Valve), is kept intact, as it is important so that food can flow between the two, hence the name the restrictive surgery. Then the small intestine is rerouted so that one end is attached to the pyloric valve and the other into the large intestine, thus forming the ‘digestive’ channel. Then another section of the small intestine forms the ‘biliopancreatic loop’.
Patients who have had this procedure will lose a lot of weight for obvious reasons. The removal of a large portion of the stomach also removes the production of ghrelin. Ghrelin is a ‘hunger hormone’ which is produced in the stomach before travelling through the bloodstream to the brain, making you feel hungry. The patient will have to follow a healthy diet and eat smaller portions but it will be a more ‘normal’ diet than that of other procedures.
The best way to lose weight healthily is to follow a balanced diet and to exercise. At AIQUM the nutrition and exercise plans are based on scientific research so that you can lose weight and keep it off, while staying healthy. Forget other diets, AIQUM Germany has already been tested and highly recommended by the German Consumer Association, the Organic Consumer Test, as well as German magazines like Fit For Fun, Shape, Menshealth and Tomorrow, amongst others.
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