Commonly referred to as a DS, this surgery is a combination of the sleeve gastrectomy and the gastric bypass. It changes the amount of food you can eat and your ability to absorb calories to help you succeed at long term weight loss.
In general patients lose:
About 80 percent of the stomach is removed. Food then travels into a new segment of intestine.
Digestive enzymes from the liver and pancreas are kept separate from the stream of food. The enzymes travel down a different pathway of small intestine.
Food and enzymes meet only in the last 10 percent of the small intestine. This short length must do all the work of absorbing nutrients.
This surgery does carry risks. Possible complications include infection, bleeding, anesthesia risks, hernia, leaks, blood clots and ulcers. Also, the outlet at the bottom of your pouch may get plugged (clogging), or your body might not absorb some vitamin and minerals you need. Death from weight loss surgery is a risk but it is not common. This is about the same as that for gallbladder surgery or a hip replacement.
This complex operation has higher short-term risks and long-term nutritional risks than gastric bypass and laparoscopic adjustable gastric band. As a result, it is reserved for those people with the most serious obesity.
People with liver disease are not usually candidates for this operation.
Please discuss potential risks with your surgeon.
You will need to commit to a lifestyle of healthful eating and regular exercise for the rest of your life. This will help you avoid re-gaining weight and help you manage your health.
The Bariatric Centers of Allina Health
Sayeed Ikramuddin, MD, The Bariatric Center of Abbott Northwestern Hospital
To start your weight loss surgery journey, attend a free surgery information class.
This surgical weight loss option is available at...
Abbott Northwestern Hospital Minneapolis, Minnesota, 612-863-7501