The Duodenal Switch Twice as Dangerous as the Gastric Bypass?

Categories: Fuming Foodie
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As some of you know, I've been looking into different weight loss techniques as of late. I'm currently on the Gastric Bypass Hypnosis Surgery program by Rena Greenberg, which I'll be posting a halfway point update on next week.

As some of you may also know - I believe in natural methods for losing weight, and by natural I mean non-surgical and non-pharmaceutical. I take no issue with getting help - in fact, I advocate it -- because fat people have issues they need to deal with if they want to lose weight and keep it off. But getting a personal trainer, attending Overeaters Anonymous meetings, or undergoing hypnosis is not going to screw with your body and/or mind the way the Phen Fen or a lap band procedure would.

As I was catching up on the news this morning, I came across an article on Reuters about a new study that reveals -- while duodenal surgery results in faster and bigger weight loss than the more popular gastric bypass -- it also comes with more health risks and complications.

The study, published in the Annals of Internal Medicine, discusses 60 patients who were randomly designated to undergo either gastric bypass surgery or the more complicated surgery referred to as the duodenal switch.

In a couple of years, the patients who underwent the duodenal had lost an average of 50 pounds more than those who underwent the gastric bypass. The duodenal also beat the gastric in the amount of complications it caused the patients.

Sixty-two percent of the duodenal patients suffered from abdominal pain, diarrhea, and vomiting. They also suffered from intestinal obstruction and long-term malnutrition. All I have to say is thank God that this procedure is not performed as often as the gastric bypass is.

When people take these shortcuts, it puts their lives at risk. And while their lives might already be endangered because of their weight, they could get some organic, holistic, and natural help for that. But to undergo something like this, especially considering that these surgeries have not been around long enough to judge the really long-term effects - say forty years after the surgery - is foolhardy at best and downright stupid at worst.

In this study, almost ten percent of the duodenal switch patients developed protein malnutrition or night blindness. One of the 29 patients needed iron infusions from developing a severe iron deficiency.

The surgery is not as commonly performed as the gastric bypass and is supposed to be reserved for patients who are "I'm on a reality show on TLC" obese, but of course, there are doctors who perform the surgery on those who are just "I need to put down the Oreos and get some exercise" obese.

And while the weight loss industry is somewhat known for shady doctors aka snake oil salesmen, there are some who retain their integrity and refuse to bow to public opinion so they can line their pockets with blood money.

Dr. Edward H. Livingston, a professor and surgeon at the University of Texas Southwestern Medical Center in Dallas was quoted in the Reuters article as saying, "This is an operation that should probably go away."

Livingston also suggests more caution be applied when deciding whether weight loss surgery (WLS) is needed at all. If an obese, even morbidly obese, person is otherwise healthy, WLS may be jumping the shark.

He said that along with the risks of surgery, there is actually some doubt as to whether it really lengthens life span. Although the WLS advocates get red in the face screaming about the "fact" that they get to live longer and healthier lives as a result of having WLS, this "fact" may not be that factual after all. While some studies have suggested that to be true, the data is far from definitive and some studies actually show no improvement in longevity at all.

In a study by Livingston recently published in the Journal of American Medicine recently, the data indicated that there was no "survival advantage" among morbidly obese patients who had undergone WLS versus those who had not undergone surgery. "We really don't even know if there's a survival benefit," Livingston said.

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What I read from PlacidWay Medical Tourism site. The benefits of the duodenal switch surgery is that patients are able to eat more food than those who undergo other forms of gastric banding or gastric bypass. Weight loss results are more significant than with other surgeries, and these results are longer lasting due to continued malabsorption. Despite the reduced stomach size being irreversible, the small intestines have the ability to be reattached to their original position, since none of them have actually been removed. However, other medical issues that result from obesity such as stomach ulcers, Type-2 diabetes, and high blood pressure have all been shown to be drastically reduced following this procedure.  One major advantage to the duodenal switch procedure is that super-obese or morbidly obese individuals who might have been turned down for other procedures may qualify for this procedure, and those who have a BMI of 55 or over find this surgery to be very effective. Those who undergo this treatment can expect to see a 60-80% total weight loss.


It's awful that this crap could even be published on the internet.  I myself had the DS nine months ago and have not once vomited or been ill. As matter of fact i'm healthy happy and energetic!  I keep up with my vits and get my blood work done routinely....if you can do this then the DS is a safe venture for anyone who needs it!  Whoever you are that wrote this article, i;d venture to say you are a morbidly obese person who maybe is just to scared to make a big decision like this, and as a coping mechanism you are putting down what is a very successful tool.  Do your research then come back and have a real view on it!


I've had the DS and I am happy AND healthy. This paper is BS, but it's not surprising you believe it. People in Miami tend to believe anything. I am thankful that I moved out of Miami in time because it's full of doctors pushing the Lap Band and RNY. 

BTW, a personal trainer (two of them, actually) at LA Fitness in Kendall did harm me. The leg and knee injuries sustained from their shitty training caused me to gain 80 lbs from being sedentary. I didn't majorly overeat (although eating crappy carby cuban food didn't help me), but I am the type that needs to be physical to burn enough calories and keep my metabolism up. So yeah, the DS has been much healthier for me. I just ran a half-marathon thanks to it.

But oy, you have a blog on New Times. You have the responsibility to do better research then just pull off articles from Reuters. Come on now. You are a bad wanna-be journalist. Go back to your personal blog, Mami... 


This paper is so poorly conceived, underpowered, UNETHICALLY designed, and biased it is ridiculous.  The comments relied on quotes from a doctor (Livingston) who doesn't have experience with the duodenal switch (DS).  The surgeons admitted that they were inexperienced as DS surgeons - and the DS requires HIGHLY skilled surgeons.  Their supplementation routine was utterly inadequate for DSers.  If you want to read a PROPER long term DS study, read this publication regarding result of a 15 year study of nearly 2000 patients:  I am 8 years out from my DS, and my choice of bariatric procedure was made based on SCIENCE - I have a PhD in biological chemistry.  If you want to learn about the benefits of the DS as compared to other surgeries, go to


Livingston doesn't do the DS, so of course he wouldn't have anything good to say about it. It's like going to a Kia dealership and expecting to hear good things about a Ford. The article you quote is crap. The DS group wasn't given proper post-operative supplementation instructions. The surgeon is responsible for making sure a new patient knows what kind of supplementation, including protein and vitamin, they will need to adhere to post-surgery. The surgeons in this study were irresponsible and could possibly have caused their patients a great deal of pain and suffering due to their negligence. The patients should have been told what to do and what to expect BEFORE surgery. I'd liken this to sending a second grader to school and wondering why they failed a spelling test when they were never taught to spell. The data in the study is meaningless.



You will never feel right againIt cause bloating and you will throw up after almost every mealIt is uncomfortable and painful..and comes with FATALITYThe Kidney are affected and you develop painful kidney stones

Greed Doctors are pushing this surgery for more income

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It has been giving people who have a hard time losing weight a normal body weight fastSEE HERE

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if you are Diabetic or not CLICK HERE


Bull. I had a DS three months ago and I have not thrown up even once. You say you have been there... but where exactly have you been? Not all surgeries are the same. I hear people who have had the lapband procedure talk about vomitting, but have heard nothing about that with DS patients. I'm willing to say that you're a liar and have not had either of the WLS talked about in this craptastical blog. Who was your surgeon? When did you have your procedure?

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