Duodenal Switch Weight Loss Timeline: How Much Weight Will I Lose? | BMCC (2024)

Bariatric surgery can have life-changing results for those who fully commit to the process of taking control of their health. After any bariatric procedure, patients are expected to follow a new diet that consists of healthy foods in smaller quantities. When carefully followed, this new, healthier lifestyle coupled with the right bariatric procedure can result in tremendous weight loss success and lead patients to a healthier, happier, more energetic lifestyle.

Loop duodenal switch surgery is one bariatric procedure that can help patients lose a substantial amount of their unhealthy body weight. If you suffer from obesity and are considering duodenal switch surgery, or you’ve already decided to have the procedure and you want more information about the post-op weight loss process, here is more information on the duodenal switch weight loss timeline and what patients can expect after their operation.

What Is Duodenal Switch Surgery?

Let’s start at the beginning for those who are trying to understand exactly what duodenal switch surgery is and what they can expect. This bariatric procedure involves restrictive and malabsorptive elements. In the restrictive part of the surgery, about 85% of the stomach is removed from the body to form a smaller sleeve-shaped stomach that restricts the amount of food a patient can eat.

The malabsorptive part involves the small intestine. The portion of the small intestine just after the stomach, referred to as the duodenum, is separated and a carefully identified loop of small intestine below this is brought up and attached to the portion of divided duodenum just after the stomach. This allows for food to bypass a large portion of the small intestine in order to absorb fewer calories, thus strengthening your potential for rapid weight loss.

The loop duodenal switch procedure is a minimally invasive procedure with smaller cuts rather than one large incision. Minimally invasive surgeries also generally mean less need for recovery and less downtime for patients after they have their procedure.

Because of the malabsorptive element of duodenal switch surgery, patients have to be committed to a life-long vitamin and protein supplement program in order to ensure they get the proper amount of healthy nutrients. The overall amount of weight loss experienced by the patient is related to how much weight the patient has to lose, some genetic factors, and most importantly how carefully the patient follows all recommended dietary protocols for life following surgery. While the surgery certainly and powerfully sets the stage for weight loss and also makes it feel very natural to do the right things to lose weight, it does not make decisions for us. Here are some specific timeline results patients can expect when fully committed to their new lifestyle.

Duodenal Switch Expected Weight Loss Timeline: How Much Weight Will I Lose After 3 Months?

During the first 3 months after the loop duodenal switch surgery, patients can see dramatic weight loss and this period of time is known for its rapid, impressive results. Patients can lose an average of 0.5 to 1 pound per day, meaning there is the potential to lose between 40-90 pounds by the end of the first three months post-op.

It’s important to keep in mind that weight loss will be dramatic during this period of time and will slow down in the following months. Your best chance at maximum weight loss success is to trust the process and consistently commit yourself to your new diet and exercise plan. It’s also important to remember that your weight will fluctuate daily and your overall weight loss won’t be constant and regular. Don’t be surprised or discouraged by short plateaus or small weight losses or gains from day to day.It is much more important to follow the weight loss trend over weeks rather than days.

Duodenal Switch Expected Weight Loss Timeline: How Much Weight Will I Lose After 12 Months?

There is a gradual slow down of weight loss between 6-9 months after duodenal switch surgery with peak weight loss occurring at 12-18 months post-op. Overall, patients who undergo loop duodenal switch surgery have the potential to lose 75-95% of their unhealthy body weight. For many patients, this could mean a total weight loss of 150 pounds or in some cases more.

Although peak weight loss occurs anywhere from a year to two years after surgery, it’s important to remember that you’ve committed to a life-long process. Just because patients have reached their goal weight, or even passed it, does not mean they can return to their old lifestyle habits. It’s important to stick to a nutrient dense diet as well as keep up with a vitamin regimen to avoid any unwanted weight regain.

Can You Gain Weight After Duodenal Switch Surgery?

Weight regain is a possibility for all bariatric procedures, however, duodenal switch patients have shown the least likelihood of regaining unhealthy body weight. Studies have shown that duodenal switch patients have lost a substantial amount of excess body weight and kept it off even five years after surgery.

Again, the best way to maximize your weight loss potential after your procedure is to fully commit and stick to your new lifestyle. This is also important because of the malabsorptive piece of duodenal switch surgery. Duodenal switch patients’ new diet will not only result in weight loss, but will also ensure they are getting the proper daily nutrients.

Is Duodenal Switch Surgery Right For Me?

A completely different weight and life can be a reality for you, and if these are the results you’re looking for, it may be time to consider loop duodenal switch surgery. However, as successful as this procedure can be, it may not be the best option for some patients. Loop duodenal switch surgery is best for those who:

  • Are interested in losing 75-95% of excess weight or have a BMI > 50
  • Suffer from type II diabetes and want the best chance at a cure. Duodenal switch is 98% effective at curing type II diabetes.
  • Can fully commit to a lifelong, strict regimen of vitamin and protein supplementation

However for those who suffer from any of the following, we encourage them to look into other bariatric procedures like gastric sleeve or gastric bypass surgery:

  • Severe baseline vitamin and mineral deficiencies such as anemia in spite of treatment
  • Crohn’s disease, or any medical issues requiring anti-inflammatory medication
  • Multiple abdominal surgeries in their past
  • Irritable bowel syndrome with frequent diarrhea
  • Severe acid reflux

Lose Weight and Keep it Off

It’s time to take control of your health and start living a more energetic and active lifestyle. Duodenal switch patients can lose 150 pounds or more of their excess body fat. Imagine how good you would feel! If you still have questions about bariatric surgery, duodenal switch expected weight loss, or whether duodenal switch is a good surgery option for you, feel free to contact our friendly office staff at the BMCC. We are happy to answer any of your questions.

Duodenal Switch Weight Loss Timeline: How Much Weight Will I Lose? | BMCC (2024)

FAQs

Duodenal Switch Weight Loss Timeline: How Much Weight Will I Lose? | BMCC? ›

How much weight can you lose with a duodenal switch? The average weight loss with a duodenal switch is 80% of excess weight over a two-year period. That's well above the average weight loss from bariatric surgery overall, which is 50% to 60%.

How much weight will I lose with a duodenal switch? ›

There is a gradual slow down of weight loss between 6-9 months after duodenal switch surgery with peak weight loss occurring at 12-18 months post-op. Overall, patients who undergo loop duodenal switch surgery have the potential to lose 75-95% of their unhealthy body weight.

How to maximize weight loss after duodenal switch? ›

Make sure the consumption of food is small meals or small snacks throughout the day, also, ensure to meet daily protein requirements. Try eating some protein with every meal or snack.

What is the timeline for the duodenal switch? ›

With the extent of the Duodenal Switch procedure, patients should plan to remain in the hospital for 2 to 3 days. Patients are generally able to return to work after 2 weeks and can expect a full recovery within 4 to 6 weeks, once the incisions have healed completely.

How much weight will I lose with roux in Y? ›

Weight loss in the first year or two after surgery is often significant. The average is about 70% of excess weight. Over the longer term, some people gain some weight back, but the average long-term weight loss is 50% of excess weight.

Can you gain your weight back after a duodenal switch? ›

Stretching of the stomach pouch, which leads to overeating, also causes weight gain after a sleeve gastrectomy and duodenal switch, but it is rare with the latter procedure. Unfortunately, complications may happen after surgery.

What percentage of calories are absorbed after duodenal switch? ›

After BPD/DS, patients can only absorb 60% of the protein and carbohydrates and only 30% of the fat from a meal. If the patient follows the dietary recommendations then the patient may only absorb 1200-1700 calories per day, even if they consume 3000!

What happens if you don t get enough protein after duodenal switch? ›

If the body does not get enough protein from the diet over time, the body will break down muscle tissues and fibers in order to get its supply of amino acids. Symptoms such as body aches and feeling more fatigued than usual can also occur.

How many weeks is considered a weight loss plateau? ›

That said, it can be very easy to start second-guessing yourself and question whether you're still doing the right things – particularly when the weight doesn't seem to move for 4+ weeks. Our experience at Second Nature is that weight-loss plateaus can last as long as eight to twelve weeks.

Why am I so hungry after duodenal switch surgery? ›

Consult with your physician on how much protein or fiber they recommend, and be sure to get enough of both every day. If you're getting sufficient calories, protein, or fiber, but you still feel hungry after your bariatric Surgery, the culprit is likely dehydration. Sometimes, our bodies can confuse thirst with hunger.

What is the disadvantage of a duodenal switch? ›

Biliopancreatic Diversion with Duodenal Switch

Advantages: You can expect to lose> 70% of excess body weight at one year. This surgery yields the most rapid weight loss. Disadvantages: Long term vitamin and nutrient supplementation is required. Patients routinely experience frequent and foul smelling diarrhea.

How long does it take your stomach to heal after duodenal switch? ›

Duodenal switch recovery time

After 2 or 3 days in the hospital, the patient is usually discharged home but it is important to remember that for the first 2 or 3 weeks after the surgery, patients should not go back to work and everyday responsibilities. The full duodenal switch recovery time is about 4 to 6 weeks.

Can your stomach stretch after duodenal switch? ›

Long term, it is possible for your stomach to stretch after weight loss surgery and to train it not to complain when you eat more than the recommended 4 to 6 ounces of food per meal. Your stomach is just doing the job you ask it to do, accommodating more food. Yet it will not become chronically deformed.

How much weight do you lose the first month after a duodenal switch? ›

Weight loss after surgery can be very dramatic. The fastest rate of weight loss will happen during the first 3 months after surgery. After the Duodenal Switch patients can expect to lose 0.5 to 1 lb. per day or 40 to 90 lbs.

How to lose 50 pounds in 3 months? ›

Losing 50 Pounds Fast

Eat small meals throughout the day rather than three large meals. Prioritize large volume foods with fewer calories like raw vegetables and other whole foods. Aim for 5-7 hours of exercise a week doing a physical activity you enjoy.

What is the downside of Roux-en-Y? ›

The disadvantages of Roux-en-Y reconstruction include the possible development of stomal ulcer, an increased probability of cholelithiasis, increased difficulty with an endoscopic approach to the ampulla of Vater, and the possibility of Roux stasis syndrome.

Can you eat normally after a duodenal switch? ›

You will be able to eat various foods like lean meats and cheeses and even dense proteins like beef and pork. Some patients develop food intolerances. It is not unusual for intolerance to lactose is developed. Avoid foods that are high in fat because the fat may not be entirely digested by your digestive system.

Which is better, gastric sleeve or duodenal switch? ›

You can lose more weight with the duodenal switch than with the gastric bypass or the sleeve gastrectomy. You'll be at higher risk of developing nutritional deficiencies afterward. These include some that can be life-threatening if untreated.

How long does it take to recover from loop duodenal switch? ›

The duodenal switch procedure can often last three to four hours, and most patients require about three to four weeks of recovery.

Who is a good candidate for duodenal switch? ›

Generally, If your body mass index (BMI) is greater than 50 – or you have a lower BMI but have other weight-related medical conditions – you may be a candidate for duodenal switch surgery.

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