Hawaii Weight Loss

  Contact our office to speak directly with a weight-loss specialist at 808-561-5511.

Duodenal Switch Weight Loss Surgery

Duodenal Switch: A Combination of Techniques for Excellent Weight-Loss Results

The Duodenal Switch procedure achieves weight-loss results both by reducing the size of the stomach and by bypassing a portion of the digestive tract, like Roux-en-Y Gastric Bypass, a similar bariatric procedure. Unlike both the Roux-en-Y Gastric Bypass Surgery and LapBand® procedure, the Duodenal Switch leaves a slightly larger, vertically oriented stomach pouch (120 cc's compared to the 20 cc pouch in the Roux-en-Y and LapBand® procedures). To compensate for the larger stomach pouch, the Duodenal Switch relies upon a greater degree of malabsorption or intestinal bypass.

Excellent weight-loss results are achieved with the Duodenal Switch in two ways: by moderately restricting food intake and by fostering a moderate degree of malabsorption. The Duodenal Switch statistically has the highest weight loss of all surgeries - 80-85% of excess weight. This however comes with a slightly higher incidence of complications and can be associated with vitamin deficiencies if patients are not faithful about taking their vitamin supplements. An additional benefit of the Duodenal Switch is that it avoids the "Dumping Syndrome" which is associated with the gastric bypass.

How the Vertical Gastrectomy with Duodenal Switch Works

The duodenal switch is a three-part process requiring the following steps:

1. Removing 80% of the existing stomach, leaving a 120 cc capacity stomach pouch. This is not reversible.
2. Bypassing the upper portion of the small intestine, then connecting the lower portion of small intestine (ileum) directly to the duodenum at the exit of the stomach.
3. Connecting the bypassed section of small intestine, which carries necessary digestive juices, to the end section of the small intestine, thereby creating a relatively short "common limb" where food and digestive juices mix.

Key Factors in Duodenal Switch Weight-Loss Surgery

Although stomach-reduction plays an important role in weight-loss by limiting the amount of food a patient can consume, the greater weight-loss factor in the Duodenal Switch procedure is malabsorption, or the limitation of caloric absorption. Shortening the portion of the small intestine where digestive juices mix with food - also known as the common limb - allows patients to absorb less of the calories contained in the food they consume.

Consider Duodenal Switch Weight-Loss Surgery

Is the Duodenal Switch procedure right for you? First, determine your Body Mass Index with our BMI Calculator, then learn more about the specific requirements and benefits of each type of bariatric surgery we offer.

To begin the process of improving your life with the Duodenal Switch procedure, first register for an appointment. The information gathered there is used to help qualify you for a procedure. If you're ready for a surgical consultation with Dr. Cirangle, please contact us via email or call directly, 808-561-5511.

111 Hekili Street Suite #285
Kailua, HI 96734
Office - (808) 561-5511
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Bridget I.
- Dr. Cirangle is fantastic. My initial consultation went great. My surgery went great. I'm looking forward to working with him for the next 3 years. I highly recommend him for the lap-band procedure.
Harley F.
"I felt Dr. Cirangle was the first person I have ever met that understood me and offered a permanent solution. His integrity was impeccable. Both he and his staff were always prompt and courteous. I really can't think of anything I don't like about him - I would rate him a 10 out of 10."
Jill W.
"Dr Cirangle is a young surgeon who I have total confidence in - for a nurse to say this is a good thing! He was easy going but very informative. He really seems to care and is very good with his patients. He is down to earth and you can actually tell he loves his job, and that is a big plus for me."