What is duodenal switch?
The Duodenal Switch procedure generates weight loss by restricting the amount of food that can be eaten (due to the removal of part of the stomach – vertical gastrectomy) and by limiting the amount of food (specifically fat) that is absorbed into the body (as a result of intestinal bypass or duodenal switch). Of the procedures that are currently performed for the treatment of obesity, it seems to be the most powerful and effective, but may also be associated with more side effects.
In the Duodenal Switch, the stomach is restricted in size by dividing it vertically and removing more than 85%. This part of the procedure is not reversible. The stomach that remains is shaped like a thin banana and measures 120-200 cc. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume.
The intestines are divided and rearranged to separate food from the digestive juices, thereby also creating malabsorption. This prevents patients who have undergone this surgery from absorbing all of the calories that are eaten.
To read the full article including advantages and disadvantages please visit the duodenal switch information page at Vita Clinics.



From my knowledge, this is often a two-stage procedure. Patients may have a sleeve gastrectomy operation first, helping them to lose a considerable amount of weight initially, before they then progress to a DS. Very few surgeons can perform it so choose wisely. Also, if you’re self-paying, remember to allow for the additional cost. Most reputable companies who offer this (and there aren’t many in the UK) will offer part-finance. Don’t be put off by the cost. For the right patients this is a life changing operation. Vita Clinics appear to be the only company openly offering it.