Biliopancreatic Diversion With Duodenal Switch: Before Your Surgery

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What is a biliopancreatic diversion with duodenal switch?

This surgery is done to make your stomach smaller. It also allows food to bypass part of the small intestine. This means you absorb fewer calories and lose weight.

You will be asleep during the surgery. Your surgery will be done in one of two ways. Open surgery is done through a large cut in the belly. This cut is called an incision. Laparoscopic surgery is done through several small incisions. The doctor uses small tools and a camera to guide the surgery.

The doctor will take out part of your stomach. The rest of it will stay attached to the upper part of your small intestine, which is called the duodenum. The doctor will then connect the duodenum to the lower part of your small intestine.

After the surgery, the food you eat will pass from your smaller stomach into the lower part of your small intestine.

The doctor will close the incision in your belly with stitches or staples. These will be removed 7 to 10 days after surgery, unless your doctor uses stitches that dissolve. The incision will leave a scar that fades with time.

Your stomach will be smaller than before. This means that you will get full more quickly when you eat. You will need to change the way you eat.

Your body will have a harder time taking in nutrients. So you will have to take extra vitamins and minerals.

You may stay in the hospital for 1 or more days after the surgery. Most people need 3 to 5 weeks before they can get back to their usual routine.

Before you have this surgery, be sure to discuss the risks and benefits with your doctor.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

What happens before surgery?

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Preparing for surgery

  • Understand exactly what surgery is planned, along with the risks, benefits, and other options.
  • Tell your doctors ALL the medicines and natural health products you take. Some of these can increase the risk of bleeding or interact with anesthesia.
  • If you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin, be sure to talk to your doctor. He or she will tell you if you should stop taking these medicines before your surgery. Make sure that you understand exactly what your doctor wants you to do.
  • Your doctor will tell you which medicines to take or stop before your surgery. You may need to stop taking certain medicines a week or more before surgery. So talk to your doctor as soon as you can.
  • If you have an advance care plan, let your doctor know. Bring a copy to the hospital. If you don't have one, you may want to prepare one. It lets your doctor and loved ones know your health care wishes. Doctors advise that everyone prepare these papers before any type of surgery or procedure.
  • You may be asked to follow a clear liquid diet for several days before surgery. Your doctor will tell you how to do this.

What happens on the day of surgery?

  • Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be cancelled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
  • Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
  • Do not shave the surgical site yourself.
  • Take off all jewellery and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery centre

  • Bring a picture ID.
  • The area for surgery is often marked to make sure there are no errors.
  • You will be kept comfortable and safe by your anesthesia provider. You will be asleep during the surgery.

Going home

  • Be sure you have someone to drive you home. Anesthesia and pain medicine make it unsafe for you to drive.
  • You will be given more specific instructions about recovering from your surgery. They will cover things like diet, wound care, follow-up care, driving, and getting back to your normal routine.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your surgery.
  • You become ill before the surgery (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the surgery.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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