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Duodenal Jejunal Bypass.
How it works:
The procedure consists of stomach-preserving of a short segment of proximal small intestine, equivalent to the amount of intestine bypassed in standard Roux-en-Y gastric bypass.DJB may be associated with sleeve resection of the stomach to reduce potential for marginal ulceration and increase the weight loss effect if performed in mildly or severely obese patients long-term data about the efficacy of this procedure are not yet available. Results : patients have achieved 74% loss of excess weight in one year,78% in two years,84% in four years and 91% in five years. It lays fewer restrictions on food than other procedures & provides highest levels of malabsorption. A duodenal-jejunal bypass liner, commonly called an EndoBarrier, is an implantable medical device in the form of a thin flexible 60 cm-long tube that creates a physical barrier between ingested food and the duodenum/proximal jejunum. Duodenojejunal bypass (DJB) is a novel metabolic surgery based on foregut hypothesis. Reports describe DJB as a stand-alone procedure for the treatment of diabetes in nonobese subjects. For obese subjects, DJB is combined with sleeve gastrectomy.Frequently Asked Question's(FAQ's)
1. How Do I Find a Bariatric Surgeon?
Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.
2. How Will My Physical Appearance Change After Weight Loss Surgery?
As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.
3. Will My Social Life and Relationships Change After Weight Loss Surgery?
Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.
4. Will I Feel Like Myself After I Lose Weight?
Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.
5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?
Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.
6. How Much Weight Will I Lose After Surgery?
After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.