Duodenal Switch The Best Option for Long-Term Weight Loss
                     Why Duodenal Switch 
Has the Highest Success 
Rate for Long-Term 
WFor inediviidgualsh sttrug gLlinog wsiths severe obesity, finding a solution that 
provides sustainable results can be life-changing. Among bariatric 
procedures, the Duodenal Switch stands out for its remarkable long-term 
effectiveness and metabolic benefits.
The Weight Loss Challenge:
Why Most Surgeries Fall Short
The journey of bariatric surgery has been marked by innovation, 
yet many procedures struggle to deliver lasting results. Most 
patients experience significant initial weight loss, but the 5-10 
year outcomes tell a different story:
•Weight regain occurs in 20-40% of gastric bypass and sleeve 
gastrectomy patients
•Metabolic issues often remain partially unresolved
• Super-obese patients (BMI >50) rarely achieve healthy 
weight ranges
What Is the Duodenal Switch? A Dual-Action 
Surgical Breakthrough
Dual Mechanism Minimally Hormonal 
DS combines sleeve gastrectomy ) MInovdaersni vlaeparoscopic techniques BDSe nuneiqfiutesly lowers hunger hormone 
with intestinal bypass, creating both reduce recovery time while ghrelin while raising GLP-1, 
restrictive and malabsorptive effects maintaining the procedure's suppressing appetite and improving 
for powerful weight loss. effectiveness. metabolism at the hormonal level.
Beyond Weight Loss: Metabolic 
Health Transformation
Diabetes Sleep Apnea 
Remission Relief
Complete or partial Resolution or substantial 
remission of type 2 improvement in 
diabetes—the highest rate obstructive sleep apnea 
among all bariatric symptoms
procedures
Hypertension Cholesterol 
Improvement Normalization
Significant Long-term 
reduction or improvement in 
elimination of high lipid profiles 
blood pressure without medication
medications
The Trade-Offs: Risks and Lifelong 
Commitment
Surgical Complexity Nutritional Management Potential Side 
DS is technically more Patients must commit to CEoffmemcotns challenges that require 
demanding than other lifelong supplementation: adjustment and management:
bariatric procedures, • Fat-soluble vitamins (A, • Loose stools (70-80% of 
requiring experienced D, E, K) patients)
surgeons and specialized • B-complex vitamins, • Gas and malodorous 
cReisnkt eorfs c. omplications: 5-7% especially B12 flatulence
(similar to other major • Iron, calcium, and protein • Protein malnutrition if 
surgeries when performed dietary guidelines aren't 
by experienced teams) followed
The Future of Bariatric Surgery:
DS as the Gold Standard for Super Obesity
Growing Evidence Base Expanding Surgical Enhanced Follow-Up 
Multiple randomized controlled MExorpee srutrigseeons are receiving PMroodetronc toellesmedicine and 
trials now validate DS as the specialized training in DS monitoring technologies are 
most effective option for techniques, making the improving long-term care and 
patients with BMI >50, with procedure more widely available nutritional management, 
studies showing superior with improved safety profiles addressing the key challenges of 
outcomes even 15+ years post- and outcomes. DS maintenance.
surgery.
Reach Us At
DR. MENACHERY DR. JEAN-PIERRE 
PARusAtCeTllICE PMRaAriCeTttICaE
1700 Hospital South Drive 55 Whitcher Street
Suite 202 Austell, GA Suite 410 Marietta, GA 
30106 30060
(770) 944-7818 (770) 919-7050
Smyrna DR. MAJOR
4441 Atlanta Road SE 1600 Vernon Road
Suite 312 Smyrna, GA Suite A LaGrange, GA 
30080 30240
(470) 956-4200 706-880-7246
Bariatrics.Wellsta 106 Lukken Industrial 
r.org Drive W
LaGrange, GA 30240
(706) 880-7450