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What (who) is duodenal opening of stomach - definition
![[[King Haakon VII]] delivering the Speech from the Throne in ''[[Stortinget]]'' in 1950.](https://commons.wikimedia.org/wiki/Special:FilePath/56255 Haakon VII trontalen 1950.jpg?width=200 "[[King Haakon VII]] delivering the Speech from the Throne in ''[[Stortinget]]'' in 1950.")
![[[Sarah Clarke (Black Rod)]] knocks on the chamber door, October 2019](https://commons.wikimedia.org/wiki/Special:FilePath/Black Rod knocking Commons door 2019.jpg?width=200 "[[Sarah Clarke (Black Rod)]] knocks on the chamber door, October 2019")
![Leading 17th-century parliamentarian [[John Hampden]] is one of the [[Five Members]] annually commemorated](https://commons.wikimedia.org/wiki/Special:FilePath/John Hampden portrait.jpg?width=200 "Leading 17th-century parliamentarian [[John Hampden]] is one of the [[Five Members]] annually commemorated")
![King [[Edward VIII]] surrounded by heralds of the [[College of Arms]] on his only State Opening of Parliament, on 3 November 1936.](https://commons.wikimedia.org/wiki/Special:FilePath/King Edward VIII opening Parliament.jpg?width=200 "King [[Edward VIII]] surrounded by heralds of the [[College of Arms]] on his only State Opening of Parliament, on 3 November 1936.")
![Wriothesley]] Garter Book](https://commons.wikimedia.org/wiki/Special:FilePath/Parliament of Henry VIII 1523.jpg?width=200 "Wriothesley]] Garter Book")
![2022]].](https://commons.wikimedia.org/wiki/Special:FilePath/Queen’s Speech - 52063897843.jpg?width=200 "2022]].")
![coach]] carrying the maces, which are to be carried by the Sergeants-at-Arms in procession.](https://commons.wikimedia.org/wiki/Special:FilePath/State Opening of Parliament 2008 III (3082105073).jpg?width=200 "coach]] carrying the maces, which are to be carried by the Sergeants-at-Arms in procession.")
![State Coach]] carrying the [[Imperial State Crown]], which is visible through the central window.](https://commons.wikimedia.org/wiki/Special:FilePath/State Opening of Parliament 2008 IV (3082940384).jpg?width=200 "State Coach]] carrying the [[Imperial State Crown]], which is visible through the central window.")
![Horse Guards]] in 2008.](https://commons.wikimedia.org/wiki/Special:FilePath/State Opening of Parliament 2008 I (3082920424).jpg?width=200 "Horse Guards]] in 2008.")
![The return procession crossing [[Horse Guards Parade]] in 2015.](https://commons.wikimedia.org/wiki/Special:FilePath/State Opening of Parliament 2015 (17982787869).jpg?width=200 "The return procession crossing [[Horse Guards Parade]] in 2015.")
![The opening of the [[Parliament of Canada]] in 1920.](https://commons.wikimedia.org/wiki/Special:FilePath/The opening of Canadian Parliament (HS85-10-37118).jpg?width=200 "The opening of the [[Parliament of Canada]] in 1920.")
Wikipedia
The duodenal switch (DS) procedure, gastric reduction duodenal switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect.
The restrictive portion of the surgery involves removing approximately 70% of the stomach (along the greater curvature) and most of the duodenum.
The malabsorptive portion of the surgery reroutes a lengthy portion of the small intestine, creating two separate pathways and one common channel. The shorter of the two pathways, the digestive loop, takes food from the stomach to the common channel. The much longer pathway, the biliopancreatic loop, carries bile from the liver to the common channel.
The common channel is the portion of small intestine, usually 75-150 centimeters long, in which the contents of the digestive path mix with the bile from the biliopancreatic loop before emptying into the large intestine. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat. As a result, following surgery, these patients absorb only approximately 20% of the fat they consume.
