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BARIATRIC SURGERIES

Various Bariatric Surgeries

sleeve-gastrectomy

Laparoscopic Sleeve Gastrectomy

Sleeve gastrectomy, or gastric sleeve, is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (typically with surgical staples, sutures, or both) to leave the stomach shaped more like a tube, or a sleeve, with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically. Most patients can expect to loose 85 to 90 % of their excess body weight over a 6–12 month period with the sleeve gastrectomy alone.

Advantages

  • Simple and takes half an hour to 1 hr time to operate
  • Mobilization within hours of surgery
  • Speedy patient recovery
  • Discharge in 2 days
  • Stomach volume is reduced, but it tends to function normally so most food items can be consumed in small amounts.
  • By avoiding the intestinal bypass, the chance of intestinal obstruction (blockage), anemia, osteoporosis, protein deficiency and vitamin deficiency are significantly reduced.
  • Removes the portion of the stomach that produces the hormone that stimulates hunger (Ghrelin).
  • Dumping syndrome is less likely due to the preservation of the pylorus.
  • Appealing option for people with existing anemia, Crohn’s disease, irritable bowel syndrome, and numerous other conditions that make them too high risk for intestinal bypass procedures.lt is a sleeve or tube like structure.
roux-n-y-gastric-bypass

Laparoscopic Roux N Y Gastric Bypass

surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower “remnant” pouch and then the small intestine is rearranged to connect to both. Weight loss of 80% to 90% of excess body weight is typical of most large series of gastric bypass operations reported. The medically more significant effects include a dramatic reduction in comorbid conditions

Advantages

  • Type 2 diabetes is reversed in up to 90% of patients usually leading to a normal blood-sugar level without medication, sometimes within days of surgery. Furthermore, Type 2 diabetes is prevented by more than 30-fold in patients with pre-diabetes.
  • Venous thromboembolic disease signs such as leg swelling are typically alleviated.
  • A study in a large comparative series of patients showed an 89% reduction in mortality over the five years following surgery, compared to a non-surgically treated group of patients.
mini-gastric-bypass

Laparoscopic Mini Gastric Bypass

A mini gastric bypass creates a long narrow tube of the stomach along its right border (the lesser curvature). A loop of the small gut is brought up and hooked to this tube at about 1.5 to 2 metres from the start of the intestine. The mini-gastric bypass was developed to reduce operating time, simplify the procedure and reduce complications

Advantages

  • Takes 1 to 1 and half hr to perform.
  • Shorter operating time.
  • One Anastamosis.
  • Similar weight loss and recovery.
  • Patient can eat better and loose weight.
  • Less re-routing of the intestines.
  • Technically easier for the surgeon.
  • Diabetes remission,hypertension resolution and other co morbidities resolution similar to gastric bypass.
revision-bariatric-surgery

Revisional Bariatric Surgery

People who have already gone through any form of Bariatric Surgery and did not successfully lose the weight or had complications,
revision bariatric surgery will be a great option from you.
Revision weight loss surgery is a procedure to help solve the problems associated with weight loss surgery

The most reasion for revision weight loss surgery is unhappy after the initial weight loss surgical procedure

laparoscopic-proximal-jejunal-bypass-with-sleeve

Laparoscopic Proximal Jejunal Bypass With Sleeve

It is a new procedure to treat obesity and type 2 diabetes. In this procedure first laparoscopic sleeve Gastrectomy is done. After that jejunum (a part of small intestine) is divided 50 cm from the ligament of treitz. 200-300cm of proximal jejunum is bypassed and end to side jejunojejunostomy is done.

Advantages

  • Good diabetic remission
  • Done for high BMI patients
laparoscopic-duodenojejunal-bypass-with-sleeve

Laparoscopic Duodenojejunal Bypass
With Sleeve For Bmi 25 To 30 With Diabetes

Duodenojejunal bypass (DJB) is a novel metabolic surgery based on foregut hypothesis. Duodenojejunal bypass as a standalone procedure has been reported for treating diabetes in non-obese subjects. Sleeve gastrectomy is combined for obese subjects.

Advantages

  • Good diabetic remission
  • Done for low BMI patients (25-30 BMI)
hawezzzz

Gastric Balloon Procedure For Class 1 Obesity

Gastric Balloon may offer a minimally invasive and valuable method for managing obesity and related conditions. It is used to achieve weight loss in obese people, generally those with a body mass index (BMI) > 35 kg/m2, or 30 kg/m2 with certain comorbidities.

single-incision-sleeve-gastrectomy

Laparoscopic Single Incision Sleeve Gastrectomy

Laparoscopic sleeve gastrectomy is an emerging bariatric procedure, Single incision sleeve gastrectomy surgery involves less pain and little or no scarring. Since there is no need to cut through the stomach muscle, recovery time is significantly shorter, while the cosmetic results are amazing. Most patients have no visible scars after this surgery.

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