World Health Organisation defines obesity as a condition of excessive fat accumulation to the extent that health and well-being are affected. Obesity has been cited as a risk factor for many non- communicable diseases. The obese have a higher propensity to develop T2DM, dyslipidemia, gall bladder stones, sleep apnea and metabolic syndrome. Obesity is also associated with a moderate risk of coronary heart disease, hypertension, osteoarthritis, gout, certain cancers, Polycystic Ovary Syndrome and infertility.
According to a paper published by the Asian Consensus Meeting on Metabolic Surgery, which the Digestive Health Institute spearheaded, bariatric surgery is an option for those who have a BMI of above 30 kg/m2 with other conditions, as listed above; or above 35 kg/m2 without other conditions.
At Digestive Health Institute, eligibility for surgery is determined through a series of tests and examinations by our team of medical experts. Our first priority is to evaluate a patient’s health and understand their lifestyle before suggesting surgery. We always recommend an immediate change in diet and physical activity to begin managing symptoms. If surgery is necessary, we will guide you through a perfected holistic protocol, helping you navigate the process easily and expertly.
The team of medical experts at Digestive Health Institute will educate and assist you. We work with you to make the safest and best choice, based on medical examinations and your own needs. It is imperative that you follow our advice, both pre-and post-surgery and remain committed to following up with us. Together, we can change your life for the better.
Laparoscopic surgeries are performed with cutting-edge technology and ensure a quicker recovery time. They leave minimal scars, which keeps the procedure relatively pain-free.
Bariatric surgery can also be performed through your navel, making it a surgery with no visible scars. At Digestive Health Institute, we have practiced and mastered the art of single incision bariatric surgery and have performed the largest number in the world to date. The benefits are quicker recovery and complete confidentiality – there are no visible scars at all. Please speak to our medical team if you are keen to explore this option.
One of the most popular bariatric surgeries internationally, it is an irreversible procedure that curtails the size of the stomach by surgically removing approximately two-thirds of it, making it roughly the size and shape of a banana. The procedure also eliminates most of the cells that produce ghrelin, the hunger-inducing hormone; thus, post surgery, you will eat less and lose weight quite quickly.
Laparoscopic Sleeve Gastrectomy is the procedure of choice for younger
patients suffering from morbid obesity. It can help patients
who suffer from side-effects of obesity, such as diabetes, high
blood pressure, sleep apnea and PCOS. The Laparoscopic sleeve
gastrectomy is also a great first- stage procedure for patients
falling under the super super obese category.
It is contraindicated in patients with severe Gastroesophageal Reflux Disease and patients with large hiatus hernia.
Nearly 60* to 80* per cent of your excess body weight will reduce
over a period of one-and-a-half years. The fastest weight loss
occurs within the first three to four months after surgery, after
which the rate of weight loss slows down. Weight might be regained
due to overconsumption of high-calorie foods and liquids, and
lack of regular physical exercise.
However, you can avoid this, if you follow our exercise, nutrition and lifestyle tips, and maintain a proper follow-up routine.
The nerves of the stomach and the outlet valve (pylorus) are not altered, preserving the function of the stomach. The rest of the gastrointestinal tract anatomy is also not altered, so the food ingested follows the normal course. This results in a lesser chance of vitamin and mineral deficiencies and decreases the possibility of dumping syndrome.
A reversible weight-loss procedure, it involves stapling off a section of the stomach thereby creating a pouch, reducing its size and allowing food to bypass the beginning of the small intestine, which is the duodenum and part of the jejunum. In addition, a silicon ring is placed over the pouch in order to prevent dilatation of the pouch. Post surgery, your appetite reduces, as you feel satiated with smaller portions of food.
Laparoscopic Banded Gastric Bypass is the procedure of choice for
those who have severe acid reflux and/or high cholesterol. Patients
who have suffered from diabetes for over 10 years also benefit
from this surgery.
This is also an excellent procedure to reduce BMI in order to achieve and maintain better weight loss. It may be recommended to those who have persistent acid reflux and/or weight regain after a sleeve gastrectomy.
Up to 60* to 80* per cent of weight loss can be achieved after Laparoscopic Banded Gastric Bypass surgery. Weight loss is the fastest in the first three months, and slows down thereafter. You will continue to lose weight for a year-and-a-half for up to two years. After that, the body stabilizes and does not lose further weight in most cases. Some patients could regain some of the lost weight after 2* to 3* years of surgery if they are not careful about their intake However, you can avoid this, if you follow our exercise, nutrition and lifestyle tips, and maintain a proper follow-up routine.
You will not be able to eat as much as you did prior to the surgery.
One also needs to be careful about ‘dumping syndrome’, that can
occur in some patients – this is when food passes too quickly
into the intestine, causing nausea, cramping, bloating, dizziness,
etc. It is triggered by eating high-calorie foods such as sweets
and certain carbohydrate sources. This procedure also requires
compliance with lifelong supplementation.
In extremely rare cases, constant overeating can cause the silicon ring to enter the stomach, necessitating an endoscopy for its removal.
Laparoscopic Mini Gastric Bypass is a variant of gastric bypass surgery, in which a loop of small intestine is joined to the stomach pouch at a distance of 150 to 200 cm.
It is the procedure of choice for patients over the age of 50, who usually do not suffer from Gastroesophageal Reflux Disease. It may also be recommended for patients on multiple anti-depressants or anti-psychotic medication.
Nearly 60* to 80* per cent of your excess body weight will reduce over a period of one-and-a-half years. The fastest weight loss occurs within the first three to four months after surgery, after which the rate of weight loss slows down. Chances of weight being regained are negligible, though possible; it is advisable to follow a healthy lifestyle according to our recommendations.
Post-surgery, vitamin and mineral supplements need to be taken regularly
and for life.
Overconsumption of high-calorie liquids or foods may cause diarrhea. There is also a possibility of marginal ulcers and bile reflux, causing abdominal discomfort.
This procedure involves creating a sleeve which involves surgically removing two-thirds of the stomach portion and then also bypassing the first 100- 150 cms of the small intestine, and joining it as a loop to the first part of the small gut, which is the duodenum.
Laparoscopic Duodenojejunal Bypass is the procedure of choice for patients with lower BMIs, who have diabetes. It is also recommended for patients who have undergone a sleeve gastrectomy and have either regained weight, or their diabetes is out of control again.
Nearly 60* to 80* per cent of your excess body weight will reduce over a period of one-and-a-half years. The fastest weight loss occurs within the first three to four months after surgery, after which the rate of weight loss slows down. Weight might be regained due to overconsumption of high-calorie foods and liquids. However, you can avoid this, if you follow our exercise, nutrition and lifestyle tips, and maintain a proper follow-up routine.
Post-surgery, vitamin and mineral supplements need to taken regularly, for the rest of your life. Eating high-calorie foods could cause diarrhea in some patients.
It involves bypassing almost the entire length of the small intestine leaving only 200–250 cms for nutrient absorption.
This is a second-stage procedure for super super obese patients who require additional weight loss of about 30* to 40* kgs, and who have already undergone a primary procedure, such as sleeve gastrectomy.
Weight-loss occurs in the first *six months post surgery, after which it stabilizes, approximately *one-and-a-half years after the procedure.
Protein supplementation as well and vitamin and mineral supplementation are non–negotiable post surgery. Fat-soluble vitamins such as A, D, E and K need to be replaced. Patients who undergo this procedure must be willing to commit to high levels of supplementation for their lifetime. Some patients may complain of diarrhea and flatulence post surgery.