Bariatric (Weight Loss) Surgery

 

      • Weight Loss Surgery is performed on individuals who fulfil internationally (NICE guidelines in the UK)  accepted criteria on who would benefit from the same. This is based on the BMI (Body Mass Index) and presence of associated health conditions. such as Diabetes, High blood pressure, High Cholesterol, Sleep Apnoea etc.
      • All the surgeries are performed using the Key hole technique.
      • Strict preoperative work up and engagement prior to surgery is essential.
      • Complete stoppage of smoking and achievement of a modest weight loss (target weight loss) prior to surgery to show engagement would be required prior to surgery.
      • Involvement of a multidisciplinary team of specialist nurses, dieticians and the surgical team is essential for safe and good postoperative outcomes.
      • Preoperative liver shrink diet to further enhance weight loss before surgery and improve access to the surgical field is mandatory.

       

      SLEEVE GASTRECTOMY

      • Removal of a portion of the stomach
      • Reduces capacity of Stomach
      • Reduces Hunger
      • Can cause/worsen reflux
      • Modest improvement in Diabetes
      • 50-60% excess body weight loss

       

      ROUX Y Gastric Bypass

      • Bypass of food onto the small intestine
      • Involves 2 joints (anastomoses)
      • Gold standard operation
      • Improves Reflux
      • Good improvement in  Diabetes
      • 60-70% excess body weight loss

       

      ONE ANASTOMOSIS (Mini) BYPASS

      • Bypass of food onto the small intestine
      • Involves 1 joint (one anastomosis)
      • Relatively new operation
      • Can cause reflux
      • Good Improvement in Diabetes
      • 60-70% excess body weight loss

       

      REVISIONAL BARIATRIC SURGERY

      Indicated in the following situations

      • Inadequate weight loss
      • Reflux after initial surgery ( Sleeve)
      • Other complications after initial surgery

      TYPES OF REVISIONAL SURGERY

      • Band to bypass
      • Sleeve to bypass
      • Minibypass to Roux Y Gastric bypass
      • Reversal of Gastric bypass

       

      Essentials for good outcomes

       

      • Commitment to follow-up with dietetic and clinical team
      • Change in Lifestyle after surgery (Increased activity/exercise)
      • Dietary Modifications after surgery (Reduced portions, healthy diet)
      • Stopping Smoking for life
      • Post op Vitamins, Minerals intake for life
      • Bariatric surgery is just a tool under the control of the patient…..