Gastric Sleeve Surgery OR Laparoscopic Sleeve Gastrectomy
Gastric Sleeve Surgery OR Laparoscopic Sleeve Gastrectomy
Laparoscopic Sleeve Gastrectomy Surgery or Gastric Sleeve Surgery in india is one of the most popular bariatric surgery procedures being performed all over the world and also in India presently. It was started in the late 90s as the first stage of a duodenal switch surgery and has emerged as a reasonable standalone option for weight loss in morbidly obese patients.
As per the IFSO-APC guidelines, if your BMI is more than 37.5 Kg/m2 (BMI- weight in kg/height in m2), you can undergo a laparoscopic Gastric Sleeve Surgery in the absence of any associated illnesses. You can also undergo this procedure if your BMI is ≥ 32.5 Kg/m2 and you have 2 or more obesity associated diseases like type 2 diabetes, high blood pressure, high cholesterol etc. As per the new DSS guidelines formed by a group of international diabetes federations in London, any kind of metabolic/bariatric surgery may also be considered as a treatment option for control of diabetes in patients with class I obesity (BMI- 27.5-32.5 Kg/m2) if their diabetes is poorly controlled.
Generally, younger patients, volume eaters and those with early diabetes tend to do well with this procedure. It is also recommended in super-obese patients as a first stage procedure. It can be revised to another procedure like a Roux-en y gastric bypass, Duodenal switch sleeve with SADI or DJB after a couple of years or whenever the weight loss stabilises. Gastric Sleeve Surgery in mumbai OR Sleeve gastrectomy surgery is also popular in countries like Korea and Japan that have a high incidence for stomach cancer. This is because after the surgery, the stomach is still accessible to endoscopy and can be screened routinely.
Laparoscopic sleeve gastrectomy OR gastric sleeve surgery
Laparoscopic Sleeve Gastrectomy Surgery OR Gastric Sleeve Surgery in India is a surgical procedure in which the stomach is divided vertically over a 38 to 40 Fr gastric tube using surgical staplers. This results into a long, narrow, banana shaped stomach. The other cut part of the stomach is removed out of the body.
Mechanism of weight loss after a laparoscopic gastric sleeve surgery
Laparoscopic Sleeve Gastrectomy Surgery OR Gastric Sleeve Surgery in Mumbai is a good weight loss surgery procedure and leads to weight loss by a combination of multiple mechanisms. First of all, as the stomach tube is very small, you will not be able to eat too much and your intake will be restricted. Secondly, you will feel full even after eating small quantities and will feel satiated much earlier. Thirdly, “ghrelin” the hunger inducing hormone which is produced from the fundus of the stomach, reduces considerably and hence the sensation of hunger is curbed to a large extent. The laparoscopic sleeve gastrectomy or Gastric Sleeve Surgery in Mumbai also results in increased speed of gastric emptying, and the food is pushed into the intestine much faster than before. This may result into an early release of gut hormones which also plays a role in weight loss as well as control of diabetes.
Single incision or scarless sleeve gastrectomy
Conventionally a Laparoscopic Sleeve Gastrectomy Surgery OR Gastric Sleeve Surgery in India is performed by making 5 tiny cuts on your tummy. Most of these cuts are less than half a cm in size and the largest is about 1 cm. These cuts are stitched with absorbable sutures and normally there is no need to remove the stitches later on.
Yes, a Laparoscopic sleeve gastrectomy surgery can be performed in a “scarless” way for selected patients. In this method, a 2 cm cut is created in the navel and the entire surgery is done through this cut. Once this cut is stitched and it heals, it practically leaves no scar on the abdomen. This is called as the “scarless” or “single incision” sleeve gastrectomy.
Main advantage of a “scarless”/ “single incision”, sleeve gastrectomy is cosmetic as it leaves no tell-tale signs of surgery. Most of these patients also have lesser pain as compared to patients who undergo a 5 incision Laparoscopic sleeve gastrectomy Surgery or Gastric Sleeve Surgery in India.
It is a safe technique in good hands and Best Bariatric Surgeon in Mumbai, India – Dr. Aparna Govil Bhasker has one of the largest series of “scarless”/ “single incision” sleeve gastrectomy. She is one of the few surgeons in Mumbai who offers this technique to her patients.
Expected results after Gastric Sleeve Surgery
Bariatric/ Weight loss surgery is the only proven method for sustained weight loss in people suffering from clinically severe obesity. Most bariatric procedures will lead to an excess weight loss to the tune of 65 to 75% over a period of 18 to 24 months. This weight loss journey is a partnership between the doctor and the patient and the results depend on the level of commitment from either party. All bariatric procedures lead to a significant improvement in type 2 diabetes, high blood pressure, high cholesterol, gout, obstructive sleep apnoea, venous thrombo-embolism, PCOD, infertility and many other diseases related to obesity. Weight loss leads to a significant decrease in the risk for heart disease also. Overall, bariatric/ metabolic surgery leads to a marked improvement in health, quality of life and confidence of the patient.
Gastric Sleeve Surgery OR laparoscopic Sleeve gastrectomy FAQs (FREQUENTLY ASKED QUESTIONS)?
Weight loss is a gradual process after a laparoscopic sleeve gastrectomy surgery in mumbai. You will lose weight quite fast in the first 3 to 4 months after which, weight loss slows down. You will continue to lose weight for about 12 to 18 months after your surgery and can expect to lose about 65 – 75% of your excess weight with help of a laparoscopic sleeve gastrectomy surgery mumbai.
It is important to note that bariatric/metabolic surgery is a tool that pushes you into a lifestyle change. While bariatric/metabolic surgery helps to lose massive amount of weight, it is also important to exercise every day and follow a healthy diet. Our experience shows that patients who embrace the lifestyle change along-with surgery, tend to do much better in terms of weight loss and weight maintenance in the long term.
Laparoscopic sleeve gastrectomy surgery or Gastric Sleeve Surgery in mumbai is known to lead to improvement in type 2 diabetes. It has been observed that a lot of patients do not need to go back on their anti-diabetic medications after the Gastric Sleeve Surgery in India. For those who need to continue medications, the dose is reduced considerably and a lot of times patients who have been on insulin may not require it post-operatively. The outcomes of diabetes remission depend on a lot of factors like the duration of diabetes, type of diabetes (type 1/type 2), age of the patient, c-peptide levels, use of insulin etc. Early diabetics tend to do better with sleeve gastrectomy surgery in mumbai and patients with more severe and longer duration of diabetes have been seen get better results with a Roux-en y gastric bypass.
It also leads to improvement in other associated diseases like high blood pressure, high cholesterol, obstructive sleep apnoea, gout, joint diseases PCOD, infertility etc. The overall risk for heart disease goes down considerably due to significant weight loss and overall improvement in associated co-morbidities.
Once you see the doctor, you will need to undergo investigations and medical checks for fitness. Additionally, you may need to see a chest physician, an endocrinologist, a nephrologist or a cardiologist, based on your clinical profile. You will also need to be on a high protein liquid diet for about 5 to 7 days prior to Gastric Sleeve Surgery mumbai. We would want you to lose atleast 3 to 5 kg before you undergo any bariatric/metabolic surgery. This helps to reduce the swelling on the liver, and makes Gastric Sleeve Surgery in India easier for the bariatric surgeon and in turn, safer for you. In a way, it is also a test of your compliance for long term follow up. It has been seen that patients who follow the pre-operative diet well, they tend to get better results after any bariatric/metabolic surgery.
You will be admitted to the hospital one day before the surgery or in special cases as per the advice of the doctor. The surgery typically takes about 45 to 60 minutes to perform depending on the grade of difficulty. You are encouraged to walk within 4 to 6 hours of Gastric Sleeve Surgery in mumbai. Most patients get discharged the next day, of course it will depend on your clinical condition and the doctor’s decision.
Follow up is the most important part of any bariatric/metabolic surgery. You will need to see Dr. Aparna Govil Bhasker 7 days after your Gastric Sleeve Surgery in mumbai. After this in the first year, you need to do your tests and visit at 3 months, 6 months and at the end of 1 year. Post 1 year, all patients need to get investigated once a year and visit the centre for a check up. Life long follow up is advised after all bariatric/metabolic surgeries.
After the laparoscopic sleeve gastrectomy surgery or Gastric Sleeve Surgery in mumbai, you will be on liquid diet for 15 days followed by soft diet for 15 days. You can commence normal home food after a month of Gastric Sleeve Surgery but it will be restricted in quantity. The nutritionists will guide you at every step and will be there to answer all your queries. You will need to avoid high calorie foods, fired food, sweets and alcohol.
After any bariatric/metabolic surgery, you need to be on nutritional supplements. There are two reasons for that. Firstly, your intake will reduce considerably and secondly you may not absorb certain nutrients due to the nature of the Gastric Sleeve Surgery in india. You may also need to be on other medications as advised by the doctor based on your clinical profile. It is compulsory to take nutritional supplements for the first 6 months after a laparoscopic sleeve gastrectomy surgery in india. After that the doctor will guide you regarding supplementation based on your reports and clinical profile at the time of follow up visits.
Laparoscopic sleeve gastrectomy surgery in india is as safe as a laparoscopic gall bladder surgery or a knee replacement surgery. Its complication rates are much lower when compared to other major surgeries like cardiac bypass or surgery of the food-pipe or many other cancer surgeries. In the internet savvy world of today, google search will bring up a host of complications but its best if the doctor discusses this in person with you during your consultation.
Laparoscopic sleeve gastrectomy surgery in mumbai Or Gastric Sleeve Surgery in mumbai is a good operation and it is being performed for more than 10 years in India. It is still one of the most popular surgeries being performed across the world. However, as mentioned earlier, all bariatric surgeries are just a tool to push the patient into a lifestyle change. After a sleeve gastrectomy surgery in india some degree of weight regain is expected in the long term. However, this can be curtailed with a strict diet and exercise regime as well as behavioural modification. Some patients can also experience an increase in acid reflux levels after this Gastric Sleeve Surgery in mumbai. This can be especially troublesome if the patient is a smoker.
Smoking is a contra-indication for any bariatric/metabolic surgery. If you are a smoker, you need to give up smoking completely atleast 15 days prior to undergoing surgery. If you are not confident about being able to stop smoking altogether, then our advice is that you must not undergo bariatric surgery, in order to avoid serious complications in future.
Laparoscopic sleeve gastrectomy or Gastric Sleeve Surgery in mumbai is a good operation and it is being performed for more than 10 years in India. It is still one of the most popular surgeries being performed across the world. However, as mentioned earlier, all bariatric surgeries are just a tool to push the patient into a lifestyle change. After a sleeve gastrectomy surgery in india some degree of weight regain is expected in the long term. However, this can be curtailed with a strict diet and exercise regime as well as behavioural modification. Some patients can also experience an increase in acid reflux levels after this surgery. This can be especially troublesome if the patient is a smoker.
Patients suffering from hiatus hernia and reflux esophagitis (GERD) must not undergo a sleeve gastrectomy as this operation may lead to an increase in the reflux levels in future in such patients. It is also important for all patients to undergo a pre-operative upper GI endoscopy to rule out pre-existing GERD and hiatus hernia. Other contra-indications are the same as any other bariatric surgery and the doctor will explain them to you during consultation.
Cost of Gastric Sleeve Surgery OR laparoscopic sleeve gastrectomy in India
Dr. Aparna Govil Bhasker has been performing this procedure for over a decade and she has one of the highest experiences in this surgery. This surgery requires a lot of disposable equipment in the forms of stapler guns, trocars, cartridges, energy sources etc. This increases the cost of Gastric Sleeve Surgery in mumbai. The Gastric Sleeve Surgery cost in mumbai also depends on the number of days you need to stay in the hospital, type of room that you select as well as the hospital in which you get operated. The doctor will guide you about the cost after assessing and evaluating all the above details.
Laparoscopic Sleeve Gastrectomy Surgery Patients Before After Photos
Laparoscopic Sleeve Gastrectomy Surgery Patient LIVE VIDEO Testimonials
About Dr. Aparna Govil Bhasker
Dr. Aparna Govil Bhasker is an accomplished Bariatric Surgeon and Laparoscopic GI Surgeon. Extremely passionate about her field of specialization. She completed her MBBS and MS in General Surgery in 2006, from Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. Set up in 1967 by none other than the first health minister of India, Ms. Sushila Nayar, MGIMS is deeply rooted in Gandhian ethics. Read more