Sleeve Gastrectomy in Thane (Gastric Sleeve Surgery)
Sleeve Gastrectomy in Thane (Gastric Sleeve Surgery)
“At first they will ask why you are doing it, later they will ask how you did it.”
Obesity has emerged as one of the most dreaded diseases of this century. Obesity has poor effects on almost every organ in the body. Unfortunately, there is no magic pill yet, that can help people to lose weight. People who have attempted to lose weight, know how difficult it is to not only lose weight but also to maintain the weight loss. Unfortunately, more often than not, they meet with disappointment and once the weight loss program is stopped, they tend to gain more weight than what they had lost. This entire process can be extremely disheartening and disappointing for the patients.
If you have tried hard to lose weight without success and the weight is now bearing you down, you have chosen the right option because bariatric surgery is the only way at the moment that can lead to sustained weight loss in morbidly obese patients. Bariatric surgery, not only helps to lose massive amount of weight, but it also makes it easier to maintain the weight loss.
Laparoscopic Sleeve Gastrectomy in Thane
Laparoscopic sleeve gastrectomy/ gastric sleeve is one of the most commonly performed weight loss/bariatric procedure across the world. It was first performed in the United States of America in the late 1990s as a part of the duodenal switch surgery. Later it was seen, that it led to significant weight loss by itself and a second stage procedure was not required in a lot of cases. In a few years, it gained popularity as a standalone procedure. It is a technically easier procedure to perform and leads to good weight loss results.
Who is a right candidate for undergoing laparoscopic sleeve gastrectomy in Thane?
The IFSO- APC (International Federation for Surgery for Obesity and Metabolic Disorders – Asia Pacific Chapter) guidelines for weight loss surgery are as under:
Bariatric surgery/obesity surgery/weight loss surgery must be considered for the treatment of obesity for acceptable Asian candidates with BMI ≥ 35 Kg/m2 with or without any associated diseases.
Bariatric surgery/metabolic surgery must be considered for the treatment of type 2 diabetes or metabolic syndrome for patients who are inadequately controlled by lifestyle alterations and medical treatment for acceptable Asian candidates with BMI ≥ 30 Kg/m2.
Bariatric surgery/metabolic surgery may also be considered as a non-primary alternative to treat inadequately controlled type 2 diabetes or metabolic syndrome for suitable Asian candidates with BMI ≥ 27.5 Kg/m2.
Laparoscopic sleeve gastrectomy is usually preferred in younger patients, with shorter duration of type 2 diabetes, not too many associated co-morbidities.
It is also performed as a first stage surgery in super-obese patients. Sleeve gastrectomy can easily be converted into other bariatric and metabolic procedures such as Roux-en y gastric bypass, duodenal switch, SADI-S, duodeno-jejunal bypass and ileal transposition at any given point in time.
Acid reflux and GERD is seen in 15 to 20% patients after a sleeve gastrectomy and hence it must not be performed in patients suffering from acid reflux disease and hiatus hernia.
How sleeve gastrectomy in thane done
This surgery is performed by laparoscopic or key-hole technique. In this technique, 4 to 5 tiny 0.5 to 1 cm cuts are made on the abdomen and the entire surgery is performed using a camera and laparoscopic instruments. This is minimally invasive and there is no big cut like the surgeries performed earlier. All the stitches are absorbable and no stitches are to be removed later. Advantages of laparoscopic surgery are- less pain, faster recovery and earlier return to work. Most patients are discharged from the hospital 36 to 48 hours after their operation depending on their clinical status.
Single incision sleeve gastrectomy: In this technique, a 2 cm longitudinal cut is made in the navel and the entire surgery is performed through this cut. Once this heals, the scar gets buried in the belly button and it is not visible. It is more cosmetic, less painful and patient can keep the procedure confidential. It is more popular among young, unmarried women.
During the surgery, a vertical sleeve of stomach is created over a 36 or 38 French bougie using surgical staplers. In our practice we prefer to over-sew this staple line with sutures for added security and minimizing complications like leaks and bleeding. The remaining part of the stomach is removed out of the body through one of the 1 cm incisions.
Bariatric Surgery FAQ (Frequently asked questions)?
Tests must be carried out atleast 2 weeks prior to weight surgery in mumbai. In case any abnormalities come up during this period, it gives the doctor some time to correct them. Also, in case you need fitness from other specialists such as a cardiologist, chest physician, endocrinologist etc, it gives us enough time.
No, infact we encourage you to start walking after 4 to 6 hours of your bariatric surgery in mumbai. You can go to the washroom yourself. Even after getting discharged from the hospital, being active is recommended. There is usually no need for bed rest after this weight loss surgery in mumbai.
Drinking alcohol, smoking or any other kind of substance abuse is to be strictly avoided after bariatric surgery in mumbai or weight loss surgery in mumbai. If you feel that you will not be able to stop smoking or drinking after the surgery, it is advisable to not undergo this surgery. There can be grave consequences later on.
Some degree of hair fall is expected with any kind of weight loss be it due to dieting, exercise or bariatric surgery in india. This hair fall is transient and once the weight loss stabilises, hair growth increases. At times, excess hair fall may happen due to protein or iron deficiency. Proper nutritional supplementation can help in limiting hair fall.
Most often we observe an improvement in the confidence levels of most patients. Weight loss and improved body image lead to positive changes in patient attitude. Yes, you will need to get used to smaller portions of food, but after the surgery your hunger and cravings will decrease considerably and your body will support you in your journey towards weight loss. It has been seen that patients who are on antidepressant medication before surgery, do not need to take those medicines after surgery. Very rarely do patients get depressed after bariatric surgery in mumbai and in those cases, the in house psychologist will help you.
Most patients experience rapid weight loss in the first year after surgery. Weight loss surgery in mumbai not only improves patient confidence but also increases the charm. Most patients find a renewed vigour to live life and enjoy their new life. Some degree of skin sagging does happen due to weight loss but it can be curtailed with regular exercise and weight training.
Patients who have undergone liver and kidney transplant tend to put on weight due to corticosteroids and immunosuppressant drugs. Weight gain after transplant can have ill effects on the new liver as well and can lead to liver disease over a period of time. There are a few reports about bariatric surgery in india having been done on post- transplant patients but the reports are equivocal. In such cases every patient needs to be evaluated on an individual basis and the treatment has to be tailormade pertaining to the clinical condition of the particular patient.
Liver disease is commonly associated with obesity. Fatty liver and NASH (non-alcoholic steato-hepatitis) are seen often in obese individuals. If they do not lose weight, a significant percentage of these patients may progress to cirrhosis of liver. Bariatric surgery in mumbai in such patients is decided based on their Child-Pugh score. Patients with Child’s A cirrhosis may benefit with bariatric surgery but the decision has to be taken after consultation with the hepatologist. However, each patient is different and treatment must be tailormade as per the individual case. Patients with higher degree of cirrhosis are not recommended to undergo bariatric surgery.
Dialysis per say is not a contra-indication for bariatric surgery in mumbai. The decision for surgery is taken after consultation with the concerned nephrologist. Pros and cons of bariatric surgery need to be weighed before recommending it to such patients. However, the outcomes of a kidney transplant are said to be better if the patient has lost significant amount of weight prior to the transplant.
Bariatric surgery in mumbai can be advised for morbidly obese adolescents if they have completed their growth. This is assessed by certain tests. Surgery must be advised only in extreme cases and must be done after consultation with an endocrinologist.
Bariatric surgery must strictly be avoided in young children and toddlers.
Obesity is a pre-disposing condition for formation of gall bladder stones. Rapid weight loss can also predispose one to develop gall bladder stones. 8 to 10% patients tend to develop stones in the gall bladder after bariatric surgery in mumbai. However, post-operative administration of urso-deoxycholic acid can reduce the incidence of stone formation.
Massive amount of weight loss can lead to sagging of skin in some patients. At the end of 2 years after bariatric surgery in mumbai, it can be assessed whether the patient needs to undergo plastic surgery. A plastic surgery consult is scheduled at 2 years and the patient along with the surgeon can then take a decision regarding the same.
Following mechanisms lead to weight loss after laparoscopic sleeve gastrectomy.
Small stomach pouch restricts the amount of food that a person can eat. There is significant caloric restriction after this surgery.
The feeling of fullness/ satiety sets in much earlier than before.
The part of the stomach that is removed, contains the hunger hormone Ghrelin. As the Ghrelin levels come down after surgery, hunger sensation is very low.
After this surgery, the stomach empties at a faster rate and this leads to activation of certain intestinal hormones which aid in weight loss as well as remission of co-morbidities such as type 2 diabetes etc.
There are many other mechanisms and yet unidentified role of bile acids and gut flora that may help in weight loss and remission of co-morbidities after this surgery.
Results after laparoscopic sleeve gastrectomy
Patients may lose up to 65 to 75% of their excess weight over a period of 12 to 18 months after this surgery. This can become better if the patient modifies his/her lifestyle and follows a strict diet and exercise program as guided by the team. Best results are seen in patients who are motivated to follow a healthy lifestyle.
This surgery also leads to a significant improvement in associated diseases such as type 2 diabetes, high blood pressure, high cholesterol, heart disease, risk of venous thrombo-embolism, gout, acid reflux, fatty liver, PCOD, infertility, joint pains, obstructive sleep apnoea and so on.
Bariatric Surgery/Obesity Surgery/ Weight Loss Surgery in india Patients Before After Photos
Bariatric surgery must not be seen as a short cut to weight loss. The patient and the doctor must work as a team to achieve best results in the long term. It is extremely important to be diligent with your follow-up to get best results after surgery.
Long term weight loss goals can be achieved with help of a team that consists of a doctor, an endocrinologist, a nutritionist and a psychologist. This support team of experts will keep you motivated, provide advice and help you to work through weight-loss barriers.
Attending support group meetings is very important for long term success after bariatric surgery.
Who is not eligible for weight loss surgery
Patient with acid reflux disease and hiatus hernia
Patient with gastric outlet obstruction
Patients with severe psychiatric disorders
Patients with inability to take nutritional supplements
Patients who are medically unfit for surgery and anesthesia
Laparoscopic sleeve gastrectomy is as safe as any other surgery like a knee replacement or a gall bladder surgery. Infact the complication rate is much lower than cancer surgery or surgery for esophagus, valve replacement etc.
Staple line leaks, acid reflux disease and weight regain are some of the complications of sleeve gastrectomy. The team will discuss the pros and cons in detail with you during your consultation.
It is important to follow the protocols set by the team and to take nutritional supplements as advised. Failure to do so may result into nutritional deficiencies in future.
Smokers must strictly stop smoking. Smoking can lead to complications that can be life-threatening. If you are not confident about giving up smoking after this surgery, our advice is that you must not undergo the surgery at all.
Dr. Aparna Govil Bhasker has one of the highest experiences in performing laparoscopic as well as single incision sleeve gastrectomy in the country. The biggest plus of coming to us for your surgery is our personalized care. Every patient is equally important for us and we assure you that your smallest queries will be addressed at the earliest.
It is also extremely important for the patient to be mentally prepared and be positive before undergoing a surgery. A positive attitude goes a long way in getting good results after surgery. We request you to be positive and have faith. We wish you all the best for your journey of weight loss. Cheers! to being a different you.
Last but not the least- “There is no shortcut. It takes time to create a better and stronger version of yourself.”
Mansi considered bariatric/ weight loss surgery as she was suffering from grade III obesity with a Body Mass Index (BMI) of 47.5 Kg/m2. At 121.7 Kg she was not able to exercise much due to severe knee pain. She would feel breathless on exertion. Her sonography revealed grade II fatty liver. She underwent a Laparoscopic Sleeve Gastrectomy on 14th of November 2018. She knew that bariatric surgery was not a shortcut to weight loss, and worked very hard on changing her lifestyle post surgery. She exercises for 2-3 hours daily and follows a great diet regime. She has an amazing will power as she was able to accomplish her goal of climbing more than 3000 steps at Palitana just after 2 months post surgery. She lost 35.7 Kg in 6 months, we salute her grit and determination!
Priti was 104 kg and suffered from high cholesterol, knee & back pain. She also had grade II fatty liver. She underwent a Bariatric/weight loss surgery in the form of Laparoscopic Sleeve Gastrectomy on 22nd of December 2018. In the last 7 months her weight has come down to 73 Kgs. Her cholesterol levels and knee pain are under control and fatty liver has resolved. She is extremely happy with the way she looks & feels now and loves getting all the "likes" and admiration on her pictures posted on social media. Her weight loss journey will continue and she will lose more weight in the coming months.
When she came to us, she was suffering from diabetes mellitus, high blood pressure, severe sleep apnoea and gout. She had already undergone a total knee replacement and was advised to use Bi-pap on a regular basis. Losing weight had become crucial and critical. She underwent a Bariatric/Weight loss surgery in the form of Laparoscopic Roux En Y Gastric Bypass on 24th of January 2018 and lost 47 kgs in 1 Year. Her present weight is 60 Kg, she is off Bi-pap machine, diabetes free and came down to 2 medicines from 4 for control of high blood pressure. She feels much more independent, is able to do all her household chores and religiously goes for a brisk walk daily for an hour. She is the lifeline of her family and loves her new self.
Dr. Bhatt is a practising medical oncologist in Pune. He struggled with obesity for many years. At 140 kgs, he decided to undergo a Laparoscopic Banded Roux en Y Gastric Bypass in Feb 2017. He has lost 55 kgs. Dr. Bhatt has adopted diet and lifestyle modification as a way of life and is seen in the gym every evening despite his busy schedule. He has become a fitness role model for everyone around him and that includes his patients. One of the most inspiring journeys.
Dr. Aparna Govil Bhasker
Bariatric and Laparoscopic Surgeon
Currae Specialty Hospital
Ground floor, Highstreet cum Highland Corporate Centre, near Big Bazaar, Kapurbawdi, Junction, Thane, Maharashtra 400607
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