Bariatric surgeon from India talks about sleeve gastrectomy – weight loss and required hospital stay.
According to the surgeon, sleeve gastrectomy, commonly known as vertical sleeve, was earlier used in BPD treatment and other procedures. Now it is used as a single stage procedure without any major complications. He also observed a remarkable control of diabetes and hypertension, in addition to dramatic weight loss in people, who underwent gastric sleeve surgery or vertical gastroplasty.
In the above shown video, Indian obesity surgeon discusses the estimated fat loss and stay required in the hospital after gastric sleeve surgery. Below is the video narration.
“Laparoscopic Sleeve Gastrectomy is something which is gaining popularity. It is a procedure which is now being used as a single stage procedure. It is something which is extremely popular in India. If we look at the complete scenario of bariatric surgery in our country, we would find that of all the surgeries being done, 60% would be sleeves, 30% would be bypasses and about 10% would be bands. That’s almost in all centers including ours.
Now, Sleeve to start with was a procedure which was used as a first stage for a BPD or any other procedure, especially in super obese so that once they scale down to a normal, slightly lower BMI, then we can do a definite procedure but over a period of time it has been that they not just help in the patient losing weight but also help in the resolution of metabolic syndromes like diabetes, hypertension or any other metabolic problems that they have. So as a result now we are offering sleeve as a single stage procedure.
About the choice of the patients who are offered these procedures, we leave it to the patients again. We tell them the merits and demerits of all the three procedures and then probably decide what is the procedure which would be best suited for this particular patient. Our results have been very encouraging.
We have been doing sleeves as a single stage procedure for almost more than 4 years now and the excess weight loss that we have seen in our series had gone up to about 70% initial in the first year but subsequently its ranging between 50-60% weight loss over a period of four years. There has been about 70-80% of resolution of diabetes and hypertension in these patients.
We primarily don’t see any complications associated with sleeve and the patient get discharged from the hospital in about 4-5 days and can go back to their own countries in about 8-10 days time.
We have been getting patients from all over the world and primarily we have been getting patients from lot of middle east countries and Africa but we also get patients from the UK, the US and since the hospital and tertiary care center that we have is offering the best of facilities with multispecialty workup for these patients and having almost all the branches and a very critical care with a very well balanced and large ICU that we have.
So as a result these patients are the bariatric patients especially, we tackle the super obese or with the metabolic problems, then these patients require a multidisciplinary approach which we can offer to them. And as a result these patients are very satisfied once they go off from here and we are able to manage most patients in our center.
Apart from doing bariatric surgeries we are also doing routine laparoscopic procedures, gall bladders, appendix, all kinds of hernia. We follow very simple principle in our institute that all patients having hernia are fit to be done by laparoscopy, so these are the routine procedure that we do.
Apart from that we are doing advanced GI work as well like fundoplications like cysts. We are doing GI malignancies also including gastric cancers, colorectal cancers and pancreatic cancers. So we are doing that as well and apart from that we are also going into robotic GI oncology. I have done cases and the patients have been doing very well.”
Sleeve Gastrectomy is gaining popularity among bariatric surgeries. Surgeon claims that of all the weight loss surgeries performed by him, 60% are sleeves. He suggests 4-5 days of hospital stay for the surgery and also mentions that within 8-10 days one can return home.
The surgeon specializes in tackling super obese patients with metabolic problems, GI malignancies, appendix and all kinds of hernia. Apart from gastric sleeve surgery, he has been also performing gastric bypass, lap band surgery and stomach plication. People from many countries like Africa, UK, US and Middle-East have been treated by the surgeon.
With attractions like affordable cost of gastric sleeve surgery in India, internationally trained surgeons and high-technology hospitals, people from different countries across the world visit here for their fat loss surgery.
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