Single Incision Sleeve Gastrectomy at Pune and Mumbai

1. Single Incision Sleeve Gastrectomy at Pune & Mumbai www.obesityasia.com

2. What it is Single incision sleeve gastrectomy is a surgical procedure for weight loss in which the stomach is divided longitudinally. This leads to the formation of a long narrow banana shaped stomach with a much smaller capacity for food intake. Single incision sleeve gastrectomy surgery works mainly on the principle of food restriction. Single incision sleeve gastrectomy also increases the rate at which the stomach empties and leads to an increase in the levels of certain gastro-intestinal hormones. These along with a reduction in “Ghrelin” which is the hunger inducing hormone lead to weight loss and other metabolic benefits post sleeve gastrectomy surgery. www.obesityasia.com

3. Advantages • Single incision bariatric surgery has a distinct cosmetic advantage over all other techniques of surgery. Single incision bariatric surgery is practically “scarless”. • Single incision bariatric surgery is also less painful as compared to other techniques of surgery. • Single incision weight loss surgery provides the patient with an option to keep his/her surgery “confidential”. • After a single incision laparoscopic sleeve surgery there is no alteration or re-routing of the gastro-intestinal anatomy. Food passes along the normal physiological route. Nutritional supplementation is definitely required post sleeve gastrectomy but the incidence of nutritional deficiencies is relatively lower. • Stomach remains available for endoscopic surveillance. This is important for countries like Japan and Korea where there is a high prevalence of stomach cancer. • Relatively lesser incidence of dumping syndrome. • Single incision sleeve gastrectomy surgery can be easily converted to other bariatric/metabolic procedures such as Roux en y gastric bypass, duodenal switch, sleeve with DJB, SADI-S and so on. www.obesityasia.com

4. Disadvantages • Single incision weight loss surgery is not recommended for patients with BMI > 50 kg/m2. • Single incision bariatric surgery is also not feasible for patients who have history of multiple abdominal surgeries in the past. • Gastric sleeve surgery must not be performed in patients suffering from hiatus hernia and acid reflux disease. Sleeve gastrectomy is a refluxogenic operation and in such patients, it can increase the reflux levels. This can be especially troublesome if the patient is a smoker. • Varying degrees of weight regain has been observed in some patients in the long term after this surgery. The importance of embracing lifestyle change and behavioural modification is paramount after any bariatric procedure. Surgery is just a tool that leads to massive weight loss but for weight maintenance in the long term, effort has to be put in by the patient and the team. • In terms of complications, this surgery is as safe as any other surgery. In this age of internet and Google doctors, you will come across a lot of unnecessary information on the internet. We sincerely urge you not to get influenced by half-baked information on the internet. Doctor and the team will honestly discuss the complication rates of all procedures with you during your consultation. • If you are a smoker, please stop smoking atleast 3 weeks before your surgery. It is advisable not to undergo any bariatric procedure if you will continue to smoke after the surgery. www.obesityasia.com

5. Thank You • For obesity treatment visit us at www.obesityasia.com +91-7277557755 +91-9021912223 drshashankshah@rediffmail.com www.obesityasia.com