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All you need to know about Intra-gastric balloon insertion.pptx

All you need to know about Intra-gastric balloon insertion

bariatricsurgeon
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All you need to know about Intra-gastric balloon insertion.pptx

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  1. All you need to know about Laparoscopic Sleeve Gastrectomy

  2. Dr. AparnaGovilBhasker is the best surgeon who provides Gastric Sleeve Surgery in Mumbai. Get an appointment to know about Sleeve Gastrectomy Surgery Cost.

  3. Laparoscopic sleeve gastrectomy is one of the commonest bariatric procedure being performed across the world currently. It was initially performed as a part of the duodenal switch operation. Gradually surgeons observed that the sleeve gastrectomy alone also resulted in good weight loss. Sleeve gastrectomy is being performed as a standalone procedure for weight loss for the last two decades. • Who should undergo a Laparoscopic Sleeve Gastrectomy: • Patients with a BMI ≥ 37.5 kg/m2 even in the absence of any co-morbidities. • Patients with a BMI ≥ 32.5 kg/m2 in the presence of any two obesity related diseases such as type 2 diabetes, high blood pressure, dyslipidemia, obstructive sleep apnoea, heart disease, gout, joint pains, infertility, fatty liver etc. • Patients with a BMI ≥ 27.5 kg/m2 with uncontrolled type 2 diabetes, despite taking the optimum medical treatment. • Who should not undergo Laparoscopic Sleeve Gastrectomy: • General contra-indications for any surgery such as being medically unfit for anesthesia. • Patients who want to conceive a baby within one year after surgery. • Patients who smoke tobacco. • Patients with severe psychiatric illness. • Patients with hiatus hernia or GERD. • Patients with gastric outlet obstruction.

  4. How is a Laparoscopic Sleeve Gastrectomy performed? Laparoscopic Sleeve Gastrectomy in Mumbai is performed through laparoscopy. This entails 4 to 5 tiny puncture marks on the abdomen and the surgeon then uses special instruments and a camera to perform the surgery by looking at an external monitor. Laparoscopy has many advantages. It leads to less pain, early mobilization, faster recovery and early return to normal activities. Laparoscopy also provides much better vision to the surgeon. Can a sleeve gastrectomy be performed in a scar-less manner through a single incision? Yes, a sleeve gastrectomy can be performed through a single incision. In this technique a single 2 cm cut is made in the navel and the entire surgery is performed through this. Once this heals, it gets buried deep into the navel and practically leaves no scar. As it is “scarless” patients also have the privilege of keeping their surgery “confidential”. What exactly is done during Laparoscopic Sleeve Gastrectomy: During the Laparoscopic sleeve gastrectomysurgerythe stomach is divided vertically and a long narrow, banana shaped stomach pouch is created using staplers. The outer resected portion of the stomach is removed out of the body.

  5. How does a Laparoscopic Roux en y gastric bypass lead to weight loss? • There are multiple mechanisms by which the surgery leads to weight loss- • Restriction of food intake • Early satiety • Reduced hunger • Faster emptying of stomach • How much weight loss is expected after Laparoscopic Sleeve Gastrectomy • Weight loss is calculated as a percentage of excess weight lost. • Excess weight= Total body weight – Ideal body weight • After Laparoscopic Sleeve Gastrectomy, patients lose upto 65 to 75% of their excess weight over a period of 18 to 24 months. At the end of 5 years, most patients maintain about 50% of their excess weight loss. • Post-operative care after Laparoscopic Sleeve Gastrectomy • Any bariatric surgery is a partnership between the patient and the bariatric team. This partnership lasts for life. A patient must be motivated to enter a weight loss program and must follow a good diet and exercise program post-surgery. Varying degree of weight regain may some times happen after a sleeve gastrectomy and hence it is extremely important to follow up diligently with the bariatric team and follow a healthy lifestyle. • It is mandatory to have nutritional supplements to avoid risk of deficiencies. Follow up is most crucial after any bariatric surgery. • Laparoscopic Sleeve Gastrectomy in Mumbai • Dr.AparnaGovilBhasker is a bariatric surgery expert and she conducts Laparoscopic Roux en y gastric bypass in Mumbai at centers in Kandivali, South Mumbai, Thane and Navi Mumbai. She is associated with some of the topmost hospitals in the city. • Cost of laparoscopic sleeve gastrectomy in Mumbai • Bariatric surgery has now become affordable and the cost of laparoscopic sleeve gastrectomy in India depends on many factors. The cost depends on the type of surgery, the type of room selected at the hospital and the duration of stay etc. Bariatric surgery is routinely not covered by insurance but some patients have received insurance claims from their companies after prolonged deliberations. Nowadays, there is also an option of taking a medical loan which enables the patients to divide the payment in smaller EMIs.

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