Bariatric surgery is the collective term for types of weight-loss surgery. At Dr.Muffis Centre, we perform all types of primary and redo bariatric procedures such as Laparoscopic Banded Gastric Bypass, Laparoscopic Sleeve Gastrectomy, Laparoscopic Duodenojejunal Bypass, Laparoscopic Single Anastomosis Duodeno-Ileal Bypass (SADI) and Mini Gastric Bypass.
What is obesity?
World Health Organisation defines obesity as a condition of excessive fat accumulation to the extent that health and well-being are affected. Obesity has been cited as a risk factor for many non- communicable diseases. The obese have a higher propensity to develop T2DM, dyslipidemia, gall bladder stones, sleep apnea and metabolic syndrome. Obesity is also associated with a moderate risk of coronary heart disease, hypertension, osteoarthritis, gout, certain cancers, Polycystic Ovary Syndrome and infertility.
Who is an ideal candidate for bariatric surgery?
According to a paper published by the Asian Consensus Meeting on Metabolic Surgery, which the Dr.Muffis Centre spearheaded, bariatric surgery is an option for those who have a BMI of above 30 kg/m2 with other conditions, as listed above; or above 35 kg/m2 without other conditions.
How do I know if I need bariatric surgery?
At Dr.Muffis Centre, eligibility for surgery is determined through a series of tests and examinations by our team of medical experts. Our first priority is to evaluate a patient’s health and understand their lifestyle before suggesting surgery. We always recommend an immediate change in diet and physical activity to begin managing symptoms. If surgery is necessary, we will guide you through a perfected holistic protocol, helping you navigate the process easily and expertly.
What kind of surgery will I require?
The team of medical experts at Dr.Muffis Centre will educate and assist you. We work with you to make the safest and best choice, based on medical examinations and your own needs. It is imperative that you follow our advice, both pre-and post-surgery and remain committed to following up with us. Together, we can change your life for the better.
What is laparoscopic surgery?
Laparoscopic surgeries are performed with cutting-edge technology and ensure a quicker recovery time. They leave minimal scars, which keeps the procedure relatively pain-free.
What is scarless surgery?
Bariatric surgery can also be performed through your navel, making it a surgery with no visible scars. At Dr.Muffis Centre, we have practiced and mastered the art of single incision bariatric surgery and have performed the largest number in the world to date. *The benefits are quicker recovery and complete confidentiality – there are no visible scars at all. Please speak to our medical team if you are keen to explore this option.
This is a second-stage procedure for super super obese patients who require additional weight loss of about 30* to 40* kgs, and who have already undergone a primary procedure, such as sleeve gastrectomy.
Weight-loss occurs in the first *six months post surgery, after which it stabilizes, approximately *one-and-a-half years after the procedure.
Protein supplementation as well and vitamin and mineral supplementation are non–negotiable post surgery. Fat-soluble vitamins such as A, D, E and K need to be replaced. Patients who undergo this procedure must be willing to commit to high levels of supplementation for their lifetime. Some patients may complain of diarrhea and flatulence post surgery.
Laparoscopic Banded Gastric Bypass is the procedure of choice
for those who have severe acid reflux and/or high cholesterol.
Patients who have suffered from diabetes for over 10 years
also benefit from this surgery.
This is also an excellent procedure to reduce BMI in order to achieve and maintain better weight loss. It may be recommended to those who have persistent acid reflux and/or weight regain after a sleeve gastrectomy.
Up to 60* to 80* per cent of weight loss can be achieved after Laparoscopic Banded Gastric Bypass surgery. Weight loss is the fastest in the first three months, and slows down thereafter. You will continue to lose weight for a year-and-a-half for up to two years. After that, the body stabilizes and does not lose further weight in most cases. Some patients could regain some of the lost weight after 2* to 3* years of surgery if they are not careful about their intake However, you can avoid this, if you follow our exercise, nutrition and lifestyle tips, and maintain a proper follow-up routine.
You will not be able to eat as much as you did prior to the surgery.
One also needs to be careful about ‘dumping syndrome’, that
can occur in some patients – this is when food passes too
quickly into the intestine, causing nausea, cramping, bloating,
dizziness, etc. It is triggered by eating high-calorie foods
such as sweets and certain carbohydrate sources. This procedure
also requires compliance with lifelong supplementation.
In extremely rare cases, constant overeating can cause the silicon ring to enter the stomach, necessitating an endoscopy for its removal.
It is the procedure of choice for patients over the age of 50, who usually do not suffer from Gastroesophageal Reflux Disease. It may also be recommended for patients on multiple anti-depressants or anti-psychotic medication.
Nearly 60* to 80* per cent of your excess body weight will reduce over a period of one-and-a-half years. The fastest weight loss occurs within the first three to four months after surgery, after which the rate of weight loss slows down. Chances of weight being regained are negligible, though possible; it is advisable to follow a healthy lifestyle according to our recommendations.
Post-surgery, vitamin and mineral supplements need to be taken
regularly and for life.
Overconsumption of high-calorie liquids or foods may cause diarrhea. There is also a possibility of marginal ulcers and bile reflux, causing abdominal discomfort.
This procedure involves creating a sleeve which involves surgically removing two-thirds of the stomach portion and then also bypassing the first 100- 150 cms of the small intestine, and joining it as a loop to the first part of the small gut, which is the duodenum.
Laparoscopic Duodenojejunal Bypass is the procedure of choice for patients with lower BMIs, who have diabetes. It is also recommended for patients who have undergone a sleeve gastrectomy and have either regained weight, or their diabetes is out of control again.
Nearly 60* to 80* per cent of your excess body weight will reduce over a period of one-and-a-half years. The fastest weight loss occurs within the first three to four months after surgery, after which the rate of weight loss slows down. Weight might be regained due to overconsumption of high-calorie foods and liquids. However, you can avoid this, if you follow our exercise, nutrition and lifestyle tips, and maintain a proper follow-up routine.
Post-surgery, vitamin and mineral supplements need to taken regularly, for the rest of your life. Eating high-calorie foods could cause diarrhea in some patients.