How it works: the procedure involves five small incisions and takes about an hour. A small pouch of about 120cc in size is made in the stomach by using stapling devices. the remaining stomach is removed while the gastrointestinal tract is kept unaltered. A leak test is done before completing the operation. Thus, the stomach size is dramatically reduced.
Results: no use of silicone implants, great appetite suppression, lower risk of ulcer, no dumping, no vitamin or drugs malabsoration. It does not impair patient’s dietary habits, better weight loss than gastric banding and no complications
.Roux-En-Y Gastric Bypass
How it works: this procedure involves creating a small stomach pouch, so less food is consumed. the intestine is connected to the pouch and rerouted. Food bypasses the lower stomach, the first segment of the small intestine (duodenum) and part of the second (jejunum).a direct connection is created from the stomach to the lower segment of the small intestine, literally bypassing portions of the digestive tract that absorb calories and nutrients. This is considered a combined restrictive and malabsorptive procedure.
Results: on an average 77% of excess body weight is lost in one year after surgery. Studies show that after 10 to 14 years, patients have maintained 60% of excess body weight loss. Study of 500 patients showed that 96% of certain associated health conditions were improved or resolved, including back pain, sleep apnea, high blood pressure, type 2 diabetes and depression. In most cases patients report an early sense of fullness, combined with a sense of satisfaction that reduces the desire to eat.
Mini Gastric Bypass
How it works: In the first part of mini gastric bypass surgery the stomach is divided and a small tube of stomach created with becomes the pouch. This is the restrictive part of the procedure and means that only a very small amount of food can be taken at any one time.
Next, the surgeon brings up a loop of bowel (about 200-300cm long) and joins this to the lower part of the stomach pouch.(the joining of bowel to bowel or stomach to bowel is called an “anastomosis”).this means that food passes from the small pouch into the small bowel where it meets the digestive juices which have moved downwards from the main part of the stomach. In effect therefore, about 2-3m of small bowel has been bypassed before absorption of mood (and calories) can take place. Fewer calories absorbed means weight loss.
The mini gastric bypass(MGBP) works both by restricting the amount of food that can be eaten at any one time, and by causing malabsorption and also by altering gut hormones involved in appetite control.
Single Incision Lap Sleeve
How it works: the single incision laparoscopic (SILS) is performed when the 4-5 incision laparoscopic gastric sleeve is performed, but with only a single laparoscopic incision through the belly button. the biggest difference between the two is the single incision(SILS) has added benefits of little to no scars as well as reduced postoperative pain because of the single incision, which allows for a quicker recovery. the single incision(SILS) is less invasive than traditional gastric sleeve therefore, the complication rate is lower.
The advantages of the single incision laparoscopic surgery:
• Single virtual scar less incision through the belly button
• Reduced postoperative pain
• Less invasive due to being done laparoscopic
Banded Sleeve/Gastric Bypass
How it works: the banded gastric bypass surgery procedure involves placement of a small ring around the upper portion of the stomach to create a pouch roughly an inch long, with the ring also assisting as a stoma, or opening. a surgical connection to a portion of the small intestine completes the operation
A gastrostomy tube may be inserted to keep the bypassed stomach compressed following surgery: the gastrostomy site also has a marker to facilitate access for imaging and other evaluations of the bypassed stomach if the need ever arises
Duodenal Jejunal Bypass
How it works: the procedure consists of stomach-preserving of a short segment of proximal small intestine, equivalent to the amount of intestine bypassed in standard Roux-en-Y gastric bypass.DJB may be associated with sleeve resection of the stomach to reduce potential for marginal ulceration and increase the weight loss effect if performed in mildly or severely obese patients long-term data about the efficacy of this procedure are not yet available.
Results : patients have achieved 74% loss of excess weight in one year,78% in two years,84% in four years and 91% in five years. It lays fewer restrictions on food than other procedures & provides highest levels of malabsorption.
How diabetes surgery works: there are various bariatric procedures like gastric bypass, mini gastric bypass, ileal interposition etc...That help is remission of diabetes like gastric bypass, mini gastric bypass, ileal interposition. Different procedure is chosen for different individual. These procedures reduce capacity to eat, bypass part of the intestine and rearrange it to cause diabetes resolution. during the surgery a hormone called glp-1 is secreted in huge quantity, which counters insulin resistance of diabetes.
Who can undergo diabetes surgery: as per international guidelines, all those who have uncontrolled diabetes, despite all medical measures, and have a BMI greater than 27.5(28), can undergo this treatment.