Other Surgical Procedures

We provide complete range of surgical procedures which are done by OPEN and LAPAROSCOPIC (Key Hole) . Surgery at competitive prices while maintaining high surgical standards.

Offer Provided :

  • Gall Bladder Surgeries.
  • Hernia Surgeries.
    • Inguinal.
    • Ventral Wall.
  • Thyroid Surgeries.
  • Breast Lumps.
  • All body Lumps and Bumps
  • Scrotal Swellings.
  • Hemorrhoids.
  • Fistulas (Peri anal).
  • Fissures (Peri anal).
  • A.V Fistula for Hemodialysis Patients .
  • Varicose Veins of legs.
  • All conditions of Gastro Intestinal Tract.

Along with the above routine elective procedures , we also provide emergency surgeries if needed.

We deal in all kinds of General Surgical Emergencies.

For any such unfortunate event, feel free to contact on given numbers :

Dr.Surrendar Dawani  0333-2474719

 

Gastric Balloon Diet

To get the best results from your gastric balloon procedure it is crucial that you understand and follow a strict post-operative diet. A Gastric Balloon is a very effective weight loss solution, however requires the patient to adhere to some important dietary choices in order for it to be as successful as possible.

The stages of a post-gastric balloon diet are outlined below:

  • 0 – 3 days – Liquid ONLY
  • 3 – 10 days – Soft Food ONLY
  • 10 days and thereafter – “Normal” Eating in reduced portions

Gastric Sleeve

The gastric sleeve, or otherwise known as a sleeve gastrectomy, is a lesser known procedure and suits a specific type of weight loss requirement. With expected loss of 30 – 50% excess weight in the first 12 months (source: BOSPA), the gastric sleeve is more aggressive than a gastric band, but not such a major operation as a gastric bypass and can therefore suit those for whom the bypass may be considered inadvisable due to health complications..

The gastric sleeve can be considered as a step towards gastric bypass, in that it can later be converted if required. However, for others, the sleeve may enable them to lose enough weight with a sleeve gastrectomy alone, so that the second stage of the operation is not required.

Who is suitable for a gastric sleeve?

The gastric sleeve is a stomach reduction procedure. As such, it is a longer and more complicated procedure than the gastric band, but unlike the band, it cannot be “cheated” as it works to reduce the size of the whole stomach, not just restrict the entry to the stomach. Weight loss is usually more rapid than the band, as a sleeve gastrectomy significantly reduces appetite and ability to eat large portions.

Like the bypass, the gastric sleeve operation is irreversible. However, compared to the bypass, it is less traumatic in that it does not require any “rerouting” or “reconnecting” of the intestines, so the stomach functions as normal, but with a smaller capacity. As a result, there are fewer restrictions on the types of food which patients can consume after surgery. This is seen by many patients as being one of the great advantages of the sleeve gastrectomy – the procedure reduces appetite and therefore helps patients to control their food volume intake.

Where required, in a subsequent procedure, the gastric sleeve can be converted to a bypass. However, this is not always the case – it is a very effective procedure on its own for many patients.

The procedure is advised for patients with a BMI of 35+, although dependent on your individual circumstances, a band or a bypass may be advised. The vertical sleeve gastrectomy is usually recommended for patients who are either extremely overweight or whose medical condition would rule out other forms of surgery. It is best to see one of our friendly professionals to discuss your own circumstances and take expert advice on which procedure is right for you.

 

Procedure

How does a gastric sleeve work?

The gastric sleeve procedure is normally done as keyhole surgery and involves a vertical removal of up to 75% of the stomach area. This means that the stomach continues to function as normal, but is simply smaller, which reduces the appetite and makes it easier to cut down dramatically on calorie intake. In addition, the portion of the stomach that is removed is the area responsible for secreting the hormone “Ghrelin”, which is responsible for appetite and hunger – the near elimination of this “hunger hormone” results in a significant reduction or loss of appetite.

Patients achieve 30-50% weight loss in the first year and this is increased if they also follow sensible dietary advice from our dietitians (i.e. low fat, low sugar, low alcohol, high fruit/veg…). The sleeve is a tool to help the patient manage their food intake..

  • Non-reversible procedure
  • Usually Laproscopic – Key hole surgery
  • Hospital stay 1-3 nights
  • Non – malabsorbative procedure
  • Nutrient supplements less likely to be required
  • Can be converted to Gastric Bypass as second phase
gastric-Sleeve
 

Patient Story

Mr. Faraz

I am one of the earliest patients that went to them for consultation and surgery. I was very apprehensive and not sure what to do. But then finally decided to go for it

I have no regrets and feel that it was one of the best decisions of my life. I took their advise seriously and after being fit for exercising, started to swimming atleast twice a week. You can see for yourself the results.

I am now living my life to the fullest and feel as healthy as never before.
I cannot thank the weight loss group enough. They're highly recommended by me.

FAQ’s

Frequently Asked Questions (FAQ)

Q: How long is the hospital stay ?

2-3 nights stay

Q: What is the difference between sleeve and bypass ?

The sleeve is a procedure that purely reduces the stomach size. it is less traumatic that the bypass which involves re-routing and re-connecting of the intestines.

Q: Is the sleeve reversible ?

No the sleeve is a permanent procedur.

Q:Is there anything I wont be able to eat ?

The sleeve is to reduce portion sizes not specific food types, there are however some patients that may struggle with certain textures of food such as bread or red meat.

aftercare

Unlimited Aftercare & Dietitian Support

Whether you have a gastric band, bypass, sleeve or balloon, your weight loss procedure is only the start of your journey. All these procedures are tremendous tools for weight loss and you can lose dramatic amounts of body weight, but it’s not entirely effortless. You DO have to work with it and you DO need aftercare following obesity surgery.

Gastric Bypass Aftercare

  • Access to our specialist weight-loss support team which includes a bariatric surgeon, dietitians and nurses
  • Post-operative assessment
  • 24 hour emergency telephone helpline

Consultation

Consultation

At your consultation you will be able to discuss the procedure in detail and ask any questions you may have.

Gastric Bypass

Gastric Bypass Surgery is a proven form of weight loss. Patients can expect to lose 75-80% of their excess body weight in the first two years following surgery. It is a more extensive surgical procedure than the gastric band and sleeve gastrectomyand is non-reversible.

Gastric bypass operations are a surgically proven form of weight loss when combined with a supervised diet, physical activity and behaviour modification programme. They are generally recommended for patients with higher BMI i.e. a Body Mass Index of 40 or over.

There are several varieties of gastric bypass, but all involve the creation of a small stomach pouch to restrict food intake and reduce the absorption of calories and nutrients from food which causes effective weight loss results.

The considerable health benefits of a gastric bypass include:

  • Most type II diabetics will be cured
  • Major improvements in other weight associated conditions such as sleep apnoea, asthma, joint pain, arthritis and fatigue
  • Reduces the risk of heart disease and cancer
  • 70-80% of patients suffering with hypertension will no longer need to take medication
  • Cholesterol levels will fall
  • And you will look 'slim and smart'

Procedure

Gastric Bypass Surgery

There are 2 main types of Gastric Bypass procedure, both of which essentially reduce the size of the stomach pouch so that less food is absorbed.

1. Roux-en-Y Gastric Bypass (RGB)

With this procedure a small stomach pouch is created by stapling part of the stomach together or vertical banding. This limits how much food you can eat. Then, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the duodenum as well as the first portion of the jejunum. This is demonstrated below:

 

2. Biliopancreatic diversion Gastric Bypass (BPD)

In this more complicated version, portions of the stomach are removed and the small pouch that remains is connected directly to the final segment of the small intestine. This means that most of the small intestine (duodenum and jejunum) is bypassed, resulting in substantial reductions in calorie and nutrient absorption.

gastric-band
 

FAQ’s

Frequently Asked Questions (FAQ)

We have listed here some of the more commonly asked questions from our patients about the Gastric Bypass procedure.

Q: How do I know if I’m suitable for gastric bypass surgery?

Usually patients most suitable to have a gastric bypass are those with a BMI in the range of 40 to 60+. However surgery is dependent upon a bariatric surgeon’s opinion. All of our weight-loss surgery patients have an in depth consultation to discuss the most relevant procedure for them,prior to surgery.

Q: How long does gastric-bypass surgery take?

This depends on the patient, the surgeon and whether it is being done as an open or closed (keyhole) procedure. Open gastric bypass operations usually take 90-120 minutes, but laparoscopic bypasses may take up to twice as long to perform.

Q: How long will I be in hospital?

For open operations, most patients are discharged on the third or fourth post-operative day. Patients who have the laparoscopic procedure can go home on the second or third post-operative day.

Q: What are the benefits of gastric bypass surgery?

For the seriously obese, the benefits of the gastric bypass procedure very much outweigh the risks. In general:

  • 75% of patients are expected to lose 75 to 80% of their excess body weight, most of which is lost in the first two years following surgery.
  • Major improvements in risk factors for heart disease and cancer.
  • Around 70-80% of patients with hypertension will be off medication and cholesterol levels will fall.
  • Most type II diabetics will be cured.
  • There will be major improvements in a whole range of weight-associated conditions. These could include sleep apnoea, asthma, joint pain, arthritis, reflux, fatigue, shortness of breath.
  • Patients report less depression, improved self-esteem and confidence along with an overall increased sense of well-being.

Q: What are the risks of gastric bypass surgery?

As with any surgery, there are operative and long-term complications and risks associated with gastric bypass, including:

  • Bleeding (haemorrhage).
  • Complications due to anaesthesia and medications.
  • Infections.
  • Pulmonary emboli (blood clots on the lung).
  • Deep vein thrombosis.
  • Dehiscence (wound breakdown).
  • Leaks from staple line.
  • Injury to the spleen.
  • Marginal ulcers.

However, in experienced hands the risks of the procedure nowadays are very small. Most published reports show that the overall mortality rate for gastric bypass surgery is less than 1%. It’s also important to note that not only does bypass result in reduced absorption of calories, it may also reduce absorption of important vitamins and minerals such as iron, vitamin B-12 and calcium. Deficiencies in these nutrients can lead to many problems. Iron deficiency causes anaemia and weakness and deficiencies in calcium can cause osteoporosis. Lack of daily B-12 can lead to neurological problems. This is why patients undergoing gastric bypass are recommended to take a daily vitamin and mineral supplement. “Dumping syndrome,” in which the consumption of sugar causes abdominal cramping and diarrhoea, can also occur. Some people will also regain some weight in subsequent years.

aftercare

Unlimited Aftercare & Dietitian Support

Whether you have a gastric band, bypass, sleeve or balloon, your weight loss procedure is only the start of your journey. All these procedures are tremendous tools for weight loss and you can lose dramatic amounts of body weight, but it’s not entirely effortless. You DO have to work with it and you DO need aftercare following obesity surgery.

Gastric Bypass Aftercare

  • Access to our specialist weight-loss support team which includes a bariatric surgeon, dietitians and nurses
  • Post-operative assessment
  • 24 hour emergency telephone helpline

Consultation

Consultation

At your consultation you will be able to discuss the procedure in detail and ask any questions you may have.

Gastric Balloon

The gastric balloon programme combines a clinically proven way to reduce hunger so that you eat less and lose weight without surgery. It is a short-term solution to kick-start your weight loss and help you learn the healthy habits to enable you to maintain that success after the treatment so that you lose weight quickly AND keep the pounds off over

6 month plan!

Patients can expect to lose 10-15kg, in just the first 6 months and with continued commitment will continue beyond. It is ideal for those with a bit of weight to lose who are overweight but not obese (BMI 28-30) and often chosen for reliable weight loss with a goal in mind e.g. before a wedding/special occasion, or after pregnancy.

Your Gastric Balloon Programme

As an eligible candidate, you will begin your programme by meeting with the surgeon to discuss the gastric balloon in detail.

Advantages of the Gastric Balloon

The balloon plan offers many distinct advantages over conventional diets and weight loss programmes. With the balloon you will:

  • Have a feeling of fullness
  • Lose more weight than with other dieting programmes
  • Be supported by a team of medical experts
  • Learn principles for long-term success
  • No need for general anaesthetic so less risk of complication
  • Non-surgical and completely reversible approach to weight loss

The gastric balloon is not a magic pill, but a tool to change your lifestyle. Taking part in the programme will give you the education and support to change your lifestyle habits and have a better chance for long-term success.

Gastric Balloon Diet & Lifestyle

During the six months that the gastric balloon is in place, you will follow a gastric balloon diet and there will be support from our team to measure your weight loss progress and provide you with advice.

The first week you will be on a liquid diet with instructions to drink lots of water. After the first week, the dietitian will recommend solids. You will receive instructions on your initial solid-foods nutrition regime with calorie restrictions. This period is important to prepare you for maintaining weight loss after the gastric balloon is removed. The gastric balloon gives you a window of opportunity to adapt to the lifestyle changes you must make in order to maintain your ideal body weight.

During the regularly scheduled meetings with your team, you will learn the principles you need to manage your weight, and to promote long-term health through lifestyle changes. As well as nutrition, this will cover exercise, eating behaviors and psychological issues related to food. While learning, you will be motivated by your success and turn these principles into habits that will serve you for the rest of your life.

Gastric Balloon
 

Procedure

The Gastric Balloon Procedure – Video

 

 
 

FAQ’s

Frequently Asked Questions (FAQ)

We have listed here some of the more commonly asked questions from our patients about the Gastric Balloon Programme.

Q: What is the Gastric Balloon?

The gastric balloon is a soft, silicone sack that is inserted into the stomach and filled with sterile saline. With the gastric balloon you will have a feeling of satiety, or lack of hunger which will help you learn to moderate your food intake so that you eat less and lose weight without surgery.

It will stay in place for 6 months while you learn the habits of healthy eating and kickstart your weight loss with the help of our expert team of specialist dietitians. The gastric balloon will be removed after 6 months. With the help of the gastric balloon, you can more easily adopt the lifestyle changes that you will need to lose weight.

Q: How much weight will I lose?

You can experience significant weight loss averaging between 15-20 kilos, however your results will depend on how well you follow the programme and adjust your eating habits.

Q: How does the Gastric Balloon get fitted?

It is inserted through the mouth and then inflated with saline in the stomach to make you feel full.

Q: Will I be able to feel the gastric balloon in my stomach?

There will be discomfort during the first few days. After that, the primary sensation of the gastric balloon is a feeling of satiety or fullness.

Q: Are there side effects or complications with the gastric balloon?

The first 10 – 21 days can be very difficult. Cramping, nausea and vomiting are normal and should be expected. It is very important that you follow your doctor’s instructions and drink plenty of fluids. Medication will be available to help ease the discomfort.

Q: How is the gastric balloon inserted in the stomach?

The gastric balloon is a soft, silicone sack that is inserted into the stomach through the oesophagus and filled with a sterile saline.

Q: What About Pregnancy?

As with all medical procedures, the impact of a planned or unplanned pregnancy must be considered if that is a possiblity for you. Please discuss your questions and expectations about the programme with your physician and evaluate the benefits against the possible risks.

aftercare

Unlimited Aftercare & Dietitian Support

Whether you have a gastric band, bypass, sleeve or balloon, your weight loss procedure is only the start of your journey. All these procedures are tremendous tools for weight loss and you can lose dramatic amounts of body weight, but it’s not entirely effortless. You DO have to work with it and you DO need aftercare following obesity surgery.

Gastric Bypass Aftercare

  • Access to our specialist weight-loss support team which includes a bariatric surgeon, dietitians and nurses
  • Post-operative assessment
  • 24 hour emergency telephone helpline

Consultation

Consultation

At your consultation you will be able to discuss the procedure in detail and ask any questions you may have.

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