Bariatic Surgery

Bariatric surgery is an option for you if you cannot lose weight by other means or suffer from serious health problems related to obesity.

Bariatric surgery is a medical treatment, not a cosmetic intervention. A carefully designed bariatric procedure can be a powerful tool to help you control food intake.

If you are considering bariatric surgery or would like to find out more, please make an appointment to see us.

Metabolic Surgery

This refers to the use of gastro-intestinal surgery to treat disorders related to excess body fat such as type 2 diabetes mellitus or high blood pressure.

Gastro-intestinal surgery alters your digestive process to help you control your food intake and lose weight.

Almost 90% of people suffering from diabetes are able to reduce or eliminate diabetic medication completely after metabolic surgery and yet maintain good blood sugar levels.

If you do not have diabetes but are at risk, losing weight can significantly reduce your risk of getting diabetes.

Metabolic surgery also improves the control of other metabolic disorders such as hypertension, cholesterol abnormalities, fatty liver and polycystic ovarian syndrome.

If you would like to find out more about metabolic surgery, please make an appointment to see us.

Types of Procedures

Band:

A silicone band is placed around the upper part of the stomach to act as a valve and control the amount of food entering the stomach. It forces you to take small morsels of food and chew carefully.

Sleeve (Stapling):

The stomach is stapled to reduce the amount of food it can hold. The part of the stomach that is stapled and removed is known to produce the hunger hormone “ghrelin”. Whether you eat quickly or slowly, you will feel full after a few morsels of food.

Bypass:

The gastric bypass operation is actually a combination of stomach restriction and intestinal bypass. It is designed to achieve 2 things:

  1. Restriction of food intake
  2. Reduced length of intestine for absorption

Because of the intestinal bypass component, you will have to take multivitamin, iron and calcium supplements for life to prevent nutritional deficiencies.

Gastric Balloon (Non-Surgical):

This is a purely endoscopic treatment for weight loss. No incisions / surgery is required.

A silicone balloon is placed in your stomach using a gastroscope under sedation. The balloon will need removal in 6 or 12 months (depending on the type). The balloon occupies space in the stomach and gives you a feeling of fullness, helping you to cut down your food portion sizes during mealtimes.

FAQs:

How long after metabolic and bariatric surgery will I have to be out from work?

Most patients return to work in one or two weeks after surgery. You may have low energy for a while after surgery but Bariatric Surgeon, Dr Shanker will be able to give you clear instructions on your post-surgery care. Your safety and health is our top priority.

Will I be able to become pregnant after surgery?

Yes, bariatric surgery often increases fertility in women who have previously had difficulty conceiving. However, you should avoid becoming pregnant for 18 to 24 months after your surgery, until your weight has stabilized.

What if I am still very hungry?

The types of food you are eating, especially starches (rice, pasta, potatoes), can increase your hunger. Eating more protein and fibre is helpful for many patients.

It is important to understand the differences between physical hunger and a desire to eat that is caused by food cues or triggers. You can get answers and support at our clinic, where our in-house dietician Ms Izabela will be able to advise accordingly.

Can I go off some of my medications after surgery?

Yes, as you lose weight you may be able to reduce or eliminate the need for many of the medications you take for high blood pressure, heart disease, arthritis, cholesterol, and diabetes. This effect can often be seen within the first few days after bariatric and metabolic surgery.

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