Pages

Tuesday, 25 July 2017

The gastric sleeve , or otherwise known as a sleeve gastrectomy, is a lesser known procedure and suits a specific type of weight loss requir...

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.

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 Laparoscopic – Key hole surgery
  • Hospital stay 1-3 nights
  • Non – malabsorptive procedure
  • Nutrient supplements less likely to be required
  • Can be converted to Gastric Bypass as the second phase
At Weight Loss Surgery Pakistan we are committed to providing very high standards of surgical excellence in a range of surgical, and non surgical treatments and procedures. With this level of care, the patient can have complete confidence that your cosmetic surgery, obesity surgery, non surgical procedures are performed by an expert team and in some of the top hospitals in the city. For more details visit us at http://weightlosssurgerypakistan.com/weight-loss/gastric-sleeve


Wednesday, 19 July 2017

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 yea...

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 gastrectomy and 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

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.











Monday, 10 July 2017

Dieting, exercising and alleviation have been considered as the ordinary methods to attain weight loss . These attempts are fruitful for a s...

Dieting, exercising and alleviation have been considered as the ordinary methods to attain weight loss. These attempts are fruitful for a short term. But for people who are extraordinarily obese, the results seldom lasts.

Weight loss is something a large number of people tussle with and weight loss surgery is something that can exceedingly raise a person’s health, contentment and life span.

Are you obese and suffering from weight related health conditions? Then get your life back with Weight Loss Surgery Pakistan. Visit us at http://weightlosssurgerypakistan.com/