Bariatric Weight Loss comprises the use of bariatric surgery such as a gastric bypass in tandem with lifestyle changes for a healthy outcome.
Experts at Burjeel Hospital Sharjah offer premium bariatric care for every patient. As obesity is the root cause of several disorders, this form of treatment is important when diet and exercise have not had much effect, or when you have mounting health issues due to your weight. Our hospital is equipped with pioneering healthcare technology to perform minimally invasive endoscopic procedures.
To reach your full potential post weight loss surgery, it is pivotal to follow your doctor's advice on lifestyle changes. Our specialists provide practical advice on diet and exercise routines. Several of our experts work together across departments, creating bespoke bariatric plans to attain and maintain your goals.
When should you visit a bariatric specialist?
- When repeated attempts at losing weight have failed
- If obesity is hampering your overall health
- If your BMI is at least 40 (or your BMI is at least 35 and you have other health problems related to your weight
Weight Loss Surgeries
It works by shrinking the size of the stomach thereby slowing down digestion. The smaller the stomach, the less you can eat. And the less you eat, the more weight you lose.
With the help of an inflatable band, the stomach is divided into 2 sections- a small upper pouch, and the larger section down, both connected by a small channel. After this surgery,
Most people can only eat a 1/2 to 1 cup of food which makes them feel full.
Sleeve Gastrectomy (Gastric Sleeve)
Laparoscopic Sleeve Gastrectomy (also known as Vertical Gastrectomy) is a procedure in which about 75% of the stomach is excised or removed leaving a narrow gastric tube or "sleeve" through which food passes. No intestines are removed or bypassed during Sleeve Gastrectomy so intestinal malabsorption syndrome never occurs. The narrow tube restricts the amount of food one can ingest thereby decreasing the calories one can consume leading to weight loss. Having said that it is not only the restriction that causes the weight loss but many a metabolic changes also occur due to rapid transit of the food in the intestines, releasing intestinal hormones that cause these effect. Thus Sleeve Gastrectomy is no longer considered purely a restrictive surgery but also a metabolic surgery. Though, Sleeve Gastrectomy was originally used as a first step procedure for a more definitive gastric bypass in super obese, it is now also used as a single stage procedure with excellent results across the globe. In patients with reflux disease and Diabetes the results may be inferior to the Gastric Bypass but the excess weight loss of both the procedures may be comparable in a select subgroup of patients. It is a simple procedure and the patients may be able to leave the hospital in one day or even the same day in selected cases.
Intragastric Balloon (Gastric Balloon)
Intragastric balloon involves placing a deflated balloon into the stomach, and then filling it to decrease the amount of gastric space. The balloon can be left in the stomach for a maximum of 6 months and results in an average weight loss of 5–9 BMI over half a year. The intragastric balloon may be used prior to another bariatric surgery in order to assist the patient to reach a weight which is suitable for surgery, further it can also be used on several occasions if necessary.
Gastric Bypass Surgery
Gastric bypass surgery is a procedure that creates a small pouch in the upper most part of the stomach to restrict food intake. The stomach pouch is then connected to lower segment of the small intestine, bypassing the duodenum (the first part of the small intestine) and some of the jejunum (the second part of the small intestine), delaying the mixing of ingested food and the digestive enzymes. The net effect of this re-arrangement is a restricted intake of food and due to the bypass, some malabsorption- both of these leading to weight loss. However it is not only the restriction and malabsorption that leads to weight loss and correction of the co-morbidities in obese people. The intestines secrete a number of hormones specially when exposed to undigested food directly in their lumen that control and modify the metabolism in our body to correct diabetes, control blood pressure and also control hunger. These hormones also increase our resting metabolic rate thereby increasing energy consumption even at rest.
Mini Gastric Bypass Surgery
Laparoscopic Mini Gastric Bypass also called Omega Loop Gastric Bypass, Sleeve Bypass or Billroth-II Bypass is another form of Gastric Bypass. In this the Gastric pouch is like a long sleeve which is anastomosed (joined) to the intestines, making a loop thereby finishing the procedure with only single anastomosis. It has a theoretical advantage over RYGB in causing no intestinal obstruction in long term follow up. The results of excess weight loss and resolution of co morbidities is similar to that of RYGB. This procedure is primarily a malabsorptive procedure as compared to the classical RYGB. The patient has a better capacity and tolerance to quantity of the food but as it causes more malabsorption the frequency of stools is increased. Post MGB, we have seen brilliant results in special subtype of our population.
POSE Procedure (Primary Obesity Surgery Endoluminal)
The POSE Procedure (Primary Obesity Surgery Endoluminal) is one the most advanced incision less surgical weight loss procedures available to patients today. No incisions, no scarring, no bandages and nobody will know you underwent weight loss surgery. The POSE procedure is appropriate for patients who have not had weight loss surgery in the past, and want the weight loss benefits without the pain and scarring of traditional and laparoscopic surgeries. It is especially recommended in patients with a body mass index (BMI) from 28 to 35 kg/m2 in whom diet treatments have failed. The entire procedure is performed through the patient’s mouth. Stomach reduction, as with other weight loss surgeries, helps diminish the patient’s feelings of hunger and reduces caloric consumption .It helps suppress hunger, so patients can more effectively control their portions and lose weight. The operation enables oral reduction of stomach capacity, without the need for incision. The procedure consists of forming and suturing folds in the stomach to reduce its size and capacity for distension.
The concept of stealth surgery is to perform as many operations as possible, with as small or minimal an incision as possible.
This is essentially an extension of minimal invasive surgery, but taking it to the extreme, in order to avoid scars totally.
For most abdominal operations, the belly button, or the umbilicus, is used as the entry point, and, either with special assist devices, or with the standard instrumentation, as we have been doing at Burjeel Sharjah, we manage to perform all the operations without an extra scar. This gives a great cosmetic advantage over putting four or 5 , five- or 10-mm cuts in the rest of the abdomen.
For example, if an unmarried girl wants to undergo a bariatric surgery and lose a significant amount of weight. Ideally, she would like the operations to be done without having a series of incisions on her belly. Towards this end, we are able to do the operation through multiple holes inside the belly button, and there will be no scar at all, as the bellybutton is already a scar. Having two or three tiny scars inside a larger scar renders the entire procedure invisible.
This is the great advantage of stealth surgery Thus, in the abdomen , Bariatric or weight loss Surgery, Gallbladder and appendix surgery, Hernias, and hysterectomy and gynecological surgery, have all been performed by Dr Rajkumar and his team, at Burjeel Sharjah, over the past few months. The success rate has been nearly hundred percent. The complication rate has been zero.
This is about abdominal procedures.
The same concept can also be applied to structures in the neck. Lumps in the neck, for example in the submandibular salivary gland, have been removed by using a cosmetic stealth approach, tunnelling all the way from the back of the head, in the scalp region, to reach the front of the neck.
Most importantly, all thyroid operations are now being done through the mouth, avoiding an ugly scar in the neck. This is a special approach, rendering all Thyroid operations possible, with zero scars. As thyroid disease is a fairly common one in the United Arab Emirates, this operation will be a great boon to the population.
Thus, stealth surgery involves attacking and removing the disease process , with zero , or near zero , scarring for the patient.
At the VPS Burjeel group, the plan is to create a large Department of specialized minimally invasive surgery, so that we are able to pass on the benefits to the entire patient population.