Bariatric & Metabolic Surgery

Lap band, lap bypass, gastric mini bypass and lap sleeve gastrectomy are surgical procedures for weight reduction or weight loss, it is called as bariatric or metabolic surgery. life becomes easier following weight loss surgery. We at Obesitycare offer all types of Laparoscopic surgeries.


What is obesity or bariatric surgery

Bariatric surgery, also known as weight loss surgery, refers to the operations designed to reduce weight (bariatric come from the Greek meaning pressure or weight). Operations may restrict the amount you are able to eat (restrictive operations such as the gastric band sleeve gastrectomy) or reduce the amount of food you can absorb or both restrict the amount you can eat and reduce the amount you can absorb (gastric bypass or mini gastric bypass). The term does not include procedures for surgical removal of body fat such as liposuction or abdominoplasty (tummy tuck).

Why do Bariatric Surgery

There can therefore be many benefits to health with weight loss, particularly after obesity surgery.

Scientific research demonstrated that obesity surgery can reduce health problems considerably, as shown in the table below :

  • Health improvements after Gastric bypass
  • Health Problem Gastric bypass
  • Cured of diabetes
  • (Off all medication) 84%
  • Diabetes improved 93%
  • High cholesterol improved 95%
  • High blood pressure
  • (Off all medication) 68%
  • High blood pressure- improved 87%
  • Sleep Apnoea- improved 94%

Types of Bariatric surgery

We at Galaxy Care offer wide range of surgical procedures such as gastric banding, Roux-en-Y bypass (gastric bypass), sleeve gastrectomy, mini gastric bypass and Gastric Balloon. All operations are performed laparoscopically (keyhole surgery), which will help you to get up and around and back to normal as soon as possible after surgery

How surgery works

Obesity surgery works by helping to reduce the number of calories that are available in your body.

There are two ways this can be achieved surgically :

  • Restriction - by reducing the size of the stomach, only small meals can be eaten and the appetite is satisfied
  • Malabsorption - by bypassing part of the small intestine, less calories from food are absorbed by the body

The operations that work by restriction are :

  • Gastric band
  • Sleeve gastrectomy

The operations that work by a combination of restriction and malabsorption are :

  • Gastric Bypass
  • Mini gastric bypass

Gastric banding (LAGB)

What is laparoscopic gastric banding?

An inflatable silicone band that is placed around the top part of the stomach to create a pouch. Inserted using keyhole (laparoscopic) surgery, this only leaves a few small scars.

Roux-en-Y Gastric Bypass (LRYGB)

In this procedure, the surgeon creates a small gastric pouch of approximately 30-60ml. The small bowel is then divided and the end brought up and attached to the gastric pouch. In this way, food passes into the pouch and straight down into the lower part of the small bowel. The rest of the stomach and the bypassed part of the small bowel are then re-attached further down. This ensures that the gastric and pancreatic juices enter the small bowel and digest the food.

You will need to take tablets daily including a multivitamin and mineral, calcium and vitamin D, Iron, as well as have three monthly vitamin B12 injections.

Sleeve gastrectomy (LSG)

In this procedure, the surgeon creates a narrow tube-like stomach and removes the remainder. Hence, the capacity of the new stomach is much smaller than the original. It is usual to offer this operation as a first stage procedure to super obese patients –

A second stage procedure is then offered after the patient has lost some of the excess weight to make this type of surgery safer.

In a small number of patients, a sleeve gastrectomy may be the only operation that is required. It should be noted however, that long-term data of weight loss following sleeve gastrectomy is not yet available.

Which operation is right for me?

There is no straightforward answer to this question! It is likely that you will have your own ideas as to what is the right operation for you. Based on your personal circumstances and medical conditions such as diabetes, hypertension, our experienced team will be able to provide you with information to help you decide the best possible treatment plan. It will be a joint decision between you and the surgeon.

Am I a Right Candidate?

There are a number of widely accepted criteria which make a patient suitable for Bariatric or weight-loss Surgery :

  • Weight greater than 45 kgs above ideal body weight for sex and height
  • BMI > 38.5 (Asians) by itself or > 33.5 if there is associated illness such as diabetes, high BP or sleep apnea.
  • Obesity related health problems.
  • No psychiatric or drug dependency problems.
  • Capacity to understand the risks associated with surgery.

There is considerable flexibility in these guidelines. Sometimes a lower BMI between 30-35 is accepted if comorbidities exist.

Bariatric Surgery is now available on CGHS