Laparoscopic Sleeve Gastrectomy / Duodenal Jejunal Bypass

• Laparoscopic Sleeve Gastrectomy is a safer choice for older patients and those who have serious liver, lung, and heart diseases, making them unfit for more extensive bariatric surgeries.
• Patients who have a BMI of 60 or more are not fit for undergoing extensive types of weight-loss surgeries like gastric bypass or duodenal switch directly. For such patients, Laparoscopic Sleeve Gastrectomy is done first to help them lose enough weight to undergo other bariatric procedures safely.
• It is considered the surgery of choice for overweight patients, but BMI is less than 50. This is because it is less invasive and has fewer side effects than other weight-loss surgeries.

In this procedure, the patient is given a general anaesthesia to make him unconscious so that the procedure is pain-free. Other medications are given to prevent infections, help keep the stomach empty, and keep comorbidities under control. Instead of making a large incision, about five small incisions are made in your abdomen. A long instrument with a light and a camera called a laparoscope is introduced through the incisions. The scope of this technique makes it possible to see and operate on hard to reach delicate tissue as films of the internal structures of your body can be viewed on a monitor. The abdomen is carefully filled with carbon dioxide gas. The carbon dioxide gas inflates the abdomen making it easier for the surgeon to locate the structures and operate. Fatty attachments to the outer wall of the stomach are carefully clipped. About 80% of the stomach is removed, leaving behind a part of the stomach shaped like a tube or a sleeve of a shirt (hence the name sleeve gastrectomy), which can hold approximately 3-5 ounces or 100 ccs of food.

The weight loss is secondary to the fact that the person eats less as the sleeve is smaller than the native stomach.

• The part of the stomach that is drawn out is mainly responsible for producing the hunger hormone Ghrelin. So, the patient feels less hungry after the surgery, which also contributes to weight loss.
• The procedure is completed in around two hours. Since most of the stomach is extracted, it is a permanent procedure.

All patients need to undergo routine metabolic and nutritional monitoring at regular intervals. Patients need to take multivitamin tablets and other mineral supplements regularly. The multidisciplinary bariatric team will assess and support any individuals who develop mental stress or depression after the procedure. Close collaboration is held between surgeons, physicians, and primary care clinicians to enable productive follow-ups before and after the procedure aiming at long-term care of the patients, making Kokilaben Dhirubhai Ambani Hospital the best option for Sleeve Gastrectomy Surgery in Navi Mumbai.

• It is a minimally invasive procedure that uses very small incisions instead of a classic large incision. Healing and return to normal activities is usually faster, with less bleeding and fewer complications.
• The option helps the patient lose 50-60% of his excess body weight. There is decreased appetite due to removing the part of the stomach that produces the main appetite hormone called Ghrelin. So, the appetite of the patient dramatically reduces after the surgery. Also, you cannot eat as much because the stomach gets smaller.
• The procedure causes no changes in the intestines. So, food and vitamins are absorbed normally, like before the surgery.
• This helps the patient control other comorbidities associated with obesity like high blood pressure, diabetes, sleep apnea, and pain in the joints and the back. It, therefore, helps the patients to live longer and happier lives.

• Leakage can occur along the suture lines of the stomach or the site of surgical closure, leading to infections and abscess formation.
• Gastrointestinal tract obstruction can occur if a scar develops along the suture line.
• Please note the surgery does not guarantee permanent weight loss. Keeping the weight off requires a healthier lifestyle post-surgery and maintaining it throughout life.

Our team of bariatric surgeons are highly experienced and trained in the field, having performed hundreds of such surgeries every year, making our hospital the best Duodenal-Jejunal Bypass Surgery hospital in Navi Mumbai. We take strict aseptic precautions during all our surgeries, ensuring minimum chances of post-surgical infections and other complications. Our wards and out-patient bariatric department are fully equipped with the necessary instruments and machines like scales that can measure upto 250 kg. We provide cautious multidisciplinary care for very sick obese patients before the surgery to ensure that they face minimum complications during and after the surgery.