Single Incision Sleeve Gastrectomy at Pune

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Single Incision Sleeve Gastrectomy at Pune
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What it is
Single incision sleeve gastrectomy is a surgical
procedure for weight loss in which the stomach is
divided longitudinally. This leads to the
formation of a long narrow banana shaped stomach
with a much smaller capacity for food intake.
Single incision sleeve gastrectomy surgery works
mainly on the principle of food restriction.
Single incision sleeve gastrectomy also increases
the rate at which the stomach empties and leads
to an increase in the levels of certain
gastro-intestinal hormones. These along with a
reduction in Ghrelin which is the hunger
inducing hormone lead to weight loss and other
metabolic benefits post sleeve gastrectomy
surgery.
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Advantages

• Single incision bariatric surgery has a distinct
  cosmetic advantage over all other techniques of
  surgery. Single incision bariatric surgery is
  practically scarless.
• Single incision bariatric surgery is also less
  painful as compared to other techniques of
  surgery.
• Single incision weight loss surgery provides the
  patient with an option to keep his/her surgery
  confidential.
• After a single incision laparoscopic sleeve
  surgery there is no alteration or re-routing of
  the gastro-intestinal anatomy. Food passes along
  the normal physiological route. Nutritional
  supplementation is definitely required post
  sleeve gastrectomy but the incidence of
  nutritional deficiencies is relatively lower.
• Stomach remains available for endoscopic
  surveillance. This is important for countries
  like Japan and Korea where there is a high
  prevalence of stomach cancer.
• Relatively lesser incidence of dumping syndrome.
• Single incision sleeve gastrectomy surgery can be
  easily converted to other bariatric/metabolic
  procedures such as Roux en y gastric bypass,
  duodenal switch, sleeve with DJB, SADI-S and so
  on.

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Disadvantages

• Single incision weight loss surgery is not
  recommended for patients with BMI gt 50 kg/m2.
• Single incision bariatric surgery is also not
  feasible for patients who have history of
  multiple abdominal surgeries in the past.
• Gastric sleeve surgery must not be performed in
  patients suffering from hiatus hernia and acid
  reflux disease. Sleeve gastrectomy is a
  refluxogenic operation and in such patients, it
  can increase the reflux levels. This can be
  especially troublesome if the patient is a
  smoker.
• Varying degrees of weight regain has been
  observed in some patients in the long term after
  this surgery. The importance of embracing
  lifestyle change and behavioural modification is
  paramount after any bariatric procedure. Surgery
  is just a tool that leads to massive weight loss
  but for weight maintenance in the long term,
  effort has to be put in by the patient and the
  team.
• In terms of complications, this surgery is as
  safe as any other surgery. In this age of
  internet and Google doctors, you will come across
  a lot of unnecessary information on the internet.
  We sincerely urge you not to get influenced by
  half-baked information on the internet. Doctor
  and the team will honestly discuss the
  complication rates of all procedures with you
  during your consultation.
• If you are a smoker, please stop smoking atleast
  3 weeks before your surgery. It is advisable not
  to undergo any bariatric procedure if you will
  continue to smoke after the surgery.

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Thank You

• For obesity treatment visit us at
  www.obesityasia.com

91-7277557755 91-9021912223
drshashankshah_at_rediffmail.com