Loop Duodeno Jejunal Bypass with Sleeve Gastrectomy for Reversal of Type 2 Diabetes- Dr. Amit Garg | Codsils

Candidates eligible for gastric sleeve with Loop Duodeno Jejunal Bypass, also known as metabolic or diabetes surgery, include:

• Individuals with a BMI exceeding 35 Kg/m2 who are diagnosed with Type 2 diabetes.
• Patients with a BMI greater than 27.5 who exhibit inadequate control of Type 2 diabetes despite undergoing medical therapy.

• Highly effective for reversing diabetes.
• Short duration of surgery, typically around 90 minutes.
• Reduced risk of obstruction or internal hernias.
• Minimal likelihood of malnutrition.
• A physiological procedure, aligning with the body’s natural functions.

Life after diabetes surgery entails a return to normalcy for patients. Patients are encouraged to commence liquid intake on the same day as the surgery, starting with small sips. Within one month, most patients can transition to a regular diet. Many patients express satisfaction following metabolic surgery, as it often leads to diabetes remission within the first month for a majority of them. The primary goal of metabolic surgery is to achieve an HbA1c level of less than 6.5 without the need for oral medications. For sustained success with sleeve with Loop Duodeno Jejunal Bypass or diabetes surgery, it is crucial to steer clear of high-calorie foods and liquids, prioritizing a high-protein diet coupled with regular exercise.

Cost of diabetes surgery in India, particularly in Punjab, varies depending on several factors. At CODSILS Punjab, the average cost typically ranges from 3.5 lakhs to 4.0 lakhs, influenced by factors such as room category and choice of hospital. For detailed information on the cost of bariatric surgery in India, we recommend visiting our page dedicated to this topic.

Side effects of diabetes surgery may manifest if patients fail to adhere to prescribed dietary guidelines post-surgery. While these procedures are potent tools for diabetes remission, sustaining positive outcomes necessitates a commitment to a healthy lifestyle and dietary habits.
To mitigate side effects, strict adherence to guidelines is imperative, especially in avoiding high-calorie intake for long-term glycemic control. Some common side effects of diabetes surgery include nutritional deficiencies, mild hair loss, anemia, and loose motions. Regular supplementation of essential nutrients such as calcium, multivitamins, proteins, and iron is recommended post-surgery.
Concerns regarding sexual function after metabolic surgery stem from underlying neuropathy and dyslipidemia commonly associated with Type 2 Diabetes. While dyslipidemia resolves post-surgery, neuropathy recovery may take time. Opting for surgery before irreversible damage occurs is advised. Post-surgery, patients often experience improved libido, facilitated by Type 2 Diabetes control. A low-calorie, high-protein diet coupled with regular exercise can further enhance sexual function.

The possibility of Type 2 diabetes recurrence post-metabolic surgery is minimal if weight is maintained, along with adherence to diet and exercise regimens. Long-term follow-up studies haven’t reported diabetes recurrence among patients.

When comparing diabetes surgery to medical therapy, both aim to control blood sugars and lower HbA1c levels. However, surgery helps delay disease progression, whereas medical therapy may not prevent diabetes-related complications such as retinopathy, neuropathy, and cardiopathy, as it doesn’t address dyslipidemia. Recent guidelines advocate bariatric surgery as the first-line treatment for individuals with a BMI exceeding 40 Kg/m2 and Type 2 diabetes.

While gastric sleeve alone can lead to the resolution of Type 2 Diabetes in morbidly obese patients, the addition of intestinal bypass to the sleeve offers enhanced benefits for individuals with poor pancreatic function. This combination aims to increase insulin production and achieve better control of Type 2 Diabetes. Dr. Amit Garg assesses pancreatic function and other relevant parameters to determine whether sleeve gastrectomy alone suffices or if an intestinal bypass is necessary for optimal diabetes management.

When considering the best hospital for diabetes surgery in Punjab, it’s essential to select a center equipped to handle the unique needs of patients with poorly controlled diabetes and compromised immunity. Such cases require a multidisciplinary team approach, with all necessary specialists available under one roof. Additionally, the experience of the surgeon plays a pivotal role. Opting for an experienced diabetes surgeon in a reputable multispecialty hospital ensures comprehensive care.
While New Delhi may be sought after by international patients for diabetes surgery, it’s crucial to note that only a select few surgeons perform metabolic surgery for Type 2 Diabetes due to its complexity. Dr. Amit Garg, a Senior Consultant bariatric and metabolic surgeon at Fortis Hospital in Mohali, Punjab, India, stands out as the premier surgeon for diabetes surgery in the country. His team offers affordable packages tailored to patients without insurance coverage, ensuring accessibility to quality care.

In the hands of skilled professionals, metabolic procedures are indeed safe. Dr. Amit Garg and his proficient team have effectively performed metabolic surgeries for patients with poorly managed diabetes, hailing from diverse regions across India and abroad. At CODSILS, we adhere strictly to international safety standards throughout the entire surgical process—from pre-surgery preparations to the procedure itself and post-operative care. Utilizing laparoscopic techniques ensures swift recovery, enabling patients to resume their regular activities soon after discharge.
Dr. Amit Garg, hailed as the premier metabolic surgeon in Punjab, is renowned for his expertise in addressing diabetes through surgical means. Serving as a senior consultant at Fortis Hospital in Mohali, Punjab, India, Dr. Garg stands as a trailblazer in the field. His pioneering work includes the introduction of sleeve gastrectomy with Loop Duodeno Jejunal Bypass to India, a procedure that has seen remarkable success in treating Type 2 Diabetes. With an extensive career spanning over more than a decade and half, Dr. Garg has profoundly impacted the lives of thousands, facilitating the reversal of diabetes for many.