Weight loss Surgery is also known as bariatric surgery if done for obese patients and is known as metabolic surgery if done on obese diabetic patients. It is also known as a life saving surgery is done on patients suffering from Morbid obesity or patients with BMI 40 Kg/m2.or more.
Dr Amit Garg who is a renowned bariatric and metabolic surgeon has been working as a head of bariatric surgery department at Fortis hospital Mohali since 2014. He is an internationally trained surgeon who performs different types of weight loss procedures on patients with obesity according to patients BMI, lifestyle, social habits and compliance to supplements or bariatric surgery. Dr Amit Garg is the best bariatric surgeon in Mohali because he is fully dedicated and committed to his work to provide excellent weight loss services to his patients. Weight loss bariatric surgery in Mohali is on an increasing trend over the last 10 years. It has become more acceptable and easier for patients after its acceptance and coverage by health care providers. Dr Amit Garg at Fortis hospital mohali has given a new life to many new patients with bariatric surgery. Fortis hospital mohali is equipped with the latest modern gadgets and have an excellent team of doctors to handle super obese patients with multiple comorbidities.
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Ideal candidates for gastric bypass surgery in Punjab include individuals with a BMI greater than 40 kg/m² or a BMI ranging from 35 to 39.9 kg/m² with serious obesity-related health problems such as type 2 diabetes, hypertension, or severe sleep apnea.
Bariatric surgery is now covered by health insurance companies in India from October 2020, making it accessible to more individuals seeking treatment for obesity and related health issues.
LRYGB is performed laparoscopically under general anesthesia, with an approximate duration of 2 hours. Patients with BMI > 50 might require a pre surgery liquid diet in order to reduce the size of the left lobe of liver. For super obese patients, LRYGB might be difficult to perform and in these patients RYGB is done as a staged procedure. In the first stage gastric sleeve is done so that patients can lose 30-40 kgs of excess weight and then after 6 months gastric sleeve is converted into a gastric bypass so that patient can reach ideal weight.
During LRYGB, after port placements, the liver is retracted using Nathansons liver retractor. Lesser sac is opened at the level of the 2nd vessel on lesser curvature. Horizontal and then vertical staplers are fired in order to create a small stomach pouch of 30 cc. Ligament of Treitz is identified and 100 cm of small intestine is bypassed and connected to small stomach pouch . The intestine is divided using staplers proximal to the anastomosis and again connected to the distal intestine 100cm from gastrojejunostomy. Inter-mesenteric defect is closed and Petersons defect is closed to prevent formation of internal hernias using non absorbable sutures. A methylene blue dye leak test is done to check for leaks from Gastrojejunostomy. After achieving hemostasis, ports are closed.
Like any abdominal surgery, LRYGB carries risks such as excessive bleeding, infection, leakage, bowel obstruction, dumping syndrome, gallstones, hernia, and malnutrition. However, with proper preoperative evaluation and postoperative care, these risks can be minimized, and patients can experience significant improvements in obesity-related conditions like gastroesophageal reflux disease, heart disease, hypertension, obstructive sleep apnea, and infertility.
Gastric bypass was earlier done to treat Obesity but over the years, studies have shown diabetes remission of 83% in patients who have undergone gastric bypass surgery. Recently, Gastric bypass has regained popularity to treat type 2 diabetes in non-obese patients. It is recommended for patients with BMI > 27.5Kg/m2 as the second line of treatment. In a modified RYGB to treat Type 2 diabetes, biliopancreatic limb is kept 150cm in spite of 100 cm and alimentary limb is kept 100cm.
LRYGB has shown better results in diabetes remission as compared to mini gastric bypass and sleeve gastrectomy. In a comparative study with Loop duodenojejunal bypass (LDJB), LDJB has shown diabetes remission of 94%. RYGB is going to be the best procedure for patients with Type 2 diabetes.
Laparoscopic Roux-en-Y Gastric Bypass in Punjab, India, offers a gold standard surgical option for achieving substantial and long-term weight loss in eligible patients. With the expertise of Dr. Amit Garg and advancements in bariatric surgery, individuals can achieve improved health and quality of life through sustainable weight management.
Bariatric surgery means alteration or modification of the gastrointestinal tract to induce weight loss. It includes different types of restrictive and combined restrictive and malabsorptive procedures
An ideal bariatric procedure which suits an individual is suggested by Dr Amit Garg according to patients Age, BMI, comorbidities, social habits and compliance to dietary changes and supplements after bariatric surgery.
All Weight loss bariatric surgeries in Mohali are safe if done by an experienced bariatric Surgeon. Dr Amit Garg has performed > 2000 bariatric procedures and has experience of more than 12 years in the field of bariatric surgery.
There are many documented risks or complications of bariatric surgery like Leakage, bleeding , infection etc but these are very rare in hands of an expert like Dr Amit Garg. Bariatric surgery has few side effects like regular intake of a high protein diet and supplements. 10 % of people notice mid to moderate hair loss. Lose skin is a problem of super obese patients who have shed more than 50 kgs but it can be reduced by regular workout and high protein diet.
Liposuction is a cosmetic surgery in which 8 – 10 kgs of fat is sucked from the subcutaneous planes whereas bariatric surgery is medically indicated and done laparoscopically to induce generalized weight loss. Unlike Liposuction, bariatric surgery helps in resolution of multiple obesity related comorbidities like diabetes. sleep apnea, pcod, irregular periods, hypertension etc in bariatric surgery almost 70 % of excess weight loss happens. If your BMI is more than 40, Bariatric surgery treatment is covered by health insurance as a cashless treatment.

Dr. Amit Garg is recognized as the best surgeon for Gastric Bypass surgery / weight loss surgery in Punjab, providing comprehensive care and long-term support to patients on their weight loss journey. He has extensive experience in performing various bariatric or metabolic surgery procedures and has more than 2000+ successful cases to his credit.
Bariatric surgery is scientifically proven procedure that aims to help individuals with obesity achieve
significant and sustainable weight loss by altering the digestive system. There are several types of
bariatric procedures, each with its own approach and mechanism of action
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Bariatric Surgery
Metabolic Surgeries
Laparoscopic GI Surgeries