Best surgeon for Gall bladder surgery in Mohali- Dr. Amit Garg | Codsils

About Dr Amit Garg

Dr Amit Garg ( CODSILS ) is a renowned minimal access, bariatric and metabolic surgeon. He is considered as best laparoscopic surgeon of North India who has done more than 5000 laparoscopic surgeries. He is the First surgeon of Chandigarh, Tricity who performed Single incision bariatric surgery in 2014. He is the best gastro surgeon in Mohali.

What Is The Function Of Gall Bladder?

Gall bladder is a small greenish balloon shaped reservoir located and adhered on the lower side of liver. Bile is a juice produced from the liver and is stored in the gall bladder. When a person eats food, the gall bladder contracts and all the bile is released in to the Common bile duct to reach duodenum.

What Are Gallstones?

Gallstones also known as biliary calculi are small stones made of calcium oxalate, cholesterol, bile pigment and mixed stones. Formation of gall bladder stones is very common in India especially in North India because of consumption high fat diet. Gallstones are more common in females than males.Gallstones usually don’t cause any problem and are asymptomatic in most of the patients. In a case you have multiple small stones, then stone may get stuck in the cystic duct causing obstruction to flow of bile to common bile duct. Some times gallstones cause acute inflammation of the gall bladder and it’s called Acutecholecystitis.

Symptoms Of Gall Bladder Stones

Gallstones are asymptomatic in 80% of patients.
In 20% it may cause symptoms, which may include:
Pain in the abdomen, which may worsen after a fatty meal, nausea, vomiting, fever, Jaundice, indigestion, acidity or Gastritis

Dr Amit Garg

Minimal Access Bariatric

Metabolic & GI Surgeon

Make An Appointment

Call:6283337650

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Candidate Criteria for Gastric Bypass Surgery

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.

Procedure Details and Recovery after Roux-en-Y or Gastric Bypass Surgery

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.

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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.

Possible Risks and Complications of Gastric Bypass Surgery in Punjab

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 for Type 2 diabetes / metabolic surgery for type 2 diabetes / Diabetes surgery in Punjab

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.

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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.

Conclusion

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.

Frequently Asked Questions

Types of gall bladder stones

Cholesterol stones which are yellowish in color
Pigment stones are greenish brown in color
Mixed stones are the commonest stones

What are risk factors for gallstone formation?

Female
Fat
Fertile
Forty years age
Food rich in high cholesterol
Sudden weight loss
Prolonged fasting

How to Diagnose gallstones?

Gallstones are diagnosed on a fasting ultrasound in 99% of patients. In few patients they may get accidently diagnosed on an routine abdominal X ray.

What are the Complications of gallstones

In asymptomatic patients, you don’t need any treatment.
In symptomatic patients it may cause various symtoms and complications –

Biliary colic – a small gall stone can get stuck and block the lumen of cystic duct, whichmay cause acute biliary colic, nausea or vomiting.
Inflammation of the gallbladder (Acute cholecystitis) – blockage of the cystic duct may cause infection or inflammation of the gall bladder
Jaundice – if a gallstone moves further and blocks the main common bile duct then patient then patient might develop jaundice. Jaundice means rise in the bilirubin level and this happens when bile salts and pigments produced by the liver start mixing in blood as the outlet is obstructed with stone.
Cholangitis mean acute inflammation of the bile ducts

Treatment for gall bladder stones / gall stones in Mohali

Diet modifications by reducing intake of fat and diary products
Conservative treatment is given in patients with acute symptoms like I.V Antibiotics and pain Killers.

Surgical removal of the gallbladder / cholecystectomy in Mohali Punjab

90% of patients with gall bladder stone disease will need surgery. In surgery unlike renal calculi stones are not removed rather entire gall bladder is taken out. Laparoscopic removal of the gall bladder is the standard technique. However few patients may require open cholecystectomy if gall bladder is acutely inflamed and lots of adhesions are present.

Laparoscopic cholecystectomy is the standard procedure for gall bladder removal. It can be done through 3 ports or standard 4 ports. After pacing the standard ports, callot’s triangle dissection is done. Cystic artery and duct are ligated and cut. Gall bladder is separated from the gall bladder fossa and taken out through epigastric port.
open surgery is rarely done now a days and is indicated only as a conversion procedure from lap to open surgery due to adhesions

Recovery after gallbladder surgery

Recovery after laparoscopic surgery is very good. Fe w patients might feel mild pain or heaviness in shoulder because of Pneumoperitoneum
Patient are allowed to walk after 2 hours, started orally after 6 hours and are discharged next day morning.

Complications after gallbladder surgery

Possible complications include:

Infection
Internal bleeding
Injury to nearby digestive organs or bile ducts
Leakage of bile into the abdominal cavity
Injury to blood vessels.

Best hospital for gall bladder surgery in Mohali?

Gall bladder surgery in Mohali is done by most of the hospitals. However before deciding on the hospital it should be done from the best and advanced laparoscopic surgeon.

Who is the best gastro surgeon in Mohali ?

Gall bladder removal or Lap cholecystectomy is a very common procedure and is done by all general surgeons. If you get your gall bladder surgery from a highly experienced surgeon then chances of complications are less and if you get it done from advanced laparoscopic surgeon then chances of conversion from lap to open are minimal even if your case is complicated. Dr Amit Garg is the best laparoscopic surgeon in Mohali who is working at Fortis hospital Mohali since 2014

Scarless gall bladder removal surgery in Mohali

Gall bladder is removed normally through standard 4 ports. However, Gall bladder surgery can be done through single Port i.e., through the navel / belly button. It requires a very high level of expertise to do scarless laparoscopic cholecystectomy. Dr Amit Garg is one of the few surgeon of north India who has vast experience of performing single incision or scarless gall bladder surgery. Scarless word is misnomer as scar is there but is present in umbilicus and not visible on abdomen.

Low cost gall bladder surgery in Mohali

The cost of gall bladder removal surgery varies from hospital to hospital. On an average the cost varies from 30K to 100k depending upon the hospital, room category and surgeon experience.
Gall bladder surgery is covered under mediclaim by all insurance providers, CGHS, ECHS and Ayushmanbharat scheme.

Highlights – Gastric Bypass Surgery /weight loss surgery in Punjab, India

Highlights – Gastric Bypass Surgery /weight loss surgery in Punjab, India
The approximate duration of the surgery is 2 hours, and patients are encouraged to walk on the same day of the procedure
It is a potent surgical intervention for addressing obesity and type 2 diabetes.
Globally recognized as the gold standard procedure for weight loss.
The majority of patients are discharged on the third day post Roux-en-Y Gastric Bypass (RYGB) surgery.
Liquid diet initiation occurs shortly after the completion of gastric bypass surgery.
Lifelong supplementation of multivitamins, iron, and calcium is essential following Gastric Bypass.
Expect around 70% excess weight loss within one year, with long-term efficacy.
Expect around 70% excess weight loss within one year, with long-term efficacy.
It may lead to improvement or resolution of conditions commonly associated with obesity, including Gastroesophageal reflux disease, heart disease, high blood pressure, obstructive sleep apnea, and infertility.

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.

Laparoscopic Bariatric & Metabolic Procedures

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