Dr Amit Garg, the best Diabetes / Metabolic Surgery in Punjab is a senior consultant, Fortis Hospital, Mohali, Punjab, India. He is the pioneer of sleeve gastrectomy with proximal jejunal bypass in India and has done the highest number of metabolic surgeries to treat Type 2 Diabetes in Punjab, India. He has over 12 years of experience and helped thousands of patients to reverse their diabetes.
Dr Amit Garg is the First surgeon in Punjab, India to perform loop duodenojejunal bypass for type 2 diabetes in non-obese patients in 2014. He has undergone extensive training for metabolic surgery under renowned Dr. C. k. Huang at E-DA,Taiwan.
Dr. Amit Garg, Director CODSILS ( Centre of Obesity, Diabetes and Single Incision Laparoscopic Surgery) Mohali, India, founded the centre in 2014 with a vision to create awareness and exclusive centre for weight loss and diabetes surgery in the Punjab, India region. Dr Amit Garg has collaborated with major multispeciality hospitals (Fortis Hospital, Ivy Hospital, Shalby Hospital) in the region for metabolic surgeries.
If you are looking for diabetes reversal or best surgeon for type 2 diabetes in India, DrAmit Garg is the only surgeon in North India who performs different types of metabolic procedures for obese and non-obese patients. For years, type 2 diabetes was poorly understood and with the advent of bariatric surgery as a treatment for type 2 diabetes, more and more people are looking for diabetes reversal with Surgery. Metabolic surgery for diabetes is recommended worldwide by WHO, International Diabetes Federation, USA and Diabetes UK.Sleeve with proximal jejunal bypass or intestinal bypass is one of the simple and physiological procedures for Type 2 diabetes reversal.
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There are very few centers in India where gastric sleeve with intestinal bypass for Type 2 diabetes is performed. At CODSILS Mohali, we do this procedure for patients who have poor control of diabetes and obesity or for patients suffering from metabolic syndrome.
Gastric sleeve is done as a standard laparoscopic procedure. After gastric sleeve, we identify the Ligament of Treitz and divide the intestine 40 cm distal to it. Then we create a blind loop of 200 – 300 cm depending on the c-peptide levels of patients and then we do jejuno–jejunostomy to complete the procedure. This procedure requires a high protein intake and lifelong supplements of calcium, multivitamins and Iron.
Recovery after Diabetes surgery
In expert hands, all metabolic procedures are safe. Dr. Amit Garg and his team has successfully done metabolic surgeries for patients with poor control of diabetes from various cities from India and abroad. At CODSILS, we follow all international safety protocols related to pre surgery, during surgeries and post surgery. These surgeries are done laparoscopically, thus recovery is fast and patients can return to their normal routine post discharge.
Patients lead a normal life post Diabetes surgery. Patients are encouraged to start liquids on the same day of surgery with small sips and within 1 month they are able to start a normal diet. Our patients are very happy after metabolic surgery as it causes diabetes remission in the first month of surgery in most of the patients. The aim of the metabolic surgery is to lower your HbA1c < 6.5 without oral medications.
Within the first month of the diabetes surgery, patients go through 4 phases of diet – Liquid diet, Puree diet, Soft diet, Normal diet.
For the long term success of Sleeve PJB/ Diabetes Surgery, one has to avoid high calorie diets or liquids and focus on a high protein diet with regular exercise.
The average cost of diabetes surgery at CODSILS Punjab varies from 3.5 lakhs to 4.0 lakhs depending on the room category and choice of hospital. For more detailed information on cost visit our page of cost of bariatric surgery in India
There are very few centers in Punjab where diabetes surgery is performed. All diabetes surgeries are done in patients with poor control of diabetes with low immunity levels. These patients require a multidisciplinary team approach so they should be done in hospitals that have the entire team of doctors under one roof to handle all health problems of the patient. Second important factor is the experience of the surgeon. The ideal place of getting the surgery is from an experienced diabetes surgeon in a good multispecialty hospital.
Since the advent of diabetes surgery, many international patients do look for Diabetes Surgery in Delhi but very few surgeons perform metabolic surgery for Type 2 Diabetes due to its complexity. Dr Amit Garg, Senior Consultant bariatric and metabolic surgeon at Fortis Hospital, Mohali, Punjab, India is the best surgeon for Diabetes surgery in india. His team offers packages which are affordable suited for patients who do not have insurance coverage.
Side effects of diabetes surgery include nutritional deficiency if patients do not follow the dietary guidelines prescribed post diabetes surgery. These procedures are powerful tools for remission of diabetes provided the patient remains committed to a healthy lifestyle and eating habits post surgery.
Type 2 diabetes is a progressive disease and if you want to avoid side effects you need to follow the guidelines. One has to avoid high calories for long term glycemic control.
Side effects of Diabetes surgery
Life long regular intake of supplements is required which include calcium, multivitamins, proteins and Iron.
Most patients with Type 2 Diabetes have underlying neuropathy (weak nerves) and dyslipidemia. Increased cholesterol level and dyslipidemia causes reduced blood supply to the penis. After diabetes surgery, dyslipidemia stops but it takes time for neuropathy to recover. It’s always recommended to go for diabetes surgery before major and irreversible damage has occurred. After diabetes surgery patients often experience increased Libido because of control of Type 2 Diabetes. It’s recommended to take a low calorie, high protein diet and do regular exercise to improve sexual function.
The Aim of both treatments is to control your blood sugars and bring your HbA1c < 6.5. Diabetes surgery helps delay the disease progression of type 2 diabetes; whereas despite medical therapy people develop the complications of diabetes like retinopathy, neuropathy, cardiopathy etc. these complications are because Diabetes causes dyslipidemia and metabolic surgery helps in control of dyslipidemia. As per the recent guidelines If your BMI > 40 Kg/m2 and have Type 2 diabetes, Bariatric surgery is the first line of treatment.
Gastric sleeve alone can result in resolution of Type 2 Diabetes in morbidly obese patients. Whereas in patients who have poor pancreatic function then intestinal bypass is added to sleeve to have enhanced insulin production and better control of Type 2 Diabetes. After evaluating the pancreatic function of the individual and other parameters, Dr Amit Garg decides if sleeve gastrectomy alone is suitable or an intestinal bypass has to be added for better control of diabetes.
Diabetes is strongly linked with Obesity and it’s a progressive disease. If you are able to maintain weight after diabetes surgery and taking care of your diet and exercise then chances of diabetes recurrence are very low. We haven’t encountered Diabetes recurrence in our patients in 5 years follow up.
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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