Comprehensive Guide to Sleeve Gastrectomy in Punjab, India- Dr Amit Garg | Fortis Hospital (Mohali)

Sleeve gastrectomy, also known as vertical sleeve gastrectomy, is a popular surgical weight loss procedure performed liposuction in Punjab, India. This minimally invasive procedure involves creating a small banana-shaped stomach by removing approximately 75% of the original stomach volume. At our center in Mohali, Punjab, Sleeve Gastrectomy Surgery has emerged as a leading option for individuals seeking effective and lasting weight loss solutions.

Procedure Overview

Sleeve gastrectomy is a restrictive type of bariatric surgery that reduces the stomach size and eliminates the hunger-inducing hormone ghrelin. Through small incisions in the upper abdomen, surgeons insert specialized instruments to remove a significant portion of the stomach, resulting in a smaller stomach pouch resembling the shape of a banana. This procedure is irreversible and has shown remarkable success in facilitating weight loss and improving various weight-related health conditions.

Step by Step Procedure Details of Sleeve Gastrectomy

Whole procedure is done laparoscopically. Through small incisions in the upper abdomen, standard port placements are done. Liver retraction is done using Nathanson’s liver retraction technique. Gastrolysis is done starting 4 cm from the pylorus to the Angle of HIS. A 36 Fr Bougie or calibration tube is inserted.

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Vertical sleeve gastrectomy is done over 36 Fr Bougie using Covidien tri stapler or Johnson & Johnson staplers. Methylene blue dye study is done to check for leakage. After achieving adequate hemostasis, specimen is retrieved and port sites are closed. Patient is allowed to walk approx 2 hours after the surgery. More than 95% of patients don’t need an ICU stay and are shifted to a private room a few hours post surgery.

Dr Amit Garg

Minimal Access Bariatric

Metabolic & GI Surgeon

About Dr. Amit Garg

Dr. Amit Garg, a renowned surgeon specializing in gastric sleeve surgery, is highly regarded for his expertise in performing sleeve gastrectomy procedures. With extensive experience and having more than 2000+ surgeries to his credit, Dr. Garg has earned recognition as one of the best surgeon for gastric sleeve or sleeve gastrectomy in India. He has performed numerous sleeve surgeries using advanced techniques, including single-port and three-port approaches, with minimal blood loss and short operating times.

Candidates for Sleeve Gastrectomy in Punjab

  • Patients with a BMI more than 40 kg/m2
  • Patients with a BMI over 35 kg/m2 and obesity-related health issues
  • Individuals unwilling to commit to lifelong supplement regimens
  • Volume eaters seeking effective weight loss solutions
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Benefits and Advantages of Sleeve Gastrectomy (Mohali, Punjab)

  • Simple and physiological procedure
  • Reduced hunger and improved satiety
  • Rapid weight loss without weakness
  • Resolution of comorbidities such as Type 2 diabetes, hypertension, sleep apnea, PCOD, and infertility
  • Reduced risk of cancer

Postoperative Care And Recovery After Sleeve Gastrectomy / Weight Loss Surgery In Punjab

Patients typically resume walking within hours after surgery and are discharged from the hospital within three days. Following sleeve gastrectomy, patients are advised to adhere to dietary guidelines and lifestyle modifications to optimize weight loss and minimize the risk of complications.

Potential Side Effects Post Sleeve Gastrectomy / Bariatric Surgery

  • Weight regain due to poor dietary and lifestyle habits
  • Anemia in a small percentage of patients
  •  Mild to moderate hair loss in some individuals
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When Weight Loss Surgery Isn’t Effective

In cases where patients do not achieve desired weight loss or experience weight regain, it is essential to assess lifestyle factors and make permanent healthy changes in diet and physical activity habits.

Life after Gastric Sleeve Surgery in Punjab, india

For the long term success of bariatric surgery, all procedures need dietary and lifestyle modification. At our center, we consider Gastric Sleeve Surgery as the best physiological procedure for weight loss. We usually recommend it to the patients who are disciplined and are willing to change their lifestyle and eating behaviors post surgery. Patients, especially who are very foody and are not ready to modify their lifestyle or eating habits, can fail this procedure and may gain weight a few years post surgery. However, in countries like Australia and New Zealand it is a very popular weight loss procedure and patients have a very good compliance to procedure and follow up. This is the reason gastric sleeve is very well accepted by patients and recommended by GPs in foreign countries.

After your gastric sleeve surgery in India, the patient has to understand that his/her stomach is like a small banana and can accommodate only a certain amount of solid or liquid. The patient starts liquid sips orally on the same day in a range of approximately 40 ml to be finished over 30 minutes. Patients are allowed a liquid diet for 10 -15 days to felicitate the healing of the staple line and are gradually shifted to a soft diet. Within a month, the patient is eating normal food but in small portions.

For optimal weight loss and to have a sustainable long term effect, patients need to follow post sleeve gastrectomy guidelines religiously.

  • Take a protein rich diet. Patients need to avoid high calorie food items like sugary beverages, sweet food items and other processed food items.
  • Monitor portion size. As the size of the stomach is very small one needs to take frequent small meals.
  • Take frequent small meals. If you keep a long gap between meals, you will feel hungry and might overeat which may further result in vomiting.
  • Never Overeat. Overeating is one of the commonest reasons for vomiting after gastric sleeve surgery. Repeated and regular overeating may lead to enlargement of the stomach to the original size. Increase in the size of stomach and intake of high calorie diet is the reason for weight regain after gastric sleeve surgery.
  • Eat and drink slowly. Chew your food thoroughly to avoid overeating. Gastric reflux is a common problem after gastric sleeve surgery and this is commonly seen in patients who eat faster and take bigger bites. To avoid reflux after gastric sleeve, one has to take smaller bites and chew the food thoroughly in the mouth before swallowing so that you know when you are full and avoid overeating.
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Sex life after Diabetes surgery / Sex weakness after Metabolic Surgery

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.

Conclusion

Sleeve gastrectomy in Punjab, India, offers an effective and economical solution for individuals struggling with obesity and related health issues. With the expertise of experienced surgeons like Dr. Amit Garg, patients can achieve significant weight loss and improve their overall health and quality of life.

Bariatric surgery is now covered by all health insurance companies in India from October 202

For more information, visit our website for resources, testimonials, and additional support related to sleeve gastrectomy and bariatric surgery in India.

Sex life after Diabetes surgery / Sex weakness after Metabolic Surgery

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.

RESULTS OF GASTRIC SLEEVE SURGERY I OBESITY SURGERY IN PUNJAB INDIA I BARIATRIC SURGERY IN MOHALI

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