Sleeve Gastrectomy leads to reduction in food intake and also alteration in hormonal milieu which leads to usage of stored fat for caloric requirement. Thus, by natural way, weight gets reduced and in few months’ time major portion of excess weight is lost. There is no need for taking medicines continuously and the weight loss will be sustained. Studies show this as the best method.<\/p>\n\n\n\n
Laparoscopic Sleeve Gastrectomy (more than 30 BMI patients): Laparoscopic Sleeve Gastrectomy (LSG) is a well established bariatric procedure of treatment for people who are obese and having type 2 diabetes, not achieving desirable control with medical and dietary therapies, especially when there are other major comorbidities.<\/p>\n\n\n
![\"Laparoscopic](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/07\/sleeve-gastrectomy.jpg\")
Indications for Laparoscopic Sleeve Gastrectomy<\/h2>\n\n\n\n\n- Obese class II and obese class III patients<\/li>\n\n\n\n
- Obese class I patients with obesity related comorbidities that could not be controlled with medicines.<\/li>\n\n\n\n
- Patients who failed to lose weight with conservative modalities<\/li>\n<\/ul>\n\n\n\n
Contraindications for Laparoscopic Sleeve Gastrectomy <\/h2>\n\n\n\n\n- Patients with age group <15 and >65 years<\/li>\n\n\n\n
- Chronic liver diseases<\/li>\n\n\n\n
- Major cardiovascular diseases that cause a high risk for anesthesia<\/li>\n\n\n\n
- Drug or alcohol abuse currently<\/li>\n\n\n\n
- Uncontrolled psychiatric illness and lack of comprehension of the risks-benefits<\/li>\n<\/ul>\n\n\n\n
The portion of stomach which secretes Ghrelin and acid in excess is removed. This leads to reduction in food intake and also alteration in hormonal milieu which leads to usage of stored fat for caloric requirement. Thus, by natural way, weight gets reduced and in few months time major portion of excess weight is lost. There is no need for taking medicines continuously and the weight loss will be sustained. This has got very good results without significant nutritional deficiency and hence most preferred.<\/p>\n\n\n\n
It is safe and effective in weight reduction as well as resolution of associated comorbidities especially diabetes mellitus in obese class II and obese class III categories. LSG is generally recommended in patients with BMI>35 kg\/m2. The study conducted by Dr. R. Padmakumar et al. shows that laparoscopic sleeve gastrectomy is effective in obese class I group as well (resolution of diabetes is 86.6% in patients with obese class I) and the resolution of type 2 diabetes achieved is sustained.<\/p>\n\n\n\n
Other Bariatric Surgeries<\/h2>\n\n\n\n
Other Bariatric Surgeries<\/a> for treatment of Obesity include:<\/p>\n\n\n\nRoux-en-Y Gastric Bypass <\/strong>– In Roux-en-Y Gastric Bypass, the stomach is divided into a small upper pouch and a large lower pouch. The small intestine is then reattached to the pouch that creates a bypass for food, which results in absorption of less calories and nutrients.<\/p>\n\n\n\nLaparoscopic Gastroplasty <\/strong>– In Laparoscopic Gastroplasty<\/a>, the size of the stomach is reduced using stitches by about 60-70% of the existing size.<\/p>\n\n\n\nMini-Gastric Bypass<\/strong><\/p>\n\n\n\nOther Weight Loss Treatments<\/h2>\n\n\n\n
Intragastric Balloon Placement<\/strong> – Weight loss about 10-15 kg can be achieved with Intragastric Balloon Placement<\/a>, which is placing a balloon inside the stomach. Intragastric Balloon is placed endoscopically through the mouth. Swallowable balloon insertion is also done based on patient preference.<\/p>\n\n\n\nBody Shaping Procedures<\/h2>\n\n\n\n
Contraindications for Laparoscopic Sleeve Gastrectomy <\/h2>\n\n\n\n\n- Patients with age group <15 and >65 years<\/li>\n\n\n\n
- Chronic liver diseases<\/li>\n\n\n\n
- Major cardiovascular diseases that cause a high risk for anesthesia<\/li>\n\n\n\n
- Drug or alcohol abuse currently<\/li>\n\n\n\n
- Uncontrolled psychiatric illness and lack of comprehension of the risks-benefits<\/li>\n<\/ul>\n\n\n\n
The portion of stomach which secretes Ghrelin and acid in excess is removed. This leads to reduction in food intake and also alteration in hormonal milieu which leads to usage of stored fat for caloric requirement. Thus, by natural way, weight gets reduced and in few months time major portion of excess weight is lost. There is no need for taking medicines continuously and the weight loss will be sustained. This has got very good results without significant nutritional deficiency and hence most preferred.<\/p>\n\n\n\n
It is safe and effective in weight reduction as well as resolution of associated comorbidities especially diabetes mellitus in obese class II and obese class III categories. LSG is generally recommended in patients with BMI>35 kg\/m2. The study conducted by Dr. R. Padmakumar et al. shows that laparoscopic sleeve gastrectomy is effective in obese class I group as well (resolution of diabetes is 86.6% in patients with obese class I) and the resolution of type 2 diabetes achieved is sustained.<\/p>\n\n\n\n
Other Bariatric Surgeries<\/h2>\n\n\n\n
Other Bariatric Surgeries<\/a> for treatment of Obesity include:<\/p>\n\n\n\nRoux-en-Y Gastric Bypass <\/strong>– In Roux-en-Y Gastric Bypass, the stomach is divided into a small upper pouch and a large lower pouch. The small intestine is then reattached to the pouch that creates a bypass for food, which results in absorption of less calories and nutrients.<\/p>\n\n\n\nLaparoscopic Gastroplasty <\/strong>– In Laparoscopic Gastroplasty<\/a>, the size of the stomach is reduced using stitches by about 60-70% of the existing size.<\/p>\n\n\n\nMini-Gastric Bypass<\/strong><\/p>\n\n\n\nOther Weight Loss Treatments<\/h2>\n\n\n\n
Intragastric Balloon Placement<\/strong> – Weight loss about 10-15 kg can be achieved with Intragastric Balloon Placement<\/a>, which is placing a balloon inside the stomach. Intragastric Balloon is placed endoscopically through the mouth. Swallowable balloon insertion is also done based on patient preference.<\/p>\n\n\n\nBody Shaping Procedures<\/h2>\n\n\n\n
The portion of stomach which secretes Ghrelin and acid in excess is removed. This leads to reduction in food intake and also alteration in hormonal milieu which leads to usage of stored fat for caloric requirement. Thus, by natural way, weight gets reduced and in few months time major portion of excess weight is lost. There is no need for taking medicines continuously and the weight loss will be sustained. This has got very good results without significant nutritional deficiency and hence most preferred.<\/p>\n\n\n\n
It is safe and effective in weight reduction as well as resolution of associated comorbidities especially diabetes mellitus in obese class II and obese class III categories. LSG is generally recommended in patients with BMI>35 kg\/m2. The study conducted by Dr. R. Padmakumar et al. shows that laparoscopic sleeve gastrectomy is effective in obese class I group as well (resolution of diabetes is 86.6% in patients with obese class I) and the resolution of type 2 diabetes achieved is sustained.<\/p>\n\n\n\n
Other Bariatric Surgeries<\/h2>\n\n\n\n
Other Bariatric Surgeries<\/a> for treatment of Obesity include:<\/p>\n\n\n\n Roux-en-Y Gastric Bypass <\/strong>– In Roux-en-Y Gastric Bypass, the stomach is divided into a small upper pouch and a large lower pouch. The small intestine is then reattached to the pouch that creates a bypass for food, which results in absorption of less calories and nutrients.<\/p>\n\n\n\n Laparoscopic Gastroplasty <\/strong>– In Laparoscopic Gastroplasty<\/a>, the size of the stomach is reduced using stitches by about 60-70% of the existing size.<\/p>\n\n\n\n Mini-Gastric Bypass<\/strong><\/p>\n\n\n\n Intragastric Balloon Placement<\/strong> – Weight loss about 10-15 kg can be achieved with Intragastric Balloon Placement<\/a>, which is placing a balloon inside the stomach. Intragastric Balloon is placed endoscopically through the mouth. Swallowable balloon insertion is also done based on patient preference.<\/p>\n\n\n\nOther Weight Loss Treatments<\/h2>\n\n\n\n
Body Shaping Procedures<\/h2>\n\n\n\n