Sleeve Gastrectomy Surgery in India-cost, Benefits and Risks

What is Sleeve Gastrectomy?

Sleeve gastrectomy is a new procedure that induces weight loss by restricting food intake. With this procedure, the surgeon removes approximately 60 percent of the stomach laparoscopically so that the stomach takes the shape of a tube or "sleeve." This procedure is usually performed on superobese or high-risk patients with the intention of performing another surgery at a later time. The second procedure can either be a gastric bypass or duodenal switch.

Who is a candidate for Sleeve Gastrectomy Surgery?

Patients who are morbidly or severely obese are at increased risk for health problems and tend to have a shortened life span. There is also added potential risk from continued weight increase. The risk of severe obesity is greater than that of its surgical treatments. Persons eligible for sleeve gastrectomy surgery include the following:

·Persons at least 100 pounds above ideal body weight.

·Persons who are at least 80 pounds over weight and have life-threatening obesity related problems such as diabetes, hypertension, sleep apnea, etc.

·Above persons who have failed non-surgical attempts at weight loss, specifically a combined regimen of diet and exercise.

Procedure for Sleeve Gastrectomy Surgery:

This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a banana and measures from 2-5 ounces (60-150cc). The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary.

Advantages of the Sleeve Gastrectomy Surgery:

·The stomach is reduced in volume but tends to function normally so most food items can be consumed, albeit in small amounts.

·Eliminates the portion of the stomach that produces the hormones that stimulates hunger.

·No dumping syndrome because the pylorus is preserved.

·Minimizes the chance of an ulcer occurring.

·By avoiding the intestinal bypass, the chance of intestinal obstruction (blockage), anemia, osteoporosis, protein deficiency and vitamin deficiency are almost eliminated.

·Very effective as a first stage procedure for high BMI patients (BMI>55 kg/m2).

·Limited results appear promising as a single stage procedure for low BMI patients (BMI 35-45 kg/m2).

·Appealing option for people with existing anemia, Crohn's disease and numerous other conditions that make them too high risk for intestinal bypass procedures.

·Can be done laparoscopically in patients weighing over 500 pounds.

Risks of the Sleeve Gastrectomy Surgery:

·Potential for inadequate weight loss or weight regain. While this is true for all procedures, it is theoretically more possible with procedures that do not have an intestinal bypass.

·Higher BMI patients will most likely need to have a second stage procedure later to help lose the rest of the weight. Two stages may ultimately be safer and more effective than one operation for high BMI patients. This is an active point of discussion for bariatric surgeons.

·Soft calories such as ice cream, milk shakes, etc can be absorbed and may slow weight loss.

·Because the stomach is removed, it is not reversible. It can be converted to almost any other weight loss procedure.

Cost of Sleeve Gastrectomy Surgery:

Recently in India the rise in has seen sleeve gastrectomy surgery because the costs have dropped drastically, making world class treatments affordable for everyone. If a person has always wanted a sleeve gastrectomy surgery or any other procedure you can now easily afford it, as obesity surgery costs have tumbled. In India low cost of obesity surgery is combined with surgery success rates on par with anywhere in the world and this is one of the fastest areas of growth in medical tourism in India.

Long-Term Weight-Loss Results of Sleeve Gastrectomy Surgery:

On average, patients who undergo sleeve gastrectomy surgery experience a 60-80% loss of excess weight.

Sleeve Gastrectomy Surgery in India:

Obesity surgeries in India have seen a phenomenal growth during recent past. Most patients from countries like USA and UK travel to developing countries such as India for treatment, few main reasons while choosing India at first choice are as follows:-India offers wide range of cheapest pricing options of treatment. While planning a treatment in India, one does not require waiting in patient queues or registering for a waiting list. Moreover the doctors and the medical facilities are comparable to anyone in the world. Another main reason for choosing India is comfort of language; one does not pose a problem as most people speak English. Above all; India always offers a good holiday, which can help in fast recoveries. These are the few reasons why most of the people prefer to get their surgery in India.

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