Laparoscopic Sleeve Gastrectomy with Duodenal Interposition in India

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Package Details

Best Laparoscopic Sleeve Gastrectomy

with Duodenal Interposition (SG - DII)

in Bangalore, India



Abdominal cavity is entered through small holes, using 5 to 7 ports. Up to 80 percent of left side of the stomach is removed using linear cutter staplers. If patient is obese, stomach tube, of approximately 60 to 120 ml, is fashioned (Sleeve Gastrectomy), over a calibration tube kept in the stomach. If the patient is not obese, then stomach tube of higher volume is created, so that patient can eat normally.

First part of the duodenum is disconnected, 4 cm distal to the stomach, using linear cutter stapler. 170 cm segment of the ileum is isolated by dividing the ileum 30 cm & 200 cm proximal to the ileocecal junction (junction of the small and large bowels). Bowel continuity is restored by joining the remaining ends of the ileum. This ileal segment is joined above to the proximal divided end of the duodenum and below to the jejunum 50 cm distal to the duodenojejunal flexure (Ileal interposition). All the mesenteric gaps are closed. 

Bariatric Surgery India, Asia

Eligibility

Any patient suffering from type 2 diabetes who is fit, aged between 18 to 65 years, duration of diabetes > 3 years and < 20 years, post prandial serum C - peptide levels > 0.9 ng/ml are eligible for metabolic surgery. Obese patients with BMI ≥ 30 kg/m2 and type 2 diabetes we recommend metabolic surgery if they are fit. In these patients surgery results in resolution of type 2 diabetes and weight loss. For obese patients with BMI ≥ 25 kg/m2 and < 30kg/m2, non-obese patients (Normal weight – BMI < 23 kg/m2, Overweight – BMI ≥ 23 kg/m2 and < 25 kg/m2) we do metabolic surgery.

Metabolic Surgery India

Are you a Suitable Candidate?

Tests needed to assess suitability:

  • Fasting C Peptide Level
  • Fasting Insulin Level
  • HbA1C
  • Anti-GAD antibody

These reports can be sent along with the enquiry form or brought during consultation. The final decision for surgery is taken by the surgeon after considering various factors.

Pre-operative Tests:

  • Complete Blood Counts
  • Fasting & Post Parendial Blood Sugar
  • S Creatinine
  • BUN
  • T3, T4, TSH
  • Liver Function Tests
  • Lipid Profile
  • BT, CT, PT
  • Blood Group
  • X-ray Chest PA view
  • Ultrasound Abdomen
  • ECG
  • 2 D Echo-cardiograph
  • Pulmonary Function Tests
  • Urine Routine
  • 24 Hours Urine Micro-albumin
  • Carotid & Lower Limbs Doppler

Before surgery, please do not discontinue diabetic diet & medications, for effective blood sugar control. You are advised to consult a physiotherapist to explain breathing exercises including incentive spirometry. These steps will reduce your pre-op hospital stay.

This results in resolution of diabetes in over 95% of patients. In more than 65% patients HbA1C becomes < 6% and in 30% of patients HbA1C level between 6 and 7 % is achieved. Patients are off insulin and tablets.


Why Choose PlacidAsia?

Our ResultsObesity Surgery in Asia

  • 80% patients are maintaining blood sugar without medication. Other 20% patient(s) also have significant control with reduced medicine requirement.
  • 60% patients were on Insulin while 40% were on oral antidiabetic medication.
  • Average fasting blood sugar dropped from 256mgm% to 108mgm% within 3 months after surgery.
  • Mean HbA1c [Glycosylated hemoglobin] fell from average 9 to 7.15 3 months after undergoing diabetes surgery.
  • Patients who were on Insulin before surgery-66% stopped insulin within 2 months after surgery, remaining 33% decreased their insulin intake by over 80%.



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