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.
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.
Are you a Suitable Candidate?
Tests needed to assess suitability:
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.
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?
Choose Laparoscopic Metabolic Surgery in India and get back to a healthy and happy life,with no worries about extra weight or diabetes.Category: Alternative Medicine,Cancer Treatment,Cosmetic/Plastic Surgery,Stem Cell Therapy