Laparoscopic Surgeon in Delhi, West Delhi

Piles Treatment in West Delhi

How is the diagnosis of hemorrhoids made?

Can hemorrhoids become cancer?

Hemorroidopexy with mechanical suture

Gastric Bypass Surgery in West Delhi

The intervention of the gastric bypass surgery in West Delhi involves reducing the volume of the stomach and modifying the food circuit.

Food does not pass through the stomach and the upper part of the digestive tract, it goes directly into the middle part of the small intestine.

There are 2 types of bypass:

The classic Bypass

The mini Bypass

The mini bypass is a recent evolution of the bypass, its theoretical advantages are:

An easier technical realization, so a shorter intervention, ½ h to 1 hour.

Total reversibility, relatively simple to achieve technically by laparoscopy.

The main disadvantages of the mini bypass seem to be:

Gastroesophageal reflux (this problem should be resolved by using a longer gastric tube).

The weight loss at 1 year seems the same as with the bypass, as the weight loss at 5 years. The results at 10 years are not known.

Very important: the mini bypass has “mini” only its name: its mode of action and its consequences on the body are the same as with the bypass, monitoring and taking vitamins, in the long run, are essential.

The bypass acts by several mechanisms that combine:

A restriction (such as gastroplasty)

Malabsorption: foods are less digested

Dumping Syndrome: (The ingestion of highly sugary foods in large quantities causes a feeling of general malaise and an acceleration of the pulse, these foods must, therefore, be taken in small quantities)

A decrease in the rate of ghrêline, which is the hormone of hunger, which leads to a lack of interest in food (attention: this mechanism of action is not effective on any compulsions).

Advantages & Disadvantages

The bypass is a complex procedure, with a hospital stay of 2 to 4 days on average.

The bypass must lead to a very important weight loss of
the order of 5 kgs per month, during the first 6 months, then a weight loss of 2 to 4 kgs per month.
It is indicated for Body Mass Indexes greater than 45.
According to scientific data, the bypass makes – on average – 70% of excess weight lost in 1 year.

Undernutrition and vitamin deficiencies are not uncommon
Oral supplementation with vitamins and trace elements is essential.
The modification of the alimentary circuit is responsible for the reduction of the digestion of the so-called “fat-soluble” vitamins (vitamins A, D, EK), vitamin B12 and certain nutrients and oligo-elements. These different products must be brought in addition to the diet, in the form of capsules.

The class bypass is difficult to reverse, the mini bypass is relatively easily reversible.

Food comfort is better than gastroplasty
Vomiting is rare.

Dietary habits should be changed
3 meals and possibly 2 snacks.

Sugary snacking is not well tolerated, especially with the conventional bypass
because of ”dumping syndrome”, which is considered a benefit by the operated patients.

Regular monitoring by a multidisciplinary team is mandatory.
3 Blood tests are necessary the first year, then 1 to 2 blood tests a year, to look for vitamin deficiency, anemia, undernutrition.

Hospitalization

THE DAY BEFORE

You are hospitalized around 17 hours if your hospitalization is planned in the morning.

You can eat normally.

You will be fasting from midnight.

D-DAY

If your intervention is scheduled in the afternoon, you can return in the morning, a light breakfast is possible before 8 am.

The procedure requires complete general anesthesia, it is performed by laparoscopy, it lasts 2 to 3 hours.

After the procedure, you will spend a few hours in the recovery room before being taken back to your room.

You will not have a probe in your nose. A small tube (called Redon) is put in place at the end of the procedure, it comes out through a small hole in the abdomen. Redon is used to aspirating secretions and will be removed on D2 or D3.

Pain medications will be administered by the vein.

The evening of the intervention: fasting.

THE DAY AFTER THE INTERVENTION (J1)

You will be able to drink a glass of water after the assessment of the laparoscopic surgeon in Delhi.

Pain medications will be administered by the vein.

A physiotherapist will help you to sit down and make a passive mobilization.

Discharge

You can leave the facility late in the morning, usually D1 or D2 after the procedure.

Your surgeon will give you:

An order of the different medications needed after the procedure.

A prescription for scar care and anticoagulant injections.

A work stoppage of 2 or 3 weeks, depending on your general condition and the arduousness of your professional activity.

A detailed program for the gradual recovery of your diet.

Precaution

The first month

The first month will allow you to get used to your new digestive circuit.
Eat very slowly, because you must not fill the small stomach, which is healing.

After the first month

EAT-IN CALM AT REGULAR HOURS

Split your food intake into three meals (and possibly one or two snacks)

Vary your diet

Eat only small pieces

Chew for a long time, swallow several times

Take the time to enjoy your meal. Remember that digestion begins in your mouth

Drink as little as possible during your meals

When you feel full, stop eating

Watch your teeth

A teaspoon more can make you vomit. You have only a mini stomach, do not forget it.

IF YOU VOMIT

Either you have eaten too much

Either you have eaten too fast

Either you have eaten too many chunks

Either you have not chew enough

Either you swallowed too fast

BETWEEN MEALS

Beware of Dumping Syndrome: ingestion of an unusual amount of sugary products can lead to general discomfort.

Avoid sugary drinks and, in principle, soft drinks.

Drink outside meals often, in small amounts, even without thirst.

Resume regular physical activity, recreation, and endurance.
The simplest regular physical activity is walking: walk at a good pace but at your own pace, ideally 3 times 30 to 40 minutes a week.
A physiotherapist can help you. After the first month, you can resume the sport without any problem.

Observe adequate hours of sleep.

FOLLOW YOUR DOCTOR REGULARLY

In addition to your daily intake of vitamins and trace elements, your doctor will encourage you to optimize your diet in the direction of a better intake of iron and calcium (possibly after a dosage of these elements).

Attention also to possible protein malnutrition. If you do not bring enough protein to your diet, you will lose weight on your muscle mass, while it would be better to lose weight on your fat or water of your body. At worst, you can suffer protein malnutrition, with decreased immune defenses and fatigue, anemia, increased susceptibility to infections. Good luck

Bariatric Surgery

Obesity is today one of the main concerns of the World Health Organization (WHO). Already considered as a pandemic, overweight and obesity in India have alarming rates, leading the rankings internationally. Every year thousands of people opt to go for bariatric surgery in Delhi to curb obesity. According to the report, 74% of Indians are overweight and 86% are sedentary, while 32% suffer from obesity, and 3% morbidly obese. In the world, 44% of global cases of diabetes, 23% of ischemic heart disease and a significant percentage of certain cancers are attributable to overweight and obesity, ”says bariatric surgeon in Delhi.

Dr. Mohit Jain, who is a famous bariatric surgeon in Delhi, points out that there are three types of patients who are more recurrent in this type of procedure: the obese patient, the obese diabetics, and the patients who have gained weight again after bariatric surgery. He also points out that women are more recurrent patients than men, and that more teenagers and young people are treated every day, although the most frequent range is between forty and fifty years.

What is bariatric surgery?

It is a surgical intervention to treat morbid obesity and obesity disease, understanding obesity as an excessive overweight that puts health and quality of life at risk, corresponding to having a body mass index (BMI) or relationship between weight and height, greater than forty. Obesity is a disease because it has all the properties of the disease. That is, it compromises the health of the organism, and decreases the years and quality of life.

The bariatricsurgery in Delhi is currently the only long-term therapeutic effective means of inducing a satisfactory weight loss and definitive and in the control, or in the resolution, the dell ‘complications obesity.

The goal of bariatric surgery in Delhi is therefore not only the reduction and maintenance of body weight but also the prevention and treatment of complications, and more generally the improvement of the quality of life.

Types of Bariatric Surgeries

Restrictive: This type of procedure changes the size of the stomach to reduce food intake in large quantities, keeping the digestive system functions intact

Malabsorptive: These change the way in which the digestive system carries out its processes, change the path of food, preventing them from passing through a part of the stomach and small intestine that absorb calories.

Within these two types, which can be combined, there are also different techniques to perform the interventions, according to the bariatric surgeon in Delhi. 70% of the people attended the clinic correspond to Gastric Sleeve, while the Bypass adds thirty percent of the care.

Interventions of the Bariatric Surgeon in Delhi:

Sleeve gastrectomy

Gastric bypass

Gastric bandage

Endoscopic intragastric balloon

They are based on the reduction of the gastric volume, which determines an early sense of satiety with a very reduced food intake, which leads to the loss of body weight. These interventions involve a lower physiological impact, since they do not modify the processes of digestion, but result in a lower reduction of overweight.

The Gastric Sleeve is an operation where the volume of the stomach is reduced by 80%, leaving a non-distensible tube, that is to say rigid, which limits the amount of food that is eaten, producing an important weight loss. This technique of bariatric surgery in Delhi has the particularity of eliminating Ghrelin, a hormone that is located in the stomach and that stimulates the appetite. “It is an operation that is associated with a prolonged period in which we have little hunger, which lasts between eight months and one year after the intervention,” says bariatric surgeon in Delhi. This procedure is recommended for cases of obesity of up to fifty kilos of overweight.

On the other hand, the Gastric Bypass is recommended for cases of obesity where overweight exceeds fifty kilos, as well as for diabetic patients, due to their metabolic effects, whether obese or not. The Bypass represents 30% of the care. The intervention consists of dividing the stomach into two parts, leaving a blocked part that does not receive food. In addition, food is less assimilated by a fraction of the stomach, having a mixed, restrictive and malabsorptive effect.

Indications for bariatric surgery in Delhi

Aged between 18 and 65;

Motivated and collaborative patient;

History of the obesity dating back at least 5 years;

Obesity with  BMI  greater than 40 or with a BMI  between 35 and 40 with the presence of complications related to obesity;

Failure of previous non-surgical therapies, correctly followed for at least a year;

Absence of contraindications to surgery.