Before Surgery:

Mandatory Testing: A few tests are needed to help assess your fitness to undergo the procedure. These include routine blood counts, liver and renal function tests, coagulation profile, thyroid function tests and diabetic profile and assessment of blood levels of iron, vitamin B12, folic acid etc. In addition, we require an echocardiography, pulmonary function tests, a sleep study (to assess snoring and episodes of breathlessness in your sleep) ultrasound of your abdomen and a Doppler study of your lower limb veins will be performed. An Upper GI endoscopy is performed by a gastroenterologist.

Counselling: Our team will educate you on the available surgical procedures in great detail. The final say on what surgery you opt for will be yours.

Leading up to the Surgery: Patients are advised to lose 4-5 kg prior to the surgery. You will be on a liquid diet 14 days prior to the operation. Our dietician will calculate the ideal weight and BMI, and provide a diet chart accordingly. On the day of the surgery, you will have nothing to eat or drink after midnight. You will be assessed by your anaesthetist the day before the surgery. If you drink alcohol or smoke, please inform your doctor.

During Surgery:

Minimally Invasive, State of the Art Techniques: Using the latest technology, we perform laparoscopic procedures and offer robotic bariatric surgery using the most advanced robotic platform. This minimizes scarring, reduces recovery time and improves your experience from start to finish.

After Surgery:

Comprehensive Support: Post-surgery, we provide regular follow-up care to monitor your progress, address any concerns, and provide continued support through nutrition counselling and fitness.

First 48 hours: As the anaesthesia wears off, you will find that a tube may be placed in your abdominal cavity to drain any fluid that may collect during or after surgery. This drain is 2-3 days after the surgery. After surgery, you cannot eat or drink for 12-24 hours. The next morning, you will be started on liquids.

ADVANCED SURGICAL OPTIONS

There are 3 standard bariatric surgical procedures for weight loss. These are Sleeve Gastrectomy, Mini Gastric Bypass (MGB/OAGB), and Roux-En Gastric Bypass (RYGB).

Sleeve Gastrectomy

Sleeve gastrectomy is the most popular surgical procedure and comprises about 70% of all global procedures. This is due to the fact that it is technically less complex and there's no alteration in the anatomy of the gastrointestinal tract. This surgery has shown the most long-term success after surgery.

Roux-En Gastric Bypass (RYGB)

RYGB was earlier considered as the gold standard. However, it is more complex than sleeve gastrectomy and has a longer operative time. We advise the bypass procedures for patients with severe diabetes or severe acid reflux disease.

Mini-Gastric Bypass

This is a less complex version of RYGB. There is only one joint between the stomach and the intestine. As a result, it is faster than RYGB but has equivalent results. From an analysis of our own data, we found that MGB/OAGB is the ideal procedure for patients with very severe obesity i.e. BMI more than 50 kg/m2.