When you struggle with weight issues, it's easy to feel overwhelmed by your weight loss options and dismayed by setbacks. At Medeor, we see you as a person with a complex disease who requires treatment with utmost compassion and respect. Our comprehensive weight loss surgery program consists of a team of experienced healthcare professionals who are focused on your success. From a full spectrum of pre-op consultations to post-op support groups for life, we are here to support your goal of long-term weight loss and better health. The Weight Loss Clinic at Medeor is designed to incorporate a thorough approach to weight loss surgery utilizing a team comprised of surgeons, nurse practitioners, psychologists, and nutritionists to provide a safe and comprehensive surgical weight loss program. Bariatric surgery patients who have undergone faulty or failed surgeries at other surgical centers often come to our center to have revision bariatric surgery. But beyond the surgery, we deliver a full spectrum of care before, during, and after the actual procedure. You can be fully confident, knowing that a dedicated team of trained professionals is on hand to support you throughout your weight loss journey. This support includes:
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The procedure itself is done through small incisions or laparoscopically which leads to faster recovery and early back to work. The surgical procedure comprises of either decreasing the capacity of the stomach or re-routing your food from the intestines or both leading to sustained weight loss and correction of most of the co-morbidities related to obesity including Diabetes, Hypertension and Sleep apnea , to name a few.
Laparoscopic Sleeve Gastrectomy (also known as Vertical Gastrectomy) is a procedure in which about 75% of the stomach is excised or removed leaving a narrow gastric tube or "sleeve" through which food passes. No intestines are removed or bypassed during Sleeve Gastrectomy so intestinal malabsorption syndrome never occurs. The narrow tube restricts the amount of food one can ingest thereby decreasing the calories one can consume leading to weight loss. Having said that it is not only the restriction that causes the weight loss but many a metabolic changes also occur due to rapid transit of the food in the intestines, releasing intestinal hormones that cause these effect. Thus Sleeve Gastrectomy is no longer considered purely a restrictive surgery but also a metabolic surgery. Though, Sleeve Gastrectomy was originally used as a first step procedure for a more definitive gastric bypass in super obese, it is now also used as a single stage procedure with excellent results across the globe. In patients with reflux disease and Diabetes the results may be inferior to the Gastric Bypass but the excess weight loss of both the procedures may be comparable in a select subgroup of patients. It is a simple procedure and the patients may be able to leave the hospital in one day or even the same day in selected cases.
Gastric bypass surgery is a procedure that creates a small pouch in the upper most part of the stomach to restrict food intake. The stomach pouch is then connected to lower segment of the small intestine, bypassing the duodenum (the first part of the small intestine) and some of the jejunum (the second part of the small intestine), delaying the mixing of ingested food and the digestive enzymes. The net effect of this re-arrangement is a restricted intake of food and due to the bypass, some malabsorption- both of these leading to weight loss. However it is not only the restriction and malabsorption that leads to weight loss and correction of the co-morbidities in obese people. The intestines secrete a number of hormones specially when exposed to undigested food directly in their lumen that control and modify the metabolism in our body to correct diabetes, control blood pressure and also control hunger. These hormones also increase our resting metabolic rate thereby increasing energy consumption even at rest.
Laparoscopic Mini Gastric Bypass also called Omega Loop Gastric Bypass, Sleeve Bypass or Billroth-II Bypass is another form of Gastric Bypass. In this the Gastric pouch is like a long sleeve which is anastomosed (joined) to the intestines, making a loop thereby finishing the procedure with only single anastomosis. It has a theoretical advantage over RYGB in causing no intestinal obstruction in long term follow up. The results of excess weight loss and resolution of co morbidities is similar to that of RYGB. This procedure is primarily a malabsorptive procedure as compared to the classical RYGB. The patient has a better capacity and tolerance to quantity of the food but as it causes more malabsorption the frequency of stools is increased. Post MGB, we have seen brilliant results in special subtype of our population.
Intragastric balloon involves placing a deflated balloon into the stomach, and then filling it to decrease the amount of gastric space. The balloon can be left in the stomach for a maximum of 6 months and results in an average weight loss of 5–9 BMI over half a year. The intragastric balloon may be used prior to another bariatric surgery in order to assist the patient to reach a weight which is suitable for surgery, further it can also be used on several occasions if necessary.
The POSE Procedure (Primary Obesity Surgery Endoluminal) is one the most advanced incision less surgical weight loss procedures available to patients today. No incisions, no scarring, no bandages and nobody will know you underwent weight loss surgery. The POSE procedure is appropriate for patients who have not had weight loss surgery in the past, and want the weight loss benefits without the pain and scarring of traditional and laparoscopic surgeries. It is especially recommended in patients with a body mass index (BMI) from 28 to 35 kg/m2 in whom diet treatments have failed. The entire procedure is performed through the patient’s mouth. Stomach reduction, as with other weight loss surgeries, helps diminish the patient’s feelings of hunger and reduces caloric consumption .It helps suppress hunger, so patients can more effectively control their portions and lose weight. The operation enables oral reduction of stomach capacity, without the need for incision. The procedure consists of forming and suturing folds in the stomach to reduce its size and capacity for distension. Its advantages are:
If you want to know more about our Bariatric & Metabolic Surgery, feel free to contact us today. We will gladly guide you throughout the process and make sure that your needs are met accordingly.
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