At BMI, we don’t generally talk about our successes. We focus, instead, on the science, the details that are not covered in counseling sessions with patients and their families. This is probably why we are on the first page of Google on most of the search terms for bariatric surgery. Once in a while, we [...]
After the initial (and highly popular, if I may say so) posts on the subject (see Parts One and Two), we will now talk about what we have gained in terms of experience and insight about this subject. I had jokingly noted how BMI has not had a leak in many years. This year (obviously our busiest [...]
It requires a lot of motivation for obese subjects to convince themselves for surgery. Now, imagine after the entire ordeal, the patient either does not have an adequate weight loss (failed promises can go down very badly with anyone, you know) or, someone develops undesirable side effects (nutritional deficiencies, chronic vomiting, hernias mainly) after bariatric [...]
When we started out on doing the sleeve gastrectomy a few years back, it was typically over a 60Fr bougie. The important thing, we learnt, was not to leave any part of the fundus of the stomach behind. This was the important technical thing to check. Our old patients have all done well. Since the [...]
Note: This article discusses only Type II Diabetes Mellitus It has always been a given for generations that ‘once a diabetic, always a diabetic’. Absolutely like the truism for high blood pressure, asthma and hypothyroidism. You know that if you are unlucky enough to get these labels stuck on you, you are going to take [...]
Weight loss plateaus may occur in certain patients who have undergone a sleeve gastrectomy as a primary bariatric procedure. What are the causes? What is the next step? What is the prognosis for these patients? This article discusses these issues. Please buckle your seat belts! First things first, who doesn’t know what a sleeve (as [...]
In Part One, we came to the reluctant conclusion that the sleeve, safe procedure though it is, has a near 3 percent leak rate. Incidentally, the two of us at BMI have not yet had a leak in nearly five years of practice. For whatever reason though it may be (luck?), we would like to [...]
Our patients are counseled in details about the pros and cons of various bariatric procedures, especially the one they are going in for. In today’s practice, most of our patients tend to favor the Sleeve Gastrectomy for its safety, ease of maintenance and less restrictive lifestyle. It also may be cheaper than the bypass to [...]
In Part One, we outlined the nature of the beast. In Part Two, we dealt with ways of cooking it. Now, in this part, we will clean up the remains. Sorry to our Gujju (and other vegan) friends for this analogy! If you have had bariatric surgery and are now having reflux, what now? (Are [...]
In Part One, we outlined the nature of gastroesophageal reflux and how it occurs, as well as how we detect it clinically. So let us now assume that you are awaiting bariatric surgery and have reflux symptoms. So how does your reflux have an implication on your surgery? Will bariatric surgery (after all, we are [...]