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In the last two decades or so, people have recognised (mistakenly, as you will see) that surgery for weight loss means liposuction. It has become a tiresome but necessary ritual for us to explain to our patients that what we do is bariatric surgery, not liposuction. Liposuction is local removal of subcutaneous fat from a [...]

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Weight loss after the lap gastric bypass is a well known fact. What is less known is that there is a certain degree of weight regain in some patients in the long term. Before we proceed, do you know what is a lap gastric bypass all about? An important factor to be considered by every [...]

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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 [...]

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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 [...]

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Alcohol has been in the center of research in the past few decades for a lot of reasons. While nobody with a sane  mind questions the vices of smoking, sensible drinkers have hotly contested the alcohol debate. We know that alcohol is very high in calories, and it also can affect the way the body [...]

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I, like many others, have long believed that science will, one day, announce the discovery of a pill that will end obesity. One pill, and pow! no more cravings, and fat will melt off your muscles like wax from a lit candle. (pic: bmj.com) Many companies have clearly shared that fantasy or vision. Billions of [...]

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In the last decade there has been a spurt in the number of cases of bariatric surgery. While a lot is said about the huge benefits of such procedures, the critics have also been pointing out the disadvantages of the procedure. One such area of concern has been the depression and even suicidal tendencies seen [...]

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Many bariatric surgeons are excited about the procedure Gastric Plication (LGP) as a bariatric procedure. It promises to be a simple method (remember, “Less Is More!”) that gives weight loss results as good as sleeve gastrectomy without even the risks of that procedure (staple line leaks (read part one and part two here) or bleeding). [...]

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(pic source: here) I am  excited (only in a manner of speaking) to announce to you a NEW series of articles for the layman who has just heard of bariatric surgery. This will be part of a new page. You will find, over the next several weeks, more and more articles that don’t deal with each [...]

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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 [...]

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