What doctors or other people don’t know about sex in fat people (the numbers of whom are increasing everyday) could fill an encyclopedia. From our own experience with obese patients consulting us for bariatric surgery, we can at least offer some thoughts on the subject. First, let us reiterate what many psychologists probably already know. [...]
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 [...]
Good question? Obviously, one is not asking all diabetics to be subjected to surgery. Instead it is proposed as an option for some of them. And that too, for those who are eligible as is ascertained by some tests. Lets start by finding out who needs to look for options other than medicines and insulin [...]
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 [...]
Surgery for obesity is being done more frequently to combat the pandemic of obesity globally. A lot of these subjects are food lovers (read ‘addicted’). Many among them smoke and drink. It has been pointed out by the detractors of bariatric surgery that once these food lovers lose their hunger for food a direct result [...]
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 [...]
The sleeve gastrectomy operation converts the stomach into a long tube with a capacity of around 120 ml (or whereabouts). Obviously, you cannot exceed the newly reduced capacity, and your meals are going to be small, though much bigger than after a gastric bypass. To make matters better (and more interesting) you do not feel [...]