As you may or may not know, mortality in bariatric surgery occurs at a very acceptable 0.2-0.3% rate. Compare this to gall bladder or appendix surgery (0.3 to 0.4%). This means that in this class of obese people, if we operate on a thousand, two will die. If you take these same thousand people and [...]
Almost all people (with the exception of some bariatric surgeons) believe that the sleeve gastrectomy is a safer operation than the gastric bypass because of the ease and simplicity of the procedure, as also the possibility of leaks in the latter case (multiple staple lines). At the root of the confidence of many surgeons is [...]
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 [...]
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 [...]
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 [...]
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). [...]
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 [...]