Emergency

Bariatric And Metabolic Surgery Team

Bariatric and metabolic surgery, often referred to as weight-loss surgery, is performed on individuals with severe obesity who have not succeeded with diet and exercise. In addition to helping patients lose weight, these surgeries can also improve or resolve metabolic conditions such as type 2 diabetes, high blood pressure, and sleep apnea. The primary goals of bariatric and metabolic surgery are to reduce the size of the stomach, limit food intake, and in some cases, alter the digestive process to promote weight loss and metabolic improvements.
There are several common types of bariatric and metabolic surgery, including:

Roux-en-Y Gastric Bypass

In this procedure, a small pouch is created at the top of the stomach and connected directly to the small intestine, …bypassing a portion of the stomach and the first part of the small intestine (duodenum). This restricts food intake and reduces the absorption of calories and nutrients.

Sleeve Gastrectomy

This procedure involves removing approximately 75-80% of the stomach to create a tube-like, sleeve-shaped stomach. This reduces the amount of food a person can eat and can also impact hormones that control hunger and metabolism.

Gastric Banding

In this surgery, a band is placed around the upper part of the stomach, creating a small pouch. The band is adjustable to control the pouch size and the rate at which food passes to the rest of the stomach.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

This surgery combines a sleeve gastrectomy with a longer bypass of the small intestine. It both restricts food intake and reduces the absorption of calories and nutrients.

Intragastric Balloon

This non-surgical procedure involves placing a deflated balloon inside the stomach, which is then inflated to occupy space in the stomach and promote a feeling of fullness, reducing food intake.

These surgeries are typically considered for individuals with a body mass index (BMI) of 40 or higher or a BMI of 35 or higher with significant obesity-related health issues, such as type 2 diabetes. Patients considering these surgeries should undergo a thorough evaluation, including a discussion with a healthcare provider, a dietitian, and a mental health professional. These procedures are not without risks and require lifestyle changes and long-term commitment to diet and exercise to be effective.
Bariatric and metabolic surgery can lead to significant weight loss and can have a positive impact on various health conditions. However, individuals must be well-informed and work with their healthcare team to determine if surgery is appropriate and to ensure optimal outcomes.

Gastroenterology and GI Surgeries Team

Gastroenterology and gastrointestinal (GI) surgery are specialized medical fields focused on the diagnosis, treatment, and management of conditions affecting the digestive system. This includes the esophagus, stomach, small and large intestines, liver, gallbladder, and pancreas.
Gastroenterology

  • Gastroenterologists are physicians who specialize in diagnosing and treating disorders of the digestive system. Common conditions they manage include :

    • Irritable Bowel Syndrome (IBS)
    • Inflammatory Bowel Disease (IBD), including Crohn’s Disease and Ulcerative Colitis
    • Gastroesophageal Reflux Disease (GERD)
    • Peptic Ulcers
    • Pancreatitis
    • Hepatitis
    • Gallbladder Diseases
    • Celiac Disease
    • Gastrointestinal (GI) Bleeding

    They use diagnostic tools such as endoscopy, colonoscopy, and advanced imaging studies to assess and diagnose digestive disorders accurately.

Gastrointestinal surgeons perform operative procedures to treat structural or severe digestive system conditions. Common GI surgeries include:

  • Appendectomy – Removal of the appendix (usually due to appendicitis)
  • Cholecystectomy – Removal of the gallbladder (often due to gallstones)
  • Colectomy – Removal of part or all of the colon
  • Gastrectomy – Partial or total removal of the stomach (commonly for gastric cancer)
  • Esophagectomy – Removal of all or part of the esophagus (typically for esophageal cancer).
  • Liver Resection – Removal of a portion of the liver (often for tumors or liver disease)
  • Pancreatic Surgery – Includes procedures like the Whipple procedure for pancreatic cancer
  • Bariatric Surgery – Weight-loss surgeries like gastric bypass and sleeve gastrectomy Surgery is usually considered when medical management is ineffective, or when a condition is severe or life-threatening.
These are just a few examples of the many procedures performed by gastrointestinal surgeons. Surgery is typically considered when conservative or medical management is ineffective or when the condition is severe and requires immediate intervention.
Gastroenterology and GI surgery are interlinked specialties. Gastroenterologists and GI surgeons often work together to provide comprehensive and coordinated care. Treatment plans are tailored based on the patient’s condition, severity, and overall health.

Guidance for Fatty Liver disease

Fatty liver disease, also known as non-alcoholic fatty liver disease (NAFLD), is a condition characterized by the accumulation of fat in liver cells. It’s a common condition and can range from simple fatty liver to more severe forms, such as non-alcoholic steatohepatitis (NASH) and cirrhosis. If you suspect you have fatty liver disease or have been diagnosed with it, it’s important to seek guidance from a healthcare professional for a tailored treatment plan. Here are some general guidelines that can help manage and potentially improve the condition:

Lifestyle Changes:

  • Diet:

    Focus on a well-balanced, healthy diet. Limit the intake of sugar, refined carbohydrates, and saturated fats. Increase your consumption of fruits, vegetables, whole grains, and lean proteins.

  • Weight Management:

    If you are overweight or obese, losing weight gradually can significantly reduce fat in the liver. Even a 5–10% reduction in body weight can be beneficial.

  • Regular Exercise:

    Engage in regular physical activity, such as aerobic and strength training exercises. Aim for at least 150 minutes of moderate-intensity exercise per week.

Avoid Alcohol:

  • It’s crucial to abstain from alcohol consumption, as even small amounts can exacerbate liver damage

Medications:

  • There are no specific medications approved for the treatment of NAFLD, but your doctor may prescribe medications to manage related conditions like high blood pressure, high cholesterol, or diabetes.

Regular Monitoring:

  • Periodic follow-up appointments with your healthcare provider are essential to monitor your liver function and overall health. They may use blood tests, imaging, or liver biopsy to assess your condition.

Manage Associated Conditions:

  • Diabetes:

    If you have diabetes, work with your healthcare provider to control your blood sugar levels through medication, diet, and exercise.

  • High Cholesterol:

    Managing high cholesterol through diet, exercise, and medications if needed can help protect your liver.

Antioxidant-Rich Foods:

  • Consuming foods rich in antioxidants, such as green tea, coffee, and certain berries, may have protective effects on the liver.

Herbal Supplements:

  • Some supplements like milk thistle and turmeric are believed to have potential benefits for liver health, but their efficacy is not yet well-established. Consult your doctor before using any supplements.

Avoid Rapid Weight Loss:

  • Crash diets or rapid weight loss programs can worsen fatty liver disease. Gradual, sustainable weight loss is recommended.

Stress Management:

  • Chronic stress can contribute to inflammation and worsen liver conditions. Engage in stress-reduction techniques like meditation, yoga, or deep breathing exercises.

Support Groups:

  • Joining a support group or seeking counseling can help you cope with the emotional aspects of living with a chronic liver condition.

Remember that fatty liver disease can vary in severity from person to person, and individualized management is crucial. Always consult with a healthcare professional, such as a gastroenterologist or hepatologist, for a personalized treatment plan and regular monitoring of your condition. These guidelines are meant to provide general information and should not be considered a substitute for medical advice from a qualified healthcare provider.

Gastroenterology and GI Surgeries Team

Dr. Nilesh Godhani

Know More

Dr. Pravin Borasadia

Know More
Emergency
Appointment
Facebook Instagram Youtube Linkedin Whatsapp