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Overview

Gastric Bypass Surgery: Procedure, Recovery, Cost, Risk & Complication

What is Gastric Bypass surgery?

Gastric bypass surgery is a type of weight loss procedure, where certain modifications are made to the digestive system so that the amount is food you can consume is restricted. At times, it can also reduce the amount of nutrients your body can absorb. This surgery is only preferred when other alternative methods like diet and exercise has failed to have the necessary impact. These surgeries are collectively known as bariatric surgery.

Indication

Gastric bypass surgery is recommended if your body mass index is over 40. A high body mass index can lead to a wide range of health problems such as high blood pressure, sleep apnea and type 2 diabetes. If your body does not respond to treatments like diet and exercise only then is a gastric bypass performed.

What Procedure is followed :

Pre Procedure

In case you qualify for a gastric bypass surgery, you will be given instructions on how to prepare for the surgery. You need to undergo a set of diagnostic tests before the surgery. There will be limitations on what you can eat or drink, and what medication you can take. The doctor may also instruct you to start a physical exercise regimen and stay away from smoking.

During Procedure

The first step is the administration of anesthesia. This will be put you to sleep before the surgeon begins the surgery. The doctor will make use of staples to segregate your stomach into two halves – a large bottom section and a small upper section. Then the bypass is performed where the small intestine is connected to the smaller upper section. This surgery can be done by making a cut in the belly or by using laparoscope.

Post Procedure

You may be required to stay in the hospital for a couple of days after the surgery. The fluids from your intestine will be drained using a catheter for the first two days. Initially you will not be able to consume food or drink water. You may be required to wear special feet stockings to prevent blood clots. The doctor will also prescribe antibiotics and other medications to help you recover faster.Once you go home after the surgery, you will have to eat pureed food and avoid solid food altogether till the recovery process is complete.

Risk & Complication

Like all surgeries, gastric bypass surgery also carries certain risks. One of them is the stomach returning to its original size due to stretching. The staples can come off. Due to the bypass, the body’s ability to absorb nutrients from food decreases. The connection between the stomach and the small intestine can narrow down resulting in vomiting, reflux and nausea. Dumping syndrome may also occur when food moves very rapidly from stomach to small intestine.

Losing weight too quickly may also result in gallstones.

More Info

The price of undergoing a gastric bypass surgery in India can range from 3 lakhs to 5 lakhs. You have to keep in mind that this surgery is only carried out only if other methods like diet and exercise have failed to come up with the necessary results.

type diabetes

Popular Health Tips

Alcohol & Gastric Bypass - Can They Be Mixed?

Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Alcohol & Gastric Bypass - Can They Be Mixed?

Gastric bypass, one of the weight loss surgeries bring about many changes and alterations (physiological, metabolic, hormonal) in your body. The gastric bypass surgery rearranges the stomach into an upper pouch (the smaller part) and a relatively larger lower part. It is the small pouch that is connected to the small intestine, where the absorption of nutrients and minerals from the ingested food takes place. The surgery plays a significant role in limiting the intake of food. Thus, post-surgery, a person's body reacts differently than it used to before the surgery. Many, if not all, people experience difficulties in coping up with the changes.

Patients are often advised to refrain from alcohol consumption after the gastric bypass surgery. Surprisingly, and quite alarming, cases of alcohol abuse increases post the surgery. According to a survey by the American Society for Metabolic and Bariatric Surgery, few people, who had no prior history of alcohol abuse developed one after the weight loss surgery. What triggers the alcohol abuse in some patients is still a debatable issue.

Many patients experience an emotional breakdown, stress, anxiety, and depression after the surgery. People who needed no reason to binge on food are suddenly expected and made to consume a limited quantity of food. Unable to do what they loved doing the most, people look for an alternate solution. As expected, in most cases, alcohol becomes the much-needed solution. What started as a means of distraction gradually becomes an integral part of life. Hormonal changes associated with the surgery can also result in panic attacks, stress, and anxiety.

Incidences of alcohol abuse may also be high in patients who had a history of drinking (regular or occasional) and smoking before the gastric bypass. Under normal circumstances (before the weight loss surgery), there is a partial enzymatic breakdown of the consumed alcohol in the stomach before it passes into the small intestine. However, post-surgery, the small size of the stomach does not facilitate such enzymatic breakdowns. Thus, the alcohol passes into the intestine, where it gets rapidly absorbed. As a result, a person gets into an inebriated state at a faster rate.

It is because of this reason that doctors advise the patients to keep away from alcohol as much as possible after the surgery. To keep away from or reduce the instances of alcohol abuse after the gastric bypass surgery,

  • Look for healthier and low-calorie food options when you get an urge to eat.
  • Meditate, go for morning and evening walks. These physical activities act as great stress busters.
  • If you are feeling low or going through an emotionally low phase, share it with your loved ones. Do not suppress your emotions.

Consult an expert & get answers to your questions!

1872 people found this helpful

Bariatric Surgery - A Boon For Diabetic Patients!

MON-SAT 10 AM - 07 PM
General Surgeon, Delhi
Bariatric Surgery - A Boon For Diabetic Patients!

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?

Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?

Diabetes can be of three basic kinds;

Type 1 diabetes in which the body produces no amount of insulin.

Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.

2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.

3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.

4. It successfully takes care of ailments resulting from diabetes.

5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take. If you wish to discuss about any specific problem, you can consult a general surgeon.

3036 people found this helpful

Gastric Bypass - Be It Bariatric Or Metabolic Surgery, Get Amazing Results!

MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
Bariatrician, Bangalore
Gastric Bypass - Be It Bariatric Or Metabolic Surgery, Get Amazing Results!

The “Roux en Y Gastric Bypass” surgery was first performed by Professor Mason in 1966. Being done in the conventional way (i.e by open surgery) earlier and later laparoscopically, the Gastric Bypass has stood the test of time over the last 52 years.

Over 50 years the Gastric bypass surgery is being performed across the globe. It has given excellent results in terms of significant and long-standing weight loss in the morbidly obese, as well as remission of Type 2 diabetes in properly selected patients. Selection of the patient to undergo this procedure is paramount. 50 years of successful results are enough to term this procedure as the GOLD Standard.

Obesity and Diabetes have been a menace over the last 2 decades world over. In India obesity is growing in such a rampant way that we can equate it to an epidemic.

As we all know, India is considered to be the Diabetic Capital of the world. Type 2 diabetes contributes to the major chunk of diabetes affected population. We Indians get affected by diabetes at very early ages and hence complications are seen at very early ages among us. Strikingly important to notice is that Diabetes is seen not only in the obese category of people but also in the normal weight people.

Diabetes is feared of only because of the complications it is capable of causing affecting the vital organs like the brain, heart, eyes, kidneys.

Intermittent or elevated surges in the blood sugars levels during the course of the day are responsible for causing microangiopathies ( damage to the small vessels supplying blood to the vital organs).

We have seen that diabetes is accompanied by high blood pressure and dyslipidemia in most of the cases. So, when a person has diabetes, high blood pressure and dyslipidemia, we label them as having the metabolic syndrome.

Oral hypoglycemic agents (OHA) and insulin form the mainstay of treatment in getting sugars under control. But these are not able to avoid these surges in high sugar levels. This does not mean that OHA’s and Insulin are not the right way to treat diabetes- they indeed are.

We are going a step higher, in an attempt to get control of diabetes without OHA and insulin. Not only this, we are trying to tackle not just diabetes, but the metabolic syndrome on the whole i.e one procedure that will take care of diabetes, dyslipidemia and hypertension. This procedure is popularly known and referred to as the “Gastric Bypass” or the “Roux en Y Gastric Bypass”. Thus, In short, the gastric bypass surgery offers ICE BURG treatment.

Now, the first question is that “Is this possible”. The answer is YES. The second question is that is this procedure applicable for all diabetics. The answer is NO. Only Type 2 diabetics are the beneficiaries of this procedure where insulin resistance has a major role to play. (This procedure does not benefit Type 1 diabetics) Reasons for this will be explained later. The third and important question is that, “Is the Gastric bypass going to give remission of diabetes in all type 2 diabetics?” The answer is NO.

There is strict selection criterion or eligibility criteria to select a patient for The Roux en Y Gastric Bypass surgery. Best results of the Gastric Bypass surgery are seen when it is confirmed that the person is suffering from Type 2 diabetes, duration of diabetes is less than 5 years, the pancreatic reserve is good and showing good levels of C -peptide in the blood, the person has a family history of diabetes, Insulin was not required to control sugar levels within the first 5 years of onset of diabetes and person should not be underweight( BMI > 27.5 preferred).

Losing weight is not easy and even if we lose weight, weight regain is very common. Most of us would have already experienced it. When we are tackling just the weight issue, we are talking into consideration only the morbidly obese people who have a BMI > 37.5. In the morbidly obese, at first, it is very difficult to lose significant weight by the normal method of diet and exercise. Even if weight loss does occur, weight regains or bouncing back is sure.

Here we bring in the trump card – The “Roux en Y Gastric Bypass” that helps the :

  1. “Morbidly Obese” (BMI >37.5) to lose significant weight and reach their ideal weight.
  2. “Obese” (BMI >32.5) who also have comorbidities (like diabetes, hypertension, dyslipidemia, sleep apnea, obesity-induced infertility) not only to lose significant weight and reach their ideal weight but also to get control of the associated comorbidities.
  3. “Type 2 Diabetics” (BMI > 27.5) to get Remission from type 2 Diabetes.
  4. “Metabolic Syndrome” (BMI > 27.5) to get remission from type 2 diabetes, dyslipidemia and Most cases hypertension.

Type 2 diabetics can be offered this procedure even if they are not morbidly obese, is what I would like to bring it to notice.

Exposure to Type 2 diabetes for long years can lead to potential complications like coronary heart disease, chronic kidney failure, brain stroke, gangrene of the lower limbs.

In some, in spite of talking OHA’s, Insulin, sugars are not under control. In these cases, the gastric bypass can be offered to those who fulfil the eligibility criteria.

Remission of diabetes after the gastric bypass procedure is very quick, ranging from a week to a month in most of the cases. However, in some, The sugar levels come to normal the very next day after the surgery in some without the OHA and /or insulin.

Gastric bypass is done through laparoscopy i.e through tiny holes over the tummy, requiring 3 days hospital stay. Supplements need to be taken following the procedure on a daily basis. Following the procedure, intake is reduced to a great extent which increases over few months as the gastric pouch stretches.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2923 people found this helpful

Bariatric Surgery - A Boon For Patients Suffering From Diabetes!

MS - General Surgery, MBBS
General Surgeon, Delhi
Bariatric Surgery - A Boon For Patients Suffering From Diabetes!

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?

Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?

Diabetes can be of three basic kinds;

Type 1 diabetes in which the body produces no amount of insulin.

Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.

2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.

3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.

4. It successfully takes care of ailments resulting from diabetes.

5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take.   

In case you have a concern or query you can always consult an expert & get answers to your questions!

              

Type diabetes

2684 people found this helpful

Gastric Bypass Procedure - Precautions and Associated Risks!

MBBS, MS - General Surgery, M.Mas, Diploma In Minimal Access Surgery, Fellowship In Minimal Access Surgery, Fellowship In Robotic Surgery, FICS, F.I.A.G.E.S, FAMASI
Surgical Gastroenterologist, Chennai
Gastric Bypass Procedure - Precautions and Associated Risks!

The risk of developing heart problems has increased to a great extent and this is mainly due to obesity, which leads to other diseases. A gastric bypass surgery is a medical procedure, which is commonly known as Roux en-Y surgery. It aids in reducing the size of the stomach. The reduction in the size of the stomach makes an individual feel full even when they have eaten very little.

Gastric Bypass Procedure
The stomach bypass surgery is generally known as a bariatric surgery and it guarantees weight loss of about 30-40% within a year. For this procedure, the patient has to be in the hospital for 4-5 days and it takes about 2-3 hours for the medical procedure. It is through this procedure that the size of the stomach is reduced permanently and is performed laparoscopically.

Five small holes are made in the stomach under general anaesthesia. The procedure is conducted only after tests like ECG, blood and urine tests, chest X-Ray chest, abdominal scan and echocardiogram are carried out.

The patient can be discharged from the medical centre on the fourth day. However, it is necessary that calcium, vitamins and supplements are included in the diet plan, mainly to prevent malnourishment and tiredness. In the medical procedure, the surgeon divides the stomach into two sections using surgical staples. The sections are divided into a small upper pouch and a large remnant. The medical procedure makes use of surgical staples, which is why the procedure is sometimes referred to as stomach stapling.

The small intestine is re-arranged in a manner that the stomach pouches are connected to the intestine. The intake of food is reduced by the reduction in the functional capacity of the stomach and by the re-arrangement of the small intestine that causes food to go through the first portion of the small intestine. The procedure is mainly targeted for people with body mass index of 50 and above. It is important that the individual should not drink water for next 24 hours of surgery.

Benefits of Gastric Bypass Procedure
Results in reduced calorie absorption and helps in weight loss. It is generally advised for people who are unable to accomplish weight loss through diet and exercise.

Risks involved in gastric bypass procedure

  1. Inflammation of the stomach lining
  2. Nausea and vomiting
  3. Bleeding
  4. Nutritional deficiency
  5. Development of gallstones. This occurs mainly due to loss of significant weight within a short span of time.

The procedure is a little expensive, but it is a reliable medical procedure for weight loss. It is always better to know about the risks involved in this surgery before opting for a weight loss program. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3394 people found this helpful

Popular Questions & Answers

My weight is 99.3 and I am diabetic. High blood pressure. I want to know is there a ring surgery possible in my case without any risk. Or any other help for me.

MBBS
General Physician, Fatehabad
Hi Lybrate User, You don't need surgery to lose weight. Just few steps and you can live a healthy life. The two essentials to maintaining a healthy weight are: Eating well & Moving often. Increasing activity in order to lose weight If your doctor recommends that you lose weight, there’s a simple rule to follow: move more, eat less and make smarter food choices. Gradually increase your level of physical activity beyond 150 minutes of moderate-intensity aerobic activity, lower the number of calories you take in and eat a healthy diet. Once you’re at your goal weight, you can then determine which dietary and fitness choices work best for maintaining your weight.

Table of Content

What is Gastric Bypass surgery?

Indication

What Procedure is followed :

Risk & Complication

More Info

Play video
Weight Loss Surgery or Bariatric Surgery
Here are cause, type and method of Weight Loss Surgery (Bariatric Surgery)

Hi, I am doctor Aloy Mukherjee. I am a senior consultant in advanced laparoscopic surgical gastroenterology and Pediatrics surgery. I'm associated with Indraprastha Apollo Hospital for the last 15 years as a senior consultant. We at Apollo hospital have a dedicated team of doctors who address our patients. Our team encompasses three consultants, a nutritionist, resident doctors, physicians and medical gastroenterologist. Today I'm going to speak to about weight loss surgery, our Pediatric surgery.

As we know that basically is a common problem which is plagued the world over the last several decades. In India, this is a common problem going to the entry of several food chains from the West, but there by increasing our junk food intake. What is Pediatric surgery? Pediatric surgery aims to tackle the problem of obesity, by medical or surgical means, mostly surgical. There are 3 or 4 different types of procedures which are commonly performed in this. The commonest of which is a Laparoscopic gastric band. The other procedures include a gastric bypass, sleeve gastrectomy or VSG and sleeve gastrectomy and in many bypass. Who are the candidates would be enrolled into our program? Patients who are obese or morbidly obese, with comorbidities like diabetes, hypertension, heart disease, obstructive sleep apnea, disc problems, mostly arthritis in the knees, gastro phological reflux, secondary to obesity or any other life style disorders, secondary to obesity are enrolled in our program.

How do we calculate the body mass index? It s a very simple calculation which is available in the most then all over the internet. It is the weight in the kilogram divided by the height and meters square a BMI of a 25 is considered normal. 25-30 is overweight. 30 to 35 is Class-I obesity or mild obesity. 35-40 is severe obesity and more than 40 is morbid obesity. Our patients are mostly in the category of 32 and above. It is not a cosmetic surgery. There by we are not attempting to make the patients lose weight for cosmetic reasons. They come here to be physically fit and mentally fit. They gain about 8-10 years of life after this surgery, which is a very important parameter. All the ancillary problems, the metabolic problems like diabetes, hypertension, requirement for antihypertensive drugs, requirements for oral hypoglycemic insulins are reversed almost completely after the surgery. Now that s the significant gain.

Now to talk in detail about three or four forms of surgery. The commonest like I said is a gastric band in which a band is placed on the stomach. It is about very easy, very easy to perform and the filling port is usually done, is usually filled without patient s department but it does not give us expected weight loss as we would have achieved in the other forms. Thereby it is not performed routinely across the world. The three other main procedures which are performed including, includes the laparoscopic gastric bypass which attains, which helps us attains a significant weight loss. Thereby we make a small out about the size of half a cup in that part of abdomen and bring up in the intestine to join it with this cup. We are bypassing a large segment of the stomach and the smaller. That is what's called a gastric bypass.

The weight loss primary due to a small gastric pouch and secondary to the man's option of this. The third procedure is a vertical sleeve gastrectomy in which the stomach is divided and meet into the 50 ml small pouch the rest of the stomach is taken out of the communicating body. This decreases the hormone ghrelin, which is required for the appetite and also makes it in our pouch. So these two procedures help us to attain significant weight loss. Other procedure is a mini gastric bypass which is also equally effective. How would a patient choose one procedure over the other? The patients talk to us come to us and decides one procedure to other after they have understood the advantages and disadvantages of a particular procedures and talk to a patient. And which is the right center of such a surgery is the right center is the center of excellence whereby which has a dedicated team of surgeons, medical gastroenterologist, physicians, clinical nutritionists and dietitians and a team of doctors and physicians who can actually explain them the procedure.

I would advise that you should meet your local surgeon, local physician for this procedure if you are interested for it. You can contact us at Indraprastha Apollo hospital if you wish to do for your condition of obesity or you can contact us at Lybrate.com in the form of texts, in the form of questions, in the form of telephone queries and we would be happy to address you. Thank you.
Play video
Metabolic Surgery For Diabetes
Hi!

This is Dr. Tulip. I am a Bariatric and Laparoscopic Surgeon practicing at Dr. Tulip Hospital, 4th block, Koramangala.

Now this surgery for diabetes is called the metabolic surgery. This is done through tiny holes over the tummy so we need not cut open that tummy and what is done if we operate on the stomach and the small intestine. It is called the gastric bypass. So what is happening in the surgery? We divide the stomach into small portions and this small portion, a small pouch, is attached to the small intestine. Which means we are diverting the food directly from the small gastric pouch into the small intestine.

So majority part of the stomach and small intestine , who doesn't enter. How does this help us? Because we are by passing that second part of the deodenum the second part of the deodenum, the harmful factor, the deodenum factor is not released because this is released only when the food touches that part of the stomach of the intestine. Other thing is what we achieved by these bypass is, the food touches, reaches rather, this lower part of the small intestine which is called the idiom which is very early compared to normal and this causes release of the glp 1 hormone normally in three times more than normal.

Now, what happens by this? This hormone is very good for the pancreas it stimulates the pancreas and does define class starts working in a much better way and more insulin sensitization occurs. Normally in type 2 Diabetics we have insulin resistance. So by doing this bariatric surgery when we do the manipulation the hormones, Dipankar starts working better and the person gets out of insulin resistance. So much so that the very next day of surgery, the patient is totally out of diabetes. This is nearly like a wonderful but we do need to take care, we need to make sure the patient of the type 2 diabetic as good pancreatic reserve and is not underweight. We don't do the surgery for underweight people. The person should be either overweight and obese.
Play video
Fear of Cardiac Surgery
Hello everyone. I am Dr Ashok Gupta, cardiologist. I would like to bring awareness about the Phobia of Cardiac surgery.

Cardiac surgery is a big think. But because of the advancement in the technique and expertisation, it is becoming 100% safe. Because of the expertisation, the world wide results of surgery are appreciable.

Once the Bypass surgery is done, it works for 15-20 years. So, we should not worry or have fear for the Cardiac surgery.

If you have any querry reagrding Cardiac surgery, you are most welcome.

Thank you.
Play video
Know About Various Surgeries
Hi! I am Dr. Lalit Chaudhary, senior consultant plastic surgeon at Sir Ganga Ram Hospital and Vice Chairman right now. We have all range of surgeries not just reconstructive plastic surgery but also the cosmetic surgeries with us. Nowadays gradually the cosmetic surgery cases have gone up more than 50% of the plastic surgery practices. More common cosmetics side patient which are coming to us are about body contouring in both the males and females. In males we see nowadays very common is the male breast tissue with enlarged breast or what we call as Gynaecomastia. It can be completely cured with small operation which is practically pre-op. Generally next day you can join with your routine work and there is a 3 weeks of weight bearing issue otherwise table jobwell-developedand walking is fine. Same in females, there is tummy tuck, breast enhancement and reduction. Most commonly for face, we come across patients coming for rhinoplasty or the nose job. Then the hair transplant procedure where big number of patients suffering from baldness or loss of hair come. Generally other than the cosmetic procedures we have well developed plastic surgery department set up at our Ganga Ram Hospital. We also practice as a clinic basis in Dwarka where we generally see the patient. There is no operation facility there. That is basically the post-traumatic care of the pre op care for the patient. We can see the patient of this area and surgery is done in Sir Ganga Ram Hospital only. If you have any queries related to the cosmetic surgeries or the reconstructive plastic surgery or trauma like fingers trauma or complete amputation, right from that level to the reconstruction- maybe a cancer reconstruction or a congenital reconstruction or a post traumatic reconstruction, we have everything with us under the same umbrella in Sir Ganga Ram Hospital. If you have any issues which are from that part of it and if you stay somewhere around in Dwarka you can come to the clinic and show it to me. So if you have any issues related to the cosmetic surgery or plastic or reconstructive surgery, you are most welcome to contact me either at my Chisel Clinic in Dwarka or Sir Ganga Ram Hospital where we see daily from 12-4 in OPD here. We have a good team supporting us and Residency Program with us so you have round the clock care which is not present everywhere in Delhi NCR. Even in India you won't find post-op plastic surgery facilities. So you are most welcome to have any query with us. Take care.
Play video
Acidity And Gastric Problem
Acidity occurs when the gastric glands produce a large amount of acid, more than what is needed for the digestion process. Few common symptoms include - difficulty in swallowing,indigestion,restlessness and so on. There are few simple changes that we can make in our daily living in order to avoid such problems.
Having issues? Consult a doctor for medical advice