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METABOLIC SURGERY FOR DIABETES REMISSION, Mr. AVSN MURTHY’S REVIEW – Dr. V. AMAR

Performed ‘Sleeve Gastrectomy with Duodenoileal Interposition’ on 19th Nov 2015
Weight Loss 40 kg – 108 kg to 68 kg
Diabetes – From ‘150 Units of Insulin’ to ‘Normal blood sugars without medications’

Metabolic Surgery (Diabetes Surgery) results in long term remission from type 2 diabetes

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. AMAR BARIATRIC & METABOLIC CENTER
Hyderabad
🌏 www.drVamar.com
🌏 www.ObesityDiabetesSurgery.com
🌏 http://bit.ly/drVamar
📱+91 9676675646
📨 drVamar@gmail.com

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REVISION BARIATRIC SURGERY (REVISION TO SADI) – MR. SRINADH’S REVIEW IN ENGLISH – DR. V. AMAR

 

Mr. Srinadh used to weigh 147 kg. He underwent sleeve gastrectomy elsewhere in 2009. He lost 25 kg. But regained weight to 164 kg. On 16th Mar 2016, I performed revision bariatric surgery, Laparoscopic Single Anastomosis Duodeno-ileal Bypass (SADI) on him. On 05 Oct 2017, his weight was 81 kg, still losing. He is happy, healthy and fit.

Weight loss after bariatric surgery is mainly due to hormonal changes. Role of food restriction or mal-absorpiton is secondary. Sleeve gastrectomy is the most commonly performed obesity surgery worldwide. But significant number of individuals regain weight, even after properly performed gastric sleeve surgery. This is mainly due to hormonal adaptation. These individuals need addition of some form of ‘ileal diversion’ to ‘gastric sleeve’ as a ‘revision bariatric surgery’. This revision is necessary to restore significant hormonal changes needed to induce weight loss again and make that weight loss permanent. ‘Single anastomosis duodeno-ileal bypass’ (SADI) is one of the best revision surgeries which can induce weight loss again.

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
 www.drVamar.com
 www.ObesityDiabetesSurgery.com
+91 9676675646
 drVamar@gmail.com

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VAIDYA RATNA AWARD IN BARIATRIC & METABOLIC SURGERY to Dr. V. Amar

 

Receiving ‘Vaidya Ratna’ Award for excellency in ‘Bariatric & Metabolic Surgery’ from Honorable Speaker of Telangana Legislative Assembly Madhusudhana Chary Garu in an event organized by 10TV & JMG Communications on 28 Dec 2017.

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
 www.drVamar.com
 www.ObesityDiabetesSurgery.com
+91 9676675646
 drVamar@gmail.com

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MY MOTHER-IN-LAW, MRS. VIJAYA LAKSHMI – BEFORE AFTER LAPAROSCOPIC METABOLIC SURGERY

I performed Laparoscopic Single Anastomosis Sleeve Ileal Bypass on My Mother-in-Law Mrs. Vijaya Lakshmi on 06th Aug 2016. She used to have severe obesity, hypertension and uncontrolled type 2 diabetes. After surgery, she lost 35 kg and she iswithin normal weight limits now. Her blood sugar levels and blood pressure became normal without medications. Now she is fit and healthy.

Bariatric surgery is a scientifically proven, safe and highly effective method for long lasting weight loss. Metabolic surgery can result in long term remission or resolution of type 2 diabetes in significant number of individuals. Weight loss and resolution of type II diabetes after bariatric/ metabolic surgeries are mainly due to hormonal changes. Role of food restriction or malabsorption is secondary.

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatrics
Hyderabad
 www.drVamar.com
 www.ObesityDiabetesSurgery.com
+91 9676675646
 drVamar@gmail.com

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Mr. RAM MOHAN – BEFORE & 3 YEARS AFTER LAPAROSCOPIC BARIATRIC SURGERY

I performed Laparoscopic Sleeve Gastrectomy on Mr. Ram Mohan on 14th June 2014. He used to weigh 134 kg before surgery. His present weight is 89 kg. He lost 45 kg in 1 year, and maintaining weight loss since then. Before surgery, he tried to lose weight by several methods, but was unsuccessful. Now he is fit and healthy.

Bariatric surgery is a scientifically proven, safe and highly effective method for long lasting weight loss. Metabolic surgery can result in long term remission or resolution of type 2 diabetes in significant number of individuals. Weight loss and resolution of type II diabetes after bariatric/ metabolic surgeries are mainly due to hormonal changes. Role of food restriction or malabsorption is secondary.

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
 www.drVamar.com
 www.ObesityDiabetesSurgery.com
+91 9676675646
 drVamar@gmail.com

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Dr. V. AMAR’s V6 TV Interview on ‘Obesity, Weight Loss, Bariatric & Metabolic Surgeries

 

Please watch my V6 TV interview telecasted on 21st September 2017 about Obesity, Weight Loss, Diabetes Resolution, Bariatric & Metabolic Surgeries

Bariatric surgery is a scientifically proven, safe and highly effective method for permanent weight loss. Metabolic surgery can result in long term remission or resolution of type 2 diabetes in significant number of individuals. Weight loss and resolution of type II diabetes after bariatric/ metabolic surgeries are mainly due to hormonal changes. Role of food restriction or malabsorption is secondary.

For information on obesity and diabetes surgery please visit www.drvamar.comwww.obesitydiabetessurgery.com


Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
 www.drvamar.com
 www.obesitydiabetessurgery.com
+91 9676675646
 drvamar@gmail.com

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DIETARY GUIDELINES 2015 To 2020 – Facts About Nutrition & Physical Activity

The Guidelines

1. Follow a healthy eating pattern across the lifespan. All food and beverage choices matter. Choose a healthy eating pattern at an appropriate calorie level to help achieve and maintain a healthy body weight, support nutrient adequacy, and reduce the risk of chronic disease.

2. Focus on variety, nutrient density, and amount. To meet nutrient needs within calorie limits, choose a variety of nutrient-dense foods across and within all food groups in recommended amounts. Check this resource for expert advice on the food supplemens contributing to your general well-being.

3. Limit calories from added sugars and saturated fats and reduce sodium intake. Consume an eating pattern low in added sugars, saturated fats, and sodium. Cut back on foods and beverages higher in these components to amounts that fit within healthy eating patterns.

4. Shift to healthier food and beverage choices. Choose nutrient-dense foods and beverages across and within all food groups in place of less healthy choices. Consider cultural and personal preferences to make these shifts easier to accomplish and maintain.

5. Support healthy eating patterns for all. Everyone has a role in helping to create and support healthy eating patterns in multiple settings nationwide, from home to school to work to communities

For more details about diet and nutrition..

https://health.gov/…/resou…/2015-2020_Dietary_Guidelines.pdf

For information on nutrition, obesity and diabetes surgery

please visit www.drvamar.com, www.obesitydiabetessurgery.com

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
? www.drvamar.com
? www.obesitydiabetessurgery.com
?+91 9676675646
? drvamar@gmail.com

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Dr. V. AMAR NTV Interview on Obesity, Weight Loss & Bariatric Surgery

 

Bariatric surgery is a scientifically proven, safe and highly effective method for permanent weight loss. Weight loss and resolution of type II diabetes after bariatric/ metabolic surgery is due to hormonal changes and not due to food restriction or malabsorption.

Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
 www.drvamar.com
 www.obesitydiabetessurgery.com
+91 9676675646
 drvamar@gmail.com

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BARIATRIC SURGERY: Mr. HAMAD AL GAYEB’S REVIEW (ENGLISH) – Dr. V. AMAR

Mr. Hamad Al Gayeb is a famous cartoonist from Bahrain. On 06th Dec 2016, I performed Laparoscopic Sleeve Gastrectomy on him. Please listen to his review on Bariatric Surgery, recorded on 12th August 2017. 
Bariatric surgery is a scientifically proven, safe and highly effective method for permanent weight loss. Weight loss and resolution of type II diabetes after bariatric/ metabolic surgery is due to hormonal changes and not due to food restriction or malabsorption.

– Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
 www.drvamar.com
www.obesitydiabetessurgery.com
+91 9676675646
drvamar@gmail.com

 

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BARIATRIC SURGERY – SASI BYPASS (SG LB): Mr. HANUMAN PRASAD’S REVIEW (Telugu) – Dr. V. AMAR

 

I performed BARIATRIC SURGERY – LAPAROSCOPIC SINGLE ANASTOMOSIS SLEEVE ILEAL BYPASS (SLEEVE GASTRECTOMY WITH LOOP BIPARTITION) on Mr. HANUMAN PRASAD on 04th May 2016. Please listen to his review recorded one year after surgery on 01st Aug 2017. He lost 92 kg weight (From 160 kg before surgery to 68 kg now.

Single Anastomosis Sleeve Ileal (SASI) Bypass is a novel bariatric/ metabolic surgery (Research Procedure). It is also known as Sleeve Gastrectomy with Loop Bipartition (SG LB). It is a technical modification of Single Anastomosis Duodeno-ileal Bypass with Sleeve (SADI S), which in turn is a modification of Bilio-pancreatic Diversion with Duodenal Switch (BPD DS). Difference between SADI S and SASI Bypass is that duodenum is not transected in SASI Bypass and terminal ileum is anastomosed to pyloric antrum rather than to transected 1st part of duodenum as in SADI S.

Procedure – Sleeve gastrectomy is done. Terminal ileum at 250 to 300 cm point is anastomosed to antero-inferior aspect of pyloric antrum in a loop fashion using hand sewn or stapled anastomosis in an ante-colic fashion.

Physiology – In this surgery sleeve has two outlets. Most of the undigested food reaches terminal ileum through anastomosis leading to increased hormonal changes (Increased GLP 1, Peptide YY etc). So weight loss is more, risk of weight regain is less and chances of resolution of type 2 diabetes are more. Since duodenal pathway is also intact, part of the food goes through proximal intestine leading to reduced malabsorption. Main advantage is that endoscopic access to biliary tract is maintained. Since food is passes through duodenum, anti-incretin effect is intact, and as a result hypoglycemia risk is less.

SASI Bypass is very easy to perform. Learning curve is short. Surprisingly diarrhoea and dumping syndrome are also less. Its place is between Mini-gastric bypass and SADI S.

– Dr. V. AMAR
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Institute
Hyderabad
? www.drvamar.com
? www.obesitydiabetessurgery.com
?+91 9676675646
? drvamar@gmail.com

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