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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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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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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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REVISION BARIATRIC SURGERY – SASI BYPASS (SG LB): Mrs. KIMBERLY MICHELLE’S REVIEW

 

I performed LAPAROSCOPIC SINGLE ANASTOMOSIS SLEEVE ILEAL BYPASS (SLEEVE GASTRECTOMY WITH LOOP BIPARTITION) as a REVISION BARIATRIC SURGERY on Mrs. KIMBERLY MICHELLE on 09th June 2017. Please listen to her review, recorded on 11th Post Operative Day (20th June 2017) – Dr. V. AMAR, www.drvamar.com.

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.

For information on obesity and diabetes surgery 

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. PAPI REDDY’S REVIEW

I performed LAPAROSCOPIC SLEEVE GASTRECTOMY WITH LOOP DUODENOJEJUNAL BYPASS (BARIATRIC SURGERY/ METABOLIC SURGERY) on Mr. Papi Reddy on 06th November 2015. Please listen to his review in English – Dr. V. AMAR, www.drvamar.com.

Sleeve Gastrectomy with Loop Duodenojejunal Bypass (SG LDJB) is a loop modification of Bilio-pancreatic Diversion with Duodenal Switch with gastro-jejunal anastomosis in place of gastro-ileal anastomosis.

It can also be considered as a combination of Sleeve Gastrectomy (SG) and Mini-gastric Bypass (MGB). Since diversion is present, hormonal changes are more. So it is more effective in terms of weight loss and resolution of type II diabetes compared to Sleeve Gastrectomy alone. Compared to Mini-gastric bypass, there is no at risk gastric remnant, risk of calcium and iron deficiency is less due to presence of first part of duodenum in food pathway and risk of dumping syndrome is less due to presence of intact pylorus.

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.

For information on obesity and diabetes surgery 

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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SINGLE ANASTOMOSIS SLEEVE ILEAL BYPASS SURGERY VIDEO – Dr. V. AMAR

Sleeve Gastrectomy with Loop Gastro Ileal Bypass (SG LGIB) is a novel bariatric/ metabolic surgery. It is known as Single Anastomosis Sleeve Ileal (SASI) Bypass or Sleeve Gastrectomy with Loop Bipartition (SG LB). It is a loop modification of Sleeve Gastrectomy with Transit Bipartition (SG TB), which in turn is a modification of Bilio-pancreatic Diversion with Duodenal Switch (BPD DS).

Procedure – Sleeve gastrectomy is done starting 6 cm proximal to pylorus. Terminal ileum at 300 cm point is anastomosed to antero-inferior aspect of pyloric antrum, horizontally in a loop fashion using hand sewn or stapled method Anastomosis is ante-colic.

Physiology – In this surgery sleeve has two outlets. Undigested food entering terminal ileum across the anastomosis results in distal gut hormonal changes (Increased GLP 1, Peptide YY etc). So weight loss is more, weight regain risk is less and chances of resolution of type 2 diabetes are more. Since duodeno-jejunal pathway is also intact, part of the food goes through proximal intestine leading to reduced risk of malabsorption.

Main advantage is that endoscopic access to biliary tract is maintained and there is no at risk gastric remnant. Since food also enters duodenum, anti incretin effect is intact, and as a result, risk of hypoglycaemia and dumping syndrome is less. This surgery is very easy to perform. Learning curve is short. Surprisingly there is no risk of diarrhoea. Its effect on weight loss and diabetes resolution is comparable to that of BPD DS.

SLEEVE GASTRECTOMY WITH LOOP GASTRO ILEAL BYPASS (SG LGIB)
SINGLE ANASTOMOSIS SLEEVE ILEAL (SASI) BYPASS
SLEEVE GASTRECTOMY WITH LOOP BIPARTITION (SG LB)
PLEASE WATCH THIS VIDEO IN 1080p HD FORMAT (Go to Settings, Change to 1080p in Quality)

If you are an ostomate trying to return to your normal live after surgery, ostomy bag belt can be of great help. It provides a comfortable fit that you can rely on.

For information on obesity and diabetes surgery 

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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METABOLIC SURGERY: Mr. GIRIDHAR’S REVIEW

I performed Laparoscopic Sleeve Gastrectomy with duodenoileal Interposition on Mr. Giridhar on 17th December 2015.Please listen to his review – Dr. V. AMAR, www.drvamar.com.

Sleeve Gastrectomy with Duodenoileal Interposition (SG DII) is also known as Diverted Sleeve Gastrectomy with Ileal Interposition (DSG II). It is a very effective metabolic surgery to resolve type II diabetes.

It is a modification of Biliopancreatic Diversion with Duodenal Switch (BPD DS). In both procedures, there is gastric sleeve, 1st part of duodenum is transected, food empties into terminal ileum. But the difference is that common channel is only 100 cm in BPD – DS, where as in SG DII, it is very long since food empties into jejunum 50 cm from DJ flexure. So addition of one extra anastomosis (ileojejunostomy) converts BPD DS into SG DII, of course with slight modifications in the lengths of each intestinal limbs.

It is a scientifically proven, safe and highly effective method for resolution of type II diabetes. 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.

For information on obesity and diabetes surgery 

please visit www.drvamar.comwww.obesitydiabetessurgery.com – 

Dr. Amar Bariatric and Metabolic Institute,  Hyderabad, India.

For Appointments Call: +91 9676675646 , + 91 9989797868.

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