The Most Proficient Surgeons to Watch 2019 The Most Proficient Surgeons to Watch 2019-SMALL | Page 13

Mini/ One Anastamosis Gastric Bypass
This is a loop modification of Roux–En–Y Gastric
Bypass where a loop of intestine is attached to
long, narrow pouch of stomach.
Choosing a procedure : If required, surgeon
chooses the procedure depending on age, presence
or absence of related diseases, duration of those
diseases, dosage of medications and investigative
findings and patient’s preference. Usual stay in
hospital is 2-3 days and oral liquid diet is initiated
a day after the procedure. Detailed diet chart with
instructions and follow up is advised.
One may expect to loose 4-6 kg weight every
month after the procedure and the pattern of
resolution of related diseases starts typically with
Diabetes (immediate post op, even before weight
loss), Obstructive Sleep Apnea ( 15 days to a
month), Hypertension ( 2 to 3 months) and
reduced pain in joints with significant weight loss.
Up to 80% of excess weight is lost in the next one
year.
Although Bariatric procedures are safe and
effective in treating individuals with Class II and III Obesity, a lot of focus, effort and commitment is required for its
prevention beginning with sensitization and education of families, educational establishments, increasing awareness
at the community level and in media, labeling and higher taxation of fat rich commercial foods. Those already
suffering however, should not be further victimized by social stigma predicated on Hippocratic nostrum that weight
can be reduced by ‘deciding’ to eat less and exercise more as it holds no scientific basis.
| March 2019 |
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