Laparoscopic Sleeve Gastrectomy (2)

Benefits of laparoscopic sleeve gastrectomy

• Obvious weight loss: ~70-80% of the stomach will be removed thus significantly reduce stomach volume and induce a much earlier sense of satiety.
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• Effective diabetic control: with the reduced stomach volume and changes in hormones, such as increasing glucagon-like peptide-1 (GLP-1) and peptide YY (PYY) for diabetes treatment that is stimulated by faster stomach emptying.
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• Reduced appetite: There is an immediate reduction in levels of the appetite stimulating hormone – Ghrelin, thus significantly reduce patient’s hunger sensation and appetite.

Risks of laparoscopic sleeve gastrectomy

• Low risk: overall mortality risk is <1%.
• Irreversibility: once the greater curve of the stomach is removed, normal stomach anatomy cannot be reinstated.
• Heartburn: patients may experience a higher incidence of reflux / heartburn following surgery. 

Reference information: http://www.obesitysurgery.com.hk/english.html
The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

Laparoscopic Sleeve Gastrectomy (1)

Want to have a better control of eating volume without the need to avoid various foods? Laparoscopic sleeve gastrectomy, a restrictive minimally invasive laparoscopic surgery, is the most widely performed weight loss surgery in Asia. By reducing the stomach size, patients will feel a sense of fullness much earlier, and thereby substantially reducing the volume intake.

Besides more effective weight loss, this surgery is effective in diabetic treatment with a remission rate of almost 70%. This surgery can significantly suppress the secretion of Ghrelin – a powerful appetite stimulating hormone. Patients recover quickly from surgery and are able to return to their daily activities in a short period of time. In order to achieve your target body weight, patients will have regular follow up with Dr. Wong and his team of allied health specialist (including dietitian and physiotherapist).

Procedure of laparoscopic sleeve gastrectomy
This surgery is indicated for patients with BMI over 30. Two weeks prior to surgery you are instructed to have only fluid diet and milk supplements. The surgery is performed under general anesthesia. Dr. Wong will make 4-5 small (1-1.5cm) incisions and remove 70-80% of the stomach in order to create a ‘banana’ shaped stomach. The entire procedure last for about one and half hours and patients will be discharged from hospital 3-4 days after surgery.

After your surgery, fluid and congee diet must be maintained within the first month in order to allow for good wound healing. After then, a “new” normal diet can be resumed. All patients must follow dietitians’ advise to ensure effective weight loss.



         

Reference information: http://www.obesitysurgery.com.hk/english.html
The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

身體差如70歲婆婆 33歲女決心減走一半體重

英國布裡斯托爾（Bristol）一位媽媽，一直都沒有好好注意飲食，令體重直線上升，一度暴升至308磅（139.7公斤）。她的醫生警告她的膽固醇水 平有如70歲婆婆，醫生一席話如當頭捧喝，令她如夢初醒，她決心進行縮胃手術，體重回落一半至154磅（69.9公斤）。

33歲三子之母賈法爾（Hali Jafari）早前做身體檢查，醫生說如果再不減肥，5年內就可能患上糖尿病。「我只有30歲，但他說我的身體有如一位退休長者，這不太好吧！但自從我做 完縮胃手術，生活完全改變了，我百分百覺得自己更好，有更大信心，而且可以買到正常尺碼的衣服，實在太好了。現在當我望著鏡子，我簡直認不出自己。」

她成長時已經出現體重問題，11歲時重達126磅（57公斤），21歲認識丈夫時，她已經有182磅（82.6公斤），「當我結婚後我繼續不理會自己的身體，因為有人愛我，而我不在乎自己是否過重」。

幸好她最終醒覺過來，「將我與一名老婆婆比較實在太可怕了」。賈法爾2013年7月進行1.1萬鎊（13萬港元）手術，效果非常明顯，她手術後兩個月內已 經減去了42磅（19公斤），之後她改變了飲食習慣，而且愛上運動，手術後17個月她體重減半，更穿得下尺碼10的衣服。

賈法爾與丈夫計劃明年重訂結婚誓盟，「我很興奮終於可以選一條不是大碼的婚紗，看著以前的婚照，我看來就像一條鯨魚」。








參考資料: hk.apple.nextmedia.com/
以上所提供的資訊僅作為教育及參考用途，如果你有任何醫療問題，
應向外科醫生查詢，而不應單倚賴以上提供的資料。

Procedures of Intra-gastric Balloon

For patients who are overweight but are still indecisive about undergoing surgery, endoscopic intra-gastric balloon is an option. A saline-filled balloon will be placed inside the top of the stomach, reducing stomach volume and giving a sensation of satiety. This is only a TEMPORARY treatment, as the balloon cannot be placed in the stomach for more than 6 months. Patients should maintain a balanced diet and exercise regularly for effective weight loss.

 

Procedures of Intra-gastric Balloon

Placement of gastric balloon is relatively simple compared to other surgeries. Patients will be sedated and a balloon will be placed inside the stomach with the help of an endoscope. Saline with blue dye will then be injected into the balloon via a catheter. The volume to be injected depends on the patient’s condition, which is about 400-600ml in general.

The procedure takes around 30 minutes and hospitalization is not usually required. Fluid diet is usually advised for the first week after procedure. Also during the first week after balloon placement, patients may experience stomach discomfort or pain, vomiting and abdominal distention.

 

Benefits of intra-gastric balloon

• Low risk: Intra-gastric balloon is a non-invasive and low risk procedure. Patients can experience quick recovery, and no general anesthesia is required.
• Improved eating habits: Patients will easily experience fullness during food intake and thereby reducing volume. The speed of food intake is also important and needs to be adjusted. Dietitian will be instructing you on various eating habit changes.
• Reversible: Placement of the balloon is only a temporary measure. Patients need to continue with their eating habit changes to maintain their weight loss.
• Widely applicable: Patients with lower BMI may also consider to undergo this low risk procedure.

Risks of intra-gastric balloon

• The balloon may break and cause leakage and bowel obstruction.
• Intra-gastric balloon may cause gastric ulcer, although this is rare.
• Some patients may experience severe discomfort and vomiting.

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only. 

Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.