Duodenojejunal bypass (DJB) is a novel metabolic surgery based on the foregut hypothesis. The stomach size is reduced according to the patient’s weight, in addition, the first part of the small intestine along with 200 cm of the jejunum are bypassed in a rerouting operation. In this surgery 1st, part of the duodenum is joined with the bypassed portion of the jejunum. This operation has the obvious advantages of Roux-en-Y Gastric Bypass and does not cause significant weight loss and dumping.
This operation has a similar hormonal mechanism to ileal interposition. After this operation ghrelin levels come down as the fundus of the stomach is removed. GLP 1 and Peptide YY hormones increase as the food rapidly reaches the small intestine.
The One Anastomosis Gastric Bypass (OAGB), also known as “mini-gastric bypass”.OAGB is a
minimally invasive procedure performed with laparoscopic technique. During an OAGB
procedure, the stomach size is reduced by separating a tube-like pouch of the stomach from the
rest of the stomach. This tubular gastric pouch is then connected to the intestine, bypassing up
to 200cm of the upper part of the intestine. This technique differs from the traditional Roux-en-Y
Bypass (RYGB) which requires two connections (anastomoses).
OAGB typically results in 30% – 40 % body weight loss. The most weight loss occurs within 6
months after surgery and then continues at a slower pace up to 18 months. This weight loss is
achieved through both restriction and malabsorption. Bypassing a sizable segment of the
intestine, the remaining intestine is not enough for normal nutrient absorption leading to
Endoscopic Sleeve Gastroplasty is a type of minimally invasive weight-loss procedure. In endoscopic Sleeve Gastroplasty, a suturing device is inserted into your throat and down to your stomach. The endoscopist then places sutures in your stomach to make it smaller. This procedure is an option when you’re overweight and diet and exercise haven’t worked.
This procedure leads to significant weight loss. It helps you lose weight by limiting how much you can eat. And the procedure is minimally invasive, reducing the risk of complications and allowing a quick return to daily activities. Like other weight-loss procedures, endoscopic Sleeve Gastroplasty requires a commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of endoscopic Sleeve Gastroplasty.
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Dr.Randeep Wadhawan offers a comprehensive treatment plan to achieve weight-loss over a time frame of 1 to 2 years and helps the treated individuals to have improved quality of life and health. Bariatric surgery can be effective to resolve obesity accompanying morbidities like high blood pressure, sleep apnoea, asthma, breathing disorders, and many more. Among the best weight loss centers in Delhi, Dr.Randeep Wadhawan tops the list by providing comprehensive care from pre-surgery counseling to personalized weight loss surgery solutions with a post-surgery rehabilitation program. Also, the best of our bariatric surgeon’s counsel and help the individuals planning to improve their weight with minimum medications and best lifestyle management programs.
Based on the individual’s medical history and desired weight loss goals, one of the minimally invasive bariatric & metabolic surgeries is chosen that best suits medical history, dietary practices, comorbidities, fitness for procedures, and adherence to post-surgery lifestyle & dietary management regimens. Moreover, the best of our bariatric surgery specialists thoroughly evaluate the individual’s health suggest lifestyle modification, dietary restrictions, and also medical therapy as part of preparations for bariatric surgery. The weight-loss surgical procedures are offered by highly experienced surgeons who gained decades of expertise and are considered the best bariatric surgery specialist in Delhi.
To summarise, Dr.Randeep Wadhawan has been well talked about for its most effective bariatric and metabolic surgery offerings and therefore being considered now as the best hospital for weight loss or bariatric surgeries in Delhi.
Individuals who are morbidly obese are the candidates for Gastric Bypass Surgery. A total of 10 to 15% of the stomach is retained as a small pouch and connected to the small intestine laparoscopically. Through this mode of surgery, patients are expected to lose ~80% of their excess body weigh in the first year after the surgery and offers either complete resolution or improvement in conditions such as Diabetes, Hypertension, Obstructive sleep apnoea, and Abnormal cholesterol levels