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Bariatric Surgery Malaysia

Bariatric Surgery in Malaysia

Weight loss surgery is a life-altering desicion - one of the most important

decisions a person will ever make. With that in mind, we've pullef together the

information you need about obesity, weight loss surgery, making the choice,

finding a surgeon, life after surgery, and additional resources to help in the

decision - making process..

WHAT IS BARIATRIC SURGERY?

Bariatric surgery is a type of surgery performed for the treatment of obesity and

metabolic syndrome. It helps the individual to help limit food intake and/or

absorption in order to achieve a healthy weight loss. It usually involves the

reduction of the volume of the stomach so that the individual is only able to take

smaller amounts of food.

WHY BARIATRIC SURGERY?

While bariatric surgery is not the only option for weight loss it certainly is the most

effective option. Before deciding upon surgery however, one should earnestly try

their level best to lose weight by eating healthily and exercising regularly.

Guidance can be sought from the doctor, dietitian, physiotherapist or the fitness

instructor to learn about adopting a healthy lifestyle.

It is NOT the fault of the individual

if the excess weight could not be

shed effectively when he or she

has already adopted a healthy

eating regimen and a physically

active lifestyle. It could be a

familial or genetic predisposition

to easily regain weight or even a

hormonal or medical disorder that

makes the individual put on

weight easily.

How many times have we

enviously encountered friends

and relatives who would eat

unhealthily and consume lots of

ice-creams, chocolates, candies

etc. and yet have managed to

remain slim and fit! In such

individuals, the consumption of

calories just doesn’t make

mathematical sense at all.

WHAT IS MORBID OBESITY?

Therefore it is important to

recognise and treat morbid

obesity at the early stage

before the illnesses (metabolic

syndrome) sets in or before the

metabolic syndrome worsens.

There are several levels of

obesity and the body mass

index (BMI) is used to classify

the different categories of

obesity. BMI however is not the

only marker used to determine

the levels of obesity but it is

nonetheless a good indicator of

the amount of excess weight

that an individual has.

Obesity is more than just an

appearance. It means that the amount

of fat that is stored in our body has

reached abnormally high levels. Fats

may be stored beneath the skin or

inside our organs or both. When

obesity is severe or when it is

associated with obesity related

illnesses like diabetes mellitus,

hypertension, obstructive sleep apnea,

infertility, etc, it is known as morbid

obesity.

Metabolic syndrome is the diseases

associated with obesity like diabetes

mellitus, hypertension, etc. As the

word suggests, morbid obesity means

that this type of obesity may lead to

medical disorders or even premature

death.

TYPES OF SURGERY

As mentioned in the beginning, there are several types of surgery. This section will

shed some light into some of the common surgeries performed today.

Before we look at the different types of surgeries, let us try to understand some

basic gastrointestinal anatomy in the following illustration, with emphasis on the

stomach and small intestines.

1. Adjustable Gastric Banding (AGB)

2. Greater Curvature Plication (GCP)

3. Banded Greater Curvature Plication (BGCP)

4. Sleeve Gastrectomy (SG)

5. Roux-en Y Gastric Bypass (RYGB)

6. Mini Gastric Bypass (MGB)

7. Duodenal Jejunal Bypass (DJB)

8. Bilio-Pancreatic Bypass and Duodenal

Switch (BPD-DS)

ROUX-EN Y GASTRIC BYPASS

During the procedure, the surgeon creates a small stomach pouch. The surgeon

then attaches a section of the small intestines directly to the pouch. This allows

foods to bypass a portion of the small intestines, which absorbs calories and

nutrients. Having the smaller stomach pouch causes the patients to feel full earlier

and eat less foods; bypassing a portion of the small intestines means the patients’

body absorb fewer calories. Like other metabolic surgeries, it also helps to

establish a lower, healthier body fat set point by changing the signals between the

stomach, brain and liver.

Gastric bypass patients can also

experience dumping syndrome. This

syndrome is a rapid movement of food

through the small intestine that leaves

the patients feeling flush and

uncomfortable, but it may also be

seen as a benefit, as its provides

important warning signs that too much

sugar or foods is being consumed.

INCISION TYPES FOR BARIATRIC SURGERY

1) Incisions for laparoscopic bariatric surgery

2) Incisions for open bariatric surgery

3) Incisions for single port bariatric surgery

Most, if not all, bariatric surgeries are performed using the laparoscopic technique,

usually with only 4 or 5 small holes in the tummy. Most of these holes disappear

after a few weeks, resulting in a small faint scar. The sleeve gastrectomy can even

sometimes be performed using only one hole (single port sleeve gastrectomy).

More importantly, a less invasive surgery results in less pain and a shorter hospital

stay.

MECHANISM OF WEIGHT LOSS IN BARIATRIC SURGERY

Bariatric surgery helps an individual achieve a healthy weight by allowing smaller

healthier portions of food and early fullness (satiety). It should be viewed as a tool

or an adjunct to help the individual gain a healthier lifestyle. It is by no means a

“magical solution” that will make the individual automatically lose weight without

any effort. The individual must make healthier choices of food and perform regular

physical activities. This compliance from the part of the patient is an important

aspect to ensure a successful weight loss journey towards a healthier weight.

The stomach will be smaller in size after bariatric surgery and this would limit the

amount of solid food that one is able to tolerate at a time. So in order not to be

short of nutrition, one should eat small frequent meals and try to consume a variety

of food, which includes good oils and high protein food.

About Bariatric Surgery Expert

Dr Tikfu Gee is a bariatric surgery expert and metabolic surgeon lecturing in

Universiti Putra Malaysia. After obtaining a Master’s Degree in Surgery, he

went on to specialise in the field of Minimally Invasive Surgery and Bariatric

Surgery in France. He has a fellowship from the Institute of Laparoscopic

Surgery, Bordeaux and did his higher surgical training in Hospital Diaconese

Croix Saint Simon, Paris. He currently leads the Bariatric and Digestive Surgery

Unit in the Department of Surgery of UPM, based in Hospital Serdang and

Hospital Kuala Lumpur. He has published articles in various international

journals and is actively conducting clinical trials with the university.

He has performed large series of Bariatric and Metabolic surgeries, Digestive

surgeries and Endocrine surgeries, mostly employing key hole techniques. Dr

Tikfu Gee is also a Visiting Consultant Bariatric, Metabolic and Minimally

Invasive Surgeon at Princecourt Medical Centre and Tropicana Medical Centre.

About Bariatric Surgery Expert

Dr Tikfu Gee is a bariatric surgery expert and metabolic surgeon lecturing in

Universiti Putra Malaysia. After obtaining a Master’s Degree in Surgery, he

went on to specialise in the field of Minimally Invasive Surgery and Bariatric

Surgery in France. He has a fellowship from the Institute of Laparoscopic

Surgery, Bordeaux and did his higher surgical training in Hospital Diaconese

Croix Saint Simon, Paris. He currently leads the Bariatric and Digestive

Surgery Unit in the Department of Surgery of UPM, based in Hospital Serdang

and Hospital Kuala Lumpur. He has published articles in various international

journals and is actively conducting clinical trials with the university.

He has performed large series of Bariatric and Metabolic surgeries, Digestive

surgeries and Endocrine surgeries, mostly employing key hole techniques. Dr

Tikfu Gee is also a Visiting Consultant Bariatric, Metabolic and Minimally

Invasive Surgeon at Princecourt Medical Centre and Tropicana Medical Centre.

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info@bariatric.com.my | http://www.bariatricsurgery.com.my