Dr. Amar V: September 2015

14.9.15

Mr. Srinivas Natukula's Review On Metabolic Surgery

I performed LAPAROSCOPIC METABOLIC SURGERY (DIABETES SURGERY - SLEEVE GASTRECTOMY WITH DUODENOILEAL INTERPOSITION ) on Mr. Srinivas Natukula on 11th March 2015. Please listen to his review - Dr. V. AMAR, www.drvamar.com

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.com, www.obesitydiabetessurgery.com -

Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India.

For Appointments Call: +91 9676675646

LAPAROSCOPIC SLEEVE GASTRECTOMY (SG, HD 1080p, Audio) - Dr. V. AMAR

PLEASE WATCH THIS VIDEO IN 1080p HD FORMAT (Go to Settings, Change to 1080p in Quality)

Laparoscopic sleeve gastrectomy is the most common bariatric surgery performed in India. 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

please visit www.drvamar.com, www.obesitydiabetessurgery.com -

Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India.

For Appointments Call: +91 9676675646

LAPAROSCOPIC SLEEVE GASTRECTOMY WITH DUODENOILEAL INTERPOSITION (SG DII, HD 1080p, Audio) - Dr. V. AMAR

PLEASE WATCH THIS VIDEO IN 1080p HD FORMAT (Go to Settings, Change to 1080p in Quality)

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.

For information on obesity and diabetes surgery

please visit www.drvamar.com, www.obesitydiabetessurgery.com -

Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India.

For Appointments Call: +91 9676675646

LAPAROSCOPIC SLEEVE GASTRECTOMY WITH LOOP DUODENOJEJUNAL BYPASS (SG LDJB, HD 1080p, Audio) - Dr. V. AMAR

PLEASE WATCH THIS VIDEO IN 1080p HD FORMAT (Go to Settings, Change to 1080p in Quality)

Sleeve Gastrectomy with Loop Duodenojejunal Bypass (SG LDJB) is a combination of Sleeve Gastrectomy (SG) and Mini-gastric Bypass (MGB). Since diversion is also 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

please visit www.drvamar.com, www.obesitydiabetessurgery.com -

Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India.

For Appointments Call: +91 9676675646

6.9.15

LAPAROSCOPIC SINGLE ANASTOMOSIS DUODENOILEAL BYPASS WITH SLEEVE - Dr. V. AMAR

Please watch my video -
LAPAROSCOPIC SINGLE ANASTOMOSIS DUODENOILEAL BYPASS WITH SLEEVE
(SADI S, HD 1080p, Audio) - Dr. V. AMAR
PLEASE WATCH THIS VIDEO IN 1080p HD FORMAT (Go to Settings, Change to 1080p in Quality)

Single Anastomosis Duodenoileal Bypass with Sleeve (SADI S) is a modification of Biliopancreatic Diversion with Duodenal Switch (BPD DS). It is a very effective surgery for patients with BMI ≥ 50 kg/m2. It is also a very good procedure for those suffering from obesity with uncontrolled type II diabetes. Since food is directly emptied into terminal ileum, hormonal changes are more. So it is more effective in terms of weight loss and resolution of type II diabetes compared to sleeve gastrecomy (SG), gastric bypass (RYGB, MGB) or sleeve with loop duodenojejunal bypass (SG LDJB). It is as effective as BPD DS. Since common channel length is 250 cm in malabsorption risk is less compared to BPD DS.
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.