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Bariatric Surgery in Saudi German Hospitals
At Saudi German Hospital (SGH), we have extensive experience in managing obesity, ensuring a safe and personalized approach to meet your needs. Our highly skilled team is proficient in all weight loss procedures and is ready to support you throughout your journey to combat obesity. We begin with an informative initial consultation to understand your expectations. We take pride in our impeccable track record, demonstrating our commitment to safe and ethical practices.
Type of Surgeries / Procedures:
Type
Pure Restrictive
Mechanism of action
Reduction of meal volume (early Fullness)
Hormonal effect : Decreased Ghrelin Hormone
Expected Weight Loss
60 – 70% of the excess weight
Brief Description
Stomach is divided longitudinally using GIA Stapler (a device that will cut and seal the edges at the same time), significant part of the stomach will be removed. The new stomach is tailored to be a tube like (Sleeve shaped) stomach.
Sleeve gastrectomy is the most widely used and safest surgery
Type
Malabsorptive
Mild restrictive
Mechanism of action
Reduction of nutrients absorption from the food
Mild early Satiety
Hormonal Effect – Increase GLP1
Expected Weight Loss
70% of excess weight
Brief Description
A narrow long stomach tube is created by GIA stapler (a device that will cut and seal the edges at the same time), – The stomach is kept in the body. Then this stomach tube is joined to a point in the small bowel lies about 1.5 m away from the beginning of the small bowel.
Doing this will make the passage of the food bypassing the stomach and the first part of the small bowel.
Type
Restrictive
Mild Malabsorptive
Mechanism of action
Reduce the meal size (Early Satiety)
Mild Reduction of nutrients absorption from the food
Hormonal Effect – Increase GLP1
Expected Weight Loss
70% of excess weight
Brief Description
A very small pouch of the upper part of the stomach is created (Separated) using GIA stapler (a device that will cut and seal the edges at the same time),
The small bowel is divided at a point 50-60 cm distal to the beginning of it. That will create a proximal and a distal end.
The distal end is joined (Anastomosed) to the small stomach pouch. And the proximal end is rejoined to the small bowel but 1.5 m away from the previous small bowel stomach join.
Doing this will Reduce the meal volume and induce early satiety and make the food passage bypassing the stomach and the first part of the small bowel to reduce the absorption of nutrients from food.
Ready to transform your life? Schedule your appointment today
Ready to transform your life? Schedule your appointment today
Revision of Bariatric Surgeries
A group of procedures used to treat weight regain, or to manage adverse effects of a previous bariatric surgery.
This includes and not limited to:
- Gastric Band Removal
- Conversion of gastric Band to Sleeve gastrectomy or Gastric Bypass
- Re-sleeve gastrectomy
- Conversion of Sleeve gastrectomy to Gastric Bypass
- Revision of Mini Gastric Bypass (MGB)
Modified Bariatric Procedures:
Recently some modifications suggested to sleeve gastrectomy in certain specific cases. Those modifications are:
- Single Anastomosis Sleeve Ileal Bypass (SASI)
- Single Anastomosis Duodeno-ileal Bypass (SADI)
Both procedures are new needs more evaluation. But very promising especially in obesity with comorbidities.
Risks of Bariatric Surgery
Bariatric surgeries are in general very safe, the vast majority of patients will be discharged from the hospital safely without any problems.
Rarely complications may occur, and needs to be managed by an experienced team, some of the complications rarely require hospitalization and invasive procedures.
The complications include:
Rarely complications may occur, and needs to be managed by an experienced team, some of the complications rarely require hospitalization and invasive procedures.
The complications include:
- Leak from the closure line in any divided stomach or Bowel – it occurs in 2% of cases. But in cases of revision surgery this percentage may rises to 7%.
- Bleeding – Occurs in 1.3%
- Gastroesophageal Reflux
- Ulcers
It is well established that the percentage of complications is closely related to the experience of the surgical team and the patient compliance to the postoperative instructions.
Our Doctors
Your Questions
The simplest way to decide when bariatric surgery is indicated is by calculating Body Mass Index (BMI)
- People with BMI exceeding 35 (with co-morbidities ) or above 40 without any comorbidities are candidates for weight loss surgery .
Recent studies now is allowing to lower the threshold of surgery indications to 30 – 35 respectively.
The Multiplicity of bariatric procedure (more than 6 kinds of procedures are available) is a good indicator that there is no “one size fit all” in bariatric surgery – each individual patient should be carefully assessed regarding: Degree of obesity, Existing accompanying Health conditions or diseases, Eating Habits, history of previous bariatric surgeries, expectations, compliance …..etc.
Then patient should be informed and empowered to collaborate in choosing the suitable kind of surgery for him or for her.
Generally speaking Bariatric Surgery when done by an experienced surgeon to a compliant patient should give impressive sustained results. Failure to loose weight or weight regain after weight loss surgery is related in most of the cases to attitude of the patient.
Good surgery of course is a must to achieve good results but it is not sufficient alone. Patient commitment to change his or her life style, sugar free diet, proper eating habits is as important as having a good surgery by an experienced surgeon.
Patients are expected to lose around 75% of their excess weight in the first year following surgery.
Most laparoscopic Bariatric surgery are expected to induce about 75% loos of the excess weight.
The mortality rate after Bariatric surgery is very minimal – and most likely related to neglected complication
Although Bariatric Surgery will reduce energy intake from the external source by either reducing the amount of food or ability to absorb nutrients from it. But it is not expected at all that the patient will feel any fatigue or lethargy. The body will compensate the lack of energy by depending on the internal resources of stored energy (Burning the fat). That’s why the body will not be deprived from energy. Only the source of energy is modified to depend more on internal source.
Anyhow patients may feel a degree of fatigue, but this will happen only when they neglect drinking enough liquids as instructed, that will induce a degree of decreased blood volume (Hypovolemia).
Patient will be able to move out of the bed at the same day after surgery. And the postoperative pain is mild short lasting and will be well controlled by pain killers. Oral liquid diet will be started after 16-24 hours of surgery. And all diet instructions will be given to the patient on the day of discharge.
It is highly recommended to spend the first 10 postoperative days at home to implement the intensive liquid diet schedule which cannot be followed at work.