Sleeve Gastrectomy Surgery in India-cost, Benefits and Risks

June 10, 2009 · Filed Under vertical sleeve surgery · Comment 

What is Sleeve Gastrectomy?

Sleeve gastrectomy is a new procedure that induces weight loss by restricting food intake. With this procedure, the surgeon removes approximately 60 percent of the stomach laparoscopically so that the stomach takes the shape of a tube or “sleeve.” This procedure is usually performed on superobese or high-risk patients with the intention of performing another surgery at a later time. The second procedure can either be a gastric bypass or duodenal switch.

Who is a candidate for Sleeve Gastrectomy Surgery?

Patients who are morbidly or severely obese are at increased risk for health problems and tend to have a shortened life span. There is also added potential risk from continued weight increase. The risk of severe obesity is greater than that of its surgical treatments. Persons eligible for sleeve gastrectomy surgery include the following:

·Persons at least 100 pounds above ideal body weight.

·Persons who are at least 80 pounds over weight and have life-threatening obesity related problems such as diabetes, hypertension, sleep apnea, etc.

·Above persons who have failed non-surgical attempts at weight loss, specifically a combined regimen of diet and exercise.

Procedure for Sleeve Gastrectomy Surgery:

This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a banana and measures from 2-5 ounces (60-150cc). The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary.

Advantages of the Sleeve Gastrectomy Surgery:

·The stomach is reduced in volume but tends to function normally so most food items can be consumed, albeit in small amounts.

·Eliminates the portion of the stomach that produces the hormones that stimulates hunger.

·No dumping syndrome because the pylorus is preserved.

·Minimizes the chance of an ulcer occurring.

·By avoiding the intestinal bypass, the chance of intestinal obstruction (blockage), anemia, osteoporosis, protein deficiency and vitamin deficiency are almost eliminated.

·Very effective as a first stage procedure for high BMI patients (BMI>55 kg/m2).

·Limited results appear promising as a single stage procedure for low BMI patients (BMI 35-45 kg/m2).

·Appealing option for people with existing anemia, Crohn’s disease and numerous other conditions that make them too high risk for intestinal bypass procedures.

·Can be done laparoscopically in patients weighing over 500 pounds.

Risks of the Sleeve Gastrectomy Surgery:

·Potential for inadequate weight loss or weight regain. While this is true for all procedures, it is theoretically more possible with procedures that do not have an intestinal bypass.

·Higher BMI patients will most likely need to have a second stage procedure later to help lose the rest of the weight. Two stages may ultimately be safer and more effective than one operation for high BMI patients. This is an active point of discussion for bariatric surgeons.

·Soft calories such as ice cream, milk shakes, etc can be absorbed and may slow weight loss.

·Because the stomach is removed, it is not reversible. It can be converted to almost any other weight loss procedure.

Cost of Sleeve Gastrectomy Surgery:

Recently in India the rise in has seen sleeve gastrectomy surgery because the costs have dropped drastically, making world class treatments affordable for everyone. If a person has always wanted a sleeve gastrectomy surgery or any other procedure you can now easily afford it, as obesity surgery costs have tumbled. In India low cost of obesity surgery is combined with surgery success rates on par with anywhere in the world and this is one of the fastest areas of growth in medical tourism in India.

Long-Term Weight-Loss Results of Sleeve Gastrectomy Surgery:

On average, patients who undergo sleeve gastrectomy surgery experience a 60-80% loss of excess weight.

Sleeve Gastrectomy Surgery in India:

Obesity surgeries in India have seen a phenomenal growth during recent past. Most patients from countries like USA and UK travel to developing countries such as India for treatment, few main reasons while choosing India at first choice are as follows:-India offers wide range of cheapest pricing options of treatment. While planning a treatment in India, one does not require waiting in patient queues or registering for a waiting list. Moreover the doctors and the medical facilities are comparable to anyone in the world. Another main reason for choosing India is comfort of language; one does not pose a problem as most people speak English. Above all; India always offers a good holiday, which can help in fast recoveries. These are the few reasons why most of the people prefer to get their surgery in India.

To know more about affordable and low cost sleeve gastrectomy surgery in India-please visit the Website =>

Important Details:

Medical Tourism to India –

International Patient Experiences –


Contact Number- 0091-98607-55000.

Dheeraj Bojwani-MD-is an International Patient Consultant to foreign patients who want to travel

to India for getting low cost medical treatment and surgery. More than 400 patients from across

the globe have taken the benefits of his services till date.

Sleeve Gastrectomy: Pre Operative Checklist

June 7, 2009 · Filed Under vertical sleeve surgery · Comment 

The most important consideration for sleeve gastrectomy is knowing about your surgeon.One should always meet with the surgeon prior to the surgery and discuss potential issues. One should have absolute faith in one’s doctor. The quality of aftercare program should be accessed prior to the surgery as a short stay and regular check up is required after the surgery.



The education of the patient is very important. There are a number of educational seminars conducted free of cost where one can get information required for sleeve gasectromy.Some institutions offer video based education in their offices. One may also collect printed procedure related information including what to expect and how to deal with it. Some hospitals offer direct interaction with the staff and surgeon where they impart education on various subject related to the operation. They answer the questions of the patients clearly and explain the exact details of the procedure, the extent of recovery period and the reality of the follow-up care that will be required.



After becoming thorough with information about all aspects of the surgery, comes the physical and psychological evaluation. Each patient is required to have a physical with their primary care physician within six months prior to surgery. This is done to determine that the patient does not have any underlying medical conditions that would prohibit them from having surgery. Many surgeons require these letters or copy of these reports to be sent to their office even before scheduling the appointment. Some surgeons perform Endoscopy is performed on the patients if there is a doubt about stone formation.



A pre operative psychological evaluation is an essential part of preparing for Sleeve Gastrectomy. The comprehensive psychological evaluation consists of a detailed clinical interview and objectively scored psychological tests. Many insurance companies require an evaluation for benefits and our surgeons require an evaluation for all patients. Some hospitals offer education and counseling for family also available but it is optional.


Patients who have high intake of caffeine are suggested to gradually decrease the amount of caffeine they consume. Patients who stop caffeine suddenly at the time of surgery may experience withdrawal symptoms such as intense headaches. Remember that there is a significant about of caffeine in coffee, tea and many soft drinks.

If one consumes carbonated drinks regularly, he should stop this habit before the surgery. When cold compressed gas hits our stomach which is a 99.5 closed system it expands and in turn expands the stomach too. It can be very problematic after the surgery. So it is wise to put a full stop to this habit. It is also advisable to reduce the amount of intake of refined carbohydrates one consumes. This group includes food such as white rice, pasta and cookies.

One more pre operative condition is to get into a habit of exercising. After surgery regular exercise etc are prescribed by the surgeon. So it is wise to start some aerobic activity such as walking or swimming for 20 minutes, four times a week. This should be done after the approval of your physician.

Stop smoking. This is another condition before sleeve Gastrectomy. Cigarettes interfere with the lung’s ability to exchange oxygen and nicotine can impair circulation, which can impede healing after surgery and increase the chance of infection.

There are some pre operative tests to be performed. A convenient day is decided beforehand by the patient and the surgeon. The patient gets to meet with the anesthesiologist before the surgery. Hospital tour can be done if the patient is interested.

Some hospitals provide the facility of support groups for the pre operative patients. There are structured monthly meeting at offices and hospitals where the patients get to meet some post operative patients.


Lastly, one should check with their Insurance companies if Sleeve Gastrectomy is included in their list. The benefit department should be consulted  and asked if one has benefit for bariatric surgery.


lma Orozco is a certified patient coordinator of the
Ready4Achange team at Monterrey, Mexico. If you are NOT leading a normal life due to your weight, its time to think about other alternatives. Weight Loss Surgery is one of those options.