Mastering Weight Loss : Your Bariatric Surgery Solution Guide with Dr. Mohit Bhandari

Good evening, my friends! I'm Dr. Mohit Bhandari, a Bariatric Metabolic and Robotic surgeon, and today, I want to tackle a pressing issue that many patients ask about - how to address weight regain after undergoing Bariatric surgery. Obesity is a chronic disease, and weight regain is a common challenge that patients face over time. It's not just about regaining weight; it often comes with a resurgence of conditions like type 2 diabetes, hypertension, and sleep apnea.
So, the big question is, how do we manage weight regain? It all starts with understanding the patient's expectations. Do they aim to lose 5 to 10 kilos, 15 to 20 kilos, or even more than 25 to 30 kilos after their initial surgery? This determines the treatment approach we'll take.
If a patient seeks to shed 5 to 10 kilos, medical management using various drugs, including injectable GLP-1 agonists and oral medications, can be highly effective. We offer these treatments at our center, following a consultation to determine the right approach for you.
For those looking to lose around 15 to 20 kilos, beyond what medications can achieve, we turn to endoscopic therapy. This isn't surgery; it's a straightforward, outpatient procedure. We use an endoscope to reduce the size of the stomach pouch that may have expanded over time since the initial surgery. This procedure, known as Endoscopic Sleeve Gastroplasty, offers excellent weight loss results and a quick recovery.
Now, when a patient desires substantial weight loss, say more than 25 to 30 kilos, surgical revision of the prior bariatric procedure becomes the best option. This may involve converting a sleeve gastrectomy into a different type of surgery, such as a gastric bypass or making adjustments to an existing bypass. Our center has extensive experience in performing these revision surgeries with minimal complications.
The key takeaway here is not to wait when you're concerned about weight regain after a previous surgery. Early consultation can often be addressed with medications, while delaying it might necessitate endoscopic or surgical interventions.
If you'd like more information or have any concerns about weight regain, please don't hesitate to consult with me. Your health and well-being are our top priorities.
Thank you very much for your attention.
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