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Informative articles, videos and health news that may be useful for you.

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    MY MOTHER-IN-LAW, MRS. VIJAYA LAKSHMI - BEFORE AFTER LAPAROSCOPIC METABOLIC SURG

    I performed Laparoscopic Single Anastomosis Sleeve Ileal Bypass on My Mother-in-Law Mrs. Vijaya Lakshmi on 06th Aug 2016. She used to have severe obesity, hypertension and uncontrolled type 2 diabetes. After surgery, she lost 35 kg and she iswithin normal weight limits now. Her blood sugar levels and blood pressure became normal without medications. Now she is fit and healthy.Bariatric surgery is ...

  • SINGLE ANASTOMOSIS SLEEVE ILEAL BYPASS SURGERY VIDEO - Dr. V. AMAR

    Sleeve Gastrectomy with Loop Gastro Ileal Bypass (SG LGIB) is a novel bariatric/ metabolic surgery. It is known as Single Anastomosis Sleeve Ileal (SASI) Bypass or Sleeve Gastrectomy with Loop Bipartition (SG LB). It is a loop modification of Sleeve Gastrectomy with Transit Bipartition (SG TB), which in turn is a modification of Bilio-pancreatic Diversion with Duodenal Switch (BPD DS).Procedure - ...

  • METABOLIC SURGERY: Mr. GIRIDHAR'S REVIEW

    I performed Laparoscopic Sleeve Gastrectomy with duodenoileal Interposition on Mr. Giridhar on 17th December 2015.Please listen to his review - Dr. V. AMAR, www.drvamar.com.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 modificati...

25734462_1668298456524939_2800596667193774755_o.jpg

MY MOTHER-IN-LAW, MRS. VIJAYA LAKSHMI - BEFORE AFTER LAPAROSCOPIC METABOLIC SURG

By Dr. Amar V. | 12 Mar 2018
I performed Laparoscopic Single Anastomosis Sleeve Ileal Bypass on My Mother-in-Law Mrs. Vijaya Lakshmi on 06th Aug 2016. She used to have severe obesity, hypertension and uncontrolled type 2 diabetes. After surgery, she lost 35 kg and she iswithin normal weight limits now. Her blood sugar levels and blood pressure became normal without medications. Now she is fit and healthy.Bariatric surgery is ...
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SINGLE ANASTOMOSIS SLEEVE ILEAL BYPASS SURGERY VIDEO - Dr. V. AMAR

By Dr. Amar V. | 27 Feb 2018
Sleeve Gastrectomy with Loop Gastro Ileal Bypass (SG LGIB) is a novel bariatric/ metabolic surgery. It is known as Single Anastomosis Sleeve Ileal (SASI) Bypass or Sleeve Gastrectomy with Loop Bipartition (SG LB). It is a loop modification of Sleeve Gastrectomy with Transit Bipartition (SG TB), which in turn is a modification of Bilio-pancreatic Diversion with Duodenal Switch (BPD DS).Procedure - ...
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METABOLIC SURGERY: Mr. GIRIDHAR'S REVIEW

By Dr. Amar V. | 27 Feb 2018
I performed Laparoscopic Sleeve Gastrectomy with duodenoileal Interposition on Mr. Giridhar on 17th December 2015.Please listen to his review - Dr. V. AMAR, www.drvamar.com.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 modificati...
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SLEEVE GASTRECTOMY WITH LOOP BIPARTITION Surgery Video By Dr. V. Amar

By Dr. Amar V. | 11 Mar 2017
Sleeve Gastrectomy with Loop Bipartition (SG LB) is a novel bariatric/ metabolic surgery. It is also known as Single Anastomosis Sleeve Ileal Bypass (SASI). It is a modification of Single Anastomosis Duodeno-ileal Bypass with Sleeve (SADI S), which in turn is a modification of Bilio-pancreatic Diversion with Duodenal Switch (BPD DS). Difference between SADI S and SG LB is that duodenum is not tran...
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NOVEL BARIATRIC/ METABOLIC SURGERIES-SLEEVE GASTRECTOMY WITH TRANSIT BIPARTITION

By Dr. Amar V. | 26 Oct 2016
Bilio-pancreatic Diversion with Duodenal Switch (BPD DS) is the most potent bariatric/ metabolic surgery available. But since most of the small intestine is bypassed, mal-absorption can be severe. BPD DS is modified in several ways to reduce mal-absorption without altering its efficacy. Sleeve Gastrectomy with Transit Bipartition (SG TB) and Sleeve Gastrectomy with Loop Bipartition (SG LB) are t...
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LOSING WEIGHT OR BEING OVERWEIGHT – CHOICE IS YOURS:

By Dr. Amar V. | 26 Oct 2016
For information on obesity and diabetes surgeryplease visit www.drvamar.com, www.obesitydiabetessurgery.com –Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India.For appointments call me directly on +91 96766 75646.
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EAT RIGHT TO STAY LIGHT :

By Dr. Amar V. | 27 Sep 2016
Quality of food is more important than Quantity. If there is genetic tendency, even small amount of unhealthy foods, increases set value for fat storage leading to obesity. For more 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 me directly on +91 96766 75...
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CAN BELLY FAT LEAD TO HEART ATTACK?

By Dr. Amar V. | 11 Sep 2016
Yes! Women who have a waist size of ? 80 cm (31.5 inches) and Men, whose waist is ? 90 cm (35.5 inches) are at increased risk of developing Type 2 Diabetes, Hyperlipidemia, Heart Attack and Stroke. Abdominal fat is a major risk factor for Metabolic Syndrome.For more information on obesity and diabetes surgeryplease visit www.drvamar.com, www.obesitydiabetessurgery.com -Dr. V. AMAR, Metabolic & Bar...
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DIABETES IS AFFECTING MARRIAGE PROPOSALS:

By Dr. Amar V. | 05 Sep 2016
Finding a suitable life partner is becoming difficult for young professionals as more and more of them are being diagnosed with type 2 diabetes and their marriage proposals are rejected on the same basis. Type 2 diabetes is a life style disease and it won’t affect marriage life, if life style modifications such as healthy diet and regular exercise are followed and if diabetes is treated with appro...
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BE FIT, BE HEALTHY, BE HAPPY:

By Dr. Amar V. | 02 Sep 2016
Exercise to be fit not skinny.Eat to nourish your body.Ignore the haters, doubters and unhealthy examples that were once feeding you.You are worth more than your realise.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 96766 75646.
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HAPPY INDEPENDENCE DAY

By Dr. Amar V. | 15 Aug 2016
Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India, www.drvamar.com, www.obesitydiabetessurgery.com, +91 96766 75646.
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SLEEVE WITH DUODENOILEAL INTERPOSITION - MOST EFFECTIVE METABOLIC SURGERY

By Dr. Amar V. | 31 Jul 2016
Metabolic surgery results in resolution or long term remission of Type 2 Diabetes (T2D), due to several hormonal changes such as reduced Ghrelin, increased GLP1 and Peptide YY. Bilio-pancreatic Diversion with Duodenal Switch (BPD-DS) is the most effective metabolic surgery since hormonal changes are maximum. But significant malabsorption can be a problem. Sleeve gastrectomy with duodeno-ileal inte...
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METABOLIC SURGERY TO RESOLVE TYPE II DIABETES:

By Dr. Amar V. | 31 Jul 2016
My article in ‘The New Indian Express’ on 18th June 2016. - For information on obesity and diabetes surgery please visit www.drvamar.com, www.obesitydiabetessurgery.com - Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India, +91 96766 75646.
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WILL ‘FAT TAX’ ON UNHEALTHY FOODS HELP?

By Dr. Amar V. | 31 Jul 2016
JOURNEY FROM UNHEALTHY TO HEALTHY DIET -Unhealthy diet is one of the main reason for obesity. Junk foods are refined, high in calories, very tasty and are highly addictive. Will people, addicted to these unhealthy foods, stop eating them just because tax is imposed on these foods? Will an addicted person stop drinking and smoking, if tax is imposed on alcohol and cigarettes? Past experience in Den...
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SLEEVE GASTRECTOMY WITH LOOP DUODENOJEJUNAL BYPASS (SG LDJB)

By Dr. Amar V. | 11 May 2016
Bariatric/metabolic surgery is the most effective tool available for permanent weight loss and resolution of type II diabetes. Sleeve gastrectomy (SG), Roux en y gastric bypass (RYGB) and Mini-gastric bypass (MGB) are the most popular obesity/diabetes surgeries in India. But risk of weight regain is high after Sleeve gastrectomy alone. Roux en y gastric bypass and Mini-gastric bypass are highly ef...
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POST BARIATRIC/ METABOLIC SURGERY PRECAUTIONS DURING SUMMER:

By Dr. Amar V. | 15 Apr 2016
This summer is too hot. Certain precautions need to be taken by those who underwent bariatric/ metabolic surgeries -Consume minimum 3 litre of liquids per day. In this, water should be 2 litre.If you dislike water, add some lemon juice or butter milk in water and take this instead.Quantity of liquids should be exact, not approximate.Each time, take slowly over a period of few minutes. If you ar...
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PAIN & PHYSICAL FUNCTION IMPROVE AFTER WEIGHT LOSS SURGERY

By Dr. Amar V. | 15 Apr 2016
According to a study published in JAMA 2016, many severely obese patients have less pain and better mobility in the first few years after bariatric surgery. There is consistent improvement in walking ability at one and three years. Those who had knee and hip pains before surgery also reported lasting improvement in pain and improved mobility around these joints. These functional improvements are r...
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INTRA-GASTRIC BALLOON IS AN ADJUVANT TO BARIATRIC SURGERY, NOT A REPLACEMENT

By Dr. Amar V. | 28 Mar 2016
Intra-gastric balloon is considered for temporary weight loss in any individual who is unfit for bariatric surgery. It is a bridging procedure before bariatric surgery to induce weight loss, so as to make these individuals fit for surgery. It is introduced by endoscopy, occupies part of the stomach and acts mainly by mechanical restriction. Alteration in body fat set point is minimal, as hormones ...
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WEIGHT REGAIN AFTER BARIATRIC SURGERY - REVISION BARIATRIC SURGERY:

By Dr. Amar V. | 23 Mar 2016
Weight loss after bariatric surgery is mainly due to hormonal changes, not due to food restriction or mal-absorpiton. Sleeve gastrectomy is the most commonly performed obesity surgery worldwide. In most individuals, weight loss after sleeve gastrectomy is long lasting. But some individuals regain weight, even after properly performed gastric sleeve surgery. This is mainly due to hormonal adaptatio...
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WISHING YOU A WONDERFUL WOMEN’S DAY

By Dr. Amar V. | 10 Mar 2016
If Life is Rainbow - You are Different Colors of itIf Life is Dark - You are the Hope of LightHappy Women’s Day to all of YouDr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India, www.drvamar.com, www.obesitydiabetessurgery.com
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EVEN 5% WEIGHT LOSS SIGNIFICANTLY IMPROVES HEALTH:

By Dr. Amar V. | 10 Mar 2016
Individuals suffering from obesity, experience significant health benefits just by losing 5% of body weight. This relatively small percent of weight loss significantly lowers risk of type II diabetes, heart disease, improves insulin sensitivity and metabolic functions in liver, fat and muscle tissue. Current guidelines for treating obesity recommend 5 to10% weight loss. Losing 5% weight is a easie...
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DIABETES IN HYDERABAD

By Dr. Amar V. | 24 Feb 2016
Diabetes is increasing worldwide at alarming rate. More than 21% of Hyderabad population is suffering from diabetes. 20% of them are unaware of the fact that they have diabetes as they don’t have any symptoms. Most of the remaining 80% are not doing enough to manage their blood sugar levels. Lack of physical exercise, unhealthy diet, obesity, stress and genetic predisposition lead to diabetes. Fir...
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HAPPY SANKRANTI TO YOU & YOUR FAMILY:

By Dr. Amar V. | 08 Feb 2016
Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India, www.drvamar.com,www.obesitydiabetessurgery.com.Fpr Appointments please call : +91 9676675746
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NEW AMERICAN DIETARY GUIDELINES:

By Dr. Amar V. | 08 Feb 2016
NEW AMERICAN DIETARY GUIDELINES:Less Sugar & SaltCoffee, Eggs, Nuts are OkayFor information on obesity and diabetes surgery please visit www.drvamar.com, www.obesitydiabetessurgery.com -Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, IndiaFor Appointments Call : +91 9676675646
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HAPPY & HEALTHY NEW YEAR 2016:

By Dr. Amar V. | 08 Feb 2016
Wish you and your family a very happy and healthy new year -For information on obesity and diabetes surgeryplease visit www.drvamar.com, www.obesitydiabetessurgery.com -Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, IndiaFor Appointments Call : +91 9676675646
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CHILDREN EAT MORE AFTER PLAYING ONLINE CANDY GAMES - Research says

By Dr. Amar V. | 08 Feb 2016
Research says - Shortly after playing a game with an embedded food advertisement, children tend to eat 55% more of the candy offered to them than children who had played a game with an embedded toy advertisement.For information on obesity and diabetes surgery please visit www.drvamar.com,www.obesitydiabetessurgery.com - Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India.For Appointment C...
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DIABETES REMISSION AFTER BARIATRIC OR METABOLIC SURGERY IS INDEPENDENT OF BMI :

By Dr. Amar V. | 10 Dec 2015
DIABETES REMISSION AFTER BARIATRIC OR METABOLIC SURGERY IS INDEPENDENT OF BMI OR WEIGHT LOSS: Diabetes remission after bariatric or metabolic surgery is mainly due to hormonal changes. Role of calorie restriction and weight loss is secondary.For information on obesity and diabetes surgery please visit www.drvamar.com, www.obesitydiabetessurgery.com - Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyd...
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BEWARE OF BELLY -

By Dr. Amar V. | 23 Nov 2015
Central obesity (Excess belly fat) is dangerous even if you are in normal weight limits.For information on obesity and diabetes surgeryplease visit www.drvamar.com, www.obesitydiabetessurgery.com - Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, IndiaFor Appointment Call : +919676675646
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WORLD DIABETES DAY - CHECK YOUR BLOOD SUGAR AND HbA1C TODAY

By Dr. Amar V. | 14 Nov 2015
Alarmingly increasing number of people are affected by diabetes and obesity at younger age because of unhealthy lifestyle. Most of them even don't know that they are suffering from diabetes until enough damage is done already. Check your blood sugar and HbA1C today. Get rid of Type II Diabetes safely with METABOLIC SURGERY.For information on obesity and diabetes surgeryplease visit www.drvamar.com...
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GREAT DEAL ON OBESITY AND DIABETES SURGERIES:

By Dr. Amar V. | 13 Nov 2015
Interest free (0% interest) loan is provided for bariatric and metabolic surgeries by Bajaj Finance. For details, please contact Dr. AMAR on +91 9676675646.For information on obesity and diabetes surgeryplease visit www.drvamar.com, www.obesitydiabetessurgery.com - Dr. V. AMAR,Metabolic & Bariatric Surgeon, Hyderabad, IndiaFor Appointments Call : +91 9676675646
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MARRIAGE IS BAD (For Your Waistline)

By Dr. Amar V. | 13 Nov 2015
When one spouse becomes obese, the other's risk of obesity almost doubles, a U.S. study suggests. For information on obesity and diabetes surgery please visitwww.drvamar.com, www.obesitydiabetessurgery.com - Dr. V. AMAR, Metabolic & Bariatric Surgeon, Hyderabad, India For Appointments Call : +91 9676675646
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GET RID OF TYPE II DIABETES WITH METABOLIC SURGERY:

By Dr. Amar V. | 26 Oct 2015
Metabolic surgery resolves type II diabetes even in normal weight individuals (regardless of body mass index). Eg: Sleeve gastrectomy with duodeno-ileal interposition (Diverted sleeve gastrectomy with ileal interposition).For information on obesity and diabetes surgery please visit www.drvamar.com,For Virtual Practice Please Visit www.obesitydiabetessurgery.com -Dr. V. AMAR, Metabolic & Bariatric...
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Wish You A Very Happy Dasara

By Dr. Amar V. | 22 Oct 2015
May this Dussehra, Light up for you. The hope of Happy times, And dreams for a full of smiles! Wish You A Happy Dussehra!
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Mr. SRINIVAS NATUKULA'S REVIEW ON METABOLIC SURGERY (1080p, TELUGU)

By Dr. Amar V. | 13 Oct 2015
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.comSleeve 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 ...
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LAPAROSCOPIC SLEEVE GASTRECTOMY WITH DUODENOILEAL INTERPOSITION

By Dr. Amar V. | 28 Sep 2015
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 procedure...
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Happy Ganesh Chaturthi

By Dr. Amar V. | 17 Sep 2015
Happy Ganesh Chaturthi
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LAPAROSCOPIC SLEEVE GASTRECTOMY WITH LOOP DUODENOJEJUNAL BYPASS Video

By Dr. Amar V. | 15 Sep 2015
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 al...
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LAPAROSCOPIC SINGLE ANASTOMOSIS DUODENOILEAL BYPASS WITH SLEEVE - Dr. V. AMAR

By Dr. Amar V. | 07 Sep 2015
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 pati...
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BARIATRIC SURGERY IS NOT THE LAST OPTION:

By Dr. Amar V. | 30 Jul 2015
For people suffering from obesity and diabetes, Bariatric surgery should not be considered as the last option, but as an appropriate treatment.(Review article published in the journal Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy)For information on Obesity and Diabetes Surgery please visit - www.drvamar.com,For Virtual Practice - www.obesitydiabetessurgery.com
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DON’T SHOP WHEN YOU ARE HUNGRY:

By Dr. Amar V. | 21 Jul 2015
When you shop on an empty stomach, you end up in buying more groceries than required.For information on Obesity and Diabetes Surgery please visit - www.drvamar.com,For Virtual Practice Please visit : www.obesitydiabetessurgery.com
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Sakshi Newspaper Obesity Counselling Question

By Dr. Amar V. | 15 Jul 2015
For information on Obesity and Diabetes Surgery please visit -www.drvamar.com,For Virtual Practice Please Visit - www.obesitydiabetessurgery.comFor Appointments Call : +91 9676675646
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My Dad, Dr. Brahma Reddy's review on Bariatric Surgery

By Dr. Amar V. | 06 Jul 2015
My Dad, Dr. Brahma Reddy's review on Bariatric Surgery
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Prajasakthi Newspaper Article on 09 June 2015 in Hyderabad

By Dr. Amar V. | 15 Jun 2015
WEBSITE:www.drvamar.comVIRTUAL PRACTICE: Please register in www.obesitydiabetessurgery.comFACEBOOK PAGE: Let us spread knowledge on Obesity & Diabetes Surgery - Please like my facebook page: www.facebook.com/drvamarAPPOINTMENTS: Please call me directly on +91 96766 75646 for appointments
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CHOOSE LIPOSUCTION FOR BODY SHAPING NOT FOR WEIGHT LOSS:

By Dr. Amar V. | 08 Jun 2015
Liposuction and cool sculpting are body shaping procedures. They can’t alter body set point for fat storage. Weight loss after these methods is temporary. For information on Obesity and Diabetes Surgery please visit -www.drvamar.com, www.obesitydiabetessurgery.com
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Maggi is Banned..?..why not Soft drinks..?

By Dr. Amar V. | 08 Jun 2015
Maggi has lead and MSG. So it is banned. Soft drinks have pesticides and insecticides. But why are they not banned?...
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Dr. G. Praveen Reddy's (UK) review on bariatric surgery and Dr. V. Amar

By Dr. Amar V. | 27 May 2015
Dr. G. Praveen Reddy's (UK) review on bariatric surgery and Dr. V. Amar
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How to Stay Healthy...? - By Dr. V. Amar in Sakshi Main edition on 28 April 2015

By Dr. Amar V. | 27 May 2015
How to Stay Healthy...? - Dr. V. Amar
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DRINK BEFORE YOU EAT (WATER, NOT ALCOHOL:-)

By Dr. Amar V. | 15 Apr 2015
Drinking a glass of water before every meal fills your stomach and prevents overeating. For information on Obesity and Diabetes Surgery please visit - www.drvamar.com, For Virtual Practice Login to www.obesitydiabetessurgery.com
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BARIATRIC SURGERY IMPROVES ATHEROSCLEROSIS

By Dr. Amar V. | 29 Mar 2015
Subclinical atherosclerosis rapidly regresses after weight loss surgery. (Atherosclerosis - Narrowing of arteries due to accumulation of white blood cells and fat within their walls.) For information on Obesity and Diabetes Surgery please visit - www.drvamar.com,www.obesitydiabetessurgery.com — with Amar Vennapusa.
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SLEEP TIGHT

By Dr. Amar V. | 29 Mar 2015
SLEEP TIGHT: Lack of sleep increases risk of Obesity & Type II Diabetes For information on Obesity and Diabetes Surgery please visit - www.drvamar.com,www.obesitydiabetessurgery.com
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EXERCISE AFTER BARIATRIC SURGERY:

By Dr. Amar V. | 19 Jan 2015
Regular exercise after bariatric surgery helps to sustain weight loss, improves metabolic outcomes & cardiorespiratory fitness. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com.
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BARIATRIC SURGERY CUTS COSTS FOR DIABETES, CARDIAC MEDICATIONS:

By Dr. Amar V. | 19 Jan 2015
After bariatric surgery patients use significantly fewer drugs for diabetes, hypertension, and heart disease. Surgery also improves quality of life. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com
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YOU ARE IMMUNE TO DIABETES AFTER BARIATRIC SURGERY -

By Dr. Amar V. | 19 Jan 2015
Bariatric surgery reduces the risk of developing type 2 diabetes by 80% among persons suffering from obesity. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com.
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SIT LESS - LIVE LONG:

By Dr. Amar V. | 19 Jan 2015
Prolonged sitting increases risk of lifestyle diseases and shortens life span even if you exercise daily. So reduce sitting hours. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com
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COFFEE BREAK: ARTIFICIAL SWEETENERS INCREASE RISK OF OBESITY AND TYPE 2 DIABETES

By Dr. Amar V. | 19 Jan 2015
Non-caloric artificial sweeteners alter gut microbes leading to glucose intolerance. Rather than aiding in weight loss and treatment of type 2 diabetes, consumption of artificial sweeteners may have opposite effects. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com
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LISTEN TO YOUR STOMACH - IT IS SCREAMING!

By Dr. Amar V. | 03 Sep 2014
Respect your stomach. Eat slowly. Stop eating when you are satisfied, not when you are full. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com
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WEAK LOOK AFTER BARIATRIC SURGERY:

By Dr. Amar V. | 03 Sep 2014
Weight loss is faster than skin tightening after bariatric surgery. So skin is lax and wrinkled during weight loss period. People may appear weak, even though they are actually not. By the time weight is stabilized skin becomes tight and look improves. For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com
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CHOTTA BHEEM IS AT RISK OF CHILDHOOD OBESITY

By Dr. Amar V. | 06 Aug 2014
"Laddoo is the secret of my energy" - super hero of children "Chotta Bheem" says. He is at risk of childhood obesity if he continues to eat laddoos in this manner! It might have been relevant if he is taking milk or eggs for energy. Then children watching him also learn healthy diet habits.
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FRUITS Vs SWEETS

By Dr. Amar V. | 06 Aug 2014
People gift you "Sweets" and make you sick! Then they gift "Fruits" to make you healthy again! To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).
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PREVENT CHILDHOOD OBESITY

By Dr. Amar V. | 06 Aug 2014
Children follow more of what we do than what we say. Eat healthy and stay fit. Be a role model for your children. To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).
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HEALTHY LIFE IS GIFT TO MY DAD ON THIS FATHERS DAY

By Dr. Amar V. | 06 Aug 2014
I performed laparoscopic sleeve gastrectomy along with appendicectomy, meckel's diverticulectomy & umbilical hernia repair 6 months back on my father, Dr. V. Brahma Reddy. He is 62 years old. At the time of operation his weight was 106 kg with BMI 35.4 kg/m2, type 2 diabetes, hypertension, sleep apnea, heart disease and back pain. Now his weight is 79 kg and still reducing. His blood sugar and blo...
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METABOLIC SURGERY ON MY BROTHER-IN-LAW FOR TYPE 2 DIABETES:

By Dr. Amar V. | 06 Aug 2014
One year back, I performed laparoscopic metabolic surgery (Sleeve gastrectomy with duodeno-ileal interposition) on my brother-in-law to treat type 2 diabetes. At that time he was 32 years. Before surgery his weight was 89 kg with BMI - 30 kg/m2, fasting blood sugar - 400 mg/dL, HbA1c - 10.5% & 40% block in a heart vessel. Within 3 weeks post surgery, his blood sugar was under control without medic...
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GO GREEN:

By Dr. Amar V. | 06 Aug 2014
Green tea is produced by steaming fresh tea leaves at very high temperature. It is rich in antioxidants. It helps in weight loss, prevents diabetes, reduces cholesterol, boosts immunity, protects against cancer and improves bone density. To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).
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KNEE PAIN IN OBESE WOMEN:

By Dr. Amar V. | 06 Aug 2014
Mal-alignment of the knees may precipitate osteoarthritis in middle aged, obese women, researchers suggest and such women should be screened for knee mal-alignment and treated preventively. For information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com
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DO WE NEED GRAINS LIKE WHEAT, RICE & OATS FOR SURVIVAL?

By Dr. Amar V. | 06 Aug 2014
Are healthy whole grains in fact unhealthy? According to "Grain Brain" (By Dr. David Perlmutter) and "Wheat Belly" (By Dr. William Davis) wheat and other cereals damage brain, also lead to obesity and type 2 diabetes. What evidence do we have in support of these claims? There is enough evidence against these claims. What is your opinion? To get regular updates on obesity & diabetes please like th...
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FOOD AVERSION

By Dr. Amar V. | 06 Aug 2014
After gastric bypass majority of the patients develop food aversion, alterations in taste, smell and appetite. Those who develop these changes experience significantly more weight loss than others. To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).
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HOW TO IMPROVE EXERCISE COMPLIANCE?

By Dr. Amar V. | 06 Aug 2014
Watch popular English TV seasons during exercise. Example: Lost, Breaking Bad, Game of Thrones, Prison Break, 24 etc. This increases exercise duration & compliance. Tip: Don't watch them when you are not exercising. To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).
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BARIATRIC SURGERY IS HEART FRIENDLY

By Dr. Amar V. | 06 Aug 2014
Bariatric surgery reduces risk of having a heart attack and stroke by almost 50%. It is potentially life-saving and reduces life risk by more than 50% compared to obese people who did not have surgery - Meta-analysis, Int. J. Cardiol., March 2014. To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).
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WEIGHT LOSS AFTER GASTRIC SLEEVE - ? CIRCULATING BILE ACIDS:

By Dr. Amar V. | 06 Aug 2014
Weight loss after sleeve gastrectomy is due to increased circulating bile acids that bind to the nuclear receptor (Farsenoid-X receptor - FXR) and alteration in gut bacteria. It is not due to mechanical restriction. If FXR is absent then weight loss and diabetes remission will be less. For more information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com
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SUGAR IS NOT SWEET ANYMORE:

By Dr. Amar V. | 06 Aug 2014
WHO proposes new guidelines - Limit sugar intake to 5% of daily calorie requirement. For information on Obesity, Type 2 Diabetes, Bariatric Surgery & Metabolic Surgery please visit - www.drvamar.com
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GASTRIC BYPASS (RYGB) vs SLEEVE GASTRECTOMY (SG)

By Dr. Amar V. | 06 Aug 2014
Weight loss is similar after 'Gastric Bypass' and 'Sleeve Gastrectomy'. But central abdominal fat reduction and type 2 diabetes resolution are greater after RYGB compared to SG - STAMPEDE Trial. For more information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com
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SLEEVE vs BYPASS vs GHRELIN

By Dr. Amar V. | 06 Aug 2014
After 'gastric bypass' fasting ghrelin (appetite stimulating hormone) is normal. But there is enhanced ghrelin suppression after food intake. After 'sleeve gastrectomy' fasting ghrelin is four fold reduced. There is post-prandial ghrelin suppression but less than after gastric bypass.
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Bariatric Surgery Rocks! -

By Dr. Amar V. | 06 Aug 2014
Meta analysis of international bariatric surgery studies from 2003 to 2012 (Published in JAMA Surg, Dec 18, 2013) provides reassurance that bariatric surgery is an effective treatment method for permanent weight loss in obese individuals. It has very low mortality and acceptable risk of morbidity. This study also confirms that bariatric surgery improves many of the obesity related co-morbid condit...
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Bariatric Surgery vs Pregnancy

By Dr. Amar V. | 01 Oct 2013
Bariatric surgery is indicated for permanent weight loss even in severely obese unmarried females or women of child bearing age. Pregnancy outcomes are not affected by bariatric surgery. Only precaution to be taken is pregnancy should not be planned during weight loss period (12 to 18 months) after bariatric surgery.
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BARIATRIC SURGERY & PRE-OPERATIVE INCENTIVE SPIROMETRY

By Dr. Amar V. | 01 Oct 2013
Patients are advised to practice deep breathing exercises using incentive spirometry for one week before bariatric surgery. This is continued after surgery until patient completely recovers. But at present, there is no evidence to suggest that pre-operative use of incentive spirometry improves post-operative lung function or reduces incidence of post-operative lung complications after bariatric su...
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Obesity - Bariatric Surgery - Normal weight

By Dr. Amar V. | 01 Oct 2013
According to IFSO-APC Consensus Statements 2011 Bariatric surgery should be considered as a treatment of obesity for Indians with BMI ? 35 kg/m2 with or without co-morbidities. Bariatric/ Metabolic surgery should be considered as a treatment of Type 2 Diabetes or metabolic syndrome for Indians with BMI ? 30 kg/m2, who are inadequately controlled by lifestyle modifications and medical treatment....
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Preoperative Diet for Bariatric surgery

By Dr. Amar V. | 23 Aug 2013
Patients are advised to follow high protein, low calorie, low carbohydrate liquid diet for 10 days before laparoscopic bariatric surgery. This results in few kilograms of weight loss and shrinks the size of liver making surgery safer and easier. But this lost weight is regained over a period of time if surgery is not performed.
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Myths associated with Obesity and Bariatric Surgery

By Dr. Amar V. | 23 Aug 2013
There is general lack of awareness among public and doctors, about the actual reason why diet control and exercise fail to achieve permanent weight loss in obese individuals. Everyone should read "Myths associated with Obesity and Bariatric Surgery" .http://bariatrictimes.epubxp.com/i/82655 All the myths are nicely described with scientific evidence against each myth.
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EXERCISE VS COMFORT

By Dr. Amar V. | 23 Aug 2013
Technology gives us comfort, but has dangerous side effects! Obesity and type 2 diabetes are two among them. Use technology but also do physical (not mental) exercise to keep them away.
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LIPOSUCTION, COOL SCULPTING VS OBESITY

By Dr. Amar V. | 23 Aug 2013
Liposuction, cool sculpting are not treatment options for obesity. These are cosmetic procedures aimed at removal of unwanted pockets of fat in normal or overweight individuals. They can't alter the set point for fat storage. So if performed in obese individuals all the lost fat is replaced over a period of 6 months to 2 years.
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BMI CATEGORIES IN INDIA

By Dr. Amar V. | 23 Aug 2013
BMI (Body Mass Index) cut off limits to define overweight and obesity are lower for Indians. Reason - For a given BMI, Indians have more fat and less muscle compared to foreigners. So Indians are at risk of developing several co-morbid medical conditions at lower BMI.
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PARAMETERS TO DEFINE OBESITY

By Dr. Amar V. | 23 Aug 2013
BMI alone is not accurate to define obesity. More specific parameters to define obesity in Indians are Waist Circumference (WC), Waist to Hip Ratio (WHR), Waist to Height Ratio (WHtR). Tip: Waist Circumference (WC) is not your pant size. It is the circumference at the maximum protrusion of your belly.
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LIPOSUCTION VS OBESITY

By Dr. Amar V. | 23 Aug 2013
Liposuction is not required for those who can reduce weight by diet restriction and exercise. Those who can't reduce weight by these methods, will not reduce even after liposuction.
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Risk of TYPE 2 DIABETES

By Dr. Amar V. | 23 Aug 2013
Regular eating of WHITE RICE significantly increases the risk of TYPE 2 DIABETES. If we eat healthy food - we live long. If we eat unhealthy food - we die soon. But problem is 95% of the tasty foods are unhealthy.
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Central Obesity is Dangerous

By Dr. Amar V. | 23 Aug 2013
Central obesity is the accumulation of fat inside and around belly. Don't underestimate the power of central obesity! It increases the risk of diabetes, high blood pressure and high blood lipids. These along with central obesity constitute Metabolic Syndrome.
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OBESITY IS A DISEASE

By Dr. Amar V. | 23 Aug 2013
American Medical Association officially announced that "Obesity is a Disease". Obesity is not just a cosmetic problem. If you own obesity, more than 65 diseases gain free access into your body, including type 2 diabetes, hypertension, hyperlipidemia, heart disease, obstructive sleep apnea, osteoarthritis and other diseases.
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Obesity

By Dr. Amar V. | 15 Aug 2013
Obesity is a major preventable public health problem worldwide. Thanks to the advances in technology, our daily routine become easier and our comfort levels have increased leading to reduced physical activity. Availability of high calorie refined foods and soft drinks increased our daily calorie intake. End result of these life style changes is obesity. Technology has side effects!WHAT IS OBESITY?...
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Diabetes

By Dr. Amar V. | 15 Aug 2013
What is Diabetes? Glucose is essential for the survival of all the cells in the body. It is the main energy source for all the metabolic activities in the body. Glucose reaches body tissues through blood circulation. It is essential to maintain adequate blood glucose level so that body tissues can utilize it appropriately. Blood glucose either above or below normal levels is dangerous. Various ...
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Nutrition

By Dr. Amar V. | 15 Aug 2013
FOOD COMPOSITION Nutrients are essential for growth, normal body function, physical activity, and maintenance of health. Carbohydrates, fats and proteins are called macronutrients as they are required in large amounts. Vitamins and minerals are essential but needed in small amount. These are called micronutrients. Carbohydrates – These are the major sources of energy for us. They are either si...
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Laparoscopic Adhesiolysis for Bands and Adhesions

By Dr. Amar V. | 15 Aug 2013
What are Adhesions? Your tummy contains various structures including stomach, fat sheet (omentum), bowels, bladder, liver, spleen, kidneys etc. After any type of surgery there is a tendency for these structures to get attached to the abdominal wall. These are less common after laparoscopic surgery because of less injury to abdominal wall as only sm
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Laparoscopic Bilateral Tubectomy

By Dr. Amar V. | 15 Aug 2013
What is permanent sterilization in females? Ovaries, fallopian tubes and uterus are necessary for natural formation of fetus. Ovum and sperm unite in fallopian tube to form the fertilized egg. This moves into uterus to form fetus. In permanent sterilization fallopian tube is divided and closed so that ovum and sperm can never meet each other. How t
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Common bile duct stones,ERCP,laparoscopic CBD exploration & choledocholithotomy

By Dr. Amar V. | 15 Aug 2013
What is Common Bile Duct? Common bile duct is a pipe connecting the liver and duodenum. Two pipes come out of the liver (right and left hepatic ducts). They join together to form another pipe called common hepatic duct. This joins the pipe (cystic duct) coming from gall bladder to form common bile duct. What is choledocholithiasis? Presence of ston
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Incisional Hernia and Laparoscopic Intraperitoneal Onlay Mesh Repair

By Dr. Amar V. | 15 Aug 2013
What is Incisional Hernia? When abdomen is cut open (incision) for any surgery, the edges will be sutured back after surgery. In some patients, because of several reasons these sutures will not hold the edges together resulting in formation of hole through which peritoneum and abdominal contents project out. This is called incisional hernia What is
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Inguinal hernia, femoral hernia, obturator hernia and laparoscopic TEP and TAPP

By Dr. Amar V. | 15 Aug 2013
What is Hernia? Abdomen contains stomach, fat sheet (omentum), bowels and several organs. These are covered by a lining called peritoneum which is surrounded by muscles and tough sheets. These muscles and tough sheets prevent these structures from coming out whenever pressure inside abdomen rises. Due to any reason if a hole (defect) is formed in m
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Gall bladder and Laparoscopic Cholecystectomy

By Dr. Amar V. | 15 Aug 2013
What is Gall Bladder? Liver produces digestive juice called Bile. This reaches initial part of small bowel called duodenum, through a pipe called common bile duct. Gall bladder is a storage tank which is connected to this common bile duct. It stores bile. It contracts in response to oil food intake and pushes bile into common bile duct. This is l
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Achalasia Cardia and Laparoscopic Heller’s Cardiomyotomy

By Dr. Amar V. | 15 Aug 2013
What is Achalasia Cardia? Esophagus is a long tube connecting throat and stomach. At the lower end of this tube there is a valve like mechanism which prevent reflux of acid from stomach into esophagus. In order to allow food into stomach, this valve relaxes in response to swallowing. In certain individuals this valve never relaxes. Failur of the lo
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Appendicitis and Laparoscopic Appendicectomy

By Dr. Amar V. | 15 Aug 2013
What is Appendix? Appendix is a small tubular structure present at the junction of small and large bowel. This is present in right lower quadrant of abdomen. What is Appendicitis? Appendix can become swollen and red (inflammation) because of infection then that condition is called appendicitis. It may be mild or severe. What is the cause of this di
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Diagnostic Laparoscopy

By Dr. Amar V. | 15 Aug 2013
What is Diagnostic Laparoscopy? When the cause of the patients abdominal (tummy) symptoms is not clear despite all the investigations we put a telescope inside the tummy through a hole to examine the abdominal contents. We diagnose the condition and in the same setting we treat the problem in majority What is it done for? There are several indicat
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Laparoscopic Long Limb Roux–en–y Gastric Bypass (Lap LRYGB)

By Dr. Amar V. | 15 Aug 2013
Procedure - This is similar to the roux-en-y gastric bypass except that upper divided end of jejunum is attached to the side of small intestine 150 to 250 cm below the gastrojejunostomy. This gives more sustained weight loss because of increased mal-absorption.
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Laparoscopic Bilio-Pancreatic Diversion with Duodenal Switch (Lap BPD-DS)

By Dr. Amar V. | 15 Aug 2013
Procedure - This and Lap BPD operation are most difficult bariatric operations. These operations give excellent long term weight loss but because of increased mal-absorption vitamin and mineral deficiencies are inevitable. Incidence of protein energy malnutrition is also very high. So these operations are reserved for super obese and super super ob
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Laparoscopic Sleeve Gastrectomy with Duodenoileal Interposition (Lap SG-DII)

By Dr. Amar V. | 15 Aug 2013
(Laparoscopic Diverted Sleeve Gastrectomy with Ileal Interposition) Procedure - Abdominal cavity is entered through small holes, using 5 to 7 ports. Up to 80 percent of left side of the stomach is removed using linear cutter staplers. If patient is obese, stomach tube, of approximately 60 ml, is fashioned (Sleeve Gastrectomy), over a bougie kept in
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Laparoscopic Sleeve Gastrectomy with Jejunoileal Interposition (Lap SG-JII)

By Dr. Amar V. | 15 Aug 2013
(Laparoscopic Sleeve Gastrectomy with Ileal Interposition) Procedure - Abdominal cavity is entered through small holes, using 5 to 7 ports. Up to 80 percent of left side of the stomach is removed using linear cutter staplers. If patient is obese, stomach tube, of approximately 60 ml, is fashioned (Sleeve Gastrectomy), over a bougie kept in the stom
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Laparoscopic Adjustable Gastric Banding (LAGB)

By Dr. Amar V. | 15 Aug 2013
Procedure - It is one of the most popular restrictive bariatric surgeries in western countries. In this an inflatable silicon band is wrapped around the upper part of stomach just below the junction of esophagus and stomach. Capacity of stomach above this band will be < 20 ml. So patient cant take large quantity of food at a time. This band has a
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Laparoscopic Roux–en–y Gastric Bypass (Lap RYGB)

By Dr. Amar V. | 15 Aug 2013
Procedure - This is the gold standard among bariatric surgeries. Compared to purely restrictive operations weight loss after this operation is more and long lasting. Compared to mostly mal-absorptive operations vitamin and mineral deficiencies are less after this operation. A pouch of < 30 ml is created in the upper part of stomach by dividing it w
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Laparoscopic Sleeve Gastrectomy with Duodenojejunal Bypass (SG - DJB)

By Dr. Amar V. | 15 Aug 2013
Procedure - Abdominal cavity is entered through small holes, using 5 to 7 ports. Up to 80 percent of left side of the stomach is removed using linear cutter staplers. If patient is obese, stomach tube, of approximately 60 ml, is fashioned (Sleeve Gastrectomy), over a bougie kept in the stomach. If the patient is not obese, then stomach tube of high
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Laparoscopic Sleeve Gastrectomy (Lap SG)

By Dr. Amar V. | 15 Aug 2013
Procedure - This is done as a solo restrictive operation or as a part of Lap BPD-DS mal-absorptive operation. It is also done as a stage 1 operation for super obese individuals to reduce their weight to the required level so that they can withstand more definitive Lap BPD-DS operation in future and surgical complications will also be less at that t
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Laparoscopic Bariatric Surgery

By Dr. Amar V. | 15 Aug 2013
Bariatric surgery is the only scientifically proven method for permanent and effective weight loss. Mechanism of weight loss after this is different from other methods. Sleeve gastrectomy and diversion procedures re-set the fat set point to a lower level. This new low fat set point in turn reduce fat burden and maintain low body fat stores. Bariatric surgery is performed on stomach and small intes...
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Laparoscopic Metabolic Surgery

By Dr. Amar V. | 15 Aug 2013
(Laparoscopic Surgery for Type 2 Diabetes) Are you thinking of Permanent cure to type 2 Diabetes? Then you should read this In addition to weight loss, bariatric surgery results in resolution of co-morbid conditions like type 2 diabetes, hypertension, obstructive sleep apnea, hyperlipidemias in significant number of patients. These co-morbid condit
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Laparoscopic Surgery

By Dr. Amar V. | 15 Aug 2013
What is Laparoscopic Surgery? Abdominal surgeries can be performed either by open method or by laparoscopic method. In laparoscopic surgery small holes are created to enter into the tummy. Telescope is kept inside the tummy. This is connected to a camera and camera is connected to a monitor. Surgery is performed by viewing in the monitor and using long thin instruments kept inside the tummy...
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