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Bariatric Surgery

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India's Leading Bariatric Surgery Hospital

Bariatric surgery refers to a group of surgical procedures designed to help people with severe obesity lose weight. These procedures alter the digestive system, either by limiting the amount of food the stomach can hold, reducing the absorption of nutrients, or both. Bariatric surgery is not only for weight loss but also helps improve or resolve obesity-related health conditions such as diabetes, hypertension, and sleep apnea.

 

At Apollo Hospitals, we take pride in being India's premier bariatric surgery provider. Our commitment to excellence is reflected in our state-of-the-art facilities, cutting-edge technologies, and a team of highly skilled bariatric specialists. With a network of hospitals nationwide, we offer unparalleled access to top-tier bariatric care.
 

Our evidence-based practices and precision-based care approach have established us as the :

  • Best hospital for gastric bypass in India
  • Leading center for sleeve gastrectomy
  • Pioneer in robotic bariatric surgery
  • Expert in revision bariatric surgeries
     
     

Our track record speaks volumes about our expertise and leadership in the field:

  • Over 1000 successful bariatric surgeries performed
  • One of the largest centres for bariatric surgery in India
  • Success rates comparable to international standards
  • Patients from across the globe trust our care

Our Approach

At Apollo Hospitals, we combine medical expertise with a patient-first approach to deliver the best bariatric care. Our multidisciplinary teams are committed to:

Evidence-Based Excellence
  • Latest global treatment protocols
  • Regular outcome monitoring
  • Quality benchmarking
  • Continuous medical education
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Precision-Based Care
  • Advanced diagnostic technologies
  • Personalized treatment planning
  • Minimally invasive techniques
  • Robotic surgical options
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Holistic Wellness Focus
  • Comprehensive pre-surgery assessment
  • Dedicated post-operative care
  • Lifestyle modification guidance
  • Long-term health maintenance
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Our Team of Experts

At Apollo Institutes of Bariatric Surgery, our team of specialists forms the backbone of our world-class weight loss care. Our doctors are not just practitioners; they are pioneers in their fields, pushing the boundaries of bariatric care with their expertise and innovative approaches.

Our Team Includes:

  • Bariatric Surgeons: Experts in various weight loss procedures, including gastric bypass, sleeve gastrectomy, and revision surgeries.
  • Endocrinologists: Specialized in managing obesity-related hormonal imbalances.
  • Nutritionists and Dieticians: Dedicated to creating personalized diet plans for pre and post-surgery care.
  • Psychologists: Focused on addressing the psychological aspects of obesity and weight loss.
  • Anaesthesiologists: Skilled in managing anaesthesia for bariatric patients.
  • Bariatric Coordinators: Guiding patients through their weight loss journey.

Our specialists have trained at top institutions in India and abroad, bringing global expertise to your doorstep. They are supported by a team of skilled nurses, physiotherapists, and support staff, all committed to providing you with the best possible care.

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Dr Sanjay Borude
Bariatrics
28+ years experience
Mumbai

Why Choose Apollo Institutes of Bariatric Surgery?

Unmatched Expertise

With a team of committed consultants and allied specialists, we bring together India's finest bariatric expertise under one roof. Our surgeons have performed a large quantum of  surgeries, making them among the country's most experienced specialists.

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Advanced Technology

Our commitment to excellence is reflected in our state-of-the-art infrastructure. We've invested in the latest medical technology to ensure you receive world-class treatment:

  • Second-generation Single Incision Laparoscopy surgeries
  • Robotic surgical options, including the state-of-the-art da Vinci xi robotic system
  • Endoscopic bariatric surgery capabilities
  • Advanced robotic stapling technology
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Specialized Programs
  • Gastric Banding
  • Sleeve Gastrectomy
  • Gastric Bypass
  • Mini Gastric Bypass
  • Bilio-pancreatic Diversion
  • Metabolic Surgeries
  • Revision Bariatric Surgeries
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Patient-First Approach

We believe in collaborative and personalized care that puts you at the centre of everything we do:

  • Each patient receives a tailored treatment plan based on their specific condition, BMI, and health goals
  • Our multidisciplinary teams work together to provide comprehensive care under one roof
  • We offer complete transparency in our clinical outcomes and treatment processes
  • International patients receive specialized support

     

Bariatric surgery is typically considered for patients who:

 

1. Have Severe Obesity:

• Body Mass Index (BMI) ≥ 40 kg/m² (morbid obesity).

• BMI ≥ 35 kg/m² with serious obesity-related health conditions (e.g., type 2 diabetes, hypertension, sleep apnea).

2. Failed Non-Surgical Treatments:

• Diet, exercise, and medication have not resulted in sustainable weight loss.

3. Have Obesity-Related Medical Conditions:

• Conditions like type 2 diabetes, heart disease, severe joint pain, or liver disease improve significantly after surgery.

4. Need Weight Loss Before Surgery for Other Conditions:

• For example, reducing weight to improve outcomes for joint replacement or heart surgeries.

5. Are Psychologically Prepared:

• Patients must commit to lifelong dietary changes, physical activity, and follow-ups.

6. Other Criteria:

• Adults or adolescents (usually aged 13–18) with severe obesity, as recommended by guidelines and medical teams.

 

Recognized worldwide for our expertise, we cater to patients from across the globe, offering world-class treatment at affordable costs. Choose Apollo Institutes of Bariatric Surgery for a journey of care that goes beyond weight loss – where every step matters and your health is our ultimate priority.

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Advanced Technology & Equipment

The Apollo Institute of Bariatric Surgery is equipped with advanced technology and state-of-the-art facilities to provide comprehensive care for obesity and weight-loss surgery. The advanced technologies and facilities that make the Apollo Institute of Bariatric Surgery one of the most sought-after centres globally for weight-loss surgeries, offering cutting-edge solutions with high success rates comparable to international standards are:

Advanced Surgical Techniques

1. Gastric Banding

A minimally invasive procedure where an adjustable band is placed around the upper stomach. This creates a smaller pouch, reducing food intake and promoting weight loss. Adjustments can be made to control restriction.

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2. Sleeve Gastrectomy

Involves removing about 80% of the stomach, leaving a smaller, sleeve-like stomach. This reduces the amount of food intake and decreases hunger by lowering the production of the hunger hormone ghrelin.

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3. Gastric Bypass (Roux-en-Y)

A procedure where the stomach is divided into a small pouch and rerouted to bypass part of the small intestine. It restricts food intake and reduces calorie absorption, leading to significant weight loss.

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4. Bilio-Pancreatic Diversion

A complex procedure that combines a partial gastrectomy (stomach reduction) with intestinal rerouting to limit both food intake and nutrient absorption. Effective but higher risk of nutritional deficiencies.

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5. Metabolic Surgery

A term for bariatric procedures aimed at improving metabolic conditions, such as type 2 diabetes, by altering the digestive system’s anatomy and hormones.

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6. Endoscopic Bariatric Surgery

A non-surgical weight loss method using an endoscope to perform gastric procedures, such as placing a balloon or sutures, to reduce stomach capacity. Endoscopic surgery is a scarless, minimally invasive procedure performed through natural body openings or small incisions using an endoscope. It is particularly useful for revision bariatric surgeries.  

Key Features:  

  • No external incisions, ensuring no visible scars.
  • Faster recovery time and minimal discomfort.  

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7. SILS (Single-Incision Laparoscopic Surgery)

A minimally invasive approach where the entire surgery is performed through a single small incision, usually in the navel, for improved cosmetic outcomes and reduced scarring. Key Features:  

  • Faster recovery and less post-operative pain.
  • No visible scars due to the single incision.
  • Lower risk of infection and better cosmetic outcomes.

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8. Robotic Surgery

Utilizes advanced robotic systems to perform bariatric procedures with precision, enhancing safety, flexibility, and recovery compared to traditional surgery. Key Features:  

  • 3D high-definition vision with up to 10x magnification.
  • Enhanced dexterity with EndoWrist instruments offering seven degrees of motion freedom.
  • Minimal scarring, reduced pain, and shorter hospital stays.

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9. Laparoscopic Surgery

Laparoscopic surgery involves multiple small incisions through which a camera and instruments are inserted to perform the operation. It is a standard technique for bariatric surgeries like gastric bypass and sleeve gastrectomy.  

Key Features:  

  • Minimally invasive with reduced risk of complications.
  • Shorter hospital stays and faster recovery.
  • Precise surgical outcomes with minimal blood loss.  

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Specialized Facilities

1. Advanced Operation Theatres: Apollo's bariatric surgery operation theatres feature state-of-the-art technology for safe and effective procedures. They are equipped with laminar flow ventilation systems to maintain a sterile environment and reduce infection risks. The theatres incorporate the latest surgical and anesthetic equipment, as well as advanced safety measures.

Key Features:

  • Laminar flow ventilation for infection control
  • Cutting-edge surgical and anesthetic equipment
  • Advanced safety protocols and monitoring systems

 

2. Anesthesia : Anesthesia at Apollo's bariatric surgery institute is provided by a dedicated full-time team available 24/7. It is equipped with modern anesthesia machines and backup systems to ensure patient safety during surgeries. The department plays a crucial role in managing complex cases associated with obesity-related comorbidities.

Key Features:

  • Round-the-clock availability of specialized anesthesiologists
  • State-of-the-art anesthesia machines with backup systems
  • Expertise in managing high-risk bariatric patients

 

3. Intensive Care Unit (ICU): Our ICU facilities  for bariatric surgery patients offer comprehensive post-operative care with round-the-clock specialist attention. The unit is equipped to handle a wide range of critical care needs, including respiratory, cardiac, gastro, neurological , and nephrology support. This ensures optimal recovery and management of potential complications after bariatric procedures.

Key Features:

  • 24/7 specialist care in multiple disciplines
  • Advanced monitoring and life support systems
  • Specialized care for post-bariatric surgery patients

 

4. On-Site Blood Bank: The on-site blood banks at Apollo's Bariatric surgery Institutes ensure immediate access to safe and reliable blood products. This facility is crucial for managing potential surgical complications and emergencies. The blood bank maintains strict quality control measures to guarantee the safety and efficacy of all blood products.

Key Features:

  • Immediate availability of blood products
  • Rigorous quality control for infection prevention
  • Comprehensive range of blood components for various needs
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Innovative Procedures

1. Revision Surgeries: Apollo Institute of Bariatric Surgery offers advanced revision surgeries for patients who have experienced weight regain after initial bariatric procedures. These surgeries aim to restore the effectiveness of previous weight loss operations. The institute utilizes cutting-edge techniques like the Apollo OverStitch™ system for endoscopic revisions, which allows for incision-less pouch reduction.

Key Features:

  • Minimally invasive endoscopic techniques
  • Specialized procedures like single-incision revision bariatric surgery
  • Experienced surgeons skilled in complex revision cases

 

2. Scarless Endoscopic Techniques:

Apollo Hospitals pioneered scarless endoscopic techniques in bariatric surgery, including Asia's first scarless endoscopic revision gastroplasty for failed bariatric surgery. These procedures are performed through natural body openings, eliminating the need for external incisions and resulting in faster recovery times.

Key Features:

  • No visible scars
  • Reduced post-operative pain and complications
  • Faster recovery and return to normal activities

 

3. Metabolic Surgeries:

The institute offers specialized metabolic surgeries designed to address obesity-related metabolic disorders, particularly type 2 diabetes. These procedures aim to improve metabolic health beyond just weight loss, targeting conditions like high blood pressure, high cholesterol, and diabetes.

Key Features:

  • Procedures like gastric bypass and biliopancreatic diversion
  • Potential for diabetes remission or significant improvement
  • Holistic approach addressing multiple aspects of metabolic syndrome

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Common Conditions We Treat

At Apollo Institute of Bariatric Surgery, we recognize that obesity is often accompanied by various medical conditions that significantly impact patients' health and quality of life. Our comprehensive treatment approaches address these obesity-related medical conditions through tailored surgical interventions and multidisciplinary care. Below are the key obesity-related medical conditions we treat, along with our strategies for management:

Obesity-Related Medical Conditions

Bariatric surgery is typically considered for patients who:


1. Have Severe Obesity:
• Body Mass Index (BMI) ≥ 40 kg/m² (morbid obesity).
• BMI ≥ 35 kg/m² with serious obesity-related health conditions (e.g., type 2 diabetes, hypertension, sleep apnea).


2. Failed Non-Surgical Treatments:
• Diet, exercise, and medication have not resulted in sustainable weight loss.


3. Have Obesity-Related Medical Conditions:
• Conditions like type 2 diabetes, heart disease, severe joint pain, or liver disease improve significantly after surgery.


4. Need Weight Loss Before Surgery for Other Conditions:
• For example, reducing weight to improve outcomes for joint replacement or heart surgeries.


5. Are Psychologically Prepared:
• Patients must commit to lifelong dietary changes, physical activity, and follow-ups.


6. Other Criteria:
• Adults or adolescents (usually aged 13–18) with severe obesity, as recommended by guidelines and medical teams.

Some of the conditions where bariatric surgery may help treat underlying diseases include :

1. Type 2 Diabetes: Obesity is a major risk factor for developing type 2 diabetes. Weight loss surgery can lead to significant improvements in insulin sensitivity and glucose metabolism, often resulting in remission of diabetes. Our approach includes pre-operative assessments to determine eligibility for surgery and post-operative monitoring to manage diabetes effectively.

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2. Hypertension: Excess weight contributes to high blood pressure, which can lead to serious cardiovascular complications. Bariatric surgery has been shown to reduce blood pressure levels in many patients. We provide a structured program that includes lifestyle modifications, medication management, and regular follow-ups to monitor blood pressure post-surgery.

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3. Cardiovascular Disease: Obesity increases the risk of heart disease and stroke. Our surgical interventions not only promote weight loss but also improve cardiovascular health markers. We collaborate with cardiologists to assess cardiovascular risk factors pre-and post-operatively, ensuring comprehensive care tailored to each patient's needs.


4. Sleep Apnoea: Obstructive sleep apnoea is common among obese individuals and can lead to severe health issues. Bariatric surgery often results in significant weight loss, which can alleviate sleep apnoea symptoms. We conduct thorough evaluations and provide post-operative support, including referrals for sleep studies if necessary.


5. Gastroesophageal Reflux Disease (GERD): Many patients experience GERD due to obesity, which can lead to discomfort and complications. Weight loss surgery can reduce or eliminate GERD symptoms in many cases. Our treatment approach includes assessing the severity of GERD before surgery and monitoring symptom resolution afterwards.

Read more
 

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Metabolic Disorders

Metabolic Syndrome: Metabolic syndrome is a cluster of conditions including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. Our multifaceted approach includes:

  • Comprehensive pre-operative evaluation to assess all components of metabolic syndrome
  • Bariatric procedures that address multiple aspects of metabolic syndrome simultaneously
  • Regular post-operative follow-ups to monitor improvements in metabolic parameters
  • Personalized lifestyle modification programs including diet and exercise recommendations
  • Coordination with various specialists (endocrinologists, cardiologists) for holistic management
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Our Comprehensive Surgical Treatment Care Programs

Laparoscopic Adjustable Gastric Banding (LAGB)

What is LAGB?

LAGB is a type of bariatric surgery that uses an adjustable band to restrict the size of the stomach. The procedure is performed laparoscopically, implying that it involves small incisions in the abdomen rather than one large cut. The band creates a small stomach pouch above it, with a narrow opening to the larger portion of the stomach below. This small pouch ensures that even with a small quantity of food , there is a feeling of fullness.
 

Key features of LAGB include:

  • Minimally invasive procedure
  • Adjustable and reversible
  • No stapling or cutting of the stomach
  • Typically requires a short hospital stay

 

Why is it done?
LAGB is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria for LAGB include:

  • Body Mass Index (BMI) greater than 40, or
  • BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, sleep apnoea, or hypertension

 

The procedure aims to help patients achieve significant weight loss, improve obesity-related health conditions, and enhance overall quality of life.

 

What happens during the procedure?
The LAGB procedure typically involves the following steps:

  • General anaesthesia is administered to the patient.
  • The surgeon makes 1 to 5 small incisions in the abdomen to insert a camera and surgical instruments.
  • Using laparoscopic techniques, the surgeon places the adjustable silicone band around the upper part of the stomach.
  • The band is connected to a small port placed under the skin of the abdomen, usually near the rib cage.
  • The incisions are closed, completing the procedure.

 

The entire surgery usually takes between 30 to 60 minutes when performed by an experienced surgeon. Post-surgery, the band can be adjusted by adding or removing saline solution through the port, allowing for customization of the stomach opening size to meet the patient's weight loss needs and comfort level.

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Sleeve Gastrectomy

What is Sleeve Gastrectomy?
Sleeve gastrectomy is a type of bariatric surgery that involves removing approximately 80% of the stomach, leaving a sleeve-shaped stomach about the size and shape of a banana. This smaller stomach can't hold as much food, which limits calorie intake and leads to weight loss. Additionally, the procedure reduces the production of ghrelin, a hormone that stimulates hunger, further aiding in weight loss.

 

Key features of Sleeve Gastrectomy include:

  • Permanent alteration of the stomach
  • No rerouting of the intestines
  • Typically performed laparoscopically
  • Can lead to significant weight loss and improvement in obesity-related conditions

 

Why is it done?
Sleeve gastrectomy is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria include:

  • Body Mass Index (BMI) greater than 40, or
  • BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, sleep apnoea, or hypertension
     

The procedure aims to help patients achieve significant weight loss, improve obesity-related health conditions, and enhance overall quality of life.

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What happens during the procedure?
The sleeve gastrectomy procedure typically involves the following steps:

  • General anaesthesia is administered to the patient.
  • The surgeon makes several small incisions in the abdomen to insert a camera and surgical instruments.
  • Using laparoscopic techniques, the surgeon removes about 80% of the stomach along the greater curvature.
  • The remaining stomach is stapled closed, creating a tube or "sleeve" shape.
  • The incisions are closed, completing the procedure.
     

The entire surgery usually takes between 60 to 90 minutes when performed by an experienced surgeon. Post-surgery, patients typically stay in the hospital for 1-2 days for monitoring and to begin adjusting to their new dietary requirements.

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Gastric Bypass

What is Gastric Bypass?
Gastric bypass, also known as Roux-en-Y gastric bypass, is a surgical procedure that involves creating a small pouch from the stomach and connecting it directly to the small intestine, bypassing a large part of the stomach and the first part of the small intestine. This procedure works through both restriction (limiting food intake) and malabsorption (reducing calorie and nutrient absorption).
 

Key features of Gastric Bypass include:

  • Considered the "gold standard" of weight loss surgeries
  • Typically results in rapid and significant weight loss
  • Can lead to dramatic improvement in obesity-related conditions
  • Requires lifelong vitamin and mineral supplementation

 

Why is it done?
Gastric bypass is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria include:

  • Body Mass Index (BMI) greater than 40, or
  • BMI of 35 or higher with obesity-related health conditions

 

The procedure aims to help patients achieve significant weight loss, improve obesity-related health conditions (especially type 2 diabetes), and enhance overall quality of life.

 

What happens during the procedure?
The gastric bypass procedure typically involves the following steps:

  • General anaesthesia is administered to the patient.
  • The surgeon makes several small incisions in the abdomen to insert a camera and surgical instruments.
  • A small stomach pouch is created by dividing the top of the stomach from the rest of the stomach.
  • The small intestine is then divided, and the lower portion (the Roux limb) is connected to the newly created small stomach pouch.
  • The other end of the small intestine is connected to the Roux limb lower down, creating a "Y" shape.
  • The incisions are closed, completing the procedure.

 

The entire surgery usually takes between 2 to 3 hours when performed by an experienced surgeon. Post-surgery, patients typically stay in the hospital for 2-3 days for monitoring and to begin adjusting to their new dietary requirements.

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Bilio-pancreatic Diversion

What is Bilio-pancreatic Diversion?
Bilio-pancreatic diversion (BPD) is a complex weight loss surgery that involves removing a portion of the stomach and rerouting the small intestine. In the duodenal switch variation (BPD/DS), about 80% of the stomach is removed, and the small intestine is rearranged to separate food from digestive juices until the last portion of the small intestine. This limits both food intake and nutrient absorption.
 

Key features of Bilio-pancreatic Diversion include:

  • Most complex and highest-risk bariatric procedure
  • Results in the most significant weight loss and metabolic changes
  • Requires strict adherence to dietary guidelines and lifelong supplementation
  • Typically reserved for super-obese patients or those with severe metabolic disorders

 

Why is it done?
BPD is typically recommended for individuals with super obesity (BMI 50 or higher) or those with severe obesity-related health conditions who have not achieved success with other weight loss methods. The procedure aims to:

  • Achieve significant and sustained weight loss
  • Improve or resolve severe obesity-related health conditions, particularly type 2 diabetes
  • Enhance overall quality of life for patients with extreme obesity

 

What happens during the procedure?
The BPD procedure typically involves the following steps:

  • General anaesthesia is administered to the patient.
  • The surgeon makes several incisions in the abdomen to insert surgical instruments.
  • About 70-80% of the stomach is removed, similar to a sleeve gastrectomy.
  • The small intestine is divided and rearranged, creating a longer bypass than in standard gastric bypass.
  • A portion of the small intestine is connected to the remaining stomach.
  • Another portion of the small intestine is connected further down, allowing digestive enzymes to mix with food.
  • The incisions are closed, completing the procedure.

 

The surgery usually takes 3-4 hours. Patients typically stay in the hospital for 3-4 days’ post-surgery for monitoring and to begin adjusting to their new dietary requirements.

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Metabolic Surgery

What is Metabolic Surgery?
Metabolic surgery refers to surgical procedures primarily aimed at treating metabolic disorders, particularly type 2 diabetes, in patients with obesity. While these surgeries often result in weight loss, their primary goal is to improve or resolve obesity-related metabolic conditions. Common metabolic surgeries include gastric bypass and sleeve gastrectomy.
 

Key features of Metabolic Surgery include:

  • Focuses on improving metabolic health beyond weight loss
  • Can lead to remission of type 2 diabetes in many patients
  • May be considered for patients with lower BMIs who have poorly controlled diabetes
  • Alters gut hormones and metabolism to improve blood sugar control

 

Why is it done?
Metabolic surgery is recommended for individuals with:

  • Type 2 diabetes and a BMI of 35 or higher
  • Poorly controlled type 2 diabetes with a BMI between 30 and 35 (in some cases)
  • Other metabolic disorders associated with obesity, such as high blood pressure or high cholesterol
     

The primary aim is to improve or resolve metabolic conditions, particularly type 2 diabetes, often before significant weight loss occurs.

 

What happens during the procedure?
The specific steps depend on the type of metabolic surgery chosen (e.g., gastric bypass or sleeve gastrectomy). Generally, the procedure involves:

  • Administration of general anaesthesia.
  • Making small incisions in the abdomen for laparoscopic instruments.
  • Altering the digestive system, either by creating a small stomach pouch and rerouting the small intestine (gastric bypass) or by removing a large portion of the stomach (sleeve gastrectomy).
  • Closing the incisions.

 

The surgery typically takes 1-3 hours, depending on the specific procedure. Patients usually stay in the hospital for 1-3 days post-surgery for monitoring and to begin adjusting to their new dietary requirements.

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Endoscopic Bariatric Surgery

What is Endoscopic Bariatric Surgery?
Endoscopic bariatric surgery refers to minimally invasive weight loss procedures performed entirely through the mouth using an endoscope, without any external incisions. These procedures can be used for primary weight loss treatment or to revise previous bariatric surgeries.
 

Key features of Endoscopic Bariatric Surgery include:

  • Less invasive than traditional bariatric surgeries
  • Often performed as outpatient procedures
  • Can be reversible or repeatable
  • May be suitable for patients with lower BMIs or as a bridge to more definitive surgery

 

Why is it done?
Endoscopic bariatric procedures are recommended for:

  • Individuals with a BMI between 30 and 40 who haven't succeeded in losing weight  with diet and exercise
  • Patients who are not candidates for traditional bariatric surgery due to medical reasons
  • Those who need revision of a previous bariatric surgery
  • Patients seeking a less invasive option with potentially fewer complications
     

The aim is to provide effective weight loss solutions with reduced risk and faster recovery compared to traditional surgical approaches.

 

What happens during the procedure?
While specific steps vary depending on the type of endoscopic procedure, generally:

  • The patient is sedated or given general anaesthesia.
  • An endoscope is inserted through the mouth into the stomach.
  • Depending on the procedure, the surgeon may:
  • Place a temporary device in the stomach (e.g., intragastric balloon)
  • Use suturing devices to reduce stomach size (e.g., endoscopic sleeve gastroplasty)
  • Revise a previous gastric bypass
  • The endoscope is removed once the procedure is complete.

Most endoscopic procedures take 30 minutes to 2 hours. Patients often go home the same day or after a short observation period.

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Single Incision Laparoscopic Surgery (SILS)

What is SILS?
SILS is an advanced minimally invasive surgical technique where the entire operation is performed through a single small incision, typically in the navel. In bariatric surgery, this technique can be applied to procedures like sleeve gastrectomy or gastric banding.
 

Key features of SILS include:

  • Virtually scarless surgery
  • Potentially less postoperative pain
  • Requires specialized equipment and advanced surgical skills
  • May not be suitable for all patients or procedures

 

Why is it done?
SILS is performed to:

  • Achieve the benefits of laparoscopic surgery with even less invasiveness
  • Potentially lead to less pain and faster recovery
  • Provide better cosmetic results with a single, often hidden incision
  • Offer patients a less traumatic surgical experience

It's typically offered to patients who are candidates for traditional laparoscopic bariatric surgery and prefer the potential benefits of the single-incision approach.

 

What happens during the procedure?
The SILS procedure typically involves:

  • Administration of general anaesthesia.
  • Making a single incision, usually in the navel, about 2-3 cm long.
  • Inserting a specially designed port that allows multiple instruments to be used through the single incision.
  • Performing the bariatric procedure (e.g., sleeve gastrectomy) using specialized curved instruments and a flexible laparoscope.
  • Removing the instruments and closing the single incision.
     

The duration of the surgery is comparable to traditional laparoscopic approaches, typically 1-2 hours depending on the specific procedure. Recovery time may be slightly shorter than with traditional laparoscopic surgery.

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Robotic Surgery

What is Robotic Surgery?
Robotic surgery in bariatrics involves the use of a robotic system, typically the da Vinci system, to assist in weight loss procedures. The surgeon controls robotic arms from a console in the operating room, which translates the surgeon's hand movements into precise movements of surgical instruments inside the patient's body.
 

Key features of Robotic Surgery include:

  • Enhanced 3D visualization for the surgeon
  • Greater precision and dexterity, especially in complex cases
  • Potential for reduced complications and faster recovery
  • Requires specialized training and equipment

 

Why is it done?
Robotic-assisted bariatric surgery is performed to:

  • Enhance surgical precision, particularly in complex cases
  • Improve visualization during the procedure
  • Potentially reduce complications compared to traditional laparoscopic techniques
  • Offer the benefits of minimally invasive surgery even in challenging cases
     

It's typically offered as an alternative to traditional laparoscopic surgery for various bariatric procedures, including gastric bypass and sleeve gastrectomy.

 

What happens during the procedure?
Robotic bariatric surgery typically involves:

  • Administration of general anaesthesia.
  • Making several small incisions in the abdomen.
  • Inserting the robotic arms and camera through these incisions.
  • The surgeon sitting at a nearby console to control the robotic arms.
  • Performing the bariatric procedure (e.g., gastric bypass) using the robotic system.
  • Removing the robotic instruments and closing the incisions.
     

The duration of robotic surgery is often similar to or slightly longer than traditional laparoscopic approaches, typically 2-3 hours depending on the specific procedure. Recovery time is generally comparable to laparoscopic surgery, with potential for reduced pain and complications in some cases.

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Insurance & Financial Information

At Apollo Institute of Bariatric Surgery, we understand that managing obesity and weight-related health issues is crucial, and we're committed to helping patients receive top-quality bariatric care without financial stress. That's why we work with leading insurance providers to make our weight loss services accessible and affordable.

Insurance Coverage for Bariatric Care

Apollo Hospitals partners with several major insurance companies to offer coverage for a wide range of bariatric treatments and procedures. This includes access to our state-of-the-art facilities, advanced testing, and expert weight loss care. Here are some key points about insurance coverage:
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Patient Journey

At Apollo Institute of Bariatric Surgery, we are dedicated to guiding you through every step of your weight loss journey, from your initial consultation to your long-term recovery and health maintenance. Our comprehensive approach ensures a seamless experience with personalized attention at each stage.

Initial Consultation

Your journey begins with a thorough evaluation to understand your obesity-related conditions and develop an effective treatment plan. During this visit, you can expect:

 

Review of Medical History

  • Discussion of past weight-related issues
  • Family history of obesity or metabolic disorders
  • Current symptoms and their impact on daily life
  • Previous weight loss attempts or surgeries
  • Overall health assessment

 

Physical Examination

  • Comprehensive evaluation of your body composition
  • Assessment of mobility and physical fitness
  • Identification of obesity-related health conditions
  • Evaluation of any existing comorbidities

 

Diagnostic Testing

  • Blood tests to assess metabolic health and nutritional status
  • Imaging studies (e.g., ultrasound) if necessary
  • Sleep studies for sleep apnoea evaluation when indicated
  • Psychological assessments to evaluate readiness for surgery

 

Risk Assessment

  • Evaluation of your overall health status
  • Assessment of surgical candidacy and requirements
  • Discussion of treatment options tailored to your needs
  • Consideration of lifestyle factors impacting weight loss success

 

Treatment Planning

  • Discussion of all available bariatric procedures (e.g., gastric bypass, sleeve gastrectomy)
  • Explanation of the recommended procedure based on your condition
  • Timeline for treatment and expected recovery process
  • Answers to all your questions and concerns
  • Clear next steps outlined for preparation
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Treatment Phase

Whether you undergo surgery or non-surgical interventions, our team ensures you are well-informed, comfortable, and receiving exceptional care. This phase includes:

 

Detailed Procedure Information

  • Comprehensive explanation of your chosen treatment method
  • What to expect during surgery or therapy sessions
  • Recovery timeline and milestones
  • Potential risks and benefits associated with the procedure
  • Post-treatment care requirements for optimal recovery

 

Preparation Guidance

  • Pre-surgery instructions tailored to your needs
  • Required medical tests and evaluations prior to surgery
  • Medication adjustments as necessary before the procedure
  • Dietary guidelines to prepare for surgery and recovery

 

During Hospital Stay

  • Regular updates on your progress from the care team
  • Pain management strategies in place for comfort
  • Early mobilization efforts when appropriate to enhance recovery
  • Continuous monitoring by nursing staff for safety

 

Daily Doctor Visits

  • Progress assessments by the surgical team
  • Adjustments to treatment plans as needed based on recovery progress
  • Addressing any concerns or questions you may have
  • Comprehensive pain management reviews

 

Supportive Care Team

  • Dedicated nursing care focused on your needs
  • Access to nutritionists specializing in post-bariatric diets
  • Physical therapy team for mobility support
  • Care coordinators to facilitate communication and logistics 
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Recovery and Rehabilitation

Post-treatment, our focus shifts to helping you regain strength, improve mobility, and establish healthy habits through:

 

Customized Rehabilitation Plans

  • Personalized exercise programs designed for gradual progression
  • Techniques aimed at improving mobility and daily functioning
  • Strength-building exercises tailored to individual capabilities
  • Home exercise instructions to support ongoing recovery 

 

Physical Therapy

  • One-on-one sessions with licensed physical therapists
  • Access to advanced rehabilitation equipment for effective recovery
  • Regular monitoring of progress and adjustments as needed
  • Instruction in proper techniques for safe movement 

 

Nutritional Counselling

  • Tailored dietary plans focused on long-term weight maintenance
  • Education on healthy eating habits and portion control
  • Support in overcoming challenges related to food choices
  • Guidance on meal planning and preparation 

 

Psychological Support

  • Emotional support throughout the recovery process
  • Strategies for coping with lifestyle changes post-surgery
  • Motivation techniques to encourage adherence to new habits
  • Family counselling options for additional support 

 

Recovery Monitoring

  • Regular follow-up to assess progress towards weight loss goals
  • Adjustments to treatment plans based on individual needs
  • Long-term outcome tracking to ensure sustained success
  • Lifestyle modification guidance for ongoing health improvement 
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International Services

Comprehensive Support for Global Patients  

Apollo Institute of Bariatric Surgery provides complete support for international patients seeking bariatric care, ensuring a smooth journey from planning to recovery.

Pre-Arrival Support

Medical Documentation Review

  • Evaluation of previous medical records related to obesity and comorbidities.
  • Analysis of imaging studies and relevant test results.
  • Assessment of current health conditions and treatment history.
  • Development of a personalized treatment plan.
  • Cost estimation for the proposed procedures.

 

Treatment Planning

  • Creation of tailored care protocols based on individual needs.
  • Scheduling of procedures and necessary pre-operative assessments.
  • Planning for post-operative recovery and follow-up care.
  • Discussion of alternative treatment options if applicable.
  • Establishment of a clear timeline for the entire process.

 

Travel Assistance

  • Support with visa documentation and requirements.
  • Assistance with flight arrangements if needed.
  • Planning for local transportation upon arrival.
  • Recommendations for accommodation near the hospital.
  • Coordination of arrival logistics to ensure a seamless experience.
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During Your Stay

Dedicated Care Coordination

  • Assignment of a personal patient coordinator to assist throughout your stay.
  • Management of treatment schedules and appointments.
  • Support for family members accompanying the patient.
  • Daily updates on patient progress and care plans.
  • Coordination of all logistical needs during the visit.

 

Cultural Support

  • Provision of language interpreters to facilitate communication.
  • Consideration of cultural dietary preferences in meal planning.
  • Accommodation for religious practices during the stay.
  • Integration of traditional healing practices if desired.
  • Involvement of family members in the care process as needed.

 

Comfort Services

  • Comfortable accommodation arrangements for patients and families.
  • Assistance with family lodging options nearby.
  • Guidance on local area attractions and amenities.
  • Attention to dietary preferences during hospital stay.
  • Entertainment options to enhance the patient experience.
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Post-Treatment Care

Follow-Up Planning

  • Monitoring recovery progress through scheduled follow-up appointments.
  • Adjustments to treatment plans based on recovery outcomes.
  • Tracking progress towards weight loss and health goals.
  • Future care planning to ensure long-term success.

 

International Care Coordination

  • Availability of telemedicine consultations for ongoing support.
  • Coordination with local healthcare providers in the patient's home country.
  • Sharing of medical records with local doctors as needed.
  • Guidance on medication management post-surgery.
  • Remote monitoring options for continuous health oversight.

 

Long-Term Support

  • Access to digital health records for ongoing reference and management.
  • Options for online consultations with bariatric specialists.
  • Guidance on rehabilitation and lifestyle modifications post-surgery.
  • Emergency support available even after returning home.
  • Continued coordination of care with local healthcare providers.
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Centres of Excellence & Locations

Apollo Institute of Bariatric Surgery operates one of India's largest and most comprehensive networks dedicated to weight loss and metabolic surgery:

 

40+ Specialized Bariatric Facilities Across India

  • Dedicated bariatric surgery centres equipped with advanced technology.
  • Comprehensive nutrition and lifestyle management programs.
  • Specialized facilities for metabolic health assessments.  

State-of-the-art infrastructure at each centre

  • Modern operating theatres with laminar flow technology
  • Advanced imaging systems (CT, MRI, Digital X-ray)
  • Robotic surgical systems
  • Cutting-edge rehabilitation equipment
  • Specialized physical therapy units
     

Easy Access to Expert Care Nationwide

  • Strategic locations in major cities across India.
  • Regional centres of excellence ensuring comprehensive service availability.
  • Quick appointment scheduling processes for timely care.
  • Emergency care availability at all locations.
  • Telemedicine consultations for convenient follow-up care.  

 

Each centre is equipped to handle the complete spectrum of care, from routine procedures to complex surgeries, ensuring that quality care is always within reach.

Milestones & Achievements

Pioneer in Bariatric Excellence
 

Revolutionary Firsts
  • One of the earliest centres in India to start Bariatric Surgery in 2004
  • First centre in India to introduce daycare bariatric surgery in 2012
  • Performed the World's first Single Incision Revision Bariatric Surgery
  • Conducted India's first Single Incision Gastric Bypass
  • Performed Asia's first scarless endoscopic revision gastroplasty for failed bariatric surgery
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Advanced Surgical Innovations
  • Offers all types of Bariatric procedures including Gastric Band, Sleeve Gastrectomy, Gastric Bypass, Mini Gastric Bypass, Bilio-pancreatic diversion, and metabolic surgeries
  • Pioneered robotic bariatric surgery in India in 2011
  • Performed India's first fully Robotic Gastrointestinal Surgery in 2021
  • Conducted robotic bariatric surgery on Asia's heaviest patient weighing 348 kgs (BMI = 112.5).
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Technology Leadership
  • First centre to offer all types of minimal access techniques including endoscopic surgery, laparoscopy, single incision surgery & robotic surgery for Bariatrics
  • Introduced robot-assisted procedures as a better alternative to laparoscopy for Bariatric Surgery
  • Utilizes advanced robotic systems with 3D vision and precise intuitive multi-range instruments
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Complex Case Management
  • Expertise in revision bariatric surgeries
  • Success in treating super obese patients weighing more than 250 kg
  • Excellence in metabolic surgeries for obesity-related disorders
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Education and Training
  • One of the few institutes in India to conduct medical education & training programs in bariatric surgery involving international and national faculties
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Frequently Asked Questions (FAQs)

What should I expect during my first bariatric consultation?

During your initial consultation, you'll meet with a bariatric surgeon who will review your medical history, conduct a physical examination, and discuss your weight loss goals. They will explain different surgical options, potential risks and benefits, and answer any questions you may have. You may also undergo some preliminary tests and meet with a nutritionist and psychologist as part of a comprehensive evaluation.

How long is the recovery after bariatric surgery?

Recovery time varies depending on the type of surgery and individual factors. Generally, patients can return to normal activities within 2-4 weeks after laparoscopic procedures. Full recovery, including adapting to dietary changes and reaching significant weight loss milestones, can take several months. Your surgeon will provide a detailed recovery timeline based on your specific procedure and health status.

When should I consider bariatric surgery?

Bariatric surgery is typically considered for individuals with a Body Mass Index (BMI) of 40 or higher, or those with a BMI of 35-39.9 who have obesity-related health conditions like type 2 diabetes or sleep apnea. It's also recommended for those who have not achieved significant weight loss through diet and exercise alone. A consultation with a bariatric specialist can help determine if you're a suitable candidate.

What are the latest advances in bariatric surgery?

Recent advances include minimally invasive techniques like laparoscopic and robotic-assisted surgeries, which offer smaller incisions, less pain, and faster recovery. New procedures like the endoscopic sleeve gastroplasty provide non-surgical options for some patients. Additionally, improvements in post-operative care and long-term support programs have enhanced overall outcomes and patient satisfaction.

How do I prepare for bariatric surgery?

Preparation typically involves several steps:

  • Undergoing medical evaluations and tests as recommended by your surgeon
  • Following a specific pre-surgery diet and prepare your body
  • Quitting smoking and avoiding alcohol
  • Starting an exercise routine to improve your overall health
  • Attending educational sessions about post-surgery lifestyle changes
  • Preparing your home for recovery, including arranging for help during the initial recovery period

Appointment & Consultation Information

Book Your Consultation
  • Online appointment booking
  • Emergency contact numbers
  • Virtual consultation options
  • International patient helpline
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Connect With Us

For appointments or more information about our centres, contact:

  • National Helpline: 1066
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