Skip to main content

Bariatric surgery for Diabetes and Hypertension ( Metabolic Syndrome )

 
Mrs. Desai 45 yrs was referred to us for opinion by a renown doctor of Surat. She has been a known case of type 2 diabetes mellitus and hypertension since 12 years. Her BMI was 37 and had morbid obesity. So thus she was a patient of Metabolic Syndrome.

The issue with her was that her sugars were uncontrolled and now not even responding to medication and Insulin Injections. Also she had an umbilical hernia.

Patient was advised Laparoscopic sleeve Gastrectomy with laparoscopic cholecystecomy with Umbilical hernia repair. Patient came for follow-up on 7th day and is off  her Insulin injection with only 1 medication each for Diabetes and Hypertension which hopefully will also stop as time progress with the weightloss.

The  pictures show the retrieved specimen of Remnant Stomach , gall bladder and the omentum from umbilical hernia.The X ray shows the new stomach without any fundus part of stomach. Total fundal excision is imperative for excellent sugar control.

Patient is overjoyed and in tears because, after a decade she is free from daily insulin injections. Patient's Gratitude is the best compliment for a doctor and thats the Ultimate job satisfaction !

Comments

  1. Bariatric surgery addresses severe obesity that is difficult to treat through diet and exercise. Generally, bariatric surgery is reserved for people who suffer from obesity related health problems, or those who have difficulty losing weight through traditional methods and are at high risk for complications. Bariatric surgical procedure restricts food intake, and is used in conjunction with a healthy and nutritious diet plan and regular physical exercise and activity.

    ReplyDelete

Post a Comment

Popular posts from this blog

MCI Dec 2009 Amendments for Minimum Qualification for Teachers

MEDICAL COUNCIL OF INDIA AMENDMENT NOTIFICATION New Delhi, the 15th December, 2009 No.MCI-12(2)/2009-Med.Misc./56925. - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956 (102 of 1956), the Medical Council of India with the previous sanction of the Central Government, hereby makes the following Regulations to further amend the “Minimum Qualifications for Teachers in Medical Institutions Regulations 1998”, namely: - 1. (i) These Regulations may be called the “Minimum Qualifications for Teachers in Medical Institutions (Amendment) Regulations, 2009 - Part-III”. (ii) They shall come into force from the date of their publication in the Official Gazette. 2. In the “Minimum Qualification for Teachers in Medical Institutions Regulations, 1998”, the following additions/modifications/deletions/ substitutions, shall be, as indicated therein: - 3(a). In Clause 4(A) under the heading “Professor” as amended vide “Minimum Qualification for Teachers in Medical I

MCI rules ammended and favours young Professors

AMENDMENT NOTIFICATION New Delhi, the 21st July, 2009 No.MCI-12(2) /2009-Med. -22654 - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956 (102 of 1956), the Medical Council of India with the previous sanction of the Central Government, hereby makes the following Regulations to amend the “Minimum Qualifications for Teachers in Medical Institutions Regulations 1998” , namely: - 1. (i) These Regulations may be called the “Minimum Qualifications for Teachers in Medical Institutions (Amendment) Regulations, 2009” . (ii) They shall come into force from the date of their publication in the Official Gazette. 2. In the “Minimum Qualification for Teachers in Medical Institutions Regulations, 1998” , the following additions/modificat ions/deletions/ substitutions, shall be, as indicated therein: - 3(i)(a). In Schedule I, Clause (2), the words “The Heads of these departments must possess recognized basic university medical degree qualification or equivalent q

Maharastra Medical Council CME Guidelines

Medical Science is dynamic and there is no end of learning for a doctor. This is in essence the concept of continuing medical education (CME). Tremendous advances are taking place in the field of medical sciences, which are continuously changing the concept, approach to management and the outcome of several diseases. The rapid pace of these advances makes it mandatory for doctors to keep themselves updated so that they may apply this information to their patient’s well being and improve the quality of care rendered to them. A doctor must never be satisfied with his/her current level of proficiency and must always strive to enhance his/her competence and knowledge by keeping abreast with the latest developments in the field. The Central Government of India has notified the new Ethics regulations in the Gazette of India on April 16, 2002, provides that “ A Physician should participate in professional meetings as part of Continuing Medical Education Programmes, for at least 30 hours ever