Advanced Laproscopic & Bariatric Surgeries or weight loss surgery is performed on the people suffering with obesity.  These surgeries target either a part of the stomach or a rerouting of the small intestine. Weight loss is achieved by reducing the size of the stomach with a gastric band or through removal of a portion of the stomach.  It is the result of malabsorption of nutrients, and also that causes weight loss with the help of gastric restrictions and also leads to hormonal changes.

 Bariatric Surgery may also be performed using an “open" approach, which involves cutting, open the abdomen or by means of laparoscopy, during which  a thin light tube is inserted into the abdomen through a tiny incision. The greatest advantage of laparoscopic is the comfort for the patient because it is less painful and the patient recovers faster. 

 Diseases with Obesity:

• Diabetes
• Hypertension & Heart Diseases
• Obstructive sleep apnoea, Snoring
• Fatty Liver, Gallstones
• Osteoarthritis, Disc Prolapse
• Depression
• Infertility, PCOD

Bariatric Procedures offered at Signature Hospital: 

• Adjustable Gastric Band
• Sleeve Gastrectomy
• Roux-en-Y gastric bypass (RYGB)
• BPD/DS

 Advanced Laproscopic Procdures offered : 

• Gall stones 
• Appendix
• Hystrectomy & surgery for overian tumers
• Co-rectal surgeries , splenectomy 
• Hernia repairs 
• Cystogastrostomy etc &  various  other procedures 

 Gastroenterology & Gastrointestinal (GI) Surgery

Gastroentrolgy & Gastrointestinal (GI) Surgery provides the surgical option for treating gastroenterological & other GI  diseases. In some cases surgery is the obvious and first treatment of choice, e.g. treatment of stones in the gallbladder, removal of acutely inflamed appendix, removal of early cancerous tumours etc.  

 MEDICAL GASTROENTEROLOGY

Diagnostic endoscopic procedures

• Colonoscopy
• Enteroscopy

Interventional endoscopic procedures

• Polypectomy
• Percutaneous endoscopic gastrostomy (PEG)
• Endoscopic retrograde cholangio-pancreatography (ERCP)
• UGI Endoscopy
• UGI Endoscopy with Biopsy
• Variceal Banding Oesophageal (EVL) 

Jaundice –obstructive jaundice, viral hepatitis and biliary stone disease.

Ulcers – Peptic ulcers, Gastric ulcers , Esophageal ulcers

Chronic liver disease –  (Hepatitis B, Hepatitis C), cirrhosis, portal hypertension, variceal bleeding, ascites

GI Bleeding (haematemesis / melena / fresh blood per rectum)

 Abdominal pain 

• Dyspepsia (gas, bloating of abdomen, distension of abdomen)
• Gastro oesophageal reflux disease (acidity, heartburn, vomiting)
• Loss of appetite/weight loss
• Irritable bowel syndrome (chronic diarrhea, mucus in stools, loose bowel movements/constipation)
• Inflammatory bowel disease e.g. ulcerative colitis/Chrohns disease.
• Elevated SGOT, SGPT (could be due to chronic Hepatitis B or C, non-alcoholic fatty liver disease)
• Difficulty in swallowing
• Pancreatitis (Acute/Chronic)
• Malabsorption syndrome
• Celiac disease

SURGICAL GASTROENTEROLOGY

Oesophagus  

• Cancers of the  oesophagus
• Corrosive injuries/ strictures of  oesophagus
• Oesophageal perforations
• Peristaltic Disorders of oesophagus (Achalasia cardia)

Stomach

• Carcinoma of the  stomach
• Gastrointestinal stromal tumours of  stomach
• Complicated duodenal ulcer disease

Hepatobiliary & Pancreas

• Liver tumours (Primary/ secondaries)
• Hydatid cysts, liver /spleen/any other organ (intra-abdominal)
• Cholangiocarcinoma
• Carcinoma of gall bladder
• Complicated gallstone disease (Cholecysto/Choledochal duodenal Fistula)
• Choledochal cysts
• Biliary stricture/ biliary fistulae
• Post cholecystectomy biliary injuries
• Carcinoma of the head of  pancreas
• Surgery in Acute pancreatitis (Necrotising  pancreatitis)
• Chronic pancreatitis
• Cystic tumours of  pancreas
• Surgery for Portal  hypertension
• Surgical obstructive jaundice 

Small  Intestine

• Small bowel tumours
• Crohns disease

Colon, Rectum & Anal  canal

• Colonic cancers
• Ulcerative colitis
• Rectal carcinoma
• Anal canal cancers
• Colonic polyposis