Dr Apoorv Shrivastava is a renowned Laparoscopic and Bariatric Surgeon based at Indore MP India. He started Laparoscopic and Bariatrics more than a decade ago and laid the foundation of an organisation now known APOORV HI – TECH.
Dr Apoorva Shrivastava is known for his surgical skills and leadership qualities in the National and Local circles. He along with the team APOORV HI – TECH has the privilege of performing more than 9000 Laparoscopic and Bariatric Surgeries. He has delivered many lectures at the national forums and Internationally accepted scientific paper presentations.
Sleeve Gastrectomy surgery around 2/3 part of the stomach is removed. We remove the “ fundus” which is outer part of the stomach. The “fundus” has a number of functions including a role in the regulation of appetite. We know that at least “Ghrelin” is produced here, this hormone has a major role in appetite regulation and helps in the level of blood that means you feel less hungry. The second metabolic effect is the feeling of fullness of stomach or satiety person gets after a sleeve. This is because the stomach empties quicker and hence stimulates the release of fullness hormones as the food hits the small bowel. These hormones are very important in the way a sleeve works. Some of them are also very important in blood sugar regulation, which may explain the effect on diabetic patients, which helps to improve his metabolic process.
Mini Gastric Bypass surgery includes a partition of the stomach with a laparoscopic stapler. Most of the stomach is no longer attached to the esophagus and will no longer receive that food. The artificial new stomach is much smaller and has a structure like a small tube. Approx 150 to 200 cm of intestines are bypassed with the help of surgery. We will attach the remainder of the intestines to the new stomach. Food now flows into your small tube-like stomach and then bypasses between 150 to 200 cm of intestines where it resumes the normal digestive process in your remaining intestine.In addition to its great results on weight loss, the mini-gastric bypass is an excellent procedure for type 2 diabetes, even in the non-obese patients, with high remission rates.
The duodenal-jejunal surgery is a type of combined malabsorptive and restrictive weight loss surgery. The duodenal-jejunal is known by multiple names, including DS and biliopancreatic diversion with duodenal switch. This surgery decreases both the quantity of food that can be accommodated by the stomach and the number of calories that can be absorbed and used by the body.
The duodenal switch (DS) procedure, also known as biliopancreatic diversion with duodenal switch (BPD-DS) or gastric reduction duodenal switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect.The duodenal switch combines the creation of a moderately sized stomach pouch with bypassing part of the small intestine. This allows the patient to lose weight without significantly altering their eating habits. The stomach is able to hold approximately five to six ounces of food, while other common procedures typically leave it able to hold one half to one full ounce.
Laparoscopic cancer surgery in this kind of cases we perform surgery through small incisions in the skin using a thin, lighted tube with a camera (LAPAROSCOPE).The camera helps us to see the affected areas keenly and with the help of monitor, we can see it in large manner than open surgery so that we use our instruments and remove the tissues or whole tumor which can harm the patient. Laparoscopic surgery may also be done with robotic assistance for some surgeries which has some complications. Laparoscopic surgery is used for the kidneys, a man’s prostate, or a woman’s uterus or ovaries.
BENEFITS OF LAPAROSCOPIC CANCER SURGERY:-
Laparoscopic Surgery is a safe and effective surgery and has gained much popularity worldwide. This procedure is performed by only 3-4 small holes over the abdomen. In this surgical procedure a reduction in the size of the stomach is done, where with the help of staplers we reduce the stomach size to about 30 to 40 ml capacity. This causes the change in the hunger hormone known as GHRELIN. This hormone is responsible for the feeling of fullness after meals also called as Satiety.
The feeling of hunger is reduced and the quantity of the diet reduces as well. There also occurs an increase in the Insulin levels resulting in Type2 Diabetes resolution.
There are very fewer chances of serious complications and death as compared to Gastric Bypass.
There are also fewer chances of essential vitamins and mineral deficiencies as compared to Gastric Bypass.
This procedure causes T2DM resolution with cure of high blood pressure.
The total hospital stay is 3 days after the surgery. After discharge from the hospital, there is no bed rest and the patient can resume his or her routine duties.
We encourage daily walking up to a kilometer after discharge from the hospital.