Sleeve Gastrectomy in Delhi

Sleeve gastrectomy is a commonly performed bariatric (weight-loss) surgery for individuals with severe obesity who have not achieved sustained results with non-surgical methods. The procedure involves removing a large portion of the stomach to reduce food intake and influence appetite-related hormones.

In Delhi, sleeve gastrectomy is performed using minimally invasive laparoscopic techniques at centres such as BLK‑Max Super Speciality Hospital, under the care of experienced bariatric surgeons, such as Dr Deep Goel.

Dr. Deep Goel states, “Sleeve gastrectomy is more than just a weight-loss procedure; it’s a tool that helps patients regain control over their health and lifestyle, offering them a renewed sense of well-being and confidence for the future.”

What Is Sleeve Gastrectomy?

Sleeve gastrectomy (also called gastric sleeve surgery) is a restrictive bariatric procedure in which approximately 75–80% of the stomach is removed. The remaining stomach is shaped into a narrow tube, limiting food intake and reducing the release of hunger-stimulating hormones such as ghrelin.

The procedure does not involve intestinal bypass and maintains normal digestion and nutrient absorption pathways.

How Does the Sleeve Gastrectomy Procedure Work?

The sleeve gastrectomy procedure is typically performed laparoscopically, which means it involves making several small incisions rather than a large open incision. Here’s a step-by-step overview of the procedure:

• Preparation: Before surgery, patients undergo a thorough evaluation that includes medical history, physical examinations, and diagnostic tests. A preoperative diet may be recommended to reduce liver size and ease the surgical process.
• Anaesthesia: On the day of the surgery, patients are given general anaesthesia to ensure they are unconscious and pain-free throughout the procedure.
• Incisions and Insertion of Tools: The surgeon makes small incisions in the abdominal wall to insert a laparoscope (a thin tube with a camera) and other surgical instruments.
• Resection: Using the laparoscope for visualization, the surgeon removes about 75-80% of the stomach. This part of the stomach includes the fundus, the upper part responsible for producing hunger-inducing hormones.
• Creation of the Sleeve: The remaining portion of the stomach is then reshaped into a narrow sleeve or tube. The new stomach is about the size of a banana, which significantly reduces its capacity to hold food.
• Closure: After the stomach is reshaped, the incisions are closed with sutures or staples, and the patient is moved to recovery.

Life After Sleeve Gastrectomy

Yes, most individuals can lead an everyday life after undergoing sleeve gastrectomy, but there are several adjustments to consider:

• Dietary Changes: Post-surgery, patients need to adopt a new eating regimen. This involves eating smaller, more frequent meals and focusing on high-protein, low-carb foods. Overeating can lead to discomfort or complications.
• Physical Activity: Regular exercise is essential for maintaining weight loss and overall health. Most patients are encouraged to increase their physical activity after surgery gradually.
• Nutritional Supplements: Due to the reduced stomach size, patients may need vitamin and mineral supplements to prevent deficiencies, particularly vitamin B12, iron, calcium, and vitamin D.
• Regular Monitoring: Follow-up visits with the healthcare team are crucial for tracking progress, managing potential complications, and ensuring the patient remains on track with their weight-loss goals.
• Lifestyle Adjustments: Emotional and psychological adjustments are also part of the recovery process. Support groups or counselling can help patients navigate changes in their relationship with food and body image.

One of Dr. Deep Goel’s patients shares, “After my sleeve gastrectomy, my life changed dramatically. With Dr. Goel’s support, I adjusted to smaller meals and regular exercise, and within months, I felt healthier and more confident. The surgery truly gave me a fresh start.”

Who is a candidate for sleeve gastrectomy?

Sleeve gastrectomy is typically indicated for individuals who meet specific criteria related to obesity and related health conditions:

• Body Mass Index (BMI): The procedure is usually recommended for individuals with a BMI of 40 or higher or for those with a BMI of 35 or higher who have obesity-related health conditions, such as type 2 diabetes, hypertension, or sleep apnea.
• Previous Weight Loss Attempts: Candidates should have previously tried to lose weight through non-surgical means, such as diet, exercise, or medication, without achieving sustained weight loss.
• Overall Health: Patients should be in good overall health to tolerate the surgery and its risks. A thorough preoperative assessment helps determine if the patient is a suitable candidate.
• Psychological Readiness: Patients need to demonstrate an understanding of the lifestyle changes required after surgery and have the psychological readiness to commit to long-term health behaviours.
• Age: While there is no strict age limit, most candidates are adults, typically aged 1 to 65. Some younger patients may qualify if they have severe obesity and related health conditions, but this is less common.

What is the Cost of Sleeve Gastrectomy in India?

The cost of sleeve gastrectomy in India can vary widely based on several factors, including the surgeon’s fees, hospital charges, geographic location, and whether or not the procedure is covered by insurance.

On average, the total cost of the surgery ranges from INR 2,00,000 to INR 4,50,000 (approx USD 2,400 to USD 5,400). This price typically includes preoperative consultations, the surgery itself, and postoperative follow-up visits.

In some cases, insurance may cover a portion of the cost if specific criteria are met. Patients should check with their insurance providers to understand their coverage and any potential out-of-pocket expenses.

Conclusion

Sleeve gastrectomy is a medically recognised option for managing severe obesity when lifestyle and medical therapies have not been sufficient. Understanding the procedure, eligibility requirements, recovery expectations, and the long-term commitment required is essential before considering surgery.

Patients seeking a sleeve gastrectomy surgeon in Delhi, Dr. Deep Goel, are encouraged to undergo a detailed consultation to determine whether the procedure is clinically appropriate for their condition.