Tuesday, 20 February 2018

Weight Loss Surgery - Start Dreaming about a Slim You

Weight loss surgery is a major life-changing option for people with obesity, excessive weight. The person with excessive weight can’t reduce their weight only by diet or exercise and they need bariatric surgery (weight loss surgery) to lead a normal life.

Weight loss surgery cause reduction of weight by limiting the quantity of food the stomach can carry, causing abnormal absorption of nutrients., or by a combining both gastric restriction and malabsorption. It may also cause hormonal changes.

Common bariatric surgery procedures are:

  • Sleeve Gastrectomy
  • Gastric Bypass
  • Gastric Band surgery
  • Biliopancreatic Diversion with Duodenal Switch (BPD/DS).

Sleeve Gastrectomy

A banana-shaped section of the stomach that is closed with staples is formed by removing the 80% of the stomach in sleeve gastrectomy. The new banana-shaped stomach carries a small amount of food than the normal stomach. Hence, it helps to reduce the food quantity.

Gastric bypass

Gastric bypass is already known as a Roux-en-Y Gastric bypass. It is considered as the ‘gold standard’ of weight loss surgery. The surgeon staples stomach, forming a small pouch in the upper part. It makes the stomach much smaller, so when eating food feel full sooner. Next, the small intestine cuts and joins with the stomach pouch. Food then bypasses most of the stomach and small intestine, so body imbibes small calorie.

Gastric band surgery

By employing a ring with an inner inflatable band around the top of the stomach tiny pouch creates. This makes feel full after eating a small quantity of food. The band has a circular balloon filled with salt solution, the doctor can regulate the area of the opening from the pouch to the rest of stomach by injecting or removing this solution through a device called ‘port’ placed beneath the skin.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

The Biliopancreatic Diversion with Duodenal Switch is a procedure with two segments. A smaller, tube-shaped stomach pouch is created by detaching a portion of the stomach. Next, a large portion of the small intestine is bypassed.  When eating food it goes through newly created tubular stomach pouch and empties straight into the last segment of the small intestine.

Dr.Deepak Varma is a leading bariatric surgeon in Kochi. He is currently working in Aster Medicity. Aster Medicity providing thebest weight loss treatment kochi.


Tuesday, 30 January 2018

How serious is a hernia?

The most frequent location for a hernia is the stomach area. The abdominal wall is a sheet of muscles and tendon that runs down from rib to legs. The most common function is that it holds the abdominal contents, primarily the intestine. If a weakness opens up in the wall the intestine is pushed through the opening. The resultant bulge which is often quite visible against the skin is Hernia.

This window of weakness generally occurs where there is a natural weakness in out abdominal wall. The umbilical area is a prone area of natural weakness which is very frequent for a hernia. 

An understanding Hernia

Mostly the hernias do not cause pain. Paradoxically the larger one often hurt less, the reason being that a large window in the abdominal wall permits the intestine to slide without causing much pain. Pain tends to have been associated with something getting squeezed, which is often in the case with the smaller hernias. Both of them often requires being operated as soon as possible. If left such intestine untreated will strangulate and tend to cause the longest post-operative pain. So hernia has to be fixed as you know about it.

Laparoscopic Inguinal Hernia Repair

Laparoscopic inguinal hernia repairs use an instrument called the laparoscope. There are two or four small incisions made in the abdominal wall through which a laparoscope is passed which is a thing telescope with light at the end. Also, the surgical instruments are passed through it. The incision is small so the whole technique is often called Keyhole surgery, which is different than the conventional Open surgery. Such Laparoscopic hernia surgery is also widely called minimally invasive surgery Hernia surgery. 

A hernia is then viewed from inside the abdomen from another side of the abdominal wall. the abdominal cavity is inflated with the help of the carbon dioxide gas to provide space to the surgeon to work inside the body of the patients. The actual operating is done remotely with the long instrument by the surgeon. The hernia imperfection or hole is often covered with the mesh from within the abdomen and stapled into the muscles in order to fix the patch.
Dr. Deepak Varma is one of the leading laparoscopic surgeons in  Kerala offers Laparoscopic hernia surgery in Kochi with advanced technologies. 

For the appointment, get connected... 
Mail us: toshhospitals2013@gmail.com

Monday, 29 January 2018

Laparoscopy Removal of Hernia

We have always come across people complaining about the pain in the abdomen due to a hernia, mostly from people who are aged. When we cross that boundary of youthfulness to middle age, then it is time to worry about a hernia. As age catches up the process of building up and breaking down of muscles and tissues go out of balance. As a result of this imbalance, the muscles or tissues weaken causing weak spots in the area. A hernia occurs when organs push through an opening in the muscle or tissue that holds its place.

Causes for the occurrence of Hernia

Many reasons can be cited for the occurrence of a hernia.
1) Aging.
2)  Lifting heavy weight.
3) Obesity.
4) Persistent coughing and sneezing.
5) Constipation.
6) Heredity.
Apart from natural causes, Damage from injuries or surgery can also result in the occurrence of a hernia.

Types and symptoms

The most common types of a hernia are:
1) An inguinal hernia which affects the intestine.This condition accounts for most of the cases of a hernia.
2) The other types which are not very common include an incisional hernia, femoral hernia, umbilical hernia and hiatal hernia.

Treatment of a hernia

The doctor before going for the surgery monitors a hernia and suggests lifestyle changes to reduce weight and advises the patient to quit smoking. The patient is also advised to remove spicy food from his diet. If the symptoms don’t recede then the patient might need a surgery.

Laparoscopic treatment to remove a hernia

Laparoscopy is more preferred than open surgery as it uses modern technology. It is easy to handle, less damaging and the recovery time is also less. In laparoscopy, a small incision is made to insert the equipment, a tiny high-resolution camera and miniaturized surgical equipment to repair a hernia. Still some types of a hernia will require open surgery.

Dr. Deepak Varma is a well-known gastro surgeon in Kochi and has been a pioneer in the treatment of a hernia. 

Mail us: gastrosurgeoncochin@gmail.com

Thursday, 14 December 2017

Rectal Cancer is not always hereditary, Know more about it..

What is Rectum?

The Rectum is a part of the human digestive system. The digestive system takes in nutrients from food and helps to eliminate waste from the body. The digestive system is made up of the esophagus, stomach, and the intestines. The first portion of the large intestine is called as colon. And rectum, together with the anal canal, makes up the last portion of the large intestine. 

Rectal Cancer 

Rectal Cancer is the abnormal growth of cancerous cells in the lower portion of the colon and it is the second most occurring cancer after lung cancer.

Major Causes of Rectal Cancer

  • High-fat diet
  • Having a family history of colon or rectal cancer in a first-degree relative
  • Having a personal history of cancer of the colon or ovary
  • Having a personal history of high-risk adenomas
  • Having inherited changes in certain genes that increase the risk of familial adenomatous polyposis
  • Having personal history of chronic ulcerative colitis or Crohn disease
  • Having three or more alcoholic drinks per day
  • Smoking cigarettes
  • Being obese

Symptoms of Rectal Cancer

  • Bleeding from the rectum
  • Anemia
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Diagnosis
The determination of the disease can be done using several methods. Some are fecal occult blood testing, endoscopy, digital rectal examination, sigmoidoscopy, colonoscopy, biospsy, CT, MRI, routine blood tests etc.

How to Treat Rectal Cancer ?

The treatment depends on the stage of cancer. Most probably multiple chemotherapy medications are suggested. Surgery is used to treat and reduce symptoms. Radiation therapy is used to kill or shrink rectal cancers at a severe level.

Dr. Deepak Varma is one of the leading gastrosurgeons in Kochi who has performed numerous complicated surgeries.

For more details,

Email at: gastrosurgeoncochin@gmail.com

Thursday, 5 October 2017

Getting rid of Piles is easy!

Piles are a kind of swelling occurred inside and around the back passage.  A network of small veins is present with the anal canal lining. Sometimes, these veins become wider and bloated with more blood than usual. The bloated veins and superimposing tissues forms one or many little swellings which are known as piles.

What are the types of piles?

Piles have two variants:
  • Internal – those develop above the 2-3 cm inside the anus in the upper area of the anal canal. Internal piles are not painful as upper anal canal does not has pain nerve fibers.
  • External – those that develop below the lower part of the anal canal. External piles are painful as lower anal canal has pain nerve fibers.

The classification of internal piles

Grade 1- small swellings inside the anal canal lining. Grade 1 piles are very common.

Grade 2- large piles. Partly pushed out from the anal canal but quickly back inside again.

Grade 3- found small, soft lumps that hang out from the anal canal.

Grade 4 – permanently hang out from the anal canal and cannot go back inside the anus.

Causes of piles

  • Constipation
  • Pregnancy
  • Ageing
  • Hereditary factors
  • Heavy lifting
  • Persistent cough

What are the symptoms of piles?

  • Feeling of a hard lump around the anus
  • Feeling that bowels are full when they are not
  • Bright red color is coming with the bowel movement
  • Itching around the anus
  • Anus area is res and sore

Piles Treatments

Treatment of piles includes ointments, creams, OTC medications, pads, painkillers, corticosteroids, banding, and use of laxatives. The advanced level of piles needs surgery. Gastrosurgeon, Kochi provides all types of treatment to reduce piles. Apart that, lifestyle changes, proper diet, high water intake and balanced body weight may also help to avoid piles.

Dr. Deepak Verma, an excellent gastrosurgeon to treat anal surgeries and Piles Treatment in Kochi,Kerala. He his an expert to treat piles.

Tuesday, 26 September 2017

Solve your Obesity problems with Bariatric Surgery

Obesity or carrying too much body fat may have harmful effects on your health. It is in this context that surgeries such as Bariatric Surgery have grown in immense importance.

What Is a Bariatric Surgery ?

Bariatric Surgery is a surgical procedure which aids weight loss with by restricting the food intake capacity of the stomach, instigating nutrient mal-absorption or both.

How is it done?

Bariatric Surgery mainly involves methods to manipulate the size of stomach to restrict food intake or to bypass a section of intestine to limit absorption rate.

Bariatric Surgery - Types

The various types of bariatric surgeries are: -
  • Restrictive Procedures
  • Adjustable gastric band
  • Sleeve gastrectomy
  • Mal-absorption procedures
  • Gastric bypass

Who are eligible for bariatric surgery?

A bariatric surgery would be ideal for you if you belong to any of these categories: -
  • A BMI greater than or equal to 40
  • A BMI around 35 and suffering from obesity related morbidities
  • If other weight loss techniques have failed to bring about significant results
  • If you have been suffering from obesity for about 5 years

For more contact us:

Visit us: gastrosurgeoncochin.com
Write to: gastrosurgeoncochin@gmail.com

Friday, 4 August 2017

Stomach Cancer - Symptoms, Treatments

Stomach cancer, which is scientifically termed as gastric cancer, is the acquisition of the malignant group of cells that form a mass in a part of the stomach. Several types of cancer can occur in the stomach. The most common type is called adenocarcinoma. It starts from one of the cell types found in the lining of the stomach.


Symptoms Of Stomach Cancer

Early symptoms include:
  • Indigestion or heartburn
  • Pain or discomfort in the abdomen
  • Nausea and vomiting, particularly vomiting up solid food shortly after eating
  • Diarrhea or constipation
  • Bloating of the stomach after meals
  • Loss of appetite
  • Sensation of food getting stuck in the throat while eating
Symptoms of advanced stomach cancer may include:
  • Weakness and fatigue
  • Vomiting blood or having blood in the stool
  • Unexplained weight loss

Treatments For Stomach Cancer

Surgery (Gastrectomy) - A common method in which the affected part is cut off. Key hole surgery is also done.

Chemotherapy - Anti-cancer medicines are used to kill cancer cells or stop from multiplying.

Radiotherapy - In this treatment, high energy beams are focused on cancerous tissue. It kills or stops the cell from multiplying.

Chemoradiotherapy - It is a combination of chemotherapy and radiotherapy which did during the surgery.

Undergoing chemotherapy or radiation may improve symptoms and may extend survival, but may not cure cancer. Surgery is recommended for mitigating cancerous cells.

How To Prevent Stomach Cancer?

As the experts do not know the real cause of gastric cancer, there are no vaccines for it. There is no way to prevent it, however, a certain measure can be taken to reduce the risk of developing the disease.
  • Eat plenty of fruits and vegetables
  • Reduce consumption of salty and smoked foods.
  • Avoid smoking
  • Check up with the Doctor regularly

Dr. Deepak Varma is an expert in laparoscopic surgeon in Kerala. He also conducts palliative surgeries such as gastrojejunostomy, and feeding tube placement for cancers that cannot be removed.

Mail Us : gastrosurgeoncochin@gmail.com