RARE REVISION BARIATRIC SURGERY

A Comprehensive Approach to Obesity Management: Revision Bariatric Surgery at RG Hospitals

Patient Profile and History: A 39-year-old male presented to RG Hospitals, East of Kailash, New Delhi, with a diagnosis of morbid obesity (BMI 52.9 kg/m2), accompanied by sleep apnea and fatty liver disease. The patient had previously undergone Sleeve Gastrectomy surgery in 2013 at the same facility under the expertise of Dr. Rajat Goel, Senior Consultant in General, Laparoscopic, and Bariatric Surgery. The initial surgery facilitated significant weight loss (~75 kg), allowing the patient to achieve a healthier lifestyle.

However, by 2021, the patient experienced substantial weight regain, reaching 175 kg, attributed to an undisciplined lifestyle involving unhealthy dietary habits and alcohol consumption. This relapse necessitated a comprehensive evaluation by RG Hospitals’ multidisciplinary team.

Diagnosis and Preoperative Evaluation: The patient was diagnosed with morbid obesity (BMI 52.9 kg/m2) and associated comorbidities, including sleep apnea and non-alcoholic fatty liver disease. After thorough clinical, psychological, and nutritional counseling, a decision was made to proceed with revision bariatric surgery. The recommended approach was a Laparoscopic Mini Gastric Bypass (MGB), a proven surgical technique for effective weight management in complex cases.

Surgical Procedure: The revision surgery, transitioning from Sleeve Gastrectomy to Mini Gastric Bypass, was performed under general anesthesia. The surgical team, led by Dr. Rajat Goel, with anesthesia managed by Dr. Sandeep Yadu, faced intraoperative challenges, including a large, bulky liver and dense adhesions from the previous surgery. Despite these complexities, the Laparoscopic Mini Gastric Bypass was successfully completed using advanced minimally invasive techniques.

Postoperative Care and Recovery: The patient demonstrated a positive response to the surgery, with no immediate postoperative complications. The care team ensured close monitoring, providing tailored medical and nutritional support to optimize recovery. At discharge, the patient was stable, with a clear pathway toward sustainable weight management and improved health outcomes.

Conclusion: This case underscores the importance of a structured, multidisciplinary approach in managing morbid obesity and highlights the necessity of lifestyle discipline following bariatric surgery. The expertise of RG Hospitals' team, combined with cutting-edge surgical techniques, ensures optimal outcomes for complex cases.

About RG Hospitals: RG Hospitals, East of Kailash, New Delhi, is a renowned healthcare institution specializing in advanced bariatric, laparoscopic, and general surgeries. Under the leadership of highly experienced professionals such as Dr. Rajat Goel and Dr. Sandeep Yadu, the hospital continues to set benchmarks in delivering patient-centered care and innovative treatment solutions.

?