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Bariatric SurgeryJune 2024Clinical Monograph • CMC Vellore Fellowship Insights
Laparoscopic Sleeve Gastrectomy: Weight Loss Kinetics and Diabetes Remission
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Lead Author: Dr. Sudish Durgesh, MChDepartment of Surgical Gastroenterology • SVIMS Tirupati / NJ Hospital Mysuru
Clinical Abstract
Clinical insights from CMC Vellore fellowship training on laparoscopic gastric sleeve calibration and hormonal metabolic regulation.
Fellowship Centre
CMC Vellore (2016)
Bougie Size
36-Fr Calibrated
T2DM Remission
85% at 12 Months
ERAS Stay
48 Hours
Having completed dedicated fellowship training in Upper GI and Bariatric Surgery at Christian Medical College (CMC), Vellore in 2016, Dr. Sudish Durgesh utilizes a standardized, tri-staple reinforced Laparoscopic Sleeve Gastrectomy (LSG) technique.
Beyond producing sustained excess weight loss (65-75% at one year), the rapid elevation of postprandial GLP-1 peptide leads to dramatic glycemic improvement and blood pressure normalization.
Physiological Mechanism:
Unlike purely restrictive interventions, LSG creates profound neuro-endocrine reprogramming. Complete re-routing and removal of the fundus causes immediate drop in circulating ghrelin levels, suppressing food cravings, while accelerated gastric transit stimulates distal ileal L-cells to release GLP-1 and PYY.
Seeking Specialized Surgical Consultation?
Dr. Sudish Durgesh brings this exact research rigor directly into everyday surgical care and complex abdominal procedures.