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Bariatric & Metabolic SurgeryMay 2024Tertiary Surgical Unit
Laparoscopic Sleeve Gastrectomy for Severe Obesity with Complete T2D Remission
Clinical Outcome: Patient ambulated 3 hours post-op. Discharged on Day 2. At 6 months: 32 kg weight reduction, HbA1c normalized to 5.6% without antidiabetic medications.
SD
Operating Surgeon: Dr. Sudish Durgesh, MChConsultant Surgical Gastroenterologist • KMC Reg. 87559
Clinical Presentation & Pre-Op Summary
42yo female with Class III obesity and uncontrolled diabetes; underwent laparoscopic sleeve gastrectomy with complete glycemic remission off medications.
Operative Technique:
Under general anesthesia, 4 laparoscopic ports were placed. Greater curvature mobilized from 4cm proximal to pylorus up to the angle of His. Short gastric vessels divided using ultrasonic shear. A 36-Fr calibration bougie positioned along the lesser curvature. Sequential gold and purple endo-GIA reloads deployed to create a tubular stomach. Continuous oversewing with 3-0 V-Loc barbed suture performed for hemostasis.
Metabolic Resolution:
Patient discharged in 48 hours. By 6 months, patient lost 32 kg of excess weight, with HbA1c falling to 5.6% without antidiabetic medications.
Have a Similar Complex Case?
Dr. Sudish Durgesh evaluates complex GI oncology, revision surgeries, and outstation cases with comprehensive multidisciplinary protocols.