Bariatric surgery Another option for obese people For a better quality of life

Bariatric surgery

Laparoscopic bariatric surgery is a minimally invasive operation that reduces the stomach capacity to a very small volume and helps a person to lose weight. The most commonly performed laparoscopic bariatric operations are the Intragastric Balloon (Balloon), Laparoscopic Gastric Banding (Lap Band), the Laparoscopic Gastric Sleeve (Sleeve) and Laparoscopic Roux En Y Bypass (Bypass) operations.

Our Value Proposition :

  • The surgery is done by Dr. Panot Yimcharoen, a Chief Bariatric Surgeon with more than 30 years of Bariatric surgical experience.

Benefits include :

  • Hygiene and safety – The operation is done in our affiliated hospital in a standard hospital setting
  • Using a pain pump to help reduce pain
  • The double lock technique

1. Intragastric Balloon The Spatz adjustable Balloon

* is relatively new, non-invasive bariatric procedure developed to “bridge the gap” between diet and exercise weight loss program and other complicated bariatric procedure. Balloon will be inserted through your mouth while you sleep (light sedation is used to ensure smooth procedure and it is NOT general anesthesia). Then, Balloon will be inflated with saline solution (salt water). Patient will return to home on the same day. One or two day off work is optional.

Balloon will be placed for 12 months and will be removed, according to the FDA’s guideline.

( * Spatz adjustable balloon, Spatz FGIA Inc, USA)

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2. Laparoscopic Sleeve Gastrectomy

The surgeon will removed 75-80% of the stomach. The remaining stomach is a tubular pouch that resembles a banana. Sleeve gastrectomy is a relatively new but has gained popularity because of its low complication rate and good weight loss results. Almost 42 percent of all bariatric surgeries performed in the United States in 2013 were Sleeve gastrectomies, which make it the most popular weight loss surgery.

How does Sleeve gastrectomy work and it benefits?

  • The new stomach pouch holds considerably less than the normal stomach and helps to reduce the amount of food you can eat.
  • It reduces a gut hormone that helps you feel less hungry. This is the main difference between Sleeve Gastrectomy and Lap Band.
  • Similar weight loss to Roux-En-Y bypass
  • Lower complication rate than Banding and bypass
  • Lower chance of nutritional deficiency.

Our unique techniques to ensure 0% leakage rate

  1. Tri staple technology – Use “gold standard” of staple equipment to ensure 0% defect. Surgical staplers and stapling products from Covidien (Made in USA) enable surgeons to handle the broadest range of tissues and applications with outstanding clinical performance. The robot stapler are now being used at our center to offer the more precise cut and maintain our 0% leak rate.
  2. Double Lock technique – Rather than finish the operation after the staplers are used. Our surgeons then push the staple line in and laparoscopically sew the stomach upon itself, thus creating an additional layer of strength. This requires more surgical time and resources but with more benefits: more strength, reduce the size of stomach for additional 5% and prevention o stomach dilation months after the Sleeve.
  3. TISSEL tissue sealant – At the end, we additionally use TISSEEL TISSEEL is a fibrin sealant indicated as an adjunct to standard surgical techniques (such as suture and ligasure) to prevent leakage from colonic anastomoses following the reversal of temporary colostomies

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3. The Laparoscopic Gastric Bypass operation (also called Laparoscopic Roux-en-Y Gastric Bypass)

The Laparoscopic Gastric Bypass operation (also called Laparoscopic Roux-en-Y Gastric Bypass) is considered the standard operation in bariatric surgery. It is performed by laparoscopic technique. Stapling instruments are used to construct a new tiny stomach pouch (about 15-30 ml), which is connected to the small intestine, bypassing the rest of the stomach (see details of the operation). Because it is minimally invasive, incisional pain is usually minimal. Bypass is greatly recommend for obese patient with diabetic. Diabetic will be cured in most case due to hormonal change effect after the procedure.

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Hospital

Surgery will be performed at one of the nation’s top-ranked private hospitals in Thailand. Our operation continuously by using state-of-the-art scientific methods, modern equipment, and comprised of well-trained medical personnel. Patients and families can be assured to receive best in class services of treatments that are complied with International Standards.

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Waiting Time for surgery and Stay

We usually perform the weight loss surgery with 2-4 weeks waiting time. For Sleeve and Bypass the patient will be admitted into the hospital one day before for preparation. After 1-2 days of the surgery, the leakage x-ray test will be performed before you can start to sip water and will be released from the hospital. Total hospital stay for weight loss surgery is around 3-5 nights. No hospital stay for Balloon.

Cost of weight loss surgery Thailand :

Why choose the Rattinan Clinic in Thailand

In some cases, if the surgeon is inexperience, the patient may encounter leaks from the cut edge of the stomach or sleeve stenosis. Some may vomit after eating. Our surgeon, Dr. Panot Yimcharoen has already performed more than 500 cases of bariatric surgeries at Rattinan Clinic alone. Currently he also holds positions as consultant surgeon at Thai government hospital and other JCI private hospitals in Thailand. Meanwhile, our anesthesiologist Dr. Suchada Prapruettham has done more than 40 gastric surgery cases per year.

Other benefits of choosing Rattinan Clinic include :

  • Rattinan Clinic has been in operation for 21 years already.
  • Less waiting time and quick health assessment before scheduling the surgery.
  • After the surgery, patients will be followed up by a team of doctors for more than 12 months.

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Chief bariatric surgeon

The surgeon who performs the treatment

Dr. Panot Yimcharoen

Specialty

  • Surgery – Bariatric surgery and Minimally

Diplomas and Educational Institutions

  • M.D. degree , Mahidol University. 1994

Diploma

  • Thai Board of Surgery 1999

Postgraduate studies

  • ERCP, Indiana University School of Medicine, Indiana, USA, 2547-2548
  • Bariatric and Metabolic, Cleveland Clinic Education Foundation, Ohio, USA, 2552-2554

Branches of particular interest

  • ERCP
  • Laparoscopic Surgery

Anesthesiologist

The surgeon who performs the treatment

DR. Suchada Prapruettham

Board Certifications

  • M.D., Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand, 2002

Fellowships

  • Anesthesia Residency, Department of Anesthesiology, Chulalongkorn University, Thailand, 2009
  • Research Fellow, Neuroanesthesiology Fellowship of the Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, Washington, USA, 2013

Special Clinic Interests

  • Anesthesia for bariatric surgery (experience ~40 sleeve gastrectomy per year from 2016 – present, Maximum BMI 60 kg/m2)
  • Neuroanesthesia

Treatment Details

Alert : Common complications that can occur after surgery include: Bleeding, infection Or that inflammation They differ depending on the physical condition of each person. Therefore, caution should be followed strictly.

Atmosphere Rattanan Medical Center

Clean, safe and meet international standards
Along with a team of expert doctors
Over 22 years of experience