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Advanced Bariatric & Metabolic Surgery

Expert surgical weight-loss care supported by metabolic specialists, advanced laparoscopic, multidisciplinary teams, and structured lifelong patient support protocols.

About Department

Bariatric & Metabolic Surgery at PB Health is a specialised unit dedicated to treating obesity and its related metabolic diseases using advanced minimally invasive surgical techniques. The department delivers evidence-based, protocol-driven care supported by pre-operative optimisation, advanced laparoscopic platforms, and integrated long-term follow-up systems.

Core Capabilities

1

24/7 Dedicated Bariatric Operating Suites with advanced laparoscopic platforms

2

Comprehensive Pre-Operative Metabolic Workup, including hormonal, nutritional, and cardiac evaluation

3

High-Definition 3D Laparoscopic Systems for precise gastric and intestinal dissections

4

Enhanced Recovery After Surgery (ERAS) protocols specific to metabolic surgery

5

Multidisciplinary Metabolic Coordination with endocrinology, cardiology, pulmonology, and psychiatry

6

Integrated Long-Term Nutritional Surveillance with structured micronutrient replacement protocols

7

Seamless Escalation Pathways for ICU or high-dependency support when indicated

Integrated Care Model

Our Bariatric & Metabolic Surgery department operates on an integrated, coordinated care model, in which bariatric surgeons, endocrinologists, dieticians, psychologists, anaesthesiologists, and critical care teams function in synchrony. This ensures continuous patient optimisation, rapid intervention, and optimised clinical outcomes even in complex, high-BMI surgical scenarios.

Every bariatric patient is managed through a structured pre-operative, intra-operative, and post-operative escalation framework, ensuring they receive the appropriate level of medical and surgical care without delay.

Clinical Focus Areas

  • Severe and complex obesity (BMI ≥ 32.5 with comorbidities, or BMI ≥ 37.5 without comorbidities)
  • Type 2 diabetes mellitus with obesity
  • Obstructive sleep apnoea associated with obesity
  • Non-alcoholic fatty liver disease (NAFLD / NASH)
  • Gastroesophageal reflux disease (GERD) with obesity
  • Osteoarthritis and mobility issues due to excess weight
  • Revisional bariatric surgery for failed prior procedures

What To Expect

Our bariatric team initiates a comprehensive metabolic assessment immediately. No unnecessary delays.

Services & Procedures

Laparoscopic Sleeve Gastrectomy

Approximately 75–80% of the stomach is removed, creating a narrow sleeve. Purely restrictive procedure with no intestinal rerouting. Average excess weight loss: 60–70%. Note: Not recommended as first-line surgery in patients with pre-existing GERD, as it may worsen reflux symptoms.

Laparoscopic Roux-en-Y Gastric Bypass

A small gastric pouch is created and connected directly to the small intestine, bypassing the rest of the stomach and proximal bowel. Restrictive and malabsorptive mechanism. Average excess weight loss: 70–80%. Preferred procedure for patients with obesity and concurrent GERD.

Laparoscopic Mini Gastric Bypass

A single-loop bypass procedure effective for weight loss and glycaemic control in type 2 diabetes. Average excess weight loss: 70–75%. Procedure selection and suitability assessed on a case-by-case basis during multidisciplinary evaluation.

Intra-Gastric Balloon

Temporary, non-surgical endoscopic placement of a saline-filled balloon for selected patients. Intended as a bridge or adjunct intervention — not a standalone obesity treatment. Average weight loss: 10–15% of total body weight (single balloon). Results vary by device type and patient compliance.

The PB Health Advantage

Timely consultations, metabolic support, and dependable surgical attention, exactly when you need it most.

FAQs

For Asian populations: BMI ≥ 32.5 with at least one obesity-related comorbidity, or BMI ≥ 37.5 without comorbidities.