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
- 24/7 Dedicated Bariatric Operating Suites with advanced laparoscopic platforms
- Comprehensive Pre-Operative Metabolic Workup, including hormonal, nutritional, and cardiac evaluation
- High-Definition 3D Laparoscopic Systems for precise gastric and intestinal dissections
- Enhanced Recovery After Surgery (ERAS) protocols specific to metabolic surgery
- Multidisciplinary Metabolic Coordination with endocrinology, cardiology, pulmonology, and psychiatry
- Integrated Long-Term Nutritional Surveillance with structured micronutrient replacement protocols
- 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
What To Expect
- From the moment you walk in: Our bariatric team initiates a comprehensive metabolic assessment immediately. No unnecessary delays.
- Structured evaluation, not a single consultation: Every patient undergoes a standardised multidisciplinary assessment protocol, ensuring medical, nutritional, and psychological readiness for surgery.
- Continuous support throughout: Nutritional status, weight trajectory, and metabolic parameters are tracked in real time throughout your entire surgical journey.
- Precision at the operating table: Advanced laparoscopic and robotic systems reduce operative trauma and deliver superior visualisation during complex gastric and intestinal procedures.
- You are never without information: Our team provides regular, clear updates to both the patient and family before, during, and after surgery. Clinical transparency is a standard of our care.
- Seamless lifelong follow-up: If you require nutritional intervention, medication adjustment, or revisional surgery, our integrated care pathways ensure zero handover delay.
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
- Always available: Timely consultations, metabolic support, and dependable surgical attention, exactly when you need it most.
- Specialist-led care: Fellowship-trained bariatric surgeons are trained to evaluate, operate, and manage the full spectrum of obesity and metabolic disorders.
- Personalised treatment: Surgical plans are designed around your BMI, metabolic comorbidities, eating patterns, and specific weight loss goals.
- Compassionate at every step: We reduce patient anxiety through clear communication, attentive care, and a team that treats you as a person, not a case number.
- Technology-driven precision: High-definition 3D laparoscopy, robotic platforms, and fluorescence imaging for accurate gastric dissections, better decisions, and faster recovery.
- Uncompromising safety: Strict bariatric protocols, thromboprophylaxis standards, and evidence-based practices at every stage of care.
- Truly collaborative care: Surgeons, endocrinologists, dietitians, psychologists, nurses, and physiotherapists work in synchrony to achieve seamless, coordinated outcomes.
