Manipal Hospital, Sec 6 , Dwarka, New Delhi, India | Timinig: 10:00 AM to 6:00 PM
Laparoscopic Surgery for Colon and Rectal Malignancy

Metabolic Surgery

best bariatric surgery

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Dr Randeep Wadhawan is one of first few Laparoscopic Surgeon to adopt & gained expertise in Metabolic Surgery for Type 2 diabetes in India & has credited with more than 1000 Metabolic Surgeries in Delhi. He has successfully treated Metabolic Syndrome, which includes obesity, diabetes, high cholesterol and hypertension through surgical methods and is called Metabolic Surgery. The combined conditions of Metabolic Syndrome such as, obesity, type II diabetes, hypertension and cholesterol metabolism malfunction, are life threatening along with serious organ failure.

Metabolic surgery refers to a various type of Laparoscopic procedures which are involved either in reducing or bypassing sections of the stomach and small intestine for the treatment for Diabetes type II.

Dr Randeep Wadhawan has been performing the laparoscopic tailored metabolic Surgeries in Inida for the surgical treatment of Diabetes Type II.The type of procedure is chosen based on the following considerations:

  • LAGB (Laparoscopic adjustable gastric banding) – Material Silicone (highly biocompatible material)
  • LAGB is used to treat severe obesity, having hypertension, high cholesterol, type 2 diabetes, sleep apnea, and arthritis. Other weight loss therapies has not shown long term sucess
  • Complete evaluation of the patient.
  • History of the patient ,including duration of Diabetes.
  • Treatment being taken for Diabetes i.e. Oral Medication/ Insulin.
  • Preoperative weight of the patient.

It has been seen after Metabolic Surgery a dramatic improvement in blood glucose levels, resulting in complete resolution of Type 2 Diabetes in most of the patients undergoing the procedures.

Approx. 90 percent of all diabetics in the word are type 2 diabetics & it is closely linked to obesity. The surgical treatment of type II diabetes was raised for the first time by the Walter Pories’ with the objective to reduce and control weight through altering energy balance primarily by reducing food intake and modifying the physiological changes that drive weight regain. Later it was found to have benefits independent of weight loss. There are metabolic benefits, pertaining with stmulation of certain hormones like PYY, GLP1 which are incretins and lead to an increase in the levels of Insulin & decrease in the Insulin resistance hence leading to control of blood sugar in Type II Diabetics.This has a rapid and sustained improvement in blood glucose levels within days of tailored Metabolic Surgery, before even achieving significant weight loss.


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