Advanced Bariatric & Metabolic Surgery & other weight loss measures

Generally, patients with BMI ≥35, or BMI ≥30 with obesity-related conditions like diabetes or hypertension. Dr. Zidan evaluates each patient individually to determine the safest and most effective approach.

Sleeve gastrectomy reduces stomach size without intestinal bypass, working primarily through restriction. Gastric bypass additionally reroutes the digestive tract for stronger metabolic effects, making it particularly powerful for patients with severe type 2 diabetes or acid reflux.

Most patients are discharged within 24-48 hours. Light activities resume within 2 weeks, with full recovery and transition to a normal (but modified) diet occurring over 4-6 weeks.

Yes. The gastric balloon, including the newer swallowable capsule form, is an option for patients who do not want surgery or who do not yet meet the criteria for it. Which route suits you depends on your weight, your health and what you want to achieve, and Dr. Zidan will set out where a balloon is likely to help and where surgery remains the more durable answer.

GLP-1 medications reduce appetite, and they can be combined with other measures, a gastric balloon for instance, to achieve more than either would alone. They are one tool among several rather than a substitute for surgery in every patient. Which combination is appropriate is a clinical decision, and these medications carry their own effects that need supervision.

Rapid weight loss, whether after bariatric surgery or while taking a GLP-1 medication such as Mounjaro, Wegovy or Ozempic, raises the likelihood of forming gallstones. The warning signs are severe pain in the upper abdomen, nausea, vomiting and sometimes fever. Tell the clinic if any of these appear: it is a recognised and treatable problem, not a reason to avoid losing weight.

Revisional surgery exists for exactly this. It covers weight regain, a sleeve that has not delivered the expected result, an old gastric band, and complications of a previous procedure, with options that include converting a sleeve to a bypass or removing a band. These operations are more demanding than a first procedure and call for a surgeon who performs them regularly.

Reflux that appears or worsens after a sleeve gastrectomy is a recognised problem. Converting the sleeve to a gastric bypass is the established solution, and it usually addresses the reflux while the weight loss continues.

Often it does. Metabolic surgery improves type 2 diabetes through more than weight loss alone, and gastric bypass in particular has strong remission rates. Whether remission is realistic in your case depends on how long you have had diabetes and how much pancreatic function remains, both of which are assessed before surgery.

No. MILA, or Minimally Invasive Lipoabdominoplasty, is not simply the removal of loose skin. It combines laparoscopic abdominal wall surgery, repairing muscle separation (diastasis recti) and any hernia present, with body contouring through liposuction. The wall is rebuilt from the inside as well as reshaped from the outside, and that internal repair is the part a conventional abdominoplasty does not address.