BARIATRIC & METABOLIC SURGERY, DIABETIC SURGERY
Welcome to Surgicare Integrated Centre for Bariatric
and Metabolic Surgery
At Surgicare, as a centre, we practice the Integrated Approach that emphasizes on patient-centred, customised and effective medical therapies for weight loss and metabolic conditions, such as hypertension and diabetes.
Led by Dr Tan, our enthusiastic multi-disciplinary team includes experienced and compassionate behavioural health practitioners - Nurses, Dietitians and Physiotherapists offer a spectrum of interventional treatment regimens to ensure successful outcomes!
We have a team of in-house Dietitians to provide nutritional counselling and assessments, followed by customised diet and fitness plans for patients with weight-related problems or medical conditions.
Our in-house Physiotherapists provide customised weight management support programme to patients, enabling them to become more active in a safe and enjoyable way.
What is Metabolic Surgery? Or Diabetes Surgery?
While Bariatric Surgery means surgery on the stomach and/or intestine to help a person with obesity to lose weight, Metabolic Surgery is termed as the same set of procedures that is primarily done to help improve the co-morbidities associated with obesity, such as Type 2 Diabetes Mellitus, heart disease, hypertension, Obstructive Sleep Apnoea (OSA), and fatty liver.
Diabetes Surgery is coined in recent years when there is marked improvement in diabetes control when the same set of procedures is performed in Type 2 Diabetes Mellitus patients. Surgery, however, does not “cure” diabetes; they help patients achieve better control or sometimes even achieve remission. Therefore, patients will still need to be monitored closely by their physicians.
Biliopancreatic Diversion with a Duodenal Switch
Mini Gastric Bypass /
One Anastamosis Gastric Bypass (OAGB)
How effective is Bariatric and Metabolic Surgery?
Buchwald, H., et al. (2004). Bariatric surgery: a systematic review and meta-analysis. Journal of the American Medical Association. 292(12) pp. 1724-1737
Studies have shown that patients typically lose the most weight after 1-2 years after bariatric surgery. They are then able to maintain substantial weight loss with improvements in associated co-morbidities.
Buchwald, H., et al. (2009). Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. American Journal of Medicine. 122(3) pp. 205- 206
Chang SH et al. The Effectiveness and Risks of Bariatric Surgery: An Updated Systematic Review and Meta-analysis, 2003-2012 JAMA (3)2014
Patients may lose up to 60% of excess weight six months after surgery, and up to 77% of excess body weight as early as 12 months after surgery
Wittgrove, A. C., et al. (2000). Laparoscopic gastric bypass, roux-en-y: 500 patients: technique and results, with 3-60 month follow-up. Obesity Surgery. 10(3) pp. 233- 239
Majority of bariatric surgery patients with diabetes, hyperlipidemia, hypertension and obstructive sleep apnoea experience complete resolution or improvement.