Weight Loss, Bariatric & Metabolic Surgery

Upper Gastrointestinal, Oesophageal & Stomach Surgery

Endoscopy / Gastroscopy & Colonoscopy

Keyhole and General Surgery

Cancer Screening Emergency and Acute Care Surgery

Integrated Centre for Bariatric and Metabolic Surgery

Introduction

Welcome to Surgicare Integrated Centre for Bariatric and Metabolic Surgery

At Surgicare, as a centre, we practice the Integrated Approach that emphasises 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.

Team of Dietitians & Physiotherapists

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.

In addition to this, our in-house Physiotherapists provide customised weight management support programme to patients, enabling them to become more active in a safe and enjoyable way.

Bariatric Surgery vs Metabolic Surgery

Bariatric surgery refers to procedures used to help patients who struggle with obesity, weight loss and manage obesity-related conditions. Also known as weight loss surgery, the goal of the procedure is reduce the patient’s capacity of digestion and appetite.

In contrast to bariatric surgery, metabolic surgery is specifically intended to address and improve obesity-related conditions such as Type 2 Diabetes Mellitus, heart diseases, hypertension, Obstructive Sleep Apnoea (OSA), and fatty liver.

Metabolic surgery has also been coined as diabetes surgery in recent years, when there is marked improvement in diabetes control in Type 2 Diabetes Mellitus patients who have undergone the procedure.

Surgery, however, does not “cure” diabetes; They help patients achieve better control or sometimes even remission (when your blood sugar levels return to a safe, non-diabetes level long-term).

Types of Bariatric Surgery

In general, bariatric surgery works by either limiting how much one can eat or to reduce the body’s ability to absorb fat and calories. Certain procedures are carried out to achieve both.

Intragastric Balloon

A non-surgical procedure that limits your food intake to smaller portions.

Gastric Sleeve

Helps you feel fuller after eating small amount of food, and feel less hungry in general.

Gastric Bypass (Roux-en-Y Gastric Bypass)

Helps you to feel full quickly and reduce the amount of calories your body absorbs.

Mini Gastric Bypass / One Anastamosis Gastric Bypass (OAGB)

Helps you feel full after eating less food and give the feeling of being fuller for longer.

Adjustable Gastric Band

Helps you feel full after eating less food and give the feeling of being fuller for longer.

Biliopancreatic Diversion (BPD)

Helps you feel full after eating less food and give the feeling of being fuller for longer.

When to Consider Surgery

Bariatric surgery can be considered as an option when patients struggle with obesity, and diet, exercise or medications haven’t worked.

It is also done when patients experience serious health problems because of their weight.

Why It is Done

Besides weight loss, bariatric surgery is also intended to reduce one’s risk of serious weight-related health problems such as:

Who is a Candidate?

In general, bariatric surgery could be an option for people who struggle with obesity (BMI of 32.5 and above) and related issues such as Type 2 diabetes, and unable to lose weight through other methods.

In some cases, people with a BMI of 30 to 34 may also qualify for weight loss surgery if they struggle with weight-related health problems.

Achieve better control of obesity and obesity-related conditions.Enquire about weight loss surgery with Dr. Tan Chun Hai.

Overview

How Effective is Bariatric and Metabolic Surgery?

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.

Before the Procedure

During the Procedure

After the Procedure

20+ Years of Clinical Expertise

Dr Tan Chun Hai (陈俊海医生)

Upper Gastrointestinal, Bariatric & General Surgeon

Dr. Tan Chun Hai is a dual fellowship-trained surgeon in laparoscopic (keyhole) stomach cancer surgery and bariatric & metabolic surgery. His clinical expertise includes the use of minimally invasive surgical techniques for gallbladder diseases, appendicitis and gastroesophageal reflux disease.

Dr. Tan is also well-versed in specialised diagnostic procedures, regularly carrying out endoscopy/gastroscopy and colonoscopy for his patients. When applicable, Dr. Tan provides same-day treatment within a few hours of diagnosis. Dr. Tan subscribes to a less invasive practice, enabling shorter hospital stays, usually within 1-2 days.

Have a concern?

Give us a call at 6250 5610 or whatsapp us at 8870 3848.

FAQs

Frequently Asked Questions

Overall, Bariatric and Metabolic surgery has a mortality rate of 0.1%. This is comparable to the safest and most commonly performed surgeries such as gallbladder surgery, appendectomy, and knee replacement.

  • Aminian, A., et al. (2015). How safe is metabolic/diabetes surgery? Diabetes Obesity Metabolism. Feb;17(2):198-201
  • Agency for Healthcare Research and Quality (AHRQ). (2007). Statistical Brief #23. Bariatric Surgery Utilization and Outcomes in 1998 and 2004

Bariatric and metabolic surgery is the most effective and long-lasting treatment for severe obesity resulting in significant weight loss and leading to improvement, prevention or resolution of many related disease such as Type 2 Diabetes, heart disease, hypertension, obstructive sleep apnoea (OSA) and certain cancers. While Bariatric surgery can offer many benefits, you still will need to make changes to your diet and lifestyle to help ensure long term success of bariatric surgery.<?p>

  • Weiner, R. A., et al. (2010). Indications and principles of metabolic surgery. U.S. National Library of Medicine. 81(4) pp.379-394
  • Chang SH et al. The Effectiveness and Risks of Bariatric Surgery: An Updated Systematic Review and Meta-analysis, 2003-2012 JAMA (3)2014

Studies have shown that bariatric surgery may reduce the patient’s risk of premature death by 30-50%.

  • Sjöström. L., et al. (2007). Effects of bariatric surgery on mortality in Swedish obese subjects. New England Journal of Medicine. 357 pp. 741-752
  • During a mean follow up for 7.1 years, adjusted long term mortality from any cause in the surgery group decreased by 40%, as compared to that in the control group (37.6 vs 57.1 deaths per 10,000 person-years, P<0.0001)
  • Adams, T. D., et al. (2007). Long-term mortality after gastric bypass surgery. New England Journal of Medicine. 357 pp. 753-761.

There are other weight loss solutions in Surgicare. Dr Tan will discuss with you and recommend which are the more suitable ones to suit your medical condition, diet and lifestyle. Dr Tan will ask you about your medical history, and do a thorough check-up. He may order some blood test and radiological scans.

The other options will include, lifestyle program, medications, low calorie meal replacement, or insertion of intra-gastric balloon. We have a multi-disciplinary team of dieticians, physiotherapist and nurses to help you in your journey.

You may be able to claim a certain amount from your hospitalization stay from Medisave. Speak to Dr Tan to find out more in details.

Bariatric and Metabolic surgeries are performed for medical reasons. These are not considered cosmetic surgery. The cost of your surgery whether will be covered by insurance will depend on you specific plan. Some insurance plans do not cover for sole weight loss alone. There will be better chances of qualification of coverage if surgery is indicated for obesity related co-morbidities and medical conditions rather than just weight loss. Speak to Dr Tan today, to find out more.