Bariatric Surgery

We are proud in Gulf Specialist Hospital to provide specialized health services that are compatible with the needs of society, and to meet the increasing demand for obesity and weight loss surgeries, this section relies on providing a variety of integrated solutions that suit all medical conditions, as its services include surgical and non-surgical treatment in the treatment of obesity

Doctors

  • Dr. Mousa Abdul Redha Khoursheed
    Sr. Consultant General Surgery, Laparoscopic & Bariatric Surgery
    FRCS, FACS
    Professor of Medical Collage, Kuwait University

  • Dr. Guido Mannaerts
    Specialist Consultant General Surgery, Laparoscopic Bariatric Surgery Surgeon from Holland – PhD

  • Dr. Mohammed Younis
    Consultant General Surgery & Laparoscopic Bariatric Surgery
    Soudi Board Certificate in general & laparoscopic surgery – More than 20 years’ Experience, More than 15 years teaching & supervising Surgical board candidates

  • DR. Salem Omar Al Harthy
    Senior Consultant – Gastroenterology and Hepatology Interventional Endoscopist MRCP

  • Dr. Hind Khalifa Al Majrafi
    Consultant General surgery, laparoscopic, Bariatric & upper GI surgery
    Oman medical speciality board in general surgery

Clinic Services

  • Heartburn & Peptic Ulcer Disease
  • Abdominal Pain
  • Constipation
  • Diagonostic & Therapeutic
  • Gastroscopy and Colooscopy
  • Reflux Disease
  • Chron’s Disease
  • Upper & lower Gastronomical Bleeding
  • Dificulsty swallowing
  • Diarhea
  • Ulcerative Colitis
  • Bloating and Food Allerty

Non-Surgical procedures

Intra Gastric Balloon: intragastric balloon it is an approved procedure for obesity, in which normal saline is filled in a silicone balloon is placed in your stomach, helping you lose weight by limiting the amount of food intake, and it makes you feel full faster.Like other weight loss procedures, a stomach balloon requires a healthy lifestyle commitment. You need to make permanent health changes to your diet and exercise regularly to ensure the success of balloon procedure.

The balloon has two types:

  • 1- Endoscopic intragastric balloon (balloon for 6 months and balloon for one year)
  • 2- Ellipse gastric balloon (pill balloon 4 months)
  • - Without endoscopy:
    A- By swallowing the pill with saline
    B- X-rays to ensure the pill reached the stomach
    C- Fill the pill with saline
    D- It does not require removal after 4 months

Gastric Botox: Endoscopic intragastric Botox injection is a modern technique (under research) for losing weight by injecting botulinum toxin to the stomach so that it reduces muscle contraction force which leads to a feeling of satiety more quickly and for longer periods of time than usual, so the number of daily meals becomes less.
In this procedure that does not require hospitalization, your doctor will insert the endoscope orally into the lower stomach to inject Botox (the same substance used to relieve facial wrinkles) and the process takes approximately 20 minutes, and the results begin to appear after a period of 7-10 days. This process is best for people who want to lose between 5 and 15 kg, and the results can last from 3 to 6 months

Endoscopic Sleeve Gastroplasty (ESG): Endoscopic sleeve gastroplasty is a minimally invasive bariatric procedure. The suturing device is inserted into your stomach and the suturing will make your stomach smaller. This procedure may be an option if you're significantly overweight (body mass index of 30 or 40) and diet and exercise haven't worked for you.

Laparoscopic surgery

  • Sleeve gastrectomy: In this procedure around 70% of the stomach is removed turning its size from a rugby ball to a banana and thereby reducing the amount that you can eat as well as decreasing your feeling of hunger. It is a less ideal procedure if you have complaints of gastric reflux, diabetes or if you are addicted to sweets. In these cases, you can better choose to have a gastric bypass. With the sleeve gastrectomy procedure, you will long-term lose about 50% of your overweight. This procedure can also be done by a scar-less single port approach in our hospital, which will give you better cosmetic results as well as less pain
  • Mini gastric Bypass: In mini gastric bypass
    surgery, the stomach is divided into upper and lower pouches and the small intestine is rerouted. This allows for both restrictive and malabsorption weight loss procedure.
  • SADI-S Surgery: In this procedure a long narrow stomach sleeve is created and connected with a long small bowel loop in order to bypass a part of the remaining stomach (mini-bypass/ Omega loop) or to the duodenum (SADI-S). Both are good procedures to lose a significant weight and to cure diabetes (long term average weight loss 75%), however, the chance on malnutrition and vitamin deficiency is much higher compared to the prior mentioned procedures. Therefore, we like to reserve this technique for revision procedures after failed other bariatric procedures.
  • Laparoscopic gastric band: In this procedure a silicone band is placed around the stomach to create a small stomach pouch.
    However, the Lap Band has lost it popularity and has become obsolete as the weight loss is not great (average long-term excess weight loss around 40%) and the band may leads to many long-term band related complications.
  • Laparoscopic biliopancreatic diversion duodenal switch: In these procedures a big stomach pouch or sleeve is created and connected with the small bowel in order to bypass the remaining part of the stomach using two intestinal reconnections.
    These are very effective procedures in terms of weight loss (average long-term excess weight loss around 85%), however, as these are very malabsorptive procedures the chance on malnutrition and vitamin deficiency is high compared to other bariatric procedures. Therefore, we like to reserve these techniques for super-super obese patients and revision bariatric surgical procedures.
  • SASI Surgery: Sasi is a procedure which combines the advantages of sleeve and mini-bypass surgeries.
    Gastric sleeve is made and the path is diverted by attaching the stomach outlet to the intestine after excluding part of it. this is done with the stomach outlet not separated and thus there are two ways of eating:
    * 30% of food is on the normal pathway, and thus vitamins and minerals are absorbed.
    * 70% of food goes down the path of diversion, and therefore prevents the absorption of many nutrients, thus losing weight and treating diabetes.