Welcome to Kular Hospital (An ISO 9001:2000 certified Hospital)

Weight Loss Surgery

The Laparoscopic Roux-en-Y Gastric Bypass is an operation that has gained wide acceptance in the past decade, especially as laparoscopic versions have been introduced.

The Laparoscopic Gastric Bypass has a weight loss potential in the range of 70-75% of the excess body weight, on average, and the weight loss is fairly well sustained. The Roux-en-Y Gastric Bypass does, in most studies, usually show some mild regain of weight at five years post-surgery.

The Laparoscopic Gastric Bypass makes a small pouch at the top of the stomach, and then routes the food through a "Roux" limb of small bowel before it joins the biliopancreatic secretions.

The Laparoscopic Gastric Bypass is the most commonly done laparoscopic bariatric procedure in the United States. The Gastric Bypass is good for patients who have a moderate to large amount of weight to lose.

Dr. Kular performs all of his Bariatric Surgery operations, including the Gastric Bypass, totally laparoscopically.

Lap Mini Gastric Bypass (MGB)

This is a short, simple and successful laparoscopic gastric bypass weight loss surgery. The operation usually takes only 30 min., hospitalization less than 24 hours. The Mini Gastric Bypass is low risk, has excellent long term weight loss, minimal pain and can be easily reversed or revised. People from all across America and around the world are choosing the MGB as the Best in Bariatric Surgery.

Gil Gerald , a celebrity hero from the united states got the MGB done . Here is the link to his story :

http://www.clos.net/GGerard.htm

The Laparoscopic Sleeve Gastrectomy with Duodenal Switch (DS)

The Laparoscopic Sleeve Gastrectomy with Duodenal Switch procedure, sometimes known as the Biliopancreatic Diversion with Duodenal Switch, combines elements of a restrictive operation with malabsorption of fat to give you a very powerful bariatric surgery procedure. You may have heard of the Duodenal Switch procedure referred to as the BPD/DS, the "Duodenal Switch", the "DS", or simply the "Switch".

Dr. Kular performs the Totally Laparoscopic Sleeve Gastrectomy with Duodenal Switch, with a Hand-Sewn Duodenal-Ileal Anastomosis. He is the fifth bariatric surgeon in the world to perform the totally laparoscopic Duodenal Switch procedure by the Hand-Sewn Duodenal-Ileal Anastomosis Technique of the Laparoscopic Duodenal Switch. There are few bariatric surgeons who perform the Totally Laparoscopic Sleeve Gastrectomy with Duodenal Switch procedure.

Dr. Kular's safety record is among the best, and that's because our focus is, and has always been on doing the safest surery possible rather than the most numbers of operations possible. We take the time to make sure each patient is taken care of as thoroughly and carefully as possible, pre-operatively, during surgery, and post-operatively.

The Laparoscopic Sleeve Gastrectomy

The laparoscopic sleeve gastrectomy is a relatively new operation that can be done either as a standalone procedure for those who don't have much weight to lose, or as part of a staged operation for high risk patients. The weight loss is projected to be in the range of 45 to 55% of the excess body weight, which is comparable to that of the Laparoscopic Adjustable Gastric Banding Procedures, but it doesn't have the foreign body problems such as erosion or slippage that can occur with those procedures.

Weight Loss Mechanism

The reduction of the size of the stomach, to about 100 - 120 cc in volume results in a restrictive weight loss. As a result, patients feel full after a very small amount of food, and therefore lose weight because they eat less, and they are happy eating less.

Preservation of Pyloric Valve

Also very important is the fact that it preserves the pylorus, the valve that regulates emptying of the stomach. This acts as "natures band" and allows food to hold up in the stomach for a while, making the person feel full while the food trickles out. Coupled with the fact that there is no rearrangement of the bowel, it also means dumping and marginal ulcers are not a problem. The normal satiety mechanism is preserved.

The Operation

The operation is done with 5 small incisions, and takes about an hour to do. We do a "leak test" in the operating room before we complete the operation. Having the Laparoscopic Sleeve Gastrectomy involves an overnight stay in the hospital. There is no drain or nasogastric tube. You are able to return to work, resume heavy lifting and strenuous activity, in most cases, in about two weeks from the time of surgery. If you are able to do light duty at work, there is the possibility of going back to work sooner than two weeks for some patients.

The LAP-BAND is a prosthetic device that wraps around the upper part of the stomach to partition a small upper stomach pouch, restricting its outlet and thereby inducing a weight loss through decreased intake of food. The small pouch above the LAP-BANDacts to induce a feeling of satisfaction after only a small amount of food.

LAP-BAND<sup>®</sup>

The LAP-BAND system produces a weight loss in the range of 50-55% of the Excess Body Weight. The results with the LAP-BANDsystem aren't as good, generally speaking, as with the Laparoscopic Roux-en-Y Gastric Bypass or the Laparoscopic Duodenal Switch, but the risks involved are less. The LAP-BANDsystem could be converted into a Laparoscopic Duodenal Switch if it fails. For certain patients, the LAP-BAND system can be a very effective operation.

The LAP-BAND adjustable gastric banding device is placed completely laparoscopically.

First-Class Bariatric Surgery
For Patients From Out of India

We have served a large number of patients, many of them Gastric Bypass patients, from the United States and from several other countries here at the Kular Hospital. Patients report choosing services through our program based on our expertise, our quality and our record of safety in the performance of laparoscopic bariatric surgery.

Dr.Kular is a nationally and internationally recognized expert in laparoscopic bariatric surgery, and is especially known for the hand-sewn technique . He is also widely respected for high standards and a commitment to quality not only in the performance of bariatric surgery but in the aftercare of bariatric surgery, which is so vital for successful outcomes and results.

Kular Hospital is consistently ranked amongst the top few centres of the North India.
Our hospital has been designated a ISO 9001 by the American National Accredition Board.

Coming to Punjab is easy, with one of the largest airports in the India being in Delhi
( Indira Gandhi International AIRPORT ). Our office is just 4 hrs west of the Airport, by road , and 30 mins by air. It is very convenient to NH-1( National Highway - 1) , with many hotels, restaurants, shopping and attractions at Ludhiana, and Chandigarh -the city beautiful .

For any questions, comments, or to begin the process, contact us:
Phone: 91-98141-70510
Fax: 91-1628-289666
or email us at:
info@kularhospital.com

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