What is bariatric surgery?

Bariatric surgery, or weight-loss surgery, involves procedures that alter the digestive system to help people with severe obesity lose weight. These surgeries primarily work by restricting food intake through a smaller stomach or by reducing the body's ability to absorb calories and nutrients by bypassing parts of the small intestine. Common types of bariatric surgery include sleeve gastrectomy, gastric bypass, etc.

One Anastamosis Gastric Bypass (OAGB) Surgery:

This procedure diverts food past most of the stomach and part of the small intestine, significantly reducing calorie absorption and promoting substantial weight loss. It also alters gut hormones, leading to increased satiety and reduced hunger.



 


Sleeve Gastrectomy:

Involves the removal of a large portion of the stomach, leaving a banana-shaped section that restricts food intake and decreases hunger hormones. This procedure helps patients achieve significant weight loss and improve metabolic health.




Who should be referred for bariatric surgery services?

Metabolic and bariatric surgery (MBS) is recommended for individuals with a body mass index (BMI) >35 kg/m2, regardless of presence, absence, or severity of co-morbidities.

MBS should be considered for individuals with metabolic disease and BMI of 30-34.9 kg/m2.

BMI thresholds should be adjusted in the Asian population such that a BMI >25 kg/m2 suggests clinical obesity, and individuals with BMI >27.5 kg/m2 should be offered MBS.

Clinic operation days:

Tuesday -  Afternoon – from 2:00 pm

Thursday -  Morning – from 9:00 am


​Meet our Bariatric Surgery Expert


Dr Prabu Kathiresan

Consultant General & Bariatric Surgeon at Aga Khan University Hospital Nairobi




Qualifications 

  • Laparoscopic and General Surgeon at Aga Khan University Hospital Nairobi
  •  MBBS - RMMC&H (India)
  •  M.S (Gen. Surgery) - Pondicherry University – Puducherry (India)
  •  FMAAS (Fellowship in Minimal Access Abdominal Surgery) - Madras Medical College – Chennai India
  •  FIAGES - Fellowship of the Indian Association of Gastrointestinal Endo Surgeons (India)
  •  FMAS - Fellowship in Minimal Access Surgery (India)

Professional Associations

  • Association of Minimal Access Surgeons of India (AMASI)
  • The Indian Association of Gastrointestinal Endosurgeons (IAGES)
  • The Association of Surgeons of India (ASI)
  • Indian Medical Association (IMA)

Area of expertise

  • Advanced and basic laparoscopic surgeries including;
  • Anti-reflux surgery - Laparoscopic Fundoplication for reflux disease(GERD)
  • Bariatric surgery - Laparoscopic Sleeve gastrectomy, OAGB (One anastomosis gastric bypass)
  • Laparoscopic cholecystectomy (Gallbladder stone disease)
  • Laparoscopic appendectomy (Appendicitis)
  • Laparoscopic Hernias repairs - Inguinal and ventral hernias and all laparoscopic upper gastro intestinal and colorectal surgeries for benign and malignant conditions.
  • Stapler haemorrhoidectomy
  • Upper GI endoscopy and colonoscopy
  • Thyroid surgery for benign and malignant diseases
  • Surgeries for soft tissue swellings.
  • All kind of emergency and elective open procedure.

Area of interest

  • Robotic abdominal upper and lower gastrointestinal surgeries.