Bariatric (Stomach Reduction) Surgery Program at KMB Hospital with Dr. Looknuu
What is the bariatric (stomach reduction) surgery program?
The Bariatric Surgery program at KMB Hospital with Dr. Looknuu is an option for people who cannot lose weight through conventional methods such as dieting and exercise. This surgery not only helps you lose weight effectively, but also effectively reduces the risk of developing obesity-related diseases. It is therefore an appealing choice for those who want to take care of their health and reduce the risk of various chronic conditions.
Why undergo the bariatric (stomach reduction) surgery program?
Reduces the risk of serious diseases
The bariatric surgery program helps reduce the risk of chronic diseases such as diabetes, high blood pressure, and heart disease, which are associated with being overweight.
Builds confidence and mental well-being
Effective weight loss boosts confidence in your appearance and overall health, benefiting your emotional state and quality of life.
Extends lifespan and improves quality of life
Better weight control and health can help you live longer and reduce the risk of health complications.
Prevents deterioration of joints and muscles
Losing weight reduces the burden on your joints and muscular system, lowering the risk of osteoarthritis and various inflammatory conditions.
Who is the bariatric (stomach reduction) surgery program suitable for?
1. Individuals with a Body Mass Index (BMI) of 40 or higher
People with a BMI at this level are usually severely obese and at high risk of weight-related diseases such as:
- Cardiovascular disease
- Type 2 diabetes
- High blood pressure
- High blood lipids
2. Individuals with a BMI between 35 and 39.9 who have obesity-related medical conditions
For those with a BMI in this range who also have comorbidities caused by obesity, such as:
- Type 2 diabetes
- Obstructive Sleep Apnea (OSA)
- Non-alcoholic fatty liver disease
3. Individuals who cannot lose weight effectively through other methods
People who have tried to lose weight using standard methods such as dieting, exercise, or weight-loss medication but have not succeeded may consider bariatric surgery as an option.
4. Individuals who are ready and understand the surgery
Bariatric surgery is not a shortcut to weight loss; it is a process that requires the patient's cooperation in changing their lifestyle after surgery, such as:
- Changing eating habits
- Exercising regularly
- Following up with the doctor and health team
5. Individuals assessed and recommended by a doctor
The relevant medical team will assess the patient's readiness, which includes:
- An overall health examination
- An analysis of possible complications
- Consideration of mental state and ability to adapt
A bariatric surgery program for weight loss may not be the right choice for everyone, so an assessment and advice from a doctor are necessary to ensure this treatment is suitable for you. When deciding to undergo surgery, the decision should be based on each individual's overall health and their goal of achieving a better quality of life.
At what weight should you have stomach reduction surgery?
Analysis using the Body Mass Index (BMI) calculation is an index used to measure the balance between body weight (kilograms) and height (centimeters), which can indicate what level a person's body currently is, ranging from severely obese to underweight. The method for calculating BMI to find the body mass index value = body weight [kilograms] ÷ height [meters] squared.
- Below 18.5 : Underweight
- 18.5 - 24.9 : Normal weight
- 25 - 29.9 : Overweight
- 30 and above : Obese
- 40 and above : Severely obese
Regarding the Body Mass Index (BMI) and consideration for the bariatric surgery program at KMB Hospital under the care of Dr. Looknuu, individuals with a very high BMI may be advised to undergo different treatment methods, such as the bariatric surgery program. This especially applies to those with a BMI of 40 or higher, or a BMI of 35 or higher combined with obesity-related health problems.
Measuring waist circumference to assess risk
Measuring waist circumference is another way to assess the risk of chronic diseases, especially those related to abdominal fat. The recommended waist circumference criteria are as follows:
- Men : Should not exceed 102 centimeters
- Women : Should not exceed 80 centimeters
If your waist circumference exceeds these limits, it may be a sign of an increased risk of developing diabetes and heart disease.
Advantages of the bariatric (stomach reduction) surgery program
1. Effective and sustainable weight loss Controlling the amount of food you eat helps you lose weight effectively and maintain the results in the long term.
2. Reduces the risk of obesity-related diseases Helps reduce the chance of developing obesity-related diseases such as diabetes, high blood pressure, and heart disease.
3. Improves overall health and quality of life Increases mobility, reduces joint pain, improves the respiratory system, and enhances sleep quality.
4. Promotes mental health and self-confidence Reduces stress, boosts confidence, and improves self-image.
5. Adjusts eating habits and builds discipline in health care Encourages you to change your eating habits alongside caring for your health according to your doctor's advice.
6. Reduces complications and dangerous chronic diseases Lowers the chance of chronic diseases and helps the body function more efficiently.
Disadvantages of bariatric (stomach reduction) surgery
- Complications: risk of infection, bleeding, and blood clots
- Reduced nutrient absorption: risk of deficiency in vitamin B12, iron, and calcium
- Gastrointestinal side effects: bloating, diarrhea, nausea (Dumping Syndrome)
- Emotional effects: mood swings and risk of depression
- Weight may return if eating and exercise habits are not adjusted
How many types of bariatric (stomach reduction) programs are there?
There are several types of stomach reduction programs. The most common types include:
Sleeve Gastrectomy
This is surgery to reduce the size of the stomach by removing part of it so that it forms a small tube, which helps reduce the amount of food eaten.
Roux-en-Y Gastric Bypass
This is surgery that reroutes the digestive tract to reduce nutrient absorption, resulting in effective weight loss.
At KMB Hospital under the care of Dr. Looknuu, surgeons specializing in advanced laparoscopic surgery assess and select the appropriate surgical method for each individual, prioritizing health and safety. The bariatric surgery program is an option for those who cannot lose weight through conventional methods such as dieting and exercise. It also helps reduce the risk of obesity-related diseases such as diabetes and high blood pressure.
Types of stomach reduction programs at KMB Hospital
Gastric Banding
A band is placed around the stomach to reduce the amount of food eaten, but it is now less popular due to its limited effectiveness. The bariatric surgery program using the Single Port Surgery technique operates through a single small incision, reducing scarring, speeding up recovery, and reducing pain.
Sleeve Gastrectomy program
75-80% of the stomach is removed, reducing the amount of food eaten and hunger hormones, helping you lose weight effectively.
Gastric Bypass program combined with intestinal bypass
The stomach is reduced in size and the digestive pathway is rerouted to reduce calorie absorption, suitable for those who want intensive weight loss.
Sleeve Plus (SG-PJB) bariatric surgery program
Developed further from the Sleeve Gastrectomy by reconnecting the small intestine to reduce food absorption and increase weight-loss effectiveness.
Endoscopic Sleeve Gastroplasty by OverStitch
The stomach is sutured using an endoscopic technique through the mouth, with no surgical incision, offering fast recovery and effective weight loss.
Gastric Balloon program
A balloon is placed in the stomach to reduce the amount of food eaten. This is a non-surgical method that can be removed.
At KMB Hospital under the care of Dr. Looknuu and our team of surgeons, we are committed to providing safe, high-quality service. If you are considering a weight-loss method suited to your health, we recommend consulting directly with our surgeons to receive the most appropriate and safest advice for losing weight and caring for your health comprehensively.
Preparing for the bariatric (stomach reduction) surgery program (Bariatric Surgery)
1. Physical examination and health assessment by a doctor
Patients undergoing surgery should have a detailed physical examination by a doctor at least 2 weeks in advance. They must pass a mental health assessment to ensure they are ready for surgery.
2. Following nutritional advice
Follow the advice of a nutrition specialist. You should lose approximately 3-5 kilograms of body weight before surgery.
3. Controlling underlying conditions
If you have an underlying condition, you should undergo an assessment of the condition and confirm that its symptoms are properly controlled. You should inform your doctor about any medications you take regularly.
4. Avoiding certain supplements and medications
You should stop taking vitamins, supplements, and medications in the Aspirin or NSAID group for at least 7 days before surgery. If you take medications that must be taken regularly, you should consult your doctor first.
5. Avoiding alcohol and cigarettes
You should avoid alcoholic beverages and smoking for at least 7 days before and after surgery, as they may cause wounds to heal more slowly.
6. Providing additional medical information
If you suspect you may be pregnant, inform your doctor in advance. If you are taking medication or undergoing additional treatment, inform your doctor before the day of surgery.
7. Adjusting your diet before surgery
During the 1-3 days before surgery, you should eat easily digestible food. In the 24 hours before surgery, you should eat liquid food and avoid red-colored food.
8. Fasting from food and water before surgery
You should abstain from food and water for at least 8 hours before surgery to prevent complications during the procedure.
Steps of bariatric (stomach reduction) surgery at KMB Hospital with Dr. Looknuu
1. Administering anesthesia for safety during surgery
The patient will be given general anesthesia so they are unconscious and free of pain throughout the surgery.
2. Performing the surgery using laparoscopic techniques (Laparoscopic Surgery)
A small camera and surgical instruments are used through small incisions to perform the surgery, reducing pain and speeding up recovery.
3. Surgical technique selected for weight loss
- Sleeve Gastrectomy: Removing most of the stomach to make it smaller
- Gastric Bypass: Cutting the stomach and connecting it to the small intestine to reduce nutrient absorption
- Balloon Placement / OverStitch: Using a balloon or suturing the stomach to adjust its size and function without cutting the stomach
4. Wound closure and post-operative care
The wound is closed with self-dissolving sutures, along with close monitoring in the recovery room for safety.
Care after the bariatric (stomach reduction) surgery program
- Respiratory care After surgery, the medical and nursing team provides close care, using a temporary oxygen mask for safety.
- Nutrition Patients receive intravenous nutrition during the initial period to help the body recover.
- Movement for recovery Once dizziness subsides, the doctor recommends moving the body, such as sitting up or walking, to reduce the risk of complications.
- Monitoring symptoms Nurses continuously check vital signs such as blood pressure, heart rate, and oxygen levels.
- Adjusting eating habits Appropriate nutrition is recommended, and eating habits are adjusted to suit the new digestive system.
- Follow-up with the doctor You should attend appointments to assess treatment results and adjust your health care plan.
KMB Hospital, under the care of Dr. Looknuu, is committed to caring for every detail at every step.
Self-care recommendations after the bariatric surgery program
- Caring for the surgical wound Keep it clean, avoid water and dirt, and see a doctor immediately if any abnormal symptoms occur.
- Nutrition for recovery Adjust your diet appropriately. You should eat easily digestible food in small but frequent amounts, and take vitamin supplements as advised.
- Basic exercise Walk gently to stimulate blood circulation, reduce the risk of blood clots, and help you recover faster.
- Health follow-up Attend follow-up appointments to check for complications and adjust the treatment plan.
- Strengthening mental health Receive encouragement from family and support groups to help you adapt and live a quality life.
The risk of weight regain after the bariatric (stomach reduction) surgery program
The bariatric (stomach reduction) surgery program is an effective way to lose weight, but without changes to eating habits and lifestyle, weight can return, because the stomach is able to expand when food is eaten in large amounts or too frequently.
Causes of weight regain after the bariatric (stomach reduction) surgery program
1. Unbalanced eating habits
Returning to high-calorie foods, sweets, or snacking between meals can cause weight to increase without you realizing it.
2. Irregular or insufficient exercise
A lack of physical activity or regular exercise affects your metabolic rate and increases the chance of becoming obese again.
3. The body's adaptation after surgery
Over time, the stomach may expand, allowing you to eat more, so eating habits must be continuously controlled.
4. Psychological and emotional factors affecting eating
Stress, depression, or emotional eating all affect consumption habits and can cause weight gain.
5. Lack of continuous follow-up and care with the doctor
Not seeing your doctor or nutritionist as scheduled may cause you to miss the opportunity to adjust your habits and address problems early on.
Frequently asked questions about the bariatric (stomach reduction) surgery program
Q: After the surgery program, will I be able to eat normally, or will my life change forever?
A: After the bariatric (stomach reduction) surgery program, your eating habits will change permanently, but this does not mean you will go hungry or lose the joy of eating. In the early stage, you must adapt by eating liquid → soft → normal food, in that order. Once you have recovered, you can eat normally but in smaller amounts, and you should choose beneficial foods, such as focusing on protein, reducing fried food, chewing thoroughly, and avoiding carbonated drinks to prevent complications.
Q: I'm not very overweight, but I can't lose weight. Should I consider surgery?
A: The bariatric (stomach reduction) surgery program is suitable for those who are severely obese (BMI ≥ 35) or have comorbidities such as diabetes, high blood pressure, or high blood lipids. If you are only slightly overweight but cannot lose weight, you should first try adjusting your eating and exercise habits. If your BMI is between 30 and 34.9, surgery may be considered in cases where you have health problems caused by being overweight, and after receiving advice from a doctor. This is because bariatric surgery is only a “tool” that helps, not a “shortcut” to weight loss. After treatment, patients must have discipline in caring for themselves after surgery to achieve good results.
Q: After the bariatric surgery program, will my diabetes and blood pressure really improve, or only temporarily?
A: The bariatric (stomach reduction) surgery program can genuinely help control or relieve diabetes and high blood pressure, especially in people who are also obese. Research has found that type 2 diabetes may improve or, in some cases, go into remission, due to changes in insulin levels and hormones related to metabolism.
Why choose the bariatric (stomach reduction) surgery program at KMB Hospital with Dr. Looknuu
Cared for by surgeons specializing in advanced laparoscopy
Our medical team is ready to provide personalized treatment and plan your health for the long term. With a team of specialist surgeons skilled in advanced laparoscopic surgery, the surgical incisions are small, allowing for fast recovery.
Close care and follow-up in a private group
Our medical team provides continuous advice on nutrition and health care, with support for a full year to help you reach your goals and stay healthy in the long term.
Premium Service
A nurse provides close care throughout the entire process. You receive exceptional care from the initial health check and treatment planning through to continuous follow-up for up to 1 year, without long waiting times, together with a medical team that provides close guidance throughout the treatment.
