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Bariatric Surgery Case Study: Kael Sangnam
Bariatrics Rachel Rowling

Bariatric Surgery Case Study: Kael Sangnam

Background:

Kael Sangnam, a 37-year-old with a BMI of 34.7, had been struggling with several health issues, including sleep apnea, shortness of breath, and persistent back pain. Despite various attempts to manage her weight, these health conditions continued to affect her quality of life. Realizing that these conditions were closely linked to her weight, Kael decided to undergo a gastric sleeve procedure to improve her health and overall well-being.

Name: Kael Sangnam
Age: 37 Years
Initial Weight: 90 kg
Height: 161 cm
BMI: 34.7
Operation Date: March 5, 2024
Procedure: Gastric Sleeve
Surgeon: Dr. Ratchamon P.
Location: Bangkok, Thailand

The Procedure:

On March 5, 2024, Kael underwent a gastric sleeve procedure performed by Dr. Ratchamon P. at a renowned medical facility Pat Ransit Hospital in Bangkok, Thailand. The surgery involved reducing the size of Kael's stomach, significantly limiting her food intake and promoting weight loss. The operation was successfully completed with no complications, and Kael was closely monitored throughout her recovery.

Post-Operative Progress:

Following the surgery, Kael experienced a remarkable transformation. In just five months, she lost 30 kg, bringing her weight down to 60 kg and reducing her BMI to 23.1. The weight loss led to significant improvements in her health. Her back pain disappeared, and her sleep apnea was resolved, allowing her to sleep soundly without interruptions.

Kael reported that the surgery had a minimal impact on her daily life. She experienced no pain from the surgical wounds, which healed quickly. She was able to walk and perform light activities while still in the hospital, which contributed to a swift recovery. The five small incisions on her abdomen healed rapidly, leaving minimal scarring.

Remote Patient Monitoring:

To ensure continuous support and optimal post-operative care, Kael was enrolled in Taqtik Health's Remote Patient Monitoring (RPM) program. This program allowed her to monitor her progress closely, tracking her vital signs, weight, and overall well-being in real-time. Kael appreciated the additional layer of support, saying,

"The Remote Patient Monitoring has been a game-changer for me. Knowing that I can track my own progress and share this with my doctor gives me peace of mind. It’s reassuring to have that level of care, even after leaving the hospital."

Feedback and Outlook:

Reflecting on her experience, Kael shared,

"I underwent this surgery because of my sleep apnea and shortness of breath, and I also had severe back pain. But after losing weight from 90 kg to 60 kg, my back pain disappeared, and my sleep issues are gone. The doctor told me that the first six months after the surgery are the golden period for weight loss, and I might reach my final weight of around 50-55 kg. That’s so amazing."

Kael’s journey demonstrates the life-changing potential of bariatric surgery, especially when combined with a commitment to a healthier lifestyle and the support of advanced tools like Remote Patient Monitoring. Her story highlights the importance of choosing a skilled surgical team and receiving comprehensive care, both of which were provided by Taqtik Health.

Conclusion:

Kael Sangnam's case is a testament to the effectiveness of gastric sleeve surgery in addressing obesity-related health issues and improving overall quality of life. With the support of Taqtik Health, Dr. Ratchamon P., and the RPM program, Kael was able to achieve significant weight loss and experience a dramatic improvement in her health. As she continues her journey, Kael is optimistic about reaching her target weight and maintaining her newfound well-being.

Call to Action:

If you are interested in exploring your options for bariatric surgery and receiving comprehensive post-operative care, including Remote Patient Monitoring, contact us below. Taqtik Health is here to support you every step of the way on your journey to better health. Simply request a quote at anytime. 

Additional Resources:

 

How to Choose the Right Bariatric Procedure or Weight Loss Solution
Bariatrics Taqtik Health

How to Choose the Right Bariatric Procedure or Weight Loss Solution

Choosing the right weight loss solution is a deeply personal decision that depends on various factors, including your health, lifestyle, and goals. At Taqtik Health, we understand the complexities involved in making this choice and aim to provide you with comprehensive information to help you make an informed decision. This guide will explore the different bariatric procedures and weight loss solutions available, including gastric bypass, gastric sleeve, gastric balloon, and medical options like Ozempic and semaglutide injections. We will discuss the benefits, risks, and considerations for each, helping you determine the best path forward.

Understanding Bariatric Surgery and Weight Loss Solutions

Bariatric surgery and weight loss medications are tools that can assist individuals in achieving significant weight loss and improving overall health. These interventions are often recommended when lifestyle changes alone, such as diet and exercise, have not yielded sufficient results. The primary goal of these solutions is to reduce the risk of obesity-related complications, such as type 2 diabetes, hypertension, sleep apnea, and heart disease.

1. Gastric Bypass Surgery

What is Gastric Bypass?

Gastric bypass surgery, also known as Roux-en-Y gastric bypass, is a well-established bariatric procedure. It involves creating a small pouch at the top of the stomach and connecting it directly to the small intestine, bypassing a significant portion of the stomach and the first part of the small intestine.

Who is it for?

Gastric bypass is typically recommended for individuals with a BMI of 40 or higher, or those with a BMI of 35 or higher with obesity-related health conditions such as diabetes, hypertension, or sleep apnea. It is especially beneficial for patients with severe acid reflux (GERD) since the procedure can reduce or eliminate symptoms.

Benefits

  • Significant Weight Loss: Patients can lose up to 60-80% of their excess body weight within the first 18-24 months.
  • Improved Health Conditions: Many patients experience a resolution or improvement of obesity-related conditions.
  • Long-Term Success: Gastric bypass is associated with sustained weight loss over the long term.

Considerations

  • Nutritional Deficiencies: Due to the reduced absorption of nutrients, patients must take lifelong vitamin and mineral supplements.
  • Dumping Syndrome: Some patients experience this condition, where food moves too quickly through the small intestine, causing nausea, vomiting, and diarrhea.

2. Gastric Sleeve Surgery

What is Gastric Sleeve?

Gastric sleeve surgery, also known as sleeve gastrectomy, involves removing approximately 75-80% of the stomach, leaving a narrow tube or "sleeve." This procedure reduces the stomach's capacity, limiting food intake.

Who is it for?

This procedure is suitable for individuals with a BMI of 40 or higher, or those with a BMI of 35 or higher with associated health conditions. It is an excellent option for those seeking significant weight loss without the need for complex intestinal bypass.

Benefits

  • Significant Weight Loss: Patients can lose 50-70% of their excess body weight within the first year.
  • No Bypass: The procedure does not involve rerouting the intestines, reducing the risk of nutritional deficiencies.
  • Reduced Hunger: The removal of the stomach's fundus, which produces the hunger hormone ghrelin, often leads to reduced appetite.

Considerations

  • Irreversible: Unlike adjustable gastric banding, the gastric sleeve is irreversible.
  • Potential for Weight Regain: Some patients may experience weight regain over time if dietary guidelines are not followed.

3. Gastric Balloon

What is Gastric Balloon?

A gastric balloon is a non-surgical weight loss solution involving inserting a deflated balloon into the stomach through the mouth. Once in place, the balloon is inflated with saline, occupying space in the stomach and promoting a feeling of fullness.

Who is it for?

The gastric balloon is suitable for individuals with a BMI of 30-40 who have not achieved weight loss through diet and exercise alone. It is also an option for patients who need to lose weight before undergoing a more invasive surgical procedure.

Benefits

  • Non-Surgical: The procedure is minimally invasive, typically performed as an outpatient procedure.
  • Temporary: The balloon is removed after six months, making it a reversible option.
  • Moderate Weight Loss: Patients can lose an average of 10-15% of their total body weight.

Considerations

  • Temporary Solution: The balloon is not a long-term solution and requires lifestyle changes to maintain weight loss after removal.
  • Potential Discomfort: Some patients experience nausea, vomiting, or abdominal discomfort, especially in the first few days after insertion.

4. Ozempic and Semaglutide Injections

What are Ozempic and Semaglutide?

Ozempic is a brand name for semaglutide, a medication originally developed to treat type 2 diabetes. It mimics the hormone GLP-1 (glucagon-like peptide-1), which helps regulate blood sugar levels and appetite. Semaglutide is also available under the brand name Wegovy, specifically for weight loss.

Who is it for?

Ozempic and other semaglutide-based medications are suitable for adults with a BMI of 30 or higher, or those with a BMI of 27 or higher with at least one weight-related health condition. They are particularly beneficial for individuals who prefer a non-surgical approach to weight loss.

Benefits

  • Effective Weight Loss: Clinical trials have shown that patients can lose up to 15% of their body weight.
  • Blood Sugar Control: It helps manage blood sugar levels, making it ideal for patients with type 2 diabetes.
  • Appetite Suppression: The medication slows gastric emptying and promotes a feeling of fullness, reducing calorie intake.

Considerations

  • Side Effects: Common side effects include nausea, vomiting, diarrhea, and constipation.
  • Cost: Semaglutide injections can be expensive, and insurance coverage may vary.
  • Long-Term Commitment: Patients may need to continue the medication long-term to maintain weight loss.

Choosing the Right Solution: Key Considerations

When deciding on a bariatric procedure or weight loss solution, several factors must be considered. Here are some key considerations to help you make an informed decision:

1. Health Conditions and Medical History

Your overall health and medical history are crucial in determining the most suitable weight loss solution. For example, if you have a history of acid reflux, gastric bypass may be more appropriate than gastric sleeve. If you have type 2 diabetes, semaglutide injections might offer the dual benefit of weight loss and blood sugar control.

2. Weight Loss Goals

Consider your weight loss goals and the amount of weight you want to lose. More invasive surgical procedures like gastric bypass and gastric sleeve may be more suitable for significant weight loss, while options like the gastric balloon and semaglutide injections are better for moderate weight loss.

3. Lifestyle and Preferences

Your lifestyle and personal preferences play a significant role in choosing the right solution. If you prefer a non-surgical approach, the gastric balloon or semaglutide injections may be more appealing. Conversely, if you're looking for a more permanent solution, bariatric surgery might be the right choice.

4. Commitment and Compliance

Weight loss solutions require a commitment to lifestyle changes, including diet and exercise. Consider your willingness to adhere to post-procedure guidelines, such as dietary restrictions and follow-up appointments. Long-term success often depends on your ability to maintain these changes.

5. Risks and Complications

Each weight loss solution has potential risks and complications. It's essential to discuss these with your healthcare provider to understand the potential outcomes and determine the best option for you.

Conclusion: Finding Your Path with Taqtik Health

At Taqtik Health, we are committed to helping you find the best weight loss solution tailored to your needs. Whether considering bariatric surgery or exploring medical weight loss options, our team of experts is here to guide you through the decision-making process.

Every journey is unique, and the right solution depends on your health, goals, and preferences. By understanding the available options and considering the key factors outlined in this guide, you can make an informed decision that sets you on the path to a healthier, happier life.

We invite you to contact Taqtik Health for a personalized consultation and support in achieving your weight loss goals. Together, we can find the right solution and help you embark on a transformative journey toward better health and well-being.

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