PatRangit Hospital

Bariatric Surgery at Pat-Rangsit Hospital: Transforming Lives with Expert Care

Bangkok, the crown jewel of Thailand, isn’t just famous for its mesmerizing temples and delectable street food. Recently, it’s been earning accolades for its world-class medical facilities and treatments. One such beacon of medical excellence is Pat-Rangsit Hospital. And at Taqtik Health, we take immense pride in guiding our clients to this impressive establishment, especially for life-transforming procedures such as the gastric sleeve surgery.

About Gastric Sleeve Surgery 

For those new to the term, gastric sleeve surgery, or sleeve gastrectomy, is a procedure where a large portion of the stomach is removed, resulting in a banana-shaped “sleeve” that connects to the intestines. This surgery can be a game-changer for those who have battled obesity, helping them attain sustainable weight loss by curbing excessive hunger and promoting early satiety.

Why Pat-Rangsit Hospital is a Taqtik Health Recommendation

  1. Top-tier Medical Team: Entrust your well-being to a proficient team of surgeons, dietitians, and dedicated healthcare professionals.
  2. Modern Medical Amenities: Benefit from the latest medical equipment and facilities, ensuring the highest standard of care.
  3. Value for Money: Bangkok’s reputation as a hub for medical tourism isn’t just due to quality but also the affordability of treatments. Pat-Rangsit Hospital embodies this balance perfectly.
  4. Holistic Patient Care: From dietary advice to post-operative therapy, every patient receives a comprehensive care package tailored to their needs.
  5. International Patients Are Priority: With services ranging from translation to travel assistance, international patrons feel right at home.

Taqtik Health & Your Journey to Health

We understand that the journey to health, especially for international medical tourists, can be laden with uncertainties. Taqtik Health strives to make this journey smooth, ensuring that you get the best treatments available while enjoying the serenity and beauty Bangkok has to offer.

Tales of Transformation

Through Taqtik Health, numerous clients have taken the leap towards better health at Pat-Rangsit Hospital. Their success stories, replete with newfound confidence and health milestones, serve as an inspiration to us all.

Closing Thoughts

Your journey to a healthier, more vibrant self deserves nothing but the best. At Taqtik Health, we’re here to guide you every step of the way, ensuring you find the best treatments and experiences. With Pat-Rangsit Hospital as one of our top recommendations in Bangkok, we’re confident in the positive transformation that awaits you. Join us, and let’s embark on this journey together.

Allurion Balloon vs. Gastric Sleeve: A Comparative Analysis

Allurion Balloon vs. Gastric Sleeve: A Comparative Analysis

When it comes to weight loss interventions, Allurion Balloon and gastric sleeve surgery are two popular options that offer effective results. Both approaches have their unique benefits and considerations, making it important for individuals to understand their differences before making an informed decision.

Allurion Balloon: Non-surgical Approach to Weight Loss:

The Allurion Balloon is a non-surgical, temporary gastric balloon that is placed in the stomach through a minimally invasive procedure. It works by creating a feeling of fullness and reducing the capacity of the stomach, helping individuals consume smaller portions and achieve weight loss. The balloon remains in the stomach for a specific duration and is then removed.

Gastric Sleeve Surgery: Surgical Restriction and Hormonal Changes:

Gastric sleeve surgery, also known as sleeve gastrectomy, is a surgical procedure that involves removing a significant portion of the stomach. This results in a smaller stomach pouch, which restricts food intake and induces hormonal changes that promote satiety. The procedure is irreversible and requires general anesthesia.

Comparison of Allurion Balloon and Gastric Sleeve:

a) Invasiveness and Procedure Duration:

  • Allurion Balloon: It is a non-surgical procedure that can be completed within 20 minutes, typically done under local anesthesia.
  • Gastric Sleeve Surgery: It is a surgical procedure that requires general anesthesia and usually takes around 1-2 hours.

b) Weight Loss Results:

  • Allurion Balloon: It can help individuals achieve significant weight loss, typically ranging from 10% to 15% of their initial body weight.
  • Gastric Sleeve Surgery: It is considered a more aggressive procedure, leading to substantial weight loss of around 60% to 70% of excess body weight.

c) Duration of Intervention:

  • Allurion Balloon: The balloon is typically left in the stomach for approximately 6 months before being removed.
  • Gastric Sleeve Surgery: It is a permanent procedure that permanently alters the structure and capacity of the stomach.

d) Recovery Time and Lifestyle Changes:

  • Allurion Balloon: It involves a shorter recovery period, allowing individuals to resume their daily activities shortly after the procedure. Lifestyle changes, including adopting a healthy diet and regular exercise, are crucial for long-term success.
  • Gastric Sleeve Surgery: The recovery period is relatively longer, with individuals needing several weeks for full recovery. Post-surgery, significant dietary and lifestyle changes are required for successful weight loss and maintenance.

e) Risks and Considerations:

  • Allurion Balloon: The risks associated with Allurion Balloon are generally minimal and include temporary side effects such as nausea, vomiting, and abdominal discomfort.
  • Gastric Sleeve Surgery: As a surgical procedure, gastric sleeve surgery carries inherent risks associated with anesthesia, bleeding, infection, and potential long-term complications.

Next Steps

Both Allurion Balloon and gastric sleeve surgery offer viable options for individuals seeking weight loss interventions. The choice between them depends on various factors, including the desired degree of weight loss, invasiveness, recovery time, and long-term considerations. It is essential to consult with healthcare professionals specializing in weight loss procedures to determine the most suitable option based on individual needs, medical history, and lifestyle factors. By understanding the differences and considering personal preferences, individuals can make an informed decision and embark on a successful weight loss journey tailored to their specific circumstances.

History of bariatric surgery

The History and Types of Bariatric Surgery

History of Bariatric Surgery Classification

Historically, weight loss surgeries were classified based on their supposed mechanisms of action. Adjustable gastric banding was considered as a purely restrictive surgery, but a high long-term complication rate associated with weight regain, slippage and erosions has led to a loss of interest in this procedure in favor of surgeries with a metabolic impact. Hypoabsorptive surgeries were thought to decrease the absorption of nutrients by bypassing portions of the small intestine (i.e., gastric bypass or duodenal switch). However, mechanistic studies have described many metabolic modifications, including changes in incretins, gut hormones, bile acids levels, and microbiota, which has led to referring to these surgeries as “metabolic operations.”

What Bariatric Surgery is Right for Me?

The decision for the type of surgery is made by your bariatric surgeon based on the patient’s medical condition, including weight, obesity-related diseases, expected adherence with supplementation and follow-up, patients’ personal goals and preferences in terms of expected weight loss, resolution of comorbidities, and side effects.

The goal is to find a balance between the complications and risk of mortality associated with obesity itself, to improve the patient’s quality of life (QOL), and reduce obesity-related diseases while aiming for acceptable short- and long-term complications and side effects related to the surgery itself. As a rule of thumb, early and long-term risks and side effects, but also maintenance of weight loss and remission of comorbidities, are proportional to the intestinal bypass. Other bariatric procedures such as single-anastomosis duodeno-ileostomy and single-anastomosis gastric bypass are becoming more popular, but are still lacking substantial scientific rationale.

Adjustable gastric banding

Adjustable gastric banding is one of the procedures that has evolved the most over the last 20 years, from a non-adjustable gastric band performed by laparotomy to laparoscopically performed adjustable gastric banding. Iterations of the technique have always aimed to reduce the complications that appeared over time. The procedure consists in placing an adjustable silicone band at the level of the cardia, creating a small stomach pouch above the band, with the rest of the stomach below the band. The gastric band is connected by a silicone tube to a subcutaneous reservoir. The reservoir can be inflated or deflated to control the opening between the pouch and the remainder of the stomach. Even though this procedure is associated with the lowest short-term complication rate, it is associated with a high long-term complication rate and weight regain, which has led to its progressive replacement by sleeve gastrectomy.

Sleeve gastrectomy

Sleeve gastrectomy was first used by laparoscopy as a staged approach in order to reduce peri-operative complications in high-risk patients. Interestingly, some patients experienced appreciable weight loss with the sleeve gastrectomy alone and did not require second-stage surgery, thus avoiding the side effects of malabsorption. Its relative technical simplicity and good outcomes led to a worldwide surge in popularity as a stand-alone procedure, starting around 2008. This procedure involves resection of the lateral part of the stomach to create a narrow gastric tube along the lesser curvature. It promotes weight loss through reduced meal volume and reduced appetite. It has become the most frequently performed surgical approach, representing 45.9% and 58.3% of all surgeries in the world and in North America. In addition, sleeve gastrectomy is typically easier to revise in case of weight regain compared with Roux-en-Y gastric bypass.

Roux-en-Y gastric bypass

Roux-en-Y gastric bypass involves the creation of a small gastric pouch at the level of the cardia. This pouch is connected to the proximal small bowel by bypassing the first 75–150 cm and bringing a 100–150 cm alimentary limb onto the gastric pouch. Short-term metabolic and hormonal effects have been studied extensively in numerous studies.24 It has been considered as the gold standard in bariatric surgery until recently when it was supplanted by sleeve gastrectomy.

Duodenal switch

The duodenal switch combines moderate restrictive and hypoabsorptive mechanisms by creating a wider sleeve gastrectomy, while the duodenum is transected distal to the pylorus and anastomosed to a 250 cm alimentary limb, leaving a 100-cm common channel for nutrient absorption. Duodenal switch reduces morbidity and mortality, improves T2DM, and corrects many features of the metabolic syndrome in long-term studies. This operation compares very advantageously with the other surgical options available, offering the most pronounced and durable weight loss and 80–90% remission rates .

Yet, the technical complexity and the risk of long-term nutritional deficiencies have hindered its widespread use. According to the most recent data, duodenal switch represented 1.1% of the total number of surgeries worldwide.

Next Steps

If you are considering bariatric surgery and would like to arrange a teleconsultation, or request a quote we would be pleased to support you with this and help you on your path to health and wellness. You can also review bariatric price guides here.