Weight Management Clinic
Obesity is fast becoming a common problem faced by developed and developing countries, Malaysia included. Obesity is a complex, multifactorial condition characterized by excess body fat. Generally, men with >25% body fat and women with >35% body fat are considered obese.
The Malaysia National Health Morbidity Survey data revealed in that in adults, 20.7% were overweight and 5.8% obese (0.3% of whom had BMI values of >40.0 kg m(-2)); the prevalence of obesity was clearly greater in women than in men. In women, obesity rates were higher in Indian and Malay women than in Chinese women, while in men the Chinese recorded the highest obesity prevalence followed by the Malay and Indians. 1
Nilai Medical Centre offers weight loss surgery for obese patients who have tried for many years to lose weight through eating right and exercising but still struggling to shed the excess weight.
Obesity and Bariatric Surgery
Endoscopic Intra-Gastric Balloon
Intra-gastric balloon is a short-term weight loss solution for those candidates who are considered too heavy for surgery.
The intra-gastric balloon is an insertion of silicone balloon into the stomach through an endoscopic procedure. Once the soft, expandable silicone balloon is fitted inside the stomach, it will be filled with about 500 ml of sterile saline solution. As the balloon fills a large portion of the stomach, it will create a fullness feeling. Therefore, patient would not overeat, and is able to diet without feeling hungry.
The gastric balloon will be removed after 6 months.
Laparoscopic Adjustable Gastric Band (LAGB)
An adjustable band is placed around the top portion of the stomach to create a small stomach pouch at the top of the stomach. The tightness of the band is adjusted by adding or removing saline through a port attached under the skin in the abdomen. The pouch holds approximately 1/2 cup of food whereas the typical stomach holds 6 cups of food. The pouch fills with food quickly and sends a message to the brain that the entire stomach is full. The sensation helps the person to be hungry less often, feel full more quickly and for a longer period of time, eat smaller portions, and lose weight overtime.
LAGB result in loss of up to 54% excess weight.
Sleeve gastrectomy is a procedure where 2/3 of the patient's stomach is removed surgically. The new small stomach is about the size of a banana.
With this small stomach, patient have been shown to lose up 80% of thier excess weight.
Gastric plication is a new laparoscopic procedure that involves reducing the stomach volume by folding and stitching the stomach wall and reducing it to the size of a narrow tube. This procedure is like sleeve gastrectomy, but there is no cutting or removing of any portion of the stomach.
Patient manage to lose 60-70% of excess weight with Gastric Plication.
Band plication is a procedure that combines the safety and benefit of gastric plication and LAGB.
Benefits of gastric band plication are:
- Minimally invasive procedure.
- No removal of stomach tissue.
- Reduces the risk of complications like bleeding or leaks from the stapler line of sleeve gastrectomy.
- Significant short-term and long term weight loss.
- Completely reversible.
- No significant risk of mal-absorption or malnutrition.
Band plication is known to result in loss of 70-80% of excess weight.
1 Ismail MN, Chee SS, Nawawi H, Yusoff K, Lim TO, James WP. Obesity in Malaysia.
Obes Rev. 2002 Aug;3(3):203-8. Review. PubMed PMID: 12164473.