Publications by authors named "Kular K"
Article Synopsis
- The study aimed to evaluate the long-term effects of metabolic and bariatric surgery (MBS) on the Quality of Life (QoL) among obese Indian patients over a 10-year period.
- Data from 2132 patients revealed significant improvements in QoL, with 'very good' scores observed at 1, 3, and 7 years, and 'good' scores at 5 and 10 years, correlating with reductions in body mass index (BMI).
- The findings suggest that MBS leads to sustained enhancements in QoL among individuals suffering from obesity, highlighting the importance of these outcomes in healthcare decision-making.
Purpose: There is a lack of evidence for treatment of some conditions including complication management, suboptimal initial weight loss, recurrent weight gain, or worsening of a significant obesity complication after one anastomosis gastric bypass (OAGB). This study was designed to respond to the existing lack of agreement and to provide a valuable resource for clinicians by employing an expert-modified Delphi consensus method.
Methods: Forty-eight recognized bariatric surgeons from 28 countries participated in the modified Delphi consensus to vote on 64 statements in two rounds.
Objective: This study aimed to evaluate the technical variations of one-anastomosis gastric bypass (OAGB) among IFSO-APC and MENAC experts.
Background: The multitude of technical variations and patient selection challenges among metabolic and bariatric surgeons worldwide necessitates a heightened awareness of these issues. Understanding different perspectives and viewpoints can empower surgeons performing OAGB to adapt their techniques, leading to improved outcomes and reduced complications.
Purpose: One anastomosis/mini gastric bypass (OAGB/MGB) is up to date the third most performed obesity and metabolic procedure worldwide, which recently has been endorsed by ASMBS. The main criticisms are the risk of bile reflux, esophageal cancer, and malnutrition. Although IFSO has recognized this procedure, guidance is needed regarding selection criteria.
View Article and Find Full Text PDFBackground: Fasting during Ramadan is one of the five pillars of the Muslim faith. Despite the positive effects of fasting on health, there are no guidelines or clear recommendations regarding fasting after metabolic/bariatric surgery (MBS). The current study reports the result of a modified Delphi consensus among expert metabolic/bariatric surgeons with experience in managing patients who fast after MBS.
View Article and Find Full Text PDFBackground: Although safe practice guidelines were issued by the Obesity and Metabolic Surgery Society of India (OSSI) in the end of May 2020, surgeons have been in a dilemma about risk of subjecting patients to hospitalisation and bariatric surgery. This survey was conducted with the objective to evaluate the risk of coronavirus disease-19 (COVID-19) infection in peri- and post-operative period after bariatric and metabolic surgery (BMS).
Methods: A survey with OSSI members was conducted from 20 July 2020 to 31 August 2020 in accordance with EQUATOR guidelines.
Bariatric and metabolic surgery (BMS), the only effective option for patients with obesity with or without comorbidities, has been stopped temporarily due to the ongoing novel corona virus disease (COVID-19) pandemic. However, there has been a recent change in the governmental strategy of dealing with this virus from 'Stay at Home' to 'Stay Alert' in many countries including India. A host of health services including elective surgeries are being resumed.
View Article and Find Full Text PDFIntroduction: Mini-Gastric Bypass (MGB) is becoming more and more popular as shown by the numerous articles published over the past 15 years, supporting the operation as a short and simple procedure with excellent outcomes and low complication rates. There is still confusion amongst surgeons on the technique of the operation. The purpose of this paper is to review and describe the technique of MGB by its originators.
View Article and Find Full Text PDFBackground: An increasing number of surgeons worldwide are now performing one anastomosis/mini gastric bypass (OAGB/MGB). Lack of a published consensus amongst experts may be hindering progress and affecting outcomes. This paper reports results from the first modified Delphi consensus building exercise on this procedure.
View Article and Find Full Text PDFBackground: There is currently little evidence available on the perioperative practices concerning one anastomosis/mini gastric bypass (OAGB/MGB) and no published consensus amongst experts. Even the published papers are not clear on these aspects. The purpose of this study was to understand various perioperative practices concerning OAGB/MGB.
View Article and Find Full Text PDFArticle Synopsis
- A study surveyed 417 bariatric surgeons worldwide, revealing significant skepticism about the One Anastomosis/Mini Gastric Bypass (OAGB/MGB) due to concerns over cancer risks, complication rates, and effectiveness.
- Over half of respondents worried about increased risks of gastric and esophageal cancers, and many believed the surgery had higher early and late complication and mortality rates compared to the Roux-en-Y gastric bypass (RYGB).
- A large portion of surgeons noted that OAGB/MGB isn't officially recognized as a mainstream procedure in their countries, with many indicating they might adopt it if it received proper approval.
Article Synopsis
- Mini-gastric bypass (MGB) is a safe and effective treatment for patients with type II diabetes and obesity, but its long-term effects for those with a BMI under 35 kg/m² are less understood.
- A study of 128 patients with BMI 30-35 kg/m² showed significant improvements in diabetes management, with a 95% rate achieving an HbA1c <7% within 6 months and strong remission rates over several years.
- MGB significantly lowered HbA1c levels over time and resulted in no deaths, though a small percentage faced major complications, highlighting the benefits of early intervention for better long-term outcomes in diabetes control.
Background: Few reports have compared laparoscopic sleeve gastrectomy (LSG) to laparoscopic Roux-en-Y procedure (LRNY). This study aims at comparing the 5-year follow-up results of mini gastric bypass (MGB or omega gastric bypass (OGB)) and LSG in terms of weight loss, weight regain, complications, and resolution of co-morbidities.
Methods: A retrospective analysis of the prospectively collected database was done from the start of our bariatric practice from February 2007 to August 2008 (minimum 5-year follow-up).
Background: We started laparoscopic mini-gastric bypass (MGB) for the first time in India in February 2007 for its reported safety, efficacy, and easy reversibility.
Methods: A retrospective review of prospectively maintained data of all 1,054 consecutive patients (342 men and 712 women) who underwent MGB at our institute from February 2007 to January 2013 was done.
Results: Mean age was 38.