Specialist in General Surgery & Laparoscopy
Obesity Surgery Specialist
Dr. Ahmed El-Khouly
๐ฉบ Specialist in General Surgery & Laparoscopy
๐ Obesity Surgery Specialist
๐ Suez Canal Authority Hospitals
Subspecialties:
๐ถ Pediatric General Surgery:
Surgery for emergency and elective conditions in children of all ages, such as abdominal injuries and intestinal infections.
โ๏ธ Obesity & Weight Loss Surgery:
Surgical procedures like gastric sleeve or bypass to treat severe obesity in a permanent manner.
๐ฝ๏ธ Abdominal Surgery:
Includes surgery for internal abdominal organs such as the stomach, intestines, liver, and spleen, including hernias and inflammation cases.
๐ฌ Endocrine Surgery:
Treatment for tumors or health issues related to endocrine glands such as the thyroid and parathyroid glands.
๐ Gastrointestinal Surgery & Laparoscopy for Adults:
Surgery for gastrointestinal diseases such as ulcers, intestinal inflammation, and cancers using laparoscopic techniques.
๐๏ธ Breast Cancer Surgery:
Diagnosis and treatment of breast tumors using precise surgical techniques, whether benign or malignant.
Academic Qualifications:
๐ Masterโs in Surgery
From the Faculty of Medicine, Mansoura University, Egypt, in 2020.
Professional Experience:
๐ฅ 2018 - Present:
Specialist in General Surgery at Suez Canal Authority Hospitals.
Work Style and Care Approach:
๐ Initial Consultation:
Dr. Ahmed starts each case with a thorough consultation to understand the patient's medical history and current condition.
๐ฌ Diagnosis:
Uses the latest diagnostic techniques such as CT scans and laboratory tests to provide an accurate diagnosis.
๐ ๏ธ Surgical Treatment:
Based on the diagnosis, the most suitable treatment is determined, whether it is through open surgery or advanced laparoscopic techniques.
๐จโโ๏ธ Post-surgery Care:
Dr. Ahmed ensures proper follow-up after surgery to monitor the patient's recovery and reduce complications.
Location and Appointment Details:
๐ Address: Port Said City, Mohamed Ali Street.
๐ Phone Number: 01005469856
(For appointment bookings or inquiries)
Additional Services:
โ Medical Consultations in general surgery, obesity, breast cancer, and gastrointestinal issues.
๐ฑ Remote Consultations: Phone consultations for minor concerns.
Bariatric surgery is a surgical intervention aimed at treating morbid obesity that cannot be managed through diet and exercise. It involves techniques such as gastric sleeve surgery or gastric bypass, where the size of the stomach or the path of food in the digestive system is altered to reduce food absorption or the amount of food that can be consumed.
Gastric sleeve surgery is a procedure in which a large portion of the stomach (about 75-80%) is removed, making the stomach smaller and tubular in shape. This results in a reduced capacity for food intake and promotes a sense of fullness more quickly. Gastric sleeve surgery also lowers levels of hunger-inducing hormones.
Benefits of Gastric Sleeve Surgery:
Gastric bypass surgery, also known as Roux-en-Y gastric bypass, involves creating a direct connection between the upper part of the stomach and the small intestine, bypassing a portion of both the stomach and small intestine. This results in reduced food absorption, as food passes directly from the stomach to the small intestine.
Benefits of Gastric Bypass:
Other criteria: The patient should be in overall good health and willing to make long-term lifestyle changes post-surgery.
Bariatric surgery offers not only weight loss but also significant health benefits:
Bariatric surgery is performed using advanced techniques such as laparoscopic surgery, which reduces pain and speeds up recovery. Most procedures are done under general or local anesthesia. After the surgery, patients may experience mild discomfort or pain, but it is usually manageable with pain relievers.
Post-surgery pain: The pain typically lasts for 2 to 3 days, with the need for pain medication gradually decreasing.
Like any surgery, bariatric surgery comes with some risks, including:
The recovery time depends on the type of surgery and the patient's condition, but typically, it takes about 1 to 2 weeks for the patient to return to light daily activities. For exercises or strenuous physical activities, it is recommended to wait 4 to 6 weeks before resuming.
Returning to normal activities: Most patients can return to their normal life within a month after surgery.
Weight regain is possible in some cases, especially if patients do not adhere to necessary lifestyle changes. Behavioral therapy, healthy eating, and regular exercise are crucial for maintaining tangible results.
Long-term success rate: With adherence to the doctor's instructions, many patients experience sustained weight loss and improvements in their health.
It is preferred not to perform bariatric surgery during pregnancy, and it is advisable to wait until after childbirth. For chronic diseases, the condition should be well-controlled before undergoing surgery. Consulting with a doctor is necessary to determine if the patient's health allows for safe surgery.
Pregnancy: It is recommended to wait until weight stabilizes post-pregnancy before considering surgery. Chronic diseases: If the patient has a chronic condition such as diabetes or heart disease, the doctor may recommend a thorough evaluation to ensure the body can handle the surgery safely.
Sleeve Gastrectomy: Reduces stomach size by removing about 70-80% of it, which decreases appetite and helps with consuming smaller amounts of food. It doesnโt affect nutrient absorption and is simpler than gastric bypass, but itโs less effective in treating diabetes.
Gastric Bypass: Divides the stomach and connects the smaller part directly to the small intestine, which reduces both food intake and absorption. Itโs very effective for treating obesity and related conditions like diabetes, but itโs more complex and may require lifelong nutritional supplements.
The choice depends on the patientโs condition, health needs, and doctorโs recommendations.
What are the risks of gastric bypass surgery?
Gastric bypass surgery is effective for treating severe obesity, but it carries some risks, including:
Surgical Complications: Such as bleeding, infection, or leakage at the connection between the stomach and intestines.
Vitamin and Mineral Deficiencies: The surgery reduces nutrient absorption, which may lead to deficiencies in vitamins like B12, iron, and calcium, requiring lifelong supplements.
Dumping Syndrome: A condition where food moves too quickly from the stomach to the intestines, causing nausea, sweating, dizziness, and diarrhea.
Intestinal Blockage: An obstruction in the intestines can occur due to surgical changes, requiring medical intervention.
Increased Risk of Gallstones: Due to rapid weight loss.
Long-term Side Effects: Such as stomach ulcers, low blood sugar, and chronic diarrhea.
Patients should discuss these risks with their doctor and evaluate them before deciding to proceed with the surgery.
The success rate of gastric bypass surgery is generally high, with a success rate ranging from 85% to 90%. Success is typically measured by achieving a loss of 50% or more of excess weight within the first year after surgery. Additionally, many obesity-related conditions, such as type 2 diabetes, high blood pressure, and sleep apnea, often improve or even resolve entirely following the procedure.
However, long-term success depends on the patientโs commitment to lifestyle changes, including maintaining a balanced diet, regular exercise, and ongoing medical follow-ups to monitor for potential complications.
Laparoscopic surgery is a medical technique that involves performing operations through very small incisions in the body using specialized tools and a camera. This approach reduces the size of the surgical wound compared to traditional surgery, which requires larger incisions.
Benefits:
Reduces post-operative pain due to smaller incisions.
Lowers the risk of infection, as the wounds are smaller and less exposed.
Speeds up wound healing, allowing patients to resume their normal activities within a short period.
Shortens hospital stays, reducing costs and enhancing the overall treatment experience.
Minimizes visible scars, providing an important cosmetic advantage.
Yes, laparoscopic techniques can be used in many cancer surgeries, especially for cancers involving the digestive system (such as colon and stomach tumors) or other internal organs.
How is it done?
Specialized tools and an advanced camera are inserted through very small incisions in the body, allowing the surgeon to precisely view and remove the tumor efficiently.
Benefits:
Reduces bleeding during surgery.
Preserves surrounding tissues as much as possible.
Speeds up patient recovery compared to traditional open surgery.
Minimizes complications such as post-operative infections or adhesions.
Enables surgeons to perform operations with high precision using advanced technology.
Limitations:
In advanced cases or when tumors are large, laparoscopic surgery may not be suitable. The appropriate method is determined based on the patientโs medical condition and tumor characteristics.
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If you feel pain in your abdomen, you can distinguish between stomach pain and colon pain through the following points:
Location of Pain:
1. Stomach pain: It is usually located in the upper part of the abdomen, just below the chest.
2. Colon pain: It is typically in the lower abdomen, especially on the left side, but it may spread across the abdomen.
Nature of the Pain:
1. Stomach pain: It is usually a burning sensation or severe pain, especially after eating or when hungry, and may be accompanied by heartburn or nausea.
2. Colon pain: The pain is often in the form of cramps or spasms, and it may improve after passing gas or having a bowel movement.
Accompanying Symptoms:
1. Stomach pain: It may be associated with nausea, belching, heartburn, or a feeling of fullness.
2. Colon pain: It may be accompanied by bloating, gas, diarrhea or constipation, and sometimes a feeling of bloating in the lower abdomen.
Timing:
1. Stomach pain: It tends to increase after eating a heavy or spicy meal, and sometimes gets worse when lying down after eating.
2. Colon pain: It often worsens during times of stress or anxiety and is frequently related to digestive issues.
If the pain persists or is severe, it's recommended to visit a doctor for proper diagnosis and treatment.
Types of Colon Diseases:
Irritable Bowel Syndrome (IBS): A disorder of bowel movement, causing abdominal pain, bloating, diarrhea, or constipation.
Ulcerative Colitis: A chronic inflammation of the colon causing abdominal pain, bloody diarrhea, fatigue, and weight loss.
Crohn's Disease: A chronic inflammation affecting the intestines and colon, causing abdominal pain, diarrhea, and weight loss.
Ischemic Colitis: Reduced blood flow to the colon, causing abdominal pain and bleeding.
Colon Tumors: Includes benign and malignant tumors, such as colon cancer, with symptoms like changes in bowel habits and weight loss.
Diverticulosis and Diverticulitis: Small pockets in the colon that become inflamed, causing abdominal pain, fever, and nausea.
Infectious Colitis: Caused by bacterial or viral infections, leading to diarrhea and cramps.
Each of these conditions requires different treatment, and it's advised to consult a doctor for proper diagnosis.
Acid reflux, or gastroesophageal reflux disease (GERD), is a condition where stomach acid flows back into the esophagus due to a weakened lower esophageal sphincter.
Symptoms of acid reflux:
1. Heartburn: A burning sensation in the chest, especially after eating or lying down.
2. Belching: Expelling gas from the stomach, often with a sour or bitter taste.
3. Difficulty swallowing: Pain or discomfort when swallowing food.
4. Sour or bitter taste in the mouth.
5. Sore throat or hoarseness.
6. Chronic cough: Persistent coughing not associated with respiratory issues.
7. Nausea.
8. Chest pain: It may sometimes feel like angina (heart pain).
When to see a doctor: If symptoms are persistent, severe, or if thereโs chest pain with shortness of breath.
Tips to reduce symptoms:
1. Avoid foods that trigger acidity.
2. Eat smaller, more frequent meals.
3. Avoid lying down after eating.
4. Raise the head of your bed while sleeping.
5. Quit smoking and avoid alcohol.
Treatment includes dietary changes and medications to reduce stomach acid.
1. It's a condition where stomach acid flows back into the esophagus due to a weakened or relaxed lower esophageal sphincter.
2. Symptoms include heartburn, burping, difficulty swallowing, and chest pain.
Esophagitis:
1. It refers to inflammation or irritation of the esophagus lining, caused by various factors like acid reflux, infection, or the effect of medications.
2. Symptoms include pain while swallowing, sore throat, hoarseness, and sometimes bleeding or ulcers in the esophagus.
Key Differences:
1. Cause: Acid reflux is the main cause of esophagitis, but esophagitis can also result from infection or medications.
2. Symptoms: Esophagitis may cause more intense pain while swallowing and could lead to ulcers or bleeding in the esophagus.
When to see a doctor: If symptoms persist or recur, it's best to visit a doctor for a proper diagnosis and appropriate treatment.
Here are some symptoms that may indicate a digestive issue:
If you experience any of these symptoms frequently or severely, itโs advisable to consult a doctor to determine the cause and receive appropriate treatment.
Some digestive system diseases can be dangerous, but it depends on the type of disease and how advanced it is. Here are some cases that could be dangerous:
Chronic diseases: Conditions like Crohn's disease or ulcerative colitis, which can lead to complications such as chronic inflammation or blockages.
Digestive system cancers: Like stomach or colon cancer, which can be serious, but early detection significantly improves treatment outcomes.
Bleeding: Conditions like stomach ulcers or hemorrhoids can lead to internal bleeding, which requires immediate medical attention.
Acute infections: Such as acute pancreatitis or appendicitis, which need urgent care.
Absorption issues: Conditions like celiac disease can result in malnutrition.
Organ function problems: In advanced stages, digestive system issues can lead to liver or pancreas failure.
Summary:
While some digestive system diseases are not life-threatening, others can lead to severe complications if not treated properly. It's important to see a doctor if you experience persistent or severe symptoms.
If any of these symptoms are persistent or severe, it's important to consult a doctor for proper diagnosis and treatment.
Symptoms of digestive system disorders can vary depending on the condition. Here are some common signs:
If any of these symptoms are persistent or severe, it's important to consult a doctor for proper diagnosis and treatment.
Symptoms of Digestive Disorders:
If symptoms are persistent or severe, it is important to consult a doctor for proper diagnosis and treatment.
Drinks to improve digestive health:
1. Water: Improves digestion and prevents constipation.
2. Ginger tea: Helps soothe the stomach and improve digestion.
3. Mint tea: Relieves bloating and stomach pains.
4. Chamomile tea: A calming drink that helps treat indigestion.
5. Aloe vera juice: Soothes the digestive system and reduces inflammation.
6. Lemon juice: Promotes the secretion of digestive juices.
7. Coconut water: Helps hydrate and soothe the stomach.
8. Yogurt: Contains beneficial bacteria that support gut health.
9. Fresh orange juice: Rich in vitamin C, supporting digestion.
10. Green tea: Contains antioxidants that improve digestion.
11. Probiotic drinks (like kefir): Enhance beneficial bacteria in the gut.
Summary: These drinks are helpful in improving digestive health and can be incorporated into your daily diet.
1. Eat Healthy Food: Consume fiber-rich foods like vegetables and fruits. Avoid fatty or spicy foods.
2. Drink Water Regularly: Helps maintain proper digestion and prevent constipation.
3. Exercise: Exercise helps improve bowel movement and reduce stress.
4. Organize Meals: Avoid overeating and opt for smaller, balanced meals.
5. Reduce Stress: Stress can affect your digestive system, so try to relax and practice breathing exercises.
6. Avoid Smoking and Alcohol: Smoking and alcohol can negatively impact the stomach and intestines.
7. Visit a Doctor When Needed: If symptoms persist, consult a doctor for accurate diagnosis.
Summary: Maintaining good nutrition, staying active, and avoiding harmful habits help in preserving the health of your digestive system and stomach.
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