Senior Consultant in General Surgery, Obesity Surgery, and Laparoscopy
Dr. Ali Al-Abyad
Senior Consultant in General Surgery, Obesity Surgery, and Laparoscopy
Member of the American Society for Obesity and Laparoscopic Surgery
Specialties:
🏥 Obesity and Weight Loss Surgery:
Offering surgical and non-surgical solutions for obesity, including gastric sleeve surgery and gastric bypass.
💉 Abdominal Surgery:
Treating conditions related to internal organs in the abdomen, such as appendicitis and hernias.
🧬 Endocrine Surgery:
Treating issues with endocrine glands, such as the thyroid and adrenal glands.
🩺 Gastrointestinal Surgery and Laparoscopy (Adults):
Using laparoscopy to treat gastrointestinal issues like ulcers and benign tumors.
🎗 Oncology Surgery (Adults):
Treating cancers of the breast, colon, and stomach.
⚕️ General Surgery (Adults):
Includes emergency surgeries and general health problems affecting various organs.
Academic Qualifications:
🎓 MD from Cairo University School of Medicine (2011)
Professional Experience:
🏥 Senior Consultant in General Surgery and Obesity Surgery at Sheikh Zayed Specialist Hospital (since 2018)
📅 Deputy Director of Sheikh Zayed Specialist Hospital
Clinic Location:
🗺 Suez City
📍 Al-Gamea Street, in front of The Good Shepherd Church.
Contact Number for Appointment and Inquiries:
📞 0100 007 8895
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 doesn’t affect nutrient absorption and is simpler than gastric bypass, but it’s 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. It’s very effective for treating obesity and related conditions like diabetes, but it’s more complex and may require lifelong nutritional supplements.
The choice depends on the patient’s condition, health needs, and doctor’s 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 patient’s 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 patient’s medical condition and tumor characteristics.
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