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Gastric Sleeve Surgery

Prohibitive activities like gastric sleeve surgery make the stomach littler and enable individuals to get in shape. With a littler stomach, you will feel full a considerable measure snappier than you are utilized to. This implies you should roll out huge long-lasting improvements by the way you are eat-including littler part sizes and distinctive sustenance’s to get thinner.

The Gastric Sleeve surgery in Dubai should be possible by making an expansive cut in the belly (an open methodology) or by making a few little entry points and utilizing meagre instruments and a camera to manage the surgery (laparoscopic approach), laparoscopic approach is better. The greater part of your stomach is evacuated, leaving a thin vertical sleeve, or tube, that is about the span of a banana. Surgical staples keep your new stomach shut. Since part of your stomach has been evacuated, this isn't reversible.

At times this surgery is a piece of a bigger way to deal with weight reduction surgery done in a few stages. On the off chance that you must lose a great deal of weight before you have duodenal switch surgery, gastric sleeve surgery might be the primary stage task.

Dr. Girish Juneja is a very much experienced Gastric Sleeve Surgery Surgeon in Dubai and has an uncommon enthusiasm for bariatric surgery. He had his essential laparoscopic preparing from Nine Wells Medical College, Dundee, Scotland, UK. He is one of the famous specialist in Dubai for Gastric Sleeve Surgery heading the bureau of bariatric surgery in Al Zahra Hospital, Dubai.

 


Laparoscopic Gastric Sleeve Surgery in Dubai

 

Our team will work also closely with ENT, thoracic surgery, radiation oncology and oncology, to ensure our patients received the best possible care.
We also expedite our patients' treatments through available on-site cytopathology. This allows not just improved diagnostic yields, but also more rapid establishment of diagnosis, which helps our oncologists to expeditePulmonology Center in Dubai therapy.
Complex airway pathology

As noted, these complicated cases are performed after discussions with the team. Both benign and malignant lesions are treated, and a multidisciplinary approach is utilized. As such, patients may be referred to radiation therapy or surgery when determined that these options may be better than a bronchoscopic intervention.
To ensure the best possible outcomes, all our patients are also closely evaluated by a dedicated team of anesthesiologist who supports each of our procedures. Highly trained nurse anesthetists and nurses are also available in each case.
We particularly welcome highly complex airway lesions, many times being able to offer therapeutic alternatives, when these have not been deemed available elsewhere.
Interventional pulmonary endoscopy

We perform both pleural and airway procedures, under general anesthesia when required. Fluoroscopy is also readily available. Finally, ultrasonography is routinely used to guide pleural procedures.

Services offered

Interventional Bronchoscopy

  • Brachytherapy (intraluminal radiation) for airway tumor compromise.
  • Argon plasma coagulation for tumor ablation and cauterization.Pulmonology Center in Dubai
  • Electrocautry (coagulation and cutting) for tumor debulking, removal of tumor and opening a web.
  • Airway balloon dilation for in tracheal or bronchial narrowing.
  • Placement of airway valves for the treatment of bronchopleural fistulas.
  • Foreign body removal.

 

Endobronchial Ultrasound (EBUS) 

Endobronchial Ultrasound (EBUS) is a minimally invasive and highly effective procedure that is used to diagnose lung cancer, infections and other inflammatory diseases like sarcoidosis or lymphomas. It can also be used for lung cancer staging.

 

  • The procedure takes about an hour from start to finish and the patient is able to go home on the same day.
  • EBUS is performed under moderate sedation or general anesthesia in order to maximize patient comfort.
  • A bronchoscopy is inserted via the mouth or nose and a fine needle is used to perform aspiration through the patient’s trachea.
  • The physician is able to view high-quality images of difficult to reach areas as well as small lymph nodes.
  • The samples taken are highly sensitive and accurate and can be processed quickly by a pathologist.

 

Pleural Interventions

  • Placement of large bore chest tubes.
  • Placement of indwelling catheters for chronic drainage of pleural fluid.
  • Placement of Heimlich valves for drainage of pneumothoraces
  • Ultrasound-guided pleural mass biopsy
  • Ultrasound guided thoracentesis of pleural effusions
  • Instillation of fibrinolytic agents for complex effusions

Medical thoracoscopy;
It is a minimal invasive procedure traditionally performed to diagnose and/or treat pleural lung disease. Pleura is a large, thin sheet of tissue that wraps around the outside of the lungs and lines the inside of the chest cavity. Patients with pleural thickening or pleural effusions (pleural fluid) and who are determined to have lung cancer, chylothorax, lymphoma, mesothelioma, metastatic cancers, or benign conditions, such as congestive heart failure, may be eligible for this procedure. Most patients have reoccurring accumulation of pleural fluid resulting in breathing issues, chest pain, cough, and the inability to lie flat.

Pulmonology and lung clinic in dubai

Thoracoscopy allows the physician visualization of the lung pleura to diagnose the cause of the pleural fluid and the ability to apply medication to prevent further fluid from returning.

  • Can be used for the diagnosis of pleural effusion that is not able to be diagnosed by thoracentesis (fluid sampling) alone.
  • A thorough inspection of the lung and pleura can be done and biopsies of the pleura performed.
  • In specific instances, pleurodesis medications, such as talc, can be sprayed onto the pleura preventing pleural fluid from returning.
  • Can be performed using general anesthesia with a breathing tube or with moderate sedation that does not require a breathing tube.
  • Thoracoscopy increases the ability to diagnose pleural disease and the cause of pleural fluid accumulation.

Our Long Term Ventilation Unit cares for patients with chronic respiratory failure due to a variety of increasingly complex conditions, who are in need of breathing support by mask (non-invasive ventilation) and more complex support through tracheostomy (invasive ventilation) A tracheostomy is an opening created at the front of the neck so a tube can be inserted into the windpipe (trachea) to help the patient to breathe.

Our team has strong links with the critical care and sleep service and provides the multi-disciplinary link for the holistic care of our long term ventilated patients.
Patients are referred for assessment and treatment of chronic respiratory failure caused by:Pulmonology Center in Dubai

  • COPD and Bronchiectasis sleep.
  • Neuro muscular diseases (e.g Motor neurone disease, Muscular dystrophies like Duchenne muscular dystrophy, Myotonic dystrophy, post polio, CMT, Spina bifida)
  • Metabolic disorders (e.g Morquio syndromes)
  • Chest wall deformities (e.g Kyphoscoliosis, post TB thoracoplasty)
  • Obesity related chronic respiratory failure and sleep disordered breathing
  • Type 2 respiratory failure of unknown cause

Oxygen Therapy
Oxygen therapy is a treatment that provides you with extra oxygen, a gas that your body needs to work well. Normally, your lungs absorb oxygen from the air. However, some diseases and conditions can prevent you from getting enough oxygen i.e. emphysema, lung fibrosis…etc.
Oxygen therapy may help you function better and be more active. Oxygen is supplied in a cylinder or other container. It flows through a tube and is delivered to your lungs in one of the following ways:

  • Through a nasal cannula, which consists of two small plastic tubes, or prongs, that are placed in both nostrils.
  • Through a face mask, which fits over your nose and mouth.
  • Through a small tube inserted into your windpipe through the front of your neck. Your doctor will use a needle or small incision (cut) to place the tube. Oxygen delivered this way is called transtracheal oxygen therapy.

Certain acute (short-term) and chronic (ongoing) diseases and conditions can affect the transfer of oxygen from the alveoli into the blood. Examples include pneumonia and COPD (chronic obstructive pulmonary disease).
Your doctor will decide whether you need oxygen therapy based on the results of tests, such as an arterial blood gas test and a pulse oximetry test. These tests measure how much oxygen is in your blood. A low oxygen level is a sign that you need oxygen therapy.
Oxygen is considered a medicine, so your doctor must prescribe it.
Oxygen therapy helps many people function better and be more active. It also may help:

  • Decrease shortness of breath and fatigue (tiredness)
  • Improve sleep in some people who have sleep-related breathing disorders
  • Increase the lifespan of some people who have COPD

Although you may need oxygen therapy long term, it doesn't have to limit your daily routine. Portable oxygen units can make it easier for you to move around and do many daily activities. Talk with your doctor if you have questions about whether certain activities are safe for you.
A home equipment provider will work with you to make sure you have the supplies and equipment you need. Trained staff also will show you how to use the equipment correctly and safely.

 

Pulmonary function tests are a broad range of tests that measure how well the lungs take in and exhale air and how efficiently they transfer oxygen into the blood.
Spirometry measures how well the lungs exhale. The information gathered during this test is useful in diagnosing certain types of lung disorders, but is most useful when assessing for obstructive lung diseases (especially asthma and chronic obstructive pulmonary disease, COPD).
Lung volume measurement detects restrictive lung diseases. In this set of diseases, a person cannot inhale a normal volume of air. Restrictive lung diseases may be caused by inflammation or scarring of the lung tissue (interstitial lung disease) or by abnormalities of the muscles or skeleton of the chest wall.
Testing the diffusion capacity (also called the DLCO) permits an estimate of how efficiently the lungs transfer oxygen from the air into the bloodstream.Pulmonary Function Test (PFT)

6 Minute Walk Test

The six-minute walk test is generally used at the start of a Pulmonary Rehabilitation program and/or in the evaluation of lung transplant. The results of the test are helpful in setting up an exercise program that designed to meet your needs.
The object of this test is to walk for as far as possible for 6 minutes. You will walk back and forth on a flat surface such as a hallway. Six minutes is a long time to walk, so you will be exerting yourself. You will probably get out of breath of become exhausted. You are permitted to slow down, to stop, and to rest as necessary. You may lean against the wall while resting, but resume walking as soon as you are able.

Exhaled nitric oxide (eNO)

Nitric oxide (NO) is a gaseous molecule produced by certain cell types in an inflammatory response. The fraction of exhaled NO (FENO) is a promising biomarker for the diagnosis, follow-up and as a guide to therapy in adults and children with asthma. This is done using a breath test that detects the level of airway inflammation.

Overnight Pulse Oximetry

Performed at night in a patient’s home or in hospital, pulse oximetry is a simple overnight test that monitors a patient’s cardio-respiratory stability. This tool is used to check the oxygen level in a patient that is currently on Home Oxygen Therapy to provide their physician with current medical information on a patient's condition.
Overnight Pulse Oximetry can also be used to screen patients that may be suffering from sleep-disordered breathing or other respiratory disorders.

Most cases of shortness of breath are due to heart or lung conditions. The heart and lungs are involved in transporting oxygen to your tissues and removing carbon dioxide, and problems with either of these processes affect breathing.
Shortness of breath that comes on suddenly (called acute) can be life threatening and needs urgent medical attention.
Shortness of breath that has lasted for weeks or longer (called chronic) that also requires immediate medical attention before it gets worse.

Lung Conditions that can cause breathlessness are:

  • Asthma (bronchospasm)
  • Carbon monoxide poisoning
  • Pulmonary embolism (blood clot in an artery in the lung)
  • Pneumothorax (collapsed lung)
  • Pneumonia (pulmonary infection)
  • Upper airway obstruction (blockage in the breathing passage); Choking, Foreign object inhaled, Croup (in young children), Epiglottitis (swelling of part of the windpipe)
  • COPD (chronic obstructive pulmonary disease)
  • Interstitial lung disease
  • Pulmonary hypertension (high blood pressure within the lungs' blood vessels)
  • Lung cancer
  • Pleurisy (inflammation of the membrane lining the chest)
  • Broken ribs

Heart Problems

  • Cardiac tamponade (excess fluid around the heart)
  • Heart attack
  • Heart failure
  • Pulmonary edema (excess fluid in the lungs)
  • Low blood pressure (hypotension)
  • Cardiomyopathy (problem with the heart muscle)
  • Heart arrhythmias (rhythm problems)
  • Pericarditis (swelling of the membrane surrounding the heart)

Other Problems

  • Anemia
  • Sudden blood loss
  • Deconditioning
  • Obesity
  • Generalized anxiety disorder
  • Guillain-Barre syndrome
  • Myasthenia gravis (condition causing muscle weakness)

Seek emergency medical care

Call your local emergency number or have someone drive you to the emergency room if you experience severe shortness of breath that comes on suddenly and affects your ability to function. Seek emergency medical care if your shortness of breath is accompanied by chest pain, fainting or nausea — as these may be signs of a heart attack or pulmonary embolism.

Make a doctor's Appointment

Make an appointment with your doctor if your shortness of breath is accompanied by:

  • Swelling in your feet and ankles
  • Trouble breathing when you lie flat
  • High fever, chills and cough
  • Wheezing
  • Worsening of pre-existing shortness of breath

Self Care

To help keep chronic shortness of breath from getting worse:

  • Stop smoking. Once you're tobacco-free, your risks of heart and lung disease and cancer begin to drop — even if you've been smoking for years.
  • Avoid exposure to pollutants. As much as possible, avoid breathing allergens and environmental toxins.
  • Lose weight if you are overweight.
  • Take care of yourself. If you have an underlying medical condition, take care of it.
  • Have an action plan. Discuss with your doctor what to do if your symptoms become worse.
  • Keep elevation in mind. Avoid exertion at elevations higher than 5,000 feet (1,524 meters).
  • Regularly check your equipment. If you rely on supplemental oxygen, be sure your supply is adequate and the equipment works properly.

Tests to be done:

  • CXR ± HRCT chest
  • Spiromtry
  • Diffusion capacity
  • 6 MWT
  • Echocardiography
  • ECG
  • Stress ECG

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