A highly experienced London-based obesity surgeon offering the full range of weight loss surgical techniques, including gastric bypass, duodenal switch, gastric banding and sleeve gastrectomy.
Mr Kesava Reddy Mannur is Director of Bariatric Surgery at Homerton University Hospital, London. With 25 years experience, he is able to offer expert weight loss surgery at three private hospitals in London: BMI London Independent Hospital in Stepney, Spire Roding Hospital in Redbridge, and The Wellington Hospital in Central London. Mr Mannur is also available for consultation at The London Clinic, Harley Street and Holly House Hospital, Buckhurst Hill.
Watch videos about obesity surgery
Mr Kesava Reddy Mannur has provided a number of videos about obesity surgery.
In the videos, past patients speak of the obesity treatments that they have undergone and the efforts taken by Mr Mannur to provide the treatment and care.
Click here to watch the obesity surgery videos
Expert weight loss surgery in London
Weight loss surgery is an effective way for people who are dangerously obese to lose weight and start to take control of their lives once more. Several techniques are available and, with his considerable skill and expertise, Mr Mannur is well placed to recommend the best course of treatment for each particular patient.
Gastric bypass surgery
Gastric bypass surgery involves reducing the size of the stomach, restricting the amount of food that can be ingested, and bypassing the small intestine so that fewer calories are absorbed. It is a very successful procedure, leading to sustained weight loss and an improvement in obesity-related conditions such as cardiovascular disease and diabetes.
Duodenal switch surgery
Duodenal switch surgery works on the same principles as gastric bypass surgery, however a larger stomach is created so that the patient's eating habits are less affected. This is balanced by bypassing a longer section of small intestine. Patients having duodenal switch surgery do not need to make as many adjustments to their lifestyle as those having gastric bypass surgery, however they do need to take nutritional supplements for the rest of their lives.
A sleeve gastrectomy is a procedure to surgically remove
part of the stomach, reducing its capacity by approximately 75%. It can
be used as a stand alone as a weight loss technique when one loses 70% excess
weight or as a precursor to a gastric bypass or duodenal switch.
Gastric band surgery is a reversible form of obesity surgery
that involves putting an adjustable band around the stomach, leaving a small
pouch at the top. Research has shown that, on average, people undergoing
a gastric band procedure lose half of their excess weight over a period of
two years following surgery.
Banded Gastric bypass surgery
One of the problems of gastric bypass is that they put
on weight about 3-5 years after surgery. This is because the stomach
‘pouch’ starts stretching with time and with that the ‘stoma’ or the join
between the stomach pouch and the small intestine and finally the small
intestine just beyond the stoma or gastrojejunal anastomosis. To prevent this, the
ring is placed just proximal to the stoma /gastrojejunal anastomosis. By
doing so the stomach pouch size is not changed. Weight loss is more
stable and the incidence of hypoglycaemia is low.
Banding 'Fobi Ring' to Gastric bypass
Once the gastric pouch stretches in gastric bypass, they put
on weight after 3-5 years. Reducing the stomach pouch size and /or lengthening the
alimentary limb do not seem to work in majority of cases. Banding the
gastric pouch is effective though not to the same extent if one applies it at
the time of the original gastric bypass surgery.
Converting Band to Sleever or bypass
If the gastric band doesn't work or band has to be removed
if band slips or erodes into stomach, then the options are converting it to
Sleeve or Bypass.
Accreditation and admitting
rights at private hospitals
Mr Mannur is an accredited consultant for the UK's leading private healthcare providers and private hospitals, including The London Clinic, The Wellington Hospitals, Spire Healthcare and HCA Hospitals.
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