Kesava Reddy Mannur
Kesava Reddy Mannur

Consultant General & Gastrointestinal Surgeon

London

020 8... Reveal phone no. >

Treatments provided by Kesava Reddy Mannur

Mr Kesava Reddy Mannur provides a comprehensive range of modern weight loss surgeries and revisional bariatric procedures, as well as procedures for the treatment of gastrointestinal conditions such as hernia, gallstones, gastro-oesophageal reflux disease (GORD), achalasia cardia and cancers affecting the oesophagus, stomach and bowel.

Initial consultations with Mr Mannur are £200 and after that all follow up consultations are £100.

Treatments, operations and tests

Abdomen examination by camera (laparoscopy)

Laparoscopy is an operation performed in the abdomen or pelvis through small incisions (usually 0.5–1.5 cm) with the aid of a camera. It can either be used to inspect and diagnose a condition or to perform surgery. There are two types of laparoscope: (1) a telescopic rod lens system, that is usually connected to a video camera (single chip or three chip), or (2) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system.

Anti-reflux surgery (Laparoscopic)

Acid reflux is caused by high acid levels in the stomach preventing the proper sealing of esophagus. The acid to travel upwards and burn the esophagus, irritating the lining and can cause a burning sensation. Surgical intervention is recommended when changes in lifestyle and diet have proved ineffective. Laparoscopic surgery is a minimally invasion procedure to reinforce the seal by wrapping part of the stomach around the lower esophagus.

Biliopancreatic diversion (BPD)

This complex operation is termed biliopancreatic diversion (BPD) or the Scopinaro procedure. The original form of this procedure is now rarely performed because of problems with malnourishment. It has been replaced with a modification known as duodenal switch (BPD/DS). Part of the stomach is resected, creating a smaller stomach (however the patient can eat a free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum.

Duodenal switch

The Duodenal Switch (DS) procedure, also known as Biliopancreatic Diversion with Duodenal Switch (BPD-DS) or Gastric Reduction Duodenal Switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect. The malabsorptive portion of the surgery reroutes a lengthy portion of the small intestine, creating two separate pathways and one common channel. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat.

Gall bladder removal (Laparoscopic)

Gall bladder removal (cholecystectomy) surgery is usually performed laparoscopically (keyhole), using a laparoscope. The surgeon removes your gall bladder with the aid of a small camera which is inserted into the abdomen via one of a number of small incisions in the abdomen. It is now a relatively common procedure which requires only a short time in hospital.

Gastric balloon

The intragastric balloon, which has been available since the 1980s is designed to provide short–term weight loss therapy. The silicone balloon is placed endoscopically (through the mouth and oesophagus under heavy sedation) and filled with liquid so it partially fills the stomach and creates a feeling of fullness. The maximum time a balloon can be left in place is 6 months, after which it must be removed – the risk of balloon deflation and intestinal obstruction (and therefore possible death) is significantly higher when balloons are left in place longer than 6 months.

Gastric band/lap band

Laparoscopic Adjustable Gastric Banding (LAGB) is purely restrictive weight loss surgery. Restrictive forms of weight loss surgery such as LAGB promote weight loss by limiting food intake and promoting a feeling of fullness (satiety) after meals. The LAGB surgery was developed for bariatric patients who wanted a safer, less complex alternative to gastric bypass surgery.During laparoscopic adjustable gastric banding surgery, two medical devices are implanted into the body

Gastric bypass

Gastric bypass procedures (GBP) are any of a group of similar operations that first divides the stomach into a small upper pouch and a much larger lower "remnant" pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.

Hernia repair (Laparocscopic Incisional)

A hernia occurs when the abdominal muscle weakens, resulting in a bulge or tear through which tissue can be pressed and cause extreme pain. Laparoscopic techniques require a small incision and the insertion of a camera/tool to repair the hernia through surgical staples and patches. While the incision is minimal and generally performed as an outpatient procedure it requires a general anaesthetic.

Hernia Repair - Groin (Inguinal) -Laparascopic (Keyhole Surgery)

A hernia occurs when the abdominal muscle weakens, resulting in a bulge or tear through which tissue can be pressed and cause extreme pain. Laparoscopic techniques require a small incision and the insertion of a camera/tool to repair the hernia through surgical staples and patches. While the incision is minimal and generally performed as an outpatient procedure it requires a general anaesthetic.

Laparoscopic Greater Curvature Plication (LGCP)

There are many types of surgical weight loss procedures. Greater curvature placation is a laparoscopic procedure and involves five or six small incisions in the abdomen, used to sew the stomach together along one of the major folds, reducing the volume of the stomach by up to 70%.

Sleeve gastrectomy

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (often with surgical staples) to form a sleeve or tube with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible.

Features

Contact details

020 8... reveal

Online

www.londonobesitycentre.com

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I specialise in...

  • Surgical weight loss treatments: gastric bypass, duodenal switch, gastric banding sleeve gastrectomy and gastric band
  • Revisional surgeries for weight regain and nutritional problems: gastric band to bypass/sleeve, Fobi/Minimizer ring to gastric bypass, lengthening of the limbs in gastric bypass and duodenal switch, gastric bypass to DS or gastric bypass reversal to normal anatomy
  • Upper gastrointestinal surgery
  • General surgery