Laparoscopic Bariatric Surgery in Bauchi

At the clinic, bariatric operations are carried out by experienced bariatric surgeons:

• Ruslan S. Menzulin — bariatric surgeon and surgical oncologist, 9 years of experience. Trained at Mercy clinic (USA) under Vadim Gushchin, spoke at the World Congress of bariatric surgery in Santiago (2025). Co-author of an international study published in The Lancet.
• Andrey G. Ugay — lead bariatric surgeon, 27 years of experience. Has performed the largest number of SASJ operations in the country. Expert council member of the national Society of Bariatric Surgeons.

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Surgery is prescribed only when clear criteria are met

• The patient's body mass index (BMI)
• Overall health and any related chronic conditions
• Failure of previous attempts to lose weight by conventional means

BMI is the primary tool for judging obesity. The formula: body weight (kg) divided by height squared (m²). Surgery is typically justified at a BMI above 40, or above 35 if there are serious related conditions. At times surgery is also considered with lower figures — provided non-surgical treatment has failed.

It is common to confuse them, but their goals are fundamentally different. Bariatric surgery treats obesity and related diseases medically. By changing how the digestive tract works, it addresses the causes of excess weight and metabolism. Plastic surgery shapes the body's outer contours; it does not treat obesity and has no effect on metabolism.

There are four main types of bariatric surgery at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. BMI, related conditions and the patient's goals guide the individual choice of method.

We use modern laparoscopic technique. The operation is done through 4 small punctures of 5 to 15 mm. Cosmetic sutures are placed, so once healed the marks become almost invisible.

Your recovery depends on your activities. Office work: in 2–4 weeks. Physical work: in 1.5 months. Sport and activity: swimming after 30 days, with other exercise introduced gradually as weight drops. Travel and holidays: plan them a month or more after surgery.

Your meals progress in stages: liquid food, soft food, then solid. The stress is on protein and on reducing high-calorie, fatty food.

Getting pregnant after bariatric surgery is possible, but doctors advise waiting at least 12–18 months, so the body can stabilize, weight can reach target values and nutritional status can normalize.

Yes, vitamins after bariatric surgery are necessary. The body absorbs certain nutrients less well due to the changed digestive anatomy, so regular vitamin and mineral supplements become a permanent part of the patient's life.

Weight can come back after bariatric surgery, but this is very unlikely if you follow your doctor's advice. Proper nutrition, skipping high-calorie drinks and regular follow-up with City Medical Centre specialists are key.