Gastric Sleeve and Bypass in Giza

Bariatric operations here 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
• Earlier attempts to lose weight by conventional means have failed

Obesity is graded mainly by BMI, calculated as body weight (kg) over height squared (m²). A BMI above 40 usually justifies surgery, as does a BMI above 35 with serious related conditions. In certain cases surgery is considered at lower values too, if approaches without surgery have not succeeded.

The two are often mistaken for each other, but their goals are fundamentally different. Bariatric surgery provides medical treatment for obesity and related diseases. Changing how the digestive tract works, it deals with the causes of excess weight and metabolism. Plastic surgery modifies the body's outer contours; it does not treat obesity or affect metabolism.

The four main types of bariatric surgery at City Medical Centre are sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. Each method is matched individually to BMI, related conditions and the patient's goals.

We rely on modern laparoscopic technique. The operation is performed through 4 small punctures of 5 to 15 mm. Cosmetic sutures are used, so after healing the marks are barely visible.

Recovery depends on what you plan to do. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming after 30 days, other exercise phased in as weight drops. Travel and holidays: preferably not earlier than one month after surgery.

Your diet changes in stages: from liquid food to soft, then to solid. The focus is on protein and on limiting high-calorie, fatty food.

Pregnancy after bariatric surgery is possible, though doctors recommend waiting at least 12–18 months. In that time the body stabilizes, weight reaches its target and nutritional status returns to normal.

Yes, after bariatric surgery vitamins cannot be skipped. As the digestive anatomy changes, some nutrients are absorbed less well, making regular vitamin and mineral supplements a permanent feature of the patient's life.

Regaining weight after bariatric surgery is possible, yet very unlikely when you stick to the doctor's advice. The keys are proper nutrition, no high-calorie drinks and regular check-ups with City Medical Centre specialists.