Bariatric Surgery in Jamshedpur: Methods and Results

Bariatric operations at the clinic are performed 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
• Previous tries at losing weight with ordinary methods have failed

BMI is the principal gauge of how advanced obesity is, found by dividing body weight (kg) by height squared (m²). Typically, a BMI above 40 — or above 35 with serious related conditions — justifies surgery. Some patients with lower values are considered for surgery too, if non-surgical options have failed.

People often confuse these two, though their aims are fundamentally different. Bariatric surgery is medical treatment of obesity and associated diseases. It changes the way the digestive tract works, acting on the causes of excess weight and on metabolism. Plastic surgery alters outer body contours and does not treat obesity or affect metabolism.

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

Our surgeons use modern laparoscopic technique: the operation goes through 4 small 5 to 15 mm punctures. With cosmetic sutures, the marks become almost invisible once healed.

Recovery depends on what you do. Office work: after 2–4 weeks. Physical work: after 1.5 months. Sport and activity: swimming is allowed after 30 days, other exercise is added gradually as weight drops. Travel and holidays: best planned no earlier than a month after surgery.

Diet changes happen in stages, from liquids to soft food and then solids. It centers on protein and limits 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 are a must. The altered digestive anatomy reduces absorption of some nutrients, which makes regular vitamin and mineral supplements a permanent part of the patient's life.

Weight regain after bariatric surgery is possible, but very unlikely if you follow the doctor's advice. Proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists are key.