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Bariatric Operations in Osogbo: Who They Suit
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
No hidden fees. No surprises. One package — the full journey.
Tick the situations that sound familiar.
From 2 matches — a reason to talk to a surgeon.
Grounds for a surgeon's consultation include related conditions as well as a high BMI
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Diets and medication have brought no lasting result over several years.
Medical history
Excess weight since childhood or a genetic predisposition
Metabolic disorders
Type 2 diabetes and hypertension associated with obesity
Resistance to conservative treatment
Diets and medication have brought no lasting result over several years.
Surgery is prescribed only when clear criteria are met
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.
Years of various diets and workouts often end the same way: the body fights back, metabolism slows, appetite grows and the weight returns. If it becomes clear that medication and dietary changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way forward.
Key factors
The role of body mass index (BMI)
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.
Why don't diets and exercise work for everyone?
Years of various diets and workouts often end the same way: the body fights back, metabolism slows, appetite grows and the weight returns. If it becomes clear that medication and dietary changes alone cannot fundamentally improve the situation, bariatric surgery is the only effective way forward.
Those with chronic conditions should consult a clinic doctor!
Indications

Excess weight

Type 2 diabetes

Hypertension

Sleep apnea

Joint disease

Varicose veins

Fatty liver disease

Reproductive health problems
Contraindications

Age under 18

Malignant tumors

Less than six months since breastfeeding ended

Acute illness or flare-ups of chronic disease

Severe chronic and mental illness

Blood clotting disorders

Pregnancy

Sleeve gastrectomy
Most of the stomach is removed during surgery, and what remains becomes a narrow tube. This cuts portion size significantly and reduces ghrelin, the hormone of hunger, so patients feel full sooner and eat less.
Effectiveness: recommended for a BMI of 35 to 45. Typically patients shed 60–70% of excess weight.
Specifics: the result holds up less well than after bypass operations. If the diet is broken, particularly with high-calorie drinks and liquid food, weight may come back.

Roux-en-Y gastric bypass
At the top of the stomach the surgeon makes a small 50–70 ml pouch, linking it directly to the small intestine. Intake of food is restricted and calorie absorption falls, since food passes through less of the gut.
Effectiveness: the “gold standard” for patients with a BMI over 45–50 and type 2 diabetes. Up to 75–85% of excess weight is lost.
Specifics: outcomes are more durable than with other bariatric procedures. Diabetes, hypertension and other related conditions often go into remission. With the digestive anatomy changed, lifelong vitamin and mineral supplements are a must.

Mini gastric bypass (MGB)
This is a refined form of the classic bypass. Unlike the standard technique, the surgeon makes just one connection (anastomosis) between the small stomach and the small intestine. The simpler approach is gentler on the patient and requires less recovery time.
Effectiveness: in line with the classic Roux-en-Y bypass — loss of up to 75–80% of excess weight.
Specifics: shorter surgery, quicker recovery. It is technically reversible, yet bile reflux is a risk because of the single anastomosis.

Single anastomosis duodeno-ileal bypass (SADI-S)
A modern combined approach, SADI-S merges the benefits of sleeve gastrectomy with those of intestinal bypass. It takes two stages — turning the stomach into a narrow tube, then rerouting the small intestine so that the larger part is excluded from active digestion.
Effectiveness: among bariatric operations, one of the most powerful — 80–90% of excess weight goes, and it lasts long.
Specifics: a smaller stomach reduces appetite by removing the ghrelin-producing zone, and rerouting food past part of the intestine limits calorie absorption. It suits super obesity (BMI over 50), severe type 2 diabetes, or as a second stage after an ineffective sleeve.
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
The first step is a surgeon's consultation covering medical history, method selection and recovery plan

Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
In the month before, quit smoking, scale down physical activity and avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.

Lab tests
Complete blood count, urinalysis, blood biochemistry, HbA1c and a coagulation panel (clotting test).
Instrumental diagnostics
ECG, chest X-ray, abdominal and kidney ultrasound, and leg vein Doppler.
Endoscopy
Gastroscopy (required) and colonoscopy (if indicated).
Specialists
Endocrinologist, GP, psychiatrist, cardiologist and, for women, gynecologist.

Diet
Cut fast carbs and fats 2–4 weeks ahead of surgery; switch to light food the day before.
Lifestyle
In the month before, quit smoking, scale down physical activity and avoid stress.
The day before
Light last meal in the evening; final fluids 3–4 hours before surgery.
Experienced bariatric specialists who are committed to patients' health

Ruslan S. Menzulin
Bariatric surgeon · surgical oncologist
Took training at Mercy clinic under Vadim Gushchin and addressed the World Congress of bariatric surgery (2025). Co-author of an international study that The Lancet published.

Andrey G. Ugay
Lead bariatric surgeon · surgeon
Holds the country's record for the number of SASJ operations performed. Member of the expert council of the national Society of Bariatric Surgeons; a regular speaker at national and international congresses.
City Medical Centre takes a comprehensive approach to obesity. After the first examination, each patient gets a personal diagnostic program (lab and instrumental) to identify every disorder in the body.

A method matched to your goal
Each patient gets an individually chosen surgical method from our doctors. Before a decision, they look at your health, weight history and associated conditions to recommend the most fitting surgical treatment.

Support that stays in touch
City Medical Centre's team remains with you after surgery. Over the first year specialists watch your weight loss, monitor test results and respond to all questions regarding diet and recovery.

Fast recovery
All bariatric operations at City Medical Centre are laparoscopic, which greatly speeds recovery. Most patients get up and move on the first day and return to normal life within a week.

Full diagnostics on site
There is no need to rush between clinics. Our centre offers your entire work-up — our own lab, ultrasound, gastroscopy. Preparation goes quickly, with no queues, all in one building.
Recovery largely depends on the individual, but minimally invasive laparoscopic techniques keep rehabilitation as short as possible.

Duration
The patient is kept under clinic observation for 1 to 5 days, depending on the scale of surgery and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.

Duration
The patient is kept under clinic observation for 1 to 5 days, depending on the scale of surgery and related conditions.
Activity
Already in the first hours post-surgery you are allowed to sit up, stand and drink.
Wound care
Absorbable sutures are used; they dissolve on their own.

Work
Returning to work takes 7–14 days after surgery, depending on how physical your work is.
Restrictions
Bathhouse, sauna and intense physical exercise are banned in early weeks.
Diet
You follow a staged diet for 1–2 months, going from liquid to solid food as the stomach adapts.

Pace
Patients sticking to the specialists' advice shed on average 10% of excess weight per month.
Stabilization
In 1.5–2 years the final result is reached, and by then the patient's stable eating habits prevent the weight coming back.
Important! Specialists from City Medical Centre supervise recovery and provide psychological and medical support at each weight-loss stage.
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us -
our coordinator will contact you shortly
and book your consultation
Bariatric vs plastic surgery: what's the difference?
The two are often confused, yet their goals differ fundamentally. Bariatric surgery is a medical treatment for obesity and its related diseases. It alters how the digestive tract works, tackling the causes of excess weight and metabolism. Plastic surgery changes the body's outer contours; it neither treats obesity nor affects metabolism.
How soon can I return to work and normal life?
Will there be visible scars?
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.
What diet do I need to follow?
In stages, your diet goes from liquid to soft to solid food. The main focus is protein and restricting high-calorie, fatty food.
What types of bariatric surgery are there?
Four main bariatric surgery types are available at City Medical Centre: sleeve gastrectomy, Roux-en-Y gastric bypass, mini gastric bypass (MGB) and SADI-S duodeno-ileal bypass. The method is picked individually, considering BMI, related conditions and the patient's goals.
Can I plan a pregnancy after surgery?
After bariatric surgery pregnancy is possible, yet doctors recommend at least 12–18 months of waiting. Meanwhile the body stabilizes, weight arrives at target values and nutritional status normalizes.
Do I need to take vitamins after surgery?
Yes, bariatric surgery makes vitamins a must. Since digestive anatomy is changed, absorption of some nutrients drops, and regular vitamin and mineral supplements become permanent in the patient's life.
Can the weight come back?
Weight may return after bariatric surgery, though that is very unlikely when you follow the doctor's advice. Key factors: proper nutrition, avoiding high-calorie drinks and regular follow-up with City Medical Centre specialists.
Get a free consultation for any service when you apply before the month is out
Service
Discounted price
Roux-en-Y gastric bypass creates a small 50–70 ml pouch at the top of the stomach and connects it straight to the small intestine. It is considered the gold standard for a BMI over 45–50 with type 2 diabetes, bringing excess weight loss of 75–85%. Anyone researching bypass in Osogbo should know that it requires lifelong vitamin and mineral supplements.
Several things are worth planning ahead. Pregnancy is advised no earlier than 12–18 months after surgery, once weight and nutritional status stabilise. Vitamins become a permanent part of life because the body absorbs some nutrients less well. Swimming waits 30 days, strength work longer. Patients from Osogbo discuss these points with the surgeon well before the operation date.
There are no hidden fees: one package covers everything required for the result. It brings together experienced surgeons, round-the-clock care, meals, nursing, a coordinator and a legal result guarantee. Tick the situations that apply to you and request a free check of your case; a coordinator will contact patients from Osogbo to arrange the next steps.
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