Bariatric Operations in Warangal: Who They Suit

At the clinic, experienced bariatric surgeons perform the bariatric operations:

• 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
• Weight-loss attempts using conventional methods have not succeeded

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.

These two are frequently confused, although their goals differ at the core. Bariatric surgery is a medical treatment of obesity and related diseases that changes the workings of the digestive tract, targeting the causes of excess weight and metabolism. Plastic surgery corrects outer body contours; it does not treat obesity or change metabolism.

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

We apply modern laparoscopic technique, operating through 4 small punctures of 5 to 15 mm. Thanks to cosmetic sutures, the marks are almost invisible once they heal.

How soon you recover depends on what you do. Office work: 2–4 weeks later. Physical work: 1.5 months later. Sport and activity: swimming from day 30, other exercise brought in gradually as weight falls. Travel and holidays: ideally not sooner than a 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 is possible after bariatric surgery; doctors advise waiting no less than 12–18 months. This gives the body time to stabilize, for weight to reach target values and nutritional status to normalize.

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.

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.