KCM Bariatric Surgery & 3D Laparoscopy Surgery

Our Surgical Weight Loss Centre is ranked #1 on GCR's "Top 10 Best Bariatric Surgery clinics and hospitals in the world" of 169 clinics

We are the only private hospital in Poland and one of only a handful of hospitals in Europe to use innovative 3D laparoscopy technology supplied by our partners at OLYMPUS. We ensure the highest standard of quality and patient safety and are a GCR Accredited International Clinic.

We understand that weight loss is not easy and we are committed to helping our patients on their journey. We pride ourselves on our unique patient-centred approach and tailor a unique treatment plan for every one of our patients.

Our Bariatric Surgeons are among the most experienced in the world and our staff are here to ensure a comfortable and pleasant stay.

We are specialized in minimally invasive laparoscopic 3 D surgery for the modern treatment of obesity


Weight Loss Surgery Treatments Available at KCM Clinic:

NEW Procedure !! Single Anastomosis Sleeve Ileal Bypass (SASI)

NEW Procedure !! Single anastomosis duodeno–ileal bypass with sleeve gastrectomy (SADI-S)

Gastric Sleeve / Sleeve Gastrectomy  SG

One Anastomosis Gastric Bypass  OAGB

Conventional Roux en Y Gastric Bypass  RYGB

Gastric Plication

Revision Surgery (Re-Sleeve, Re-Bypass, Pouchplasty)

Gastric Band Removal

 

ALL Weight Loss Surgeries are performed using the "KEY-HOLE" method using OLYMPUS 3D laparoscopic cameras.

Nonsurgical Treatments:

Non-surgical Intragastric Balloon (ORBERA for 6 or 12 months) Placement

Balloon placement is a non-surgical option and is performed as an endoscopic procedure.

Our ALL-INCLUSIVE Weight Loss Packages are prepared especially for our International Patients, with complete pre-operative diagnostics and individualized post-surgery diet plans to ensure long-term successful results.

Contact us:

M: +48 535 098 999

M: + 44 20 3348 8270

E: info@kcmclinic.pl

Comprehensive Care. Experienced Surgical Specialist Team. Exceptional Medicine.


Come join our long list of satisfied patients from all around the world!

Our Support Group: https://www.facebook.com/groups/gastricsleeveinpoland

KCM Surgical Weight Loss Centre has been operating since 2006 and has become a leading bariatric centre not only in Poland and Europe, but in the World.

We ensure quality of care and patient safety thanks to:

1. Our Specialist surgeons and their team - European Leading Experts in Advanced Bariatric Surgery with decades of clinical experience and thousands of laparoscopic procedures performed to date

2. The most current minimally invasive laparoscopic techniques used

3. State-of-the-art bariatric surgery equipment supplied by our partners at Johnson&Johnson and Olympus 3D

4. Complex pre-surgery internal, gastrointestinal, and cardiological diagnostics


3D Imaging Solutions -

Supporting Faster and More Accurate Surgery

OLYMPUS introduces the world's only deflectable tip
laparoscope delivering high-definition video in 3D.


Introducing a new 3D imaging solution that provides depth perception and a precise spatial view of anatomy that cannot be achieved with traditional 2D systems. The OLYMPUS 3D solution is a fusion of advanced 3D technology which overcomes the limitations of conventional 3D systems, providing a new perspective on surgical imaging.

 

KCM Clinic also functions as an international education centre hosting surgeons from around the world for our annual Laparoscopy Workshops in Bariatric Surgery with 3D LIVE transmissions from our multimedia operating theatres!


1. BENEFITS OF BARIATRIC SURGERY

a) Why the Need for Surgical Intervention?

"Only surgery has been proven to be effective long-term for most patients with clinically severe obesity."

b) How Can Bariatric Surgery Help me?

With surgical treatment, patients not only have the greatest chance of achieving a healthier body mass index (BMI), but also improve or resolve many obesity-related conditions, such as:

Heart disease

High blood pressure

High cholesterol

Type 2 diabetes

Stroke

Obstructive sleep apnea

Gastroesophageal reflux disease

Joint Issues

Spine disorders

Infertility

 

c) How does Bariatric Surgery Work?

Bariatric surgery works by changing the anatomy of your gastrointestinal tract (stomach and digestive system) thereby causing changes in energy balance and fat metabolism. Certain bariatric procedures affect the production of intestinal hormones in a way that reduces hunger and appetite and increases feelings of fullness (satiety). The end result is reduction in the desire to eat and in the frequency of eating.

d) Long Term Weight Loss Success

Bariatric surgery can be a useful means to help you break the viscious weight gain cycle and help you ahcieve long term wieht loss and improve your overall quality of health and life. Studies demonstrate that more than 90 percent of individuals are able to maintain a long-term weight loss of 50 percent excess body weight or more.

e) Improvement/Resolution of Coexisting Diseases

Bariatric surgery is associated with significant weight-loss and improves, or even cures, obesity-related co-morbidities for the majority of patients. These co-morbidities include high blood pressure, sleep apnea, asthma and other obesity-related breathing disorders, arthritis, cholesterol abnormalities, gastroesophageal reflux disease, fatty liver disease, venous stasis, urinary stress incontinence, pseudotumor cerebri, and more.

2. ARE YOU A CANDIDATE?

Surgical treatment is considered in patients with:

  • BMI ≥ 40

  • BMI > 35 and obesity-related illnesses (high blood pressure / heart disease, diabetes, sleep apnea, respiratory disorders, fatty liver disease, high cholesterol, gastrointestinal disorders, joint and back issues, and other)

  • BMI > 30 and Type 2 Diabetes as recommended treatment

  • weight greater than 45 kg / 100 lbs above the ideal body weight for height and sex

  • for whom classical methods of dieting and exercise have failed

  • ready for significant diet and lifestyle changes

These are only guidelines and each patient is evaluated individually taking into consideration their current health, associated health conditions and history of weight issues.

3. DO YOU QUALIFY?

BMI CALCULATOR

 

4. BARIATRIC SURGERY PROCEDURES:

I) GASTRIC SLEEVE  (Sleeve Gastrectomy) - 3D Laparoscopy

Sleeve Gastrectomy is a surgical weight-loss procedure wherein the surgeon removes approximately 75-80 percent of the stomach, leaving the stomach in a tube or "sleeve" that resembles the size and shape of a banana.

 

 

The surgery is performed in order to limit the amount of food the stomach can hold.  The stomach still retains all its normal digestive function, but now has a restricted capacity for food intake. This means that the patient feels full after only eating a small amount of food. The patient consumes fewer calories and is able to lose a significant amount of weight quickly and effectively.

*Patients must adhere to a strict diet plan and supplement with vitamins to ensure successful weight loss and health after surgery.

II) GASTRIC BYPASS - 3D Laparoscopy

Roux en Y Bypass (distal), RYGB

The conventional Gastric Bypass is a surgical weight-loss procedure wherein the surgeon creates a new path for food that bypasses a large part of the stomach and the first part of the small intestine.


The gastric bypass helps with weight loss in 2 ways with regards to decreased calorie intake. First, similar to the Sleeve Gastrectomy, the newly created stomach pouch restricts the amount of food the stomach can hold. Second, because a part of the small intestine that normally absorbs food is bypassed, the amount of food absorbed is reduced. This combination leads to significant, rapid, and long-term weight loss.

*Patients must adhere to a strict diet plan and supplement with vitamins to ensure successful weight loss and health after surgery.

One Anastomosis Gastric Bypass (Mini-Gastric Bypass) OAMG

The One Anastomosis Gastric Bypass (OAGB), also known as "mini-gastric bypass" is a newer version of the Roux en Y Bypass, wherein the surgeon creates a new path for food that bypasses a large part of the stomach and the first part of the small intestine.

Weight loss is achieved through both restriction (the new gastric pouch can hold only a small quantity of food) and malabsorption. Bypassing a sizable segment of the intestine, the remaining intestine is not long enough for normal nutrient absorption leading to malabsorption.

*Patients must adhere to a strict diet plan and supplement with vitamins to ensure successful weight loss and health after surgery.

 

III) Gastric Balloon (ORBERA System)  as NON- surgical Treament

The ORBERA System is a soft, saline filled silicone balloon that is placed in the stomach. It is designed to partially fill your stomach, giving you a feeling of fullness. It does not involve any surgery. The balloon placement is done as an "endoscopic" prodecure under mild sedation and only lasts about 20-30 minutes in total.

After the procedure, you'll rest in the clinic for 1-2 hours for observation and then be discharged home. The balloon is in place for either 6 or 12 months and is removed in a similar manner.

5. PREPARATION FOR BARIATRIC SURGERY

I) Pre-operation Diet

You will receive a pre-surgery bariatric diet two or one weeks prior to the surgery.

The pre-op diet is typically very low in carbohydrates and high in protein. This forces your body to use your fat cells as energy. In addition a high-protein/low-carbohydrate bariatric diet reduces bleeding and promotes healing.

II) Smoking

We recommend that you stop smoking or using chewing tobacco prior to your surgery. This will lower your risk of complications with weight-loss surgery. This can be a good opportunity for you to kick the habit for good.

6. KCM CLINIC BARIATRIC SURGERY SUPPORT GROUP

Come join our supportive community on Facebook!

Run by a long list of satisfied patients from all around the world helping each other and new patients on a new journey to weight loss and health!

Our Facebook Support Group:    https://www.facebook.com/groups/gastricsleeveinpoland


7. BARIATRIC SURGERY FAQs

KCM Bariatric Surgery & 3D Laparoscopy Surgery

 

Our Surgical Weight Loss Centre is ranked #1 on GCR's "Top 10 Best Bariatric Surgery clinics and hospitals in the world" of 169 clinics

We understand that weight loss is not easy and we are committed to helping our patients on their journey. We pride ourselves on our unique patient-centred approach and tailor a unique treatment plan for every one of our patients.

Our Bariatric Surgeons are among the most experienced in the world and our staff are here to ensure a comfortable and pleasant stay.

We are specialized in minimally invasive laparoscopic surgery for the modern treatment of obesity


Our ALL-INCLUSIVE Weight Loss Packages are prepared especially for our International Patients, with complete pre-operative diagnostics and individualized post-surgery diet plans to ensure long-term successful results.

Contact us:

M: +48 535 098 999

M: + 44 20 3348 8270

E: info@kcmclinic.pl

Comprehensive Care. Experienced Surgical Specialist Team. Exceptional Medicine.


Come join our long list of satisfied patients from all around the world!

Our Support Group: https://www.facebook.com/groups/gastricsleeveinpoland

3D Imaging Solutions -

Supporting Faster and More Accurate Surgery

OLYMPUS introduces the world's only deflectable tip
laparoscope delivering high-definition video in 3D


Introducing a new 3D imaging solution that provides depth perception and a precise spatial view of anatomy that cannot be achieved with traditional 2D systems. The OLYMPUS 3D solution is a fusion of advanced 3D technology which overcomes the limitations of conventional 3D systems, providing a new perspective on surgical imaging.

KCM Clinic also functions as an international education centre hosting surgeons from around the world for our annual Laparoscopy Workshops in Bariatric Surgery with 3D LIVE transmissions from our multimedia operating theatres!

7. BARIATRIC SURGERY FAQs

Q: Is it possible to have laparoscopic surgery if I had other surgieries done on my stomach in the past? (like hernia, or stomia)

A: Yes it is. You just need to tell the doctors about all your previous surgeries, especially the ones on your abdomen and pelvis (including those from your childhood). Your surgeon may ask you to provide the operative report from any complicated procedures you had done in the past.

Q: Is it possible to go through laparoscopic surgery if I have a heart disease?

A: It is, but it is also necessary to consult your cardiologist about that. In fact weightloss surgery can help most heart related problems, such as cholesterol, hypertension or heart enlargement. Make sure to let the surgeon know about all heart conditions you have.  If you take any kind of blood thinners you will recieve specific instructions before the procedure and after it.

Q: What kind of diet I will have to follow before the bariatric surgery?

A: It is important for all of our patients to develop a healthy lifestyle prior to surgery, so they can be even more successful after surgery. Not only is what you eat important, but also how and when you exercise and improving your relationship with eating to make it an enjoyable and pleasurable experience. KCM Clinic coordinators send the pre-op liquid diet 10 days before the surgery, so the patients can adjust their menu to new eating habits. The diet’s purpose is to shrink the liver and reduce abdominal fat, which decreases the risk of complications during the surgery

Q: Why quitting smoking before surgery is so important?

A: Smoking cigarettes or using tobacco can delay healing proces and lower blood supply. Apart from that smoking is harmful for your body and is believed to be related with:

  • Blood clots (which is the main reason for death after the surgery)
  • Stroke
  • Heart problems
  • Cataracts
  • Mouth, throat, stomach, bladder, cervix and kidney cancer
  • Lung diseases

Q: Will surgery improve my mental condition?

A: Apart from health benefits, weight loss surgery improves overall quality of life, helping to improve your self-esteem, social interactions, and sexual function. It can also help cure depression and anxiety.

Q: What is gastric balloon?

A: It is a silicone balloon filled with saline. The balloon is put inside your stomach to partially fill it and give you a feeling of fullness, and help you lose weight. After a few months (depends on the patient) balloon is removed.

Q: Is gastric balloon a surgery?

A: Gastric balloon placement is not a surgery, it is an endoscopic procedure, which lasts about 20-30 minutes.

Q: How soon after the bariatric surgery I will be able to come back to my work?

A: It usually takes about one or two weeks to get back to work. You will probably feel an energy deficit for some time after surgery, that is why you should go easy on yourself with work and even work half days or every two days for the first week back. You will recieve more instructions from your surgeon. Your safety is important.

 

Q: Can I get hernia at incisions if I start working too soon?

A: Risk of getting hernia, because of lifting is very low. Infection is a usual cause of hernia.

Q: How long do i have to wait to start excersising after bariatric surgery?

A: You will have to increase your physical activity gradually. After the procedure you will be encouraged to take short walks while still in the hospital, just follow the instructions given to you by the surgeon and nurses. You need to wait  about a month to start doing all the weightlifting sports (unless your surgeon says otherwise), take it easy for that period. Your wounds have to fully heal before even going to swimming pool.

Q: How much should I excersise?

A: 150 minutes of activity per week is a current recommendation, make sure that the excercise type and amount will be safe and tolerated by you.

Q: What kind of exersise should I do?

A: Including „cardio” and flexibility excercise to your daily routine will give you best results! Jogging, Zumba, swimming or using exersise machines will be very helpful as well.

Q: Will I have to take additional prescription medications after bariatric surgery?

A: Some surgeons prescribe a temporary medication for gallstone prevention if the patient still has a gallbladder. Sometimes it is required to prescribe anti-acid medications as well.

Q: Should I avoid any specific medications after bariatric surgery?

A: This information will be given to you by your surgeon, or dietician. One specific kind of medications you should avoid after gastric bypass is so called „non-steroidal anti-inflammatory drugs”, or NSAIDs. They can cause ulceration or stomach irritation, and patients after gastric bypass are especially vulnerable to „marginal ulcer” caused by NSAIDs, which can bleed or perforate. Some surgeons suggest putting away NSAIDs even after gastric sleeve.

Q: Can I get hernia at incisions if I start working too soon?

A: Risk of getting hernia, because of lifting is very low. Infection is a usual cause of hernia.

Q: What impact has weight loss after the surgery on medications I am taking?

A: if you currently take any medication, you may eventually be able to stop taking them. If not, or until that happens, your doctor may change your medications or the form in which you take them into suspension, chewable, sublingual, injectable  or liquid form. However, capsules, which are gelatin shells filled with powder or beads of medicine, can be taken whole. Try washing capsules down with hot tea, as it will work quickly to dissolve the capsule and relieve any discomfort in your throat and keep it from getting stuck in your stomach pouch.

If any of your prescriptions are only available in pill form, you’ll need to crush them and wash them down with water. Alternatively, you can dissolve pills in water. Some medications, such as those that are time-released, should not be crushed. On the other hand, some very small pills, such as oral contraceptives, can be swallowed whole. Work with your doctor and pharmacist to find out how your medications can be taken and which are available in alternate forms.

Your doctor will most likely advise you to take multivitamins and a calcium supplement after surgery. Calcium carbonate antacids like Tums are chewable and have the added benefit of helping treat symptoms of heartburn and indigestion. Your doctor can recommend a chewable multivitamin that’s suitable for you.

Sleeve gastrectomy and adjustable gastric banding tend to have little to no change in the absorption of medications. Roux-en-Y gastric bypass can have more significant changes in how medications are absorbed. Check with your surgeon and pharmacist about how you should take each of your medications.

 

Q: Is it necessary to take vitamins after surgery?

A: After bariatric surgery you may require higher doses of vitamins, or minerals (pay attention especially to Iron, Calcium and Vitamin D). Annual lab checks will also be required, so make sure you do them at least once a year.

Q: Can I crush all the medications?

A: Not all of them are crushable, it depends on the drug formulation. Generally non-coated tablets can be crushed, but you have to be careful with medication, always ask your surgeon or pharmacist whether your medication can be crushed or not.

Q: Can I stop using some of my medications after the surgery?

A: Alongside with losing weight you’ll be able to put away most of medicatons for hypertension, arthritis, heart, cholesterol and diabetes. You may even be able to reduce the dosage or discontinue the use of your diabetes medications soon after your procedure.

Q: Will my medications alter after bariatric surgery

A: Some might change (see the previous question). Medication intake might decrease as the obesity-related health conditions improve. Patients who take high blood pressure and cholesterol medication can see their doses lowered if these disease states improve. Any changes in prescription medication should be overseen by your doctor.

Q: Will I have to go through the plastic surgery after losing weight?

A: It depends on various factors: how often you excercise,  how old you are, how much weight you lose etc. Usually there is some loose skin left, but most often it is temporary. The biggest change will be visible within 6 and 18 monhts after the surgery, that is why most surgeons suggest waiting 18 months before making the decision to have plastic surgery done. The insurance most often covers excessive skin removal of your abdominal and breast areas for health issues, however skin on your arms and other areas may not be covered if considered cosmetic.

Q: What can I eat right after bariatric surgery?

A: Before leaving the hospital you will get special diet plan for the first weeks after surgery. For the first couple of days you will be able to have only liquid products, such as protein shakes, yoghurts (as long as there are no solids inside) and some soups (again, no solids inside)

Q: Where should I get the protein from? What if I am a vegetarian or on plant based diet?

A: Your dietitian should guide you in the area of additional protein sources. When it comes to daily food eggs, meat and dairy are very protein-rich products. For vegetarians also tofu, beans, and lentils. Additionally supplements made of whey or soy, which you can get in stores, are very useful in provding your protein intake.

Q: Can I take all the protein in one meal?

A: You should eat your protein throughout the day, it helps you feel full for most of the time. Try to include proteins in each meal, you will feel less hungry when it’s the wrong time to eat.

Q: Can i go out to eat after i fully recover?

A: If you fo out to eat, order something small, like an appetizer (remember not to drink during, and 1 hour after the meal). Eat slowly and finish at the same time as your companions

Q: Why is drinking so important after the weight loss surgery?

A: Dehydration is the most common reason for readmission to the hospital and it occurs when your body does not get enough fluid to keep it functioning at its best. Water is very important following bariatric surgery, as it is an essential component to the healing process. Additionally, adequate water intake is a crucial part of the weight loss process, as it increases the sensation of fullness and eliminates waste products more efficiently from the body. After surgery the stomach has been reduced in size to limit one’s food intake capacity allow the person to feel satisfied more quickly when eating. Not only can the stomach tolerate less food at once, but this applies to fluids as well. Because of this, bariatric patients have a harder time getting enough fluids in throughout the day and thus need to be aware of their increased risk of dehydration. Your body also requires fluid to burn its stored fat calories for energy. Carry a bottle of water with you all day, especially when you are away from home. Remind yourself to drink even if you don’t feel thirsty. Drinking approximately 2,5 litres of fluid is a good daily goal. You can tell if you’re getting enough fluid is if you’re making clear, light-colored urine 5-10 times per day. Signs of dehydration can be thirst, headache, hard stools or dizziness upon sitting or standing up. You should contact your surgeon’s office if you are unable to drink enough fluid to stay hydrated.

Q: Can I drink alcohol after bariatric surgery?

A: You should definitely avoid alcohol after bariatric surgery! After having part of your stomach removed or bypassed alcohol is no longer metabolyzed as well as before. What’s more, you are supposed to wait about an hour after eating to drink any liquids. That means that you would always drink alcohol on partially empty stomach, which is harmful to you and causes faster intoxication. However if you still decide to drink alcohol you need to be aware of few facts:
Alcohol contains a lot of calories, but almost no nutrition- therefore it will cause you to gain weight
Alcohol increases food cravings, which again can lead to gaining weight.

If you absolutely must have a drink stick to these rules:

  • Wait at least a month after the surgery before drinking any alcohol
  • Drink an hour after the meal (don’t drink with completely empty stomach)
  • Do not use drinks with added sugars and carbohydrates, including flavoured beers
  • Be sure to take all your vitamins

Q: Can I still drink coffee and other drinks containing caffeine, after bariatric surgery?

Even though you should avoid caffeine for at least a month after surgery, because your stomach is still very sensitive, you should be able resume it after this time. Ask your doctor or dietitian if there are any contradictions. Just be aware that caffeine can be found in drinks high on sugar an calories, so choose your drinks wisely.

Q: In what period of time, after the bariatric surgery, I can conceive a baby and is it safe for the child?

A: Bariatric surgery can produce a sudden positive change in your fertility. After bariatric surgery, women with fertility problems linked to obesity may begin ovulating regularly for the first time in years. However, women should avoid pregnancy for at least 12- 18 months after surgery. It is very important to discuss any pregnancy plans with the surgeon during one of scheduled appointments. Birth control pills are not very reliable during the time of weight changing. For this reason, having an IUD or using condoms and spermicide with ALL intercourse is needed. Menstrual periods can be very irregular, and you can get pregnant when you least expect it! Many women who become pregnant after surgery are several years older than their friends were when having children. Being older when pregnant does mean possible increased risks of certain problems. Down’s syndrome and spinal deformities are two examples. The good news is that, after surgery, there is much less risk of experiencing problems during pregnancy (gestational diabetes, eclampsia, macrosomia) and during childbirth. There are also fewer miscarriages and stillbirths than in heavy women who have not had surgery and weight loss.

 

Children born after mom’s surgery are LESS at risk of being affected by obesity later, due to activation of certain genes during fetal growth (look up “epigenetics” – for more information). There is also less risk of needing a C section.

 

Q: If I couldn't get pregnant before the bariatric surgery will I be able to conceive after losing weight?

A: A woman whose BMI is in the obese range may experience irregular menstrual cycles and ovulation. In fact, an obese woman is three times more likely to experience no release of an egg during her menstrual cycle, than a normal weight woman. Obese women can also experience problems producing the desired amount of reproductive hormones. This can be reversed by weight loss. Women can double their chances of getting pregnant after weight loss surgery. Many bariatric patients experience a boost in fertility quite soon after surgery, so it is important to use a barrier method of birth control such as IUD, or condoms and spermicide to ensure you do not become pregnant. Birth control pills are much less effective patients with obesity and in the phase of rapid weight loss. If you do become pregnant, please contact your bariatric surgeon and your obstetrician to monitor your progress. You will need to closely monitor your nutrient intake and be evaluated for vitamin deficiencies.

 


Minimally invasive Surgery Center -  General Surgery Department

Our specialist surgeons also perform the following surgical procedures:

3D LAPAROSCOPY:

Inguinal Hernia Repair with/out Mesh

Femoral Hernia Repair with/out Mesh

Abdominal Hernia Repair with Mesh

Fundoplication (Nissen technique)

Hiatal hernia removal

Appendectomy

Cholecystectomy - Gallbladder removal

VARICOSE VEIN Treatment:

Surgical Removal of Varicose Veins of Lower Extremity

OTHER Treatments:

Abdominal hernia repair with Mesh

Umbilical Hernia repair with/out Mesh

Femoral hernia repair with/out Mesh

Recurrent hernia repair with Mesh

« Services