Bariatric Surgery in Malaysia

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Malaysia?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Malaysia as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Malaysia

About Malaysia

Malaysia is a rich culturally-oriented tourist destination and has a beautiful blend of modernization with a relaxed lifestyle. The population of the country is 32 Million people and Malaysia’s economy ranks in the fourth position in terms of size in Southeast Asia, The electronics, automotive, and construction industries are the biggest industries in Malaysia. The capital is Kuala Lumpur and It is the country’s largest urban area and is the cultural, commercial, and transportation center.

Presently, Malaysia stands as a renowned destination for its exemplary healthcare facilities, offering these high-quality services at notably affordable costs when juxtaposed against other globally recognized medical nations. As per predictions from the Ministry of Finance, the influx of medical tourists is expected to surge beyond 2,000,000 million by 2020. This forecasted growth can be largely attributed to the exemption of taxes imposed on medical bills.

The cities that top the list of medical travel include Kuala Lumpur, Penang, Selangor, Sarawak, and Melaka. Statistics reveal that among the 1.2 million patients who have visited Malaysia for medical care in 2017, 600,000 alone were from Indonesia. The most-sought-after medical procedures are cosmetic surgery, Brazilian butt-lift, and dental surgery. Malaysia is a favorite destination among medical tourists globally for the following reasons.

• The Country possesses a plethora of world-class hospitals that have high-tech medical equipment.
• All treatment plans match very high ethical medical standards.
• The doctors and paramedical staff are well-qualified.
• All procedures will cost you 50% less than other well known medical countries.
• English is a major language and there is good two-way communication between the doctors/medical staff and the patients.
• After an elective surgical operation, many patients will stay on in Malaysia to holiday and recuperate.

Some of the top-rated five-star medical tourism hospitals within the country include Columbia Asia Extended Care Hospital situated in Selangor, Sunway Velocity Medical Centre located in Kuala Lumpur, and Sunway Medical Centre based in Selangor.

Popular parts of Malaysia

Undoubtedly, Malaysia's appeal is immediately evident. The variety of experiences it offers, from bustling cities to idyllic landscapes, entrances visitors. Malaysia's multiculturalism, expressed through unique customs and diverse cuisines, only enhances its charm. This draws tourists from all corners of the globe, leaving them yearning for more. Succinctly, the splendor and diversity of Malaysia make it hard to resist repeated visits.

• Kuala Lumpur has a  mix of Malay, Indian, and Chinese influence which gives you a great selection of culinary delights to explore in this city. Interesting sights such as the Petronas Towers which is one of the tallest twin towers in the world. the Perdana Lake Gardens and the Menara KL Tower provide plenty of enjoyable distractions.
• Penang is an island on the west coast and the colonial city of Georgetown was made a UNESCO World Heritage Site and you can enjoy the museums, seaside fort, historic buildings. Penang is considered one of the best places in Southeast Asia to sample delicious street food of all types.

The must-visit cities in Malaysia renowned for their world-class appeal include Malacca, Langkawi, Kuching, Spaden, Johor Bahru, and Taiping.

Weather and Climate in Malaysia

Malaysia is a place that's warm all year round, as being in the tropical region. But since it's close to the ocean, the air can get pretty moist. Still, it's re-assuring to note that it doesn't get too hot, with temperatures usually staying between a pleasant 20°C and 30°C all throughout the year. Those who prefer cooler weather can visit the highlands in Malaysia, where it's generally chillier.

When planning a trip it's important to take into account the best times to visit different parts of the country. If you're eyeing the east coast, try to schedule your visit between March and September; this period is relatively drier than other months. On the other hand, the west coast is better visited from November to August. It's best to avoid the heavy rains which usually occur from September to October. With this information, you can plan to get the best out of your trip to Malaysia.

Getting around in Malaysia

The Country has a well-developed transport network and efficient rail links which makes all travel around the country easy.

It is advisable to book domestic transport well in advance during the main festivals, such as Chinese New Year, Hari Raya Pusa and Hari Raya Haji. Domestic flights and domestic express bus services are often sold out weeks before these festivals. All the major cities in Malaysia have an airport and most budget airlines operate into the country.

In the larger cities of Malaysia, you'll find that transportation is convenient with many kinds of vehicles to choose from. Specifically in Kuala Lumpur, the capital city, there's a broad range of public transportation options to get around. You can hop on buses for an affordable ride or opt for minibusses, locally known as "bas-mini" to navigate through narrower streets.

Furthermore, taxis are easily accessible in Kuala Lumpur, providing a convenient alternative when you prefer more comfort or need to reach a specific destination quickly. If you would like to experience something traditional and fun, pedicabs or "trishaws" as they are commonly known, are present in some parts of the city offering you a unique ride.

Additionally, Kuala Lumpur also boasts a well-connected train network, including rapid transit and commuter rail services, facilitating quick and efficient travel across the city. It's safe to say that in Kuala Lumpur, moving around is smooth and easy, thanks to these diverse means of transportation.

In Malaysian towns and cities, various modes of transport are used, including ferry services. In cities, the rail network is a good way to get around, especially the KL Monorail and transit trains.

Tourist Visas in Malaysia

The residents of the following countries holding a valid passport are the ones required to apply for a Malaysian tourist visa. China, India, Sri Lanka, Nepal, Myanmar, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro

All other nationalities will not need a visa to visit Malaysia. You will normally be given permission to stay for 3 months on arrival. Visas for longer stays or for non-tourist purposes must be obtained from the nearest Malaysian diplomatic mission before you travel.

The Malaysian authorities are running a vigorous campaign against illegal immigration. Don’t overstay your visa, or violate the terms of entry. Even if you overstay for just a few days, you can be fined, detained, deported, and blacklisted. Flight costs will be the responsibility of the individual.

Additional Information

• Local currency: Ringgit, denoted as RM, is the national Malaysian Currency. Printed in various colors, size, and physical appearance, the Bank Negara Malaysia and the National Bank of Malaysia control the issuing of currency. Malaysia follows the Chinese Model where it has cut itself away from comparing it to US dollars. The Malaysian currency is as such not traded internationally.
• Money and Payments: world-class restaurants and retail stores accept all forms of Credit cards. In case you are not holding the requisite quantity of local currency with you, you can exchange them at exchange bureaus. You can even take out cash from the ATMs.
• Local language: The official language is Malay and English is also widely spoken, the state has a cosmopolitan population, languages such as Arabic, Hindi, Tamil, are also spoken.
• Public holidays: The local population celebrates the Gregorian New year as well as the Chinese New Year. Since a large part of the population is Indian, Malaysia also celebrates some of the traditional Indian festivals such as Pongal, Diwali, and Tamil New Year.