Bariatric Surgery in Selangor

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 Selangor?

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 Selangor 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 Selangor

About Selangor

Occupying the status of both the most populous and developed state, Selangor is indeed the pride of Malaysia. Its advanced infrastructure and superior living standards, coupled with the country's lowest instance of poverty, make it stand out. Perfectly positioned on the western coast of Peninsular Malaysia, it envelops Kuala Lumpur and Putrajaya, both of which were formerly a part of Selangor. Despite its impressive development marked by towering structures,

Selangor manages to retain its natural charm boasting splendid landscapes and tranquil retreats. The state's deep-rooted cultural essence and unmatched healthcare services further enhance its appeal.

Selangor is the medical tourists’ favorite destination because of its geographical position and low cost of living. The state has some of the best medical experts with 12 government hospitals and over 30 private hospitals and medical centers, many of which are recognized internationally and accredited by Joined Commission International and the Malaysia Society for Quality in Health (MSQH).

Selangor has become a preferred destination for medical tourists who seek procedures such as dental surgeries, cosmetic surgeries, IVF treatments, and eye surgeries. Among the numerous hospitals offering these procedures, KPJ Ampang Puteri and Sunfert International Fertility Centre have gained immense popularity due to their high standards and patient-centric approach. This underlines Selangor's standing as a leading destination for healthcare in the region.

Popular Areas in Selangor

Tourists who want to indulge in Selangor’s beautiful nature can go to Kuala Selangor Beach (Mirror of the Sky), Chilling Waterfalls, Kuala Selangor Nature Park, or the National Zoo of Malaysia. Those who want to experience culture can visit Galeri Diraja Sultan Abdul Aziz, Mah Meri Cultural Village, and Sultan Alam Shah Muzeum.

Among Selangor's numerous tourist magnets, Batu Caves stands out. This impressive limestone hill is home to three large caves and multiple smaller ones. Revered as a national treasure of Malaysia, Batu Caves hold immense religious significance for the Hindu community.

Visitors are always in awe of the world's tallest statue of the Hindu deity, Murugan, situated here. In addition to the religious and natural appeal, the site also offers sights of varied cave fauna and thrilling climbing routes, delivering an all-round enriching experience.

The state’s capital, Shah Alam, also has plenty to offer. Tourists can go to I-City to see millions of LED lights, indoor park, or to shop. The Blue Mosque (Sultan Salahuddin Abdul Aziz Shah Mosque) is also a popular destination where tourists can see the beautiful mix of Islamic and Malay architecture.

Weather and Climate in Selangor

Adorned with a tropical rainforest climate, Selangor is characterized by a warm and humid environment all year round. Daytime temperatures generally fluctuate between 25 - 35°C, but during the dry season, these can peak at a scorching 37°C.

The wet season ushers into the region as the calendar transitions into April, often extending as far as October, leaving the land generously watered. An increased intensity of rains is observed towards September and October, marking the peak of the rainy spell. For prospective visitors seeking to avoid the wet season, the months from late November to February typically prove the most comfortable for exploring and sightseeing, blessed with less rainfall and mild temperatures.

However, it should be remembered that even amidst the monsoon season, the weather isn't uniformly gloomy; there are often luminous intermissions. The sun tends to break through the rain-soaked clouds, bathing the land in its warm rays. Consequently, even during the monsoons, numerous days are well-lit, and visitors have ample opportunities to explore the local beauty undeterred. Brazil, in every season, has its unique appeal. Whether it's soaked in rain or draped in warm sunshine, it never fails to mesmerize its guests.

Getting Around in Selangor

There are two main airports: Kuala Lumpur International Airport (KLIA) and Subang Airport. Kuala Lumpur International Airport is the main airport in Malaysia that has a multitude of routes across the globe. The airport is divided into two parts, KLIA that mostly serves large airlines, and KLIA 2 that focuses on serving low-cost carries. Subang Airport is the hub for FireFly and Malindo Air.

Navigating Selangor is made effortless by its well-established infrastructure. The primary means of transportation include taxis, trains, and buses. Taxis, while economical, can prove to be slightly tricky, as some drivers refrain from using the fare meter. Visitors are therefore advised to approach taxi counters to secure a fixed-rate coupon, ensuring they aren't subjected to inflated prices.

Public transit systems like the KTM Komuter Train, MRT, and LRT are widely recognized as the most efficient modes of transportation for traversing Selangor. However, it's important to note that these service networks may not extend to certain rural areas. When visiting these less accessible regions, tourists may find it beneficial to hire a car, thereby gaining the advantage of flexibility. Alternatively, the option of using bus services provides a more economical solution for easy mobility.

Tourist Visas in Selangor

Nationals hailing from countries like China, India, Myanmar, Sri Lanka, Nepal, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to secure a visa prior to their arrival in Malaysia. Meanwhile, most other nationalities are offered the convenience of visa-free entry, valid for either a 30-day or 90-day stay. It is crucial for all visitors, regardless of their country of origin, to hold a passport that remains valid for at least six months subsequent to their entry into Malaysia.

An online visa application platform or eVisa is available for selected foreign nationals. eVisa can be applied around the world except for Malaysia and Singapore. Tourists who wish to visit Malaysia for medical treatment can apply for an eVisa Medical, valid for a single journey with a maximum of 30 days. The Malaysian Government has a very strict visa regulation, overstaying will result in RM10.000 fine and/or 5 year’s imprisonment, do ensure to extend your tourist visa if you need to.

Additional Information

1. Local Currency: Malaysian Ringgit is the local currency with 1USD equivalent to RM4.72. The currency is printed in various colors and sizes, making it easier and less confusing for travelers to work with the currency to avoid giving the wrong bills when shopping. The Malaysian Ringgit is formerly known as ‘Malaysian Dollar,’ older Malaysians sometimes refer to it as ‘Dollars,’ you can ask which dollar they mean if you are unsure.
2. Money & Payments: ATMs are widely available in the state. Credit cards (MasterCard and Visa) are accepted in most hotels and established restaurants. Tipping is not a common culture and many restaurants already add a service charge onto the bills, but tourists may tip.
3. Local Language: The national language is Malay, but English is in extensive use since many locals can speak English. Tamil, Mandarin, and Cantonese are also widely spoken.
4. Local Culture and Religion: Many people from different ethnicity coexist in Selangor. Malay, Chinese, and Indians are among the biggest ones. The official religion is Islam, as in other parts of Malaysia; with 57.9% percent of the population is Muslim, followed by Buddhist, Hindu, Christian, and Taoism.
5. Public Holiday: The rich racial diversity in Selangor is greatly celebrated all year round, especially on the holy days of every religion such as Aidilfitri, Chinese New Year, Thaipusam, and Deepavali. Selangor also hosts the three-day Thaipusam festival around January or early February, when hundreds of thousands of pilgrims meet at Batu Caves.