Bariatric Surgery in Singapore

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 Singapore?

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 Singapore 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 Singapore

About Singapore

Singapore is a small, yet beautiful island city-state in South East Asia. The country's growth and prosperity in terms of infrastructure and economy are astounding and Singapore is affluent and tax-friendly and its GDP is on par with developed European nations.

Singapore is a global center for education, technology, tourism, trade, logistics, and healthcare. Medical expenses in Singapore are expensive when compared to Thailand and India. Yet, the country attracts medical tourists with its cleanliness, world-class medical infrastructure, and facilities. A C-section will cost anywhere between $6,048 and $11,267 in Singapore. Hip replacements can cost around $8,550-$12,850 and breast lump removal will cost you $5,459-$10,700 including a private room.

The country has 15 JCI accredited hospitals and medical centers, which offer a variety of services from orthopedics, dermatology, dental, cardiology, ophthalmology, and cosmetic procedures to alternative therapies such as acupuncture and Ayurveda. English-speaking medical professionals are extremely skilled and experienced. The hospitals in Singapore have access to cutting edge technologies and it is the best country to treat life-threatening, complex conditions.

It is advisable for medical tourists to have an International Health Insurance Plan to cover surgical costs. Most of the reputed hospitals in Singapore will only admit foreign patients with health insurance.

Medical care in Singapore is not just about getting preventive care and treatments for medical conditions that one may have. Some of the health care centers in Singapore are super luxurious and you can even order your food and shop using wireless tablets provided and make use of the nearby spas. Popular Hospitals and Clinics are the Farrer Park Hospital, Gleneagles Hospital Singapore, Mount Elizabeth Hospital, Parkway East Hospital, and Thomson Medical Centre.

Popular parts of Singapore

Singapore is home to over 5.5 million people and its cultural diversity is displayed in the extensive ethnic cuisine and major festivals. Singapore ranks number ten in the world for skyscrapers.

• Sentosa: Each of Sentosa’s three beaches: Siloso, Palawan, and Tanjong—hold their own unique charms. Palawan beach’s islets and playgrounds are great spaces for families to unwind. Resorts World Sentosa is home to several amazing experiences. Take a movie-themed ride at Universal Studios Singapore, or immerse yourself in aquatic adventures at the S.E.A. Aquarium.
• Marina Bay: If you wish to explore the extravagant side of Singapore, visit the stunning, Marina Bay. The Nightlife is amazing with glittering lights, glitzy rooftop bars, and restaurants. Marina Bay is the central and the busiest district of Singapore.
• Chinatown: You can experience an impressive blend of traditional and modern Singapore in Chinatown. There are ornate Chinese, Buddhist and Hindu temples, museums and plenty of opportunities to soak up the busy streets which are full of old shophouses. It is the perfect location for traditional cuisine and you will be spoilt for choice.
• Orchard: The 2 km long Orchard Road is a shopper’s paradise as you will find large shopping malls and designer’s stores. Singapore’s only UNESCO World Heritage site, the Botanical Garden lies at the corner of Orchard Road.
• Joo Chiat: This neighborhood is more residential and you will find an amazing range of housing options.
• Little India: is the center of the Indian community within Singapore and is filled with multicolored shop-houses that line the streets, and various mosques and temples, and enjoy the aromas that infuse the night air when the demand for food is at its peak.

Weather and Climate in Singapore

Singapore lies close to the equator in the Southern Hemisphere. The island country has a tropical climate. It is hot and humid throughout the year which has led to a steady inflow of tourists all year round.

Singapore receives an annual rainfall of 2430 mm. An average of 167 days receives moderate to heavy rainfall. Two different monsoons: Northeast (December to March) and Southwest monsoon (May to September) accounts for the rainfall. Thunderstorms are quite common during the Southwest monsoon.

The average temperature is 31°C during the day. It is most likely that the temperature can drop to 19°C during the hours of darkness.

Getting around in Singapore

Rated as the world's best airport by Skytrax, Singapore Changi Airport is one of the busiest airports in the World. The airport serves around 100 airlines, flying to 400 cities across 100 countries. You can hire a taxi or use the MRT to reach downtown Singapore.

The transport system is efficient due to the systematic and comprehensive network of roadways. The Land Transport Authority controls private vehicles and minimizes traffic congestion. Some of the common forms of transportation are:

• Mass Rapid Transit (MRT): The MRT has a total of five lines. You can buy a Singapore Tourist Pass or EZ Link card which allows you to use the railways any number of times for two or three days. A single journey costs 0.58 USD and a train arrives every 2-3 minutes during the peak hours.
• Public buses: There are over 300 public buses to serve the locals and tourists and bus fares range from 0.58 USD to 2.07 USD.
• Taxis: are widespread in Singapore and are less expensive and metered. It can cost you 2.63 USD per km.
• Water taxis: Will take you across the beautiful River Singapore. You can visit a few tourist spots via water taxis and view the downtown from a different angle. A single journey will cost 5 USD.

Tourist Visa in Singapore

Citizens of India, China and Russia require a valid tourist visa to enter the territory of Singapore. The visa processing time is just 5 days and it is valid for 90 days from the date of issue. You are allowed to stay here for a maximum of 30 days.

People from the European Union, US, Norway, South Korea, Australia, and New Zealand can enter and stay for 90 days in Singapore visa-free.

Additional Information

1. Singapore dollar (S$) is the official currency of Singapore. 1 USD is equivalent to 1.36 Singapore dollars.
2. You can find ATMs close to banks, shopping malls and almost every tourist location. You can also pay by using credit and debit cards.
3. Malay is the national language of Singapore. Mandarin, English, Malay, and Tamil are the four other official languages of the country. So, almost all the locals are fluent in English.
4. Singapore is home to 10 religions. 33% of the total population practice Buddhism, followed by Christianity and Islam.
5. New Year's Eve, Chinese New Year, Labour’s day, Good Friday, Deepavali, Vesak day, Hari Raya Puasa and Christmas are some of the public holidays in Singapore.