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Dr Shashank Shah, General, Laparoscopic and Bariatric Surgeon Dr Shashank Shah is a pioneer and leading laparoscopic bariatric surgeon based in India. He is a symbol of excellence in the field, with many years of experience. With his expertise, he offers a ray of hope to those who are suffering from metabolic diseases like diabetes and obesity bariatric surgery be performed again? Obesity is a chronic, multifactorial, genetic, environmental and metabolic disease and needs lifelong treatment. Compensatory mechanisms of the body for weight regain remain activated throughout life. ♦ Why does someone need bariatric surgery again? Second-stage surgery is needed for those in whom initial BMI is very high (>45) or have delayed the decision for surgery. If the initial BMI is very high generally, these patients are recommended to undergo second-stage procedure, however in patients with gradual weight regain or recurrence of certain co-morbidities, a second-stage procedure can be perf

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