Surgical Weight Solutions

09/08/2026

One of the best parts of being a surgeon are the friendships you make along the way.

Medicine is a small world.

It's always special to reconnect with friends and colleagues from different parts of the world, share ideas, learn from one another, and remember where the journey began.

Grateful for the friendships, the conversations, and the opportunity to keep learning together.

08/08/2026

Always great catching up with good friends.

A pleasure to spend some time with my good friend Mr Ravi Aggarwal at St Mary's Hospital, Imperial College London.

We spent the day sharing ideas, discussing techniques, and talking all things bariatric surgery.

St Mary's is an exceptional unit, performing more than 450 bariatric procedures each year, including complex revisional surgery. It was also the first bariatric unit in the UK to be recognised as an International Centre of Excellence.

Always inspiring to spend time with people who are passionate about improving patient care.

Surgical Weight Solutions has an experienced and supportive team to assist their patients on their weight loss surgery journey.

06/08/2026

Good friends. Great surgeons.

It was fantastic to catch up with good friends from Norfolk and Norwich University Hospital, where I had the privilege of working for two years.

These weren't just colleagues. They became lifelong friends who I genuinely enjoyed working alongside every day.

Not only are they world class surgeons and clinicians, they're also genuinely good people.

It's always a pleasure catching up, sharing stories, and seeing where our journeys have taken us.

03/08/2026

🎗️ Can bariatric surgery reduce the risk of uterine cancer?

For some women, the benefits of bariatric surgery may extend far beyond weight loss.

Obesity is one of the strongest modifiable risk factors for endometrial (uterine) cancer, the most common cancer affecting the lining of the uterus.

Excess body fat can influence hormone levels, inflammation, and metabolic pathways that are associated with the development of this cancer.

Research has shown that substantial, sustained weight loss after bariatric surgery is associated with a lower future risk of endometrial cancer.

While bariatric surgery is not a cancer treatment or a substitute for regular medical care, it is a powerful metabolic intervention that can improve many aspects of long-term health.

For appropriately selected patients, the benefits may include:
✔️ Significant, long-term weight loss
✔️ Improved metabolic health
✔️ Reduced risk of obesity-related conditions
✔️ A lower future risk of some obesity-related cancers

💚 Weight loss surgery isn't just about the number on the scales. It's about improving health today while investing in a healthier future.

📌 Save this post if you're interested in the wider health benefits of bariatric surgery.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz

30/07/2026

🎗️ Can bariatric surgery reduce ovarian cancer risk?

The answer is possibly, but it's important to understand what the research tells us.

The relationship between obesity and ovarian cancer is complex, and the evidence is not as strong as it is for cancers such as endometrial cancer.

However, obesity is linked to an increased risk of several types of cancer, and large international studies have found that bariatric surgery may be associated with a lower overall risk of obesity-related cancers in women.

Why?

Weight loss surgery doesn't just reduce body weight. It also improves many of the hormonal, metabolic, and inflammatory changes associated with obesity, which are believed to contribute to cancer risk.

It's important to remember:

❗ Bariatric surgery is not a cancer treatment.
❗ It is not a substitute for appropriate cancer screening, investigation, or medical care.

What it is is a powerful metabolic treatment that can improve overall health and may provide benefits that extend well beyond weight loss.

💚 Better metabolic health can have positive effects throughout the body, many of which researchers are still working to fully understand.

📌 Save this post if you're interested in the wider health benefits of bariatric surgery.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz

29/07/2026

🦵 Can weight loss surgery help painful joints?

For many people living with obesity and osteoarthritis, every step can be painful.

That's because excess body weight places additional mechanical stress on weight-bearing joints, particularly the knees and hips.

For appropriately selected patients, significant weight loss after bariatric surgery may lead to:

✔️ Less pressure on painful joints
✔️ Improved mobility and physical function
✔️ Reduced joint pain for many patients
✔️ Greater ability to exercise and stay active
✔️ A better quality of life

While bariatric surgery can't reverse arthritis or repair damaged joints, reducing the load they carry every day can make a meaningful difference.

For some patients, improved mobility also helps prepare them for future orthopaedic surgery or simply allows them to enjoy everyday activities again.

💚 Sometimes, losing weight means gaining movement, independence, and a better quality of life.

📌 Save this post if you or someone you know is living with obesity and joint pain.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz

27/07/2026

🦵 Too heavy for a knee or hip replacement? There may be another pathway forward.

For some people living with severe obesity and osteoarthritis, the journey to joint replacement can feel frustrating.

They're advised to lose weight before surgery, yet the very pain caused by their arthritis makes exercise incredibly difficult.

It can feel like an impossible situation.

For appropriately selected patients, bariatric surgery may provide a pathway forward.

By achieving significant weight loss, patients may:
✔️ Reduce the load placed on painful joints
✔️ Improve mobility and physical function
✔️ Increase their ability to be active
✔️ Potentially make future orthopaedic surgery safer and more successful

Weight loss can create a positive cycle:

➡️ Less weight on the joints
➡️ Less pain
➡️ Better mobility
➡️ More movement
➡️ Better overall health

While bariatric surgery isn't the right solution for everyone, for some patients it can be an important first step towards regaining mobility and improving quality of life.

💚 Sometimes, treating obesity is an important part of treating joint disease.

📌 Save this post if you or someone you know has been told they need to lose weight before joint replacement surgery.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz

25/07/2026

🤔 Gastric bypass or sleeve? Does reflux matter?

Absolutely.

If you already experience significant acid reflux before weight loss surgery, it can play an important role in determining which procedure is most suitable for you.

While a sleeve gastrectomy is an excellent option for many patients, it can worsen or trigger reflux in some people.

A Roux-en-Y gastric bypass, on the other hand, is often associated with much better control of acid reflux and may be the preferred option for patients with GERD or a large hiatus hernia.

That's why bariatric surgery is never a one-size-fits-all decision.

Your surgeon will consider a range of factors, including:
✔️ Your reflux symptoms
✔️ Gastroscopy findings
✔️ Your anatomy
✔️ Your overall health
✔️ Your weight loss goals

Choosing the right operation from the beginning can help improve both your long-term health and your quality of life.

💚 The best bariatric operation isn't the most popular one. It's the one that's right for you.

📌 Save this post if you're considering bariatric surgery.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz

22/07/2026

⚠️ Reflux after a sleeve gastrectomy? You have options.

Persistent acid reflux after a sleeve gastrectomy isn't something you should simply learn to live with.

The first step is understanding why it's happening.

A thorough assessment may include:
✔️ A gastroscopy to examine your oesophagus and stomach
✔️ Imaging or other specialised investigations to assess your anatomy and reflux
✔️ A review of your symptoms, medical history, and previous surgery

Once the cause has been identified, the right treatment plan can be developed.

For some patients with severe or treatment-resistant reflux, converting a sleeve gastrectomy to a Roux-en-Y gastric bypass can provide excellent relief from reflux while continuing to support long-term weight management.

The most important thing is getting the diagnosis right before deciding on the solution.

💚 If reflux is affecting your quality of life after bariatric surgery, don't ignore it. Effective treatment options may be available.

📌 SAVE this post if you or someone you know is experiencing reflux after bariatric surgery.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz

21/07/2026

🔥 Can gastric bypass actually treat severe acid reflux?

The answer is yes — for the right patient.

For people living with obesity and troublesome acid reflux (GERD), a Roux-en-Y gastric bypass can address two important health concerns at the same time:

✔️ Significant, long-term weight loss
✔️ Excellent control of acid reflux symptoms

This procedure is often considered for patients who:
• Have severe or persistent acid reflux
• Have a large hiatus hernia
• Continue to experience reflux after a sleeve gastrectomy

The key is choosing the operation that best suits your individual health needs.

While a sleeve gastrectomy is an excellent option for many patients, it may not be the best choice if significant reflux is already part of the picture.

At Surgical Weight Solutions, every patient undergoes a comprehensive assessment to determine the procedure most likely to deliver the safest operation and the best long-term outcome.

💚 There is no "best" bariatric operation — only the one that is best for you.

📌 SAVE this post if you or someone you know struggles with reflux and obesity.

📌 Note: We offer surgical and medical weight loss solutions.

👨‍⚕️ Dr Suheelan Kulasegaran - Consultant Oesophago-gastric, Bariatric, General Surgeon and Endoscopist
☎️ 09 200 4849
✉️ [email protected]
🌐 www.surgicalweightsolutions.co.nz