Dr.B.N. Shukla

Dr.B.N. Shukla
Bariatric & Metabolic Surgeon, Lucknow

MS, FIAGES

Dr. B.N. Shukla is one of the reputed doctors of Uttar Pradesh, who has earned recognition as one of the best Bariatric surgeons of the state. Dr. Shukla, who is not only a pioneer Bariatric surgeon, but also an expert, experienced, highly trained, and skilled Laparoscopic Gastro-Intestinal  and Metabolic Surgeon in Lucknow.

Dr. Shukla is currently associated with SIPS Super specialty Hospital, the Medwell Multispecialty Hospital, and the O P Choudhary Multispecialty Hospitals in Lucknow. Before taking up the present assignment, Dr. Shukla was associated with the Max Institute of Minimal Access, Metabolic and Bariatric Surgery in the Max Superspecialty Hospital, New Delhi as a consultant. He regularly performs laparoscopic Bariatric surgeries such as - gastric bypass, sleeve gastrectomy, and other Laparoscopic Gastro-intestinal surgeries likes cholecystectomy, CBD surgery, and appendicectomy. He also performs surgery for Achlasia cardia, pseudo-pancreatic cyst, Rectal prolapsed Hernia and other surgeries.

Dr. Shukla's entry into the field of medicine started with his MBBS from the MLN Medical College, Allahabad. He, then, went on to do his MS from the BRD Medical College, Gorakhpur, which was followed by Fellowships in Bariatric & Metabolic Surgery and Laparoscopic & Endoscopic Hernia Surgery.

Dr. B.N. Shukla holds a number of memberships, including the Indian association of Gastro-intestinal Endoscopic and Laparoscopic Surgeons (IAGES), the Association of Minimal Access Society of India (AMASI), the Asia-Pacific Hernia Society (APHS), and the Obesity Surgery Society of India (OSSI).

Before assuming the present position, Dr. Shukla was Consultant Surgeon - Minimal Access, Metabolic and Bariatric Surgery, Max Superspecialty Hospital, New Delhi, Senior Resident - Minimal Access, Metabolic and Bariatric Surgery, Max Superspecialty Hospital, New Delhi, January, and Senior Resident, General Surgery, BRD Medical College.

Some of Dr. Shukla's areas of specialization include Bariatric & Metabolic Surgery, Colorectal Surgery (Proctology), Gastrointestinal Surgery, Minimal Access Surgery, and Pancreatic Surgery.

Some of Dr. Shukla's area of expertise include Bariatric and Metabolic Surgery, Hernia Repair - Inguinal and Ventral, Hepato-biliary-pancreatic Surgery, Stapler Haemorrhoidectomy for Piles, and Video-Assisted Anal Fistula Treatment.

Experience

Consultant Surgeon-Laproscopic Gastro-Intestinal and Bariatric Surgery, SIPS Superspeciality/Medwell/O P Choudhary, Lucknow April, 2013 -  Present

Consultant Surgeon- Minimal Access,Metabolic and Bariatric Surgery, Max Superspeciality Hospital, New Delhi April, 2012 -  March, 2013

Senior Resident- Minimal Access,Metabolic and Bariatric Surgery, Max Superspeciality Hospital, New Delhi January, 2010 -  March, 2012

Senior Resident,General Surgery, BRD Medical College

Specialities

  • Bariatric & Metabolic Surgery

  • Colorectal Surgery (Proctology)

  • Gastrointestinal Surgery

  • Hepatobiliary Surgery

  • Laparoscopic Surgery

  • Minimal Access Surgery

  • Obesity

  • Pancreatic Surgery

Expertise

Laproscopic:
  • Gastro-Intestinal Surgery
  • Bariatric and Metabolic Surgery
  • Hernia Repair-Inguinal and Ventral
  • Hepato-biliary-pancreatic Surgery
  • Solid Organ Surgery- Splenectomy/Adrenelectomy/Nephrectomy/Hepatectomy
  • Colo-Rectal Surgery
Minimal Acces Surgery:
  • Stapler Haemorrhoidectomy(or MIPH) for Piles
  • Video-Assissted Anal Fistula Treatment (VAAFT)

Education

MS, 2009, B R D Medical College, Gorakhpur, India

MBBS, 2002, M L N Medical College, Allahabad, India

FIAGES, 2012, Max Hospital,New Delhi

Fellowship in Bariatric and Metabolic Surgery, Max Hospital, New Delhi

Fellowship in Laproscopic and Endoscopic Hernia Surgery, Max Hospital, New Delhi

Hepato-Biliary-Pancreatic Surgery Certificate Cource, GEM Hospital, Coimbatore

Practice Information

Medwell Hospital, Lucknow

Medwell Hospital, Lucknow

37, Cantt. Road, Burlington Hotel Crossing, Lucknow, Uttar Pradesh - 226001

MON - FRI

01:00 PM - 03:00 PM

Dr.O.P. Chaudhary Cancer Institute & Research Center, Lucknow

Dr.O.P. Chaudhary Cancer Institute & Research Center, Lucknow

Chaudhary Vihar, Raebareli Road, Lucknow, Uttar Pradesh - 226014

MON - FRI

09:30 AM - 12:30 PM

SIPS Superspeciality Hospital, Lucknow

SIPS Superspeciality Hospital, Lucknow

Road from Buddha Park to Medical College, Shahmeena Road, Lucknow, Uttar Pradesh - 226003

MON - FRI

04:30 PM - 06:30 PM

Private Practice Information

SIPS Superspeciality Hospital/Medwell Hospital/OP Choudhary Hospital

SIPS Superspeciality Hospital/Medwell Hospital/OP Choudhary Hospital

Gomti Nagar, Lucknow, Uttar Pradesh - 226010

  • (+91) 9335604090

Patient Experience

Your participation in the survey will help other patients make informed decisions. You will also be helping Dr.B.N. Shukla and his staff know how they are doing and how they can improve their services.

Achievements & Contributions

  • You are what your parents ate! According to science daily - Is your health affected by what your parents ate? Diet-induced obesity and diabetes can be epigenetically inherited by the offspring, according to new research in animals. "This kind of epigenetic inheritance of a metabolic disorder due to an unhealthy diet could be another major cause for the dramatic global increase in the prevalence of diabetes since the 1960s".
  • Best Laproscopic Surgeon Award,2012
  • Paper Presentation at UPASICON-2008,Baraely,up
  • CME on Obesity and Bariatric Surgery at HIMS on April,2014
  • Indian association of gastro-intestinal endoscopic surgeons(IAGES)
  • Asia pacific hernia society(APHS)
  • Association of Minimal Access Surgery of India (AMASI)
  • Indian Hernia Society (IHS)
  • Obesity Surgery Society of India (OSSI)

Blog

According to the Arthritis Foundation, for  people with a lot of weight to lose, bariatric surgery can yield dramatic improvement.
 
In obesity due to Excess weight  causes -

  • Much pressure over joints and creates substances that can destroy cartilage, worsening osteoarthritis. The hips, knees, and lower back are usually affected the most. For every pound extra weight it increases 5-pound pressure across the joint when walking.

 Impacts of surgery -

  • Pain reduction -After bariatric surgery, pain reduces significantly and dramatically as weight loss occurs and it is not a surprise for patients that pain medicine is not required.

  • Increased mobility - Losing weight helps people to be more active and be able to do exercise and hence maintain the weight loss for long term.

  • Better outcome after joint replacement  - Patients (obesity with arthritis) who needs joint replacement surgery should  be reduce weight first by bariatric surgery because it helps to reduce post-operative problems and fasten recovery  after replacement surgery.

What is Diabesity?

Obesity and type-2 diabetes are global health problems that have a strong co-relation between them. The relative risk of diabetes with increased BMI is greater than those with normal BMI range. Generally 50% individuals are obese who are diagnosed with type 2 diabetes. Prevalence of diabetes increases disproportionately as obesity increases in  a population and now India is known as “Diabetes capital” of  the world and introduction of term ‘‘diabesity” was coined to understand that its a single disease.


What is Metabolic syndrome?

Defined as a combination of Increased Fasting Blood Sugar, Blood Pressure, Cholesterol and Triglycerides with abdominal Obesity that result in increased risk of Type2 Diabetes mellitus and Cardiovascular diseases.

What is diabetes surgery or metabolic surgery and it's type?

Surgeries which improves or cure diabetes and maintain blood sugar level within acceptable normal range and it can also correct lipid level in blood.

There are two types of surgery

  • One is pure for treatment of Type-2 Diabetes without obesity like Ileal Interposition, Ileal Interposition with Sleeve Gastrectomy and Ileal Interposition with Sleeve Gastrectomy and Duodenal switch
  • Second is Bariatric surgeries Like Sleeve Gastrectomy, Gastric bypass, Minigastric bypass, BPD with DS and Gastric banding also known as diabetic surgery or metabolic surgery because surgery improves or cures diabetes, hypertension and lipid abnormalities.

 
Mechanism of diabetes surgery
* By Change in gut hormone level and weight- loss insulin sensitivity and production increases thus control blood sugar level.                 

Criteria for  Baritric Surgery in type 2 diabetes (with Obesity)
*BMI >32.5 kg/mt2
*BMI >27.5 kg/mt2 and < 32.5 kg/mt2 with insulin requirements >80 IU /day
*Age<60years
*Diabetes diagnosed < 5 years but results are also goods even <10 years old Type-2 Diabetes
*Failure to lose weight by diet and exercise

Impacts of Bariatric Surgery over Type-2 Diabetes
Different bariatric procedures can improve or cure diabetes and previously diabetes is considered as a progressive non-curable disease. But now curable by bariatric surgery or metabolic surgery and different procedure gives variable results as remission of Type2 diabetes mellitus by BPD with DS is 95%, by RNYgastric bypass is 85-90%, by Sleeve gastrectomy is 80% and by Gastric banding is 60%. In some cases our patients  discharge with normal blood sugar level and without antidiabetic tablets or insulin injection.
Overall cure of type2 diabetes is 85%, improvement  of type2 diabetes is 90 % and health and life quality improvements after surgery and requirement of drugs reduces or no need of drug are seen.

Criteria for diabetes Surgery (without Obesity)

 

  • Type 2 Diabetes more than 1 year duration
  • BMI 21-55 kg/mt2
  • Poor Glycemic control(HbA1c >8%) despite maximal use of Oral Hypoglycemic Agents and Insulin or good control but requiring progressively higher drug doses.
  • Gives Informed consent for the surgery
  • Postmeal C-peptide >1.0ng/ml
  • Age 25-75 years
  • Stable weight for more than 3 months

Impact of Diabetes Surgery over Type -2 diabetes

  • Approximately 90% cure or improvements are seen and there is no need for oral hypoglycemic and Insulin.

Bariatric surgery indicates a variety of gastrointestinal (GI) surgical procedures originally designed to induce weight reduction in morbidly obese patients. Benefits of bariatric surgery, however, extend well beyond weight loss and include dramatic improvement of type 2 diabetes, hypertension, dyslipidemia, and reduction of overall mortality.

Criteria for Bariatric Surgery (Weight loss Surgery)

  • BMI > 37.5kg/mt2
  • BMI 32.5kg/mt2 or >  with associated  problems like diabetes, hypertension, lipid abnormalities, artritis, Infertility, Breathing difficulties etc.
  • Age between 18-65 years

How Does Bariatric Surgery Work?

Today there are several bariatric surgical procedures that lead to sustained weight loss in patients with morbid obesity. These are classified by their presumed mode of action as below

  • Restritive procedure – restrict on the intake quantity of food i.e. less amount of calories intake e.g.- Intra-gastric Ballooning/Gastric Banding/Sleeve Gastrectomy
  • Malabsorptive procedure – to decrease absorption of digested food i.e less calories absorption e.g.-Bilio-Pancreatic Diversion/Duodenal switch
  • Combined procedure – i.e.-both restriction and malabsorption of calories e.g-Roux-en-Y-Gastric-Bypass

These different procedures work to restrict amount of food intake at one time, to decrease absorption of digested food and changes the level of gut hormones so patient gets early feeling of satiety (decrease hunger) and increase the metabolism of glucose and fats. Increasingly, hormonal changes are being recognized as an important mechanism of post surgical weight loss.

Technique

  • Bariatric surgery done laparoscopically (by making hole) like other Gastro-intestinal Surgery now a days and this technique popularized  Bariatric Surgery .
  • Small holes made over the abdominal wall and insert instruments into the abdominal cavity, with guidance of a surgical telescope with a video camera  and real time video seen over monitor to perform surgery under General Anaesthesia.

Surgical Option


Most commonly done procedure are

  •  Laproscopic Sleeve Gastrectomy            
  • Laproscopic Gastric Bypass


Other procedures are

  • Laproscopic Mini-gastric bypass
  • Laproscopic BPD with duodenal switch
  • Laproscopic Gastric Banding
  • Laproscopic  Banded Sleeve Gastrectomy
  • Laproscopic Banded Gastric Bypass
  • Laproscopic SADI

**Type of bariatric surgery to be performed upon you will be decided after your full assessment and evaluation. The surgeon will take decision which procedure suits you according to your condition.


**The average operating time for surgery is 1.5-2 hours and we generally discharge on next postoperative days and patient can join work within 10-14 days. It varies from patient to patient based on their condition and willpower.
 

Results of Bariatric Surgery
 Over weight-loss

  • Considerable and durable weight loss up to 65-75% of excess body weight within 12-18 months.

Over Type 2 Diabetes

  • improvement (in >85%) and remission (in 78%) of Type 2 diabetes mellitus.


Over other disease or problems

  •  Improvement or remission of a wide range of obesity-related co-morbidities like hyperlipedemias (80%), hypertension (75%) obstructive sleep apnea(80%), obstructive sleep apnea (90% chance of resolution),reduces Gastro-esophageal reflux disease,improvement in liver diseases,improvement or cure of infertility and PCOD and cancer - reduced by 75-78%.