use a combined Medical and / or surgical
approach to weight loss proven to give better
results in all types of obesity.
has reached epidemic proportions worldwide and
affects 20 per cent of the Kenya population.
Overweight is one of the main causes of
Diabetes, Hypertension, Arthritis, etc.
Chtchoukin is a general surgeon who
specialises in Bariatric surgery (weight loss
is also an expert in spine manipulation for
acute and chronic back pain.
does this chiropractor like treatment after
inserting special medical injections into the
are four types of weight loss surgeries:
Gastric balloon - silicon filled balloon is
inserted through the Endoscope into the
is removed after 3 to 6 months.
is a day case operation which doesn’t
require any cuts or stitching.
Gastric Band - this is inserted through a
laproscope [keyhole surgery].
band is put around the stomach and adjusted
through a port on the skin every month
depending on the response of the patient.
Gastric sleeve - part of the stomach is
removed and clips inserted.
Gastric bypass - there are many variations.
The intestinal plumbing is done in such a
way that food bypasses part or whole of the
type of surgery selected depends according to
Patients weight, BMI, Complications of
obesity, Comorbidities, Age, General medical
Shchukin is a Family doctor who specialises in
medical weight loss.
program includes 12 sessions on diet,
psychotherapy, etc over a period of 3 to 6
gives out special CD which a patient can
follow on a daily basis. This medical
treatment can be combined with the surgical