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Dr. Jaydeep Palep

Consultant Bariatric & Gastrointestinal (Robotic & Laparoscopic) Surgeon
MS (Bombay University), FIAGES, FALS

Fellowships

  • Fellowship in advanced GI Laparoscopy (Bordeaux, France)
  • Fellowship in Robotic Gastrointestinal Surgery (Grosseto, Italy)
  • Fellowship in Bariatric & Metabolic Surgery (Boston, USA)

Expertise

  • Bariatric & Metabolic Surgery in Robotics And Laparoscopy
  • Robotic surgery for the Stomach, Spleen, Pancreas and Adrenals

Services Offered

Sleeve Gastrectomy, Roux-En-Y Gastric Bypass (Conventional And Banded/Gastric Bypass), Mini Gastric Bypass, Sleeve Gastrectomy with Duodeno-jejunal Bypass(LSG+DJB), BPD-DS, Ileal Transposition, Revision Bariatric Surgery (Adjustable Gastric Band To Sl, Minimally invasive and robotic upper GI surgeries (Stomach, Duodenum, Spleen), Biliopancreatic surgery

Languages spoken

Hindi, English, Marathi, Gujarati, Sindhi & Italian

Dr. Palep has vast experience in Upper GI Surgery and Weight Loss Surgeries. He is one of the first surgeons to be trained at Los Angeles (2011) for Banded Bypass and Banded Sleeve Gastrectomy as Weight Loss procedures in India. He performs Mini Gastric Bypass, a new and popular Weight Loss Surgery with excellent outcomes with respect to excess weight loss and resolution of Type II Diabetes Mellitus. He has also trained in Italy for Robotic Surgery (2006-7), a highly advanced surgical technique with greater precision and faster recovery.

KDAH Experience :

Dr. Palep joined us to start the unit for Weight Loss and Metabolic Surgery with Minimally Invasive Techniques (Robotic & Laparoscopic). There have been no mortalities and less than 1% of patients had significant morbidity related to the procedure in 4 years since the inception of the bariatric surgery program. More than 90% of his diabetic patients are now off Insulin & Oral Anti Diabetic Medications maintaining a healthy lifestyle with just diet and exercise.

This is the only center in western India offering robotic bariatric surgery since 4 years. His cases have been demonstrated live at various national and international conferences. In addition to bariatric surgery, Dr. Palep is well versed in performing advanced minimally invasive and robotic upper GI surgeries (Stomach, Duodenum, Spleen) and Biliopancreatic surgeries.

The department of bariatric surgery has been certified as a center of excellence by the IEF (International Excellence Foundation) for the comprehensive and high quality care provided. The department includes bariatric surgeons, endocrinologists, a team of dieticians and counselors. He is also a member of the executive committee of OSSI(Obesity Surgery Society Of India), the apex body which makes the rules and regulations for the highest standards of safety and efficacy of bariatric and metabolic surgery in India.

  • Dr. Palep was awarded the FALS (Fellowship of Advanced Laparoscopic Surgery) by the IAGES (Indian Association of Gastrointestinal Endosurgeons) which is the largest body of laparoscopic surgeons for training and teaching of laparoscopy in India for GI Surgery.
  • Dr. Palep was awarded the Who's Who In Medicine & Healthcare for 2011-12 by the Marquis Who's Who Publication Board (USA).
  • Dr. Palep has many peer reviewed publications and international presentations in conferences. The latest publication being the largest series of 79 cases of Fundoplication Surgeries and Assessment of QOL in international peer reviewed journal, Updates in Surgery published in December 2012.

He has published multiple peer-reviewed articles in international journals:

Original article

  • Pandya JS, Palep JH, Dhadas AB, Desai NK.
    Comparison of rubber band ligation and injection sclerotherapy for first and second degree haemorrhoids'- A prospective clinical trial.
    Bombay Hospital Journal.vol.46, No.1, 2004.
  • DP-186-7 da Vinci surgical system of robot-assisted surgery: experience in a hospital Miserikorudia Italy (108th Annual Meeting of the Japan Surgical Society scheduled times)
    Noh Yasumitsu Taira, Giulianotti PC, Palep JH, Norihiko Ishikawa, Kenji Omura, Go Watanabe Japanese Journal of Surgery 109 (extra edition _2), 717, 20080425
  • Palep JH
    Commentary: live telecast surgery on shaky ground
    Indian Journal of Medical Ethics, Vol VIII No 4, Oct-Dec 2011,245
  • Bhandarwar AH, Kasat GV, Palep JH, Shaikh TA, Bakshi GD, Nichat PD
    Impact of Nissen's fundoplication on response of disease specific symptoms and quality of life
    Updates surgery. 2013 Mar;65(1):35-41
  • Palep JH , Mistry S, Abhaya Kumar, Munshi M, Puranik M, Pednekar A
    Robotic excision of of a pre-coccygeal nerve root tumor
    Journal of minimal access Surgery 2015:Jan-Mar;Vol-11;1, 103
  • Palep JH, Wagh HD, Goel R, Pednekar A
    Initial experience of robotic surgery with low CO2 pneumoperitoneaum pressure
    Obesity Surgery, Vol 23
  • Palep JH, Mistry S, Bhandarwar AH
    Banded Sleeve gastrectomy (laparoscopic &robotic)- Early results and patient outcomes. A 2 year data.
    Obesity Surgery, August 2014, Vol 24

Review article

  • Joshi R.M., Palep JH, Sayyed S., Mehta S.
    Hepatic Resection: an insight.
    Indian J Surg 2005;67: 13-20.
  • Bhatia P, Palep JH
    New frontiers in Laparoscopic surgery: Robotic surgery
    JIMSA July - September 2007 Vol. 20 No. 3, 239-241.
  • Palep JH Day care robotic surgery
    Bombay hospital journal, Vol. 50, No. 2, 2008.
  • Palep JH
    Robotic assisted minimally invasive surgery.
    J Min Access Surg 2009;5:1-7

Case Reports

  • Pandya J.S., Rege J.D., Desai N.K., Palep JH
    Tuberculosis of the male breast mimicking as malignancy - a rare presentation.
    Indian Practitioner May 2000,vol- 53; no.5: 364-365
  • Pandya J.S., Desai N.K., Palep JH
    Gall bladder perforation mimicking acute cholecystitis.
    Bombay Hospital Journal 2000;vol- 42;3: 527-528.
  • Pandya J.S., Palep JH, Shinkre N.B., Patil N.N, Palan V.A.
    Tuberculosis of the biliary tract - a rare presentation.
    Indian Journal of Surgery. 2003; 65: 440-441.
  • Telang PS, Palep JH, Joshi RM
    Sponataneous perforation of the common bile duct in an adult
    Bombay Hospital Journal, Vol. 51, No. 4, 2009:514-515
  • Palep JH, Telang PS, Joshi RM Intra-abdominal CSF Pseudocyst: A Rare Entity
    Bombay Hospital Journal, Vol. 51, No. 4, 2009: 541-542
  • Bhandarwar AH, Shaikh TA, Borisa AD, Palep JH, Patil AS, Manke AA
    Primary neuroendocrine tumor of the left hepatic duct: A case report with review of the literature
    Case reports in surgery, 2012; 2012:786432.doi:10.1155/2012/786432
  • Palep JH, Mistry S, Abhaya Kumar, Munshi M, Puranik M, Pednekar A

Robotic excision of a pre-coccygeal nerve root tumor.

Journal of minimal access surgery 11(1):103-5; January 2015

  • Dr. Simon N. Gicharu, Nairobi, Kenya

    I received the best care and am very confident that I am getting world class treatment. My comment to one nurse summarizes my experience - Other nurses in other countries need to come to India to learn the art of Nursing.
  • Gagan Arora, 38

    I am very satisfied with the surgery as it has shown very positive results. I was hypo thyroid with hormone levels 10 times higher than the normal range. Post surgery it has come back to normal and my medication has been reduced considerably.
  • Private Female

    Two years back I read an article on bariatric surgery and discussed the same with my family physician whether the same is applicable for me. My doctor suggested me to meet Dr Palep for an expert opinion. After meeting Dr Palep I was fully convinced that I can recover from this situation by undergoing a surgery as suggested by him.
  • Salim Ahmed Khan, Dubai

    The robotic gastric sleeve surgery was just so smooth n pain free must say that I am genuinely thankful for making a decision to be operated under you in KDAH.
  • Arpita Chaturvedi

    I got my bariatric surgery on 12th June 2013. My experience during the entire pre operation and post operation was very smooth. Dr. Jaydeep Palep was like a pillar and friend during the entire procedure.
Dr. Jaydeep Palep | For The First Time In Western India: Application of Robotic Surgery in Bariatrics

Case:
A 52 year old homemaker was suffering from hypothyroidism since the last eight years and was taking treatment from an endocrinologist for the same. She came to us with the complaints of morbid obesity and severe knee joint pains with progressive difficulty in walking over the last 5 years.

Past History:
She had started putting on weight 8 years ago after her thyroid problem was diagnosed. She was habituated to attending parties and overeating through out the day. She gradually almost stopped walking since the last one year and restricted her physical activity to the bare minimum (like going to the bathroom/kitchen/dining) not even doing any household chores like she used to in the past.

She tried losing weight by enrolling herself in various diet and weight loss programs in her neighborhood, losing a few kilos but going on a rebound and putting on more than what she started off with. She was around 80 kg eight years ago.

Present Scenario:
She had come to Dr. Vinay Joshi, Consultant - Joint Replacement Surgeon, Kokilaben Hospital, Mumbai, for the treatment of her knee joints (L>R), who in turn referred her to Dr. Jaydeep Palep, Consultant - Robotic & Laparoscopic Bariatric and GI Surgeon, Kokilaben Hospital, Mumbai. She is 5ft 1inch tall and came to us with a weight of 115 kg and a BMI of 46.7kg/m2.

Treatment Offered:
She was counselled and put on a pre op 10 day liquid diet in preparation for a bariatric surgery. A robotic mini gastric bypass (which is a restrictive & malabsorptive procedure) was performed using the da Vinci Si HD Surgical Robot. This is the first time that a robot has been used for a weight loss surgery in Western India; traditionally this surgery has been done by laparoscopy over the last three decades across the globe.

The robotic technology incorporated for bariatrics gives a significant advantage over conventional laparoscopy due to various reasons,

  • Foremost being the 3D vision it gives inside the body
  • Intuitive movements of the robotic instruments
  • And the biggest advantage being the ability of the robotic arms to provide an assistance in abdominal wall lift during the surgery which is not possible in traditional laparoscopy technique that, in a severely obese patient, can cause a lot of problems to the operating surgeon like getting a good field to operate in a crowded fatty abdomen.

Dr. Jaydeep Palep: 52 year old homemaker was suffering from hypothyroidism and complaints of morbid obesity and severe knee joint pains with progressive difficulty

Case:
A 52 year old homemaker was suffering from hypothyroidism since  eight years and was taking treatment from an Endocrinologist for the same. She came to us with the complaints of morbid obesity and severe knee joint pains with progressive difficulty in walking over the last 5 years.

Past History:
She had started putting on weight 8 years ago after her thyroid problem was diagnosed. She was habituated to attending parties and overeating throug out the day. She gradually almost stopped walking since one year and restricted her physical activity to the bare minimum (like going to the bathroom/kitchen/dining) not even doing any household chores like she used to in the past.

She tried losing weight by enrolling herself in various diet and weight loss programs in her neighborhood, losing a few kilos but going on a rebound and putting on more than what she started off with. She was around 80 kg eight years ago.

Present Scenario:
She had come to Dr. Vinay Joshi, Consultant, Joint Replacement Surgeon, Kokilaben Hospital, Mumbai, for the treatment of her knee joints (L>R), who in turn referred her to Dr. Jaydeep Palep, Consultant  Robotic & Laparoscopic Bariatric and GI Surgeon, Kokilaben Hospital, Mumbai. She is 5ft 1inch tall and came to us with a weight of 115 kg and a BMI of 46.7kg/m2.

Treatment Offered:
She was counselled and put on a pre op 10 day liquid diet in preparation for a bariatric surgery. A Robotic Mini Gastric Bypass (which is a restrictive & malabsorptive procedure) was performed using the da Vinci Si HD Surgical Robot. This is the first time that a Robot has been used for a Weight Loss Surgery in Western India; traditionally this surgery has been done by laparoscopy over the last three decades across the globe.

The Robotic Technology incorporated for bariatrics gives a significant advantage over conventional laparoscopy due to various reasons:

  • Foremost being the 3D vision it gives inside the body
  • Intuitive movements of the robotic instruments
  • And the biggest advantage being the ability of the robotic arms to provide an assistance in abdominal wall lift during the surgery which is not possible in traditional laparoscopy technique that, in a severely obese patient, can cause a lot of problems to the operating surgeon like getting a good field to operate in a crowded fatty abdomen.

Dr. Jaydeep Palep: Tricky tumour removed with Robotic Arm help

Thane couple Richa and Ramesh (names changed) cannot stop marveling at the advances in medical technology ever since the former underwent an operation about 12 months ago. A Robotic Arm was used to remove a tricky tumour, measuring almost 10cm, that was growing in front of her tailbone.
"Several doctors refused to conduct the surgery because they said the tumour was in a delicate place, needing them to remove the tailbone. The recovery period would have been long too," said 25-year-old Ramesh.

On November 21, doctors at Kokilaben Ambani Hospital in Andheri used a Robotic Arm to reach the tumour and extracted it through four tiny holes in the abdomen. "I had minimal pain for two days thereafter. No one can believe I have undergone a major surgery," said Richa.
Richa's tumour, measuring 9.5 cm x 7.5 cm x 7 cm, turned out to be a ganglioneuroma-a tumour starting from nerve cells. Ganglioneuromas can emerge in any part of the body, but they are usually noncancerous.

Incidentally, Richa's tumour would never have been found if the couple hadn't been worried about their failure to conceive despite trying for a year. An ultrasound scan showed the tumour. "The tumour mass had grown to such a size that it was impinging on the uterus, which probably could be the reason for her failure to conceive," said surgeon Dr Jayadeep Palep, who operated on Richa.

Experts said the case shows how technology can ease the pain and cut down hospital stay. "A conservative surgery would have resulted in the patient suffering loss of blood, a long recovery period and a lot of pain and discomfort. Using the Robotic Arm, the surgery was completed in three and a half hours and the patient went home on the third day of the surgery," said Dr Palep. Dr Ajay Bhandarwar, Professor of Surgery at JJ Hospital in Byculla, said the tumour isn't rare, but the approach certainly is.

Factfile:

  • A 25-year-old housewife who couldn't conceive for the last 15 months was diagnosed with a tumour between her tailbone and rectum.

 

  • The tumour - called a ganglioneuroma, measured 9.5x7.5x7 cm.

 

  • Conventional surgery would have required doctors to remove her tailbone.

 

  • Doctors used a Robotic Arm to make four keyholes - two measuring 1cm in diameter and the other two measuring half a centimeter each.


In three and half hours, the tumor was removed in one piece with a blood loss of 30ml. The patient was discharged on the 3rd day of the surgery.


Source: Tricky tumour removed with robotic arm help;TNN Jan 23, 2014; 04.08 AM IST; Ref Link: http://articles.timesofindia.indiatimes.com/2014-01-23/mumbai/46513264_1_tumour-robotic-arm-richa

Dr. Jaydeep Palep: Robotic Surgeries for Bariatric Surgeries

Robotic excision of pre coccygeal ganglioneuroma – young female patient, who was unable to conceive due to large pelvic mass. She has now delivered a healthy baby post surgery without any complications.
Robotic excision of choledochal cyst with hepatico-jejunostomy
Robotic duodeno-jejunostomy for SMA syndrome
Robotic reversal of Roux-en-Y Gastric Bypass and Mini Gastric Bypass
Repair of complications of bariatric surgeries done at other hospitals.

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