Dr. Marie Abigail Chan

Dr. Marie Abigail Chan Advanced Laparoscopy & Robotic Surgery
Gastrointestinal • Hernia • Bariatric & Metabolic Surgery
Obesity Care

💙 Endoscopic Sleeve Gastroplasty offers a less invasive way to treat obesity — without removing any part of the stomach ...
12/02/2026

💙 Endoscopic Sleeve Gastroplasty offers a less invasive way to treat obesity — without removing any part of the stomach or intestines.

By reshaping the stomach from the inside, ESG helps patients feel full sooner and eat less, while respecting the body’s natural anatomy. For carefully selected patients, it can be an effective option with shorter recovery and meaningful metabolic benefits.

Like all obesity treatments, ESG works best when guided by proper medical evaluation and long-term care — because sustainable results come from treating obesity as a disease, not a shortcut.

💙 SADI-S is one of the newer metabolic surgery options designed to deliver strong weight loss and metabolic benefits wit...
09/02/2026

💙 SADI-S is one of the newer metabolic surgery options designed to deliver strong weight loss and metabolic benefits with a simpler surgical approach.

By combining a sleeve gastrectomy with a single intestinal bypass, it offers powerful effects on hunger, fullness, and blood sugar control — while reducing surgical complexity compared to older procedures.

As with all bariatric surgeries, careful patient selection, nutritional monitoring, and long-term follow-up are essential. The right procedure is always the one that best matches a patient’s health needs and goals.

💙 Roux-en-Y gastric bypass is one of the most time-tested bariatric procedures.By changing how food moves through the st...
08/02/2026

💙 Roux-en-Y gastric bypass is one of the most time-tested bariatric procedures.

By changing how food moves through the stomach and intestines, it doesn’t just limit intake — it reshapes metabolism and hunger signals. This is why many patients see improvement in diabetes and reflux early on, sometimes even before major weight loss.

Because it has a stronger metabolic impact, gastric bypass can be a powerful option for certain patients — when paired with lifelong follow-up, nutrition support, and careful selection.
As always, the best procedure is the one that fits the patient’s medical needs and long-term health goals.

💙 Sleeve gastrectomy is one of the most commonly performed bariatric procedures worldwide.By reducing stomach size and h...
06/02/2026

💙 Sleeve gastrectomy is one of the most commonly performed bariatric procedures worldwide.
By reducing stomach size and hunger signals, it helps patients feel full sooner and eat less — supporting meaningful weight loss and improvements in metabolic health. Its simplicity and safety make it an option for many patients, especially those with higher medical risk.

As with all bariatric procedures, the choice depends on individual health goals, medical conditions, and long-term needs. There is no one-size-fits-all approach.

💙 Bariatric surgery is about improving health at its core.Also called metabolic surgery, these procedures help reset how...
05/02/2026

💙 Bariatric surgery is about improving health at its core.

Also called metabolic surgery, these procedures help reset how the body processes food, regulates hunger, and manages disease. Over decades of refinement, they’ve become some of the best-studied and safest operations in modern medicine.
When done thoughtfully and with proper follow-up, bariatric surgery can help people living with obesity regain health, prevent future complications, and experience a better quality of life.

Source: asmbs.org

💙 Metabolic surgery isn’t a shortcut and it’s never a one-size-fits-all decision.Medical guidelines support metabolic an...
02/02/2026

💙 Metabolic surgery isn’t a shortcut and it’s never a one-size-fits-all decision.

Medical guidelines support metabolic and bariatric surgery for individuals with higher BMI or obesity-related conditions when other treatments haven’t led to lasting results. But numbers alone don’t decide eligibility.
What matters just as much is who performs the surgery and how care continues afterward.

Surgery should be done by a specially trained surgeon, within a multidisciplinary team that supports patients long-term.

Metabolic surgery is about improving health, reducing future risk, and restoring quality of life — when chosen carefully and done well.

Source: ASMBS.org

ScienceBasedCare

💙 Metabolic and bariatric surgery in children and adolescents is never about weight alone.It’s considered carefully, bas...
01/02/2026

💙 Metabolic and bariatric surgery in children and adolescents is never about weight alone.

It’s considered carefully, based on medical criteria, existing health conditions, and the risks of leaving severe obesity untreated. BMI helps guide decisions, but it’s only part of a much bigger clinical picture.

For some young patients with severe obesity, surgery may offer the chance to improve health, prevent future complications, and restore quality of life — when used as part of comprehensive, long-term care.

Every child’s situation is different. Thoughtful evaluation always comes first.

💙 Obesity in children doesn’t just affect weight — it can impact the whole body and mind.From metabolic and liver health...
31/01/2026

💙 Obesity in children doesn’t just affect weight — it can impact the whole body and mind.

From metabolic and liver health, to sleep, emotional well-being, and overall quality of life, the effects can begin earlier than many realize.

These aren’t distant risks — they’re real challenges some children face every day.

The good news is that with early recognition and proper medical care, many of these conditions can improve. Treating obesity means caring for the child as a whole — physically, emotionally, and long-term.

✨ When we lead with understanding, we create better outcomes.

Source: ASMBS Childhood and Adolescence Guidelines

Childhood obesity is a chronic disease that often begins early and carries lifelong consequences if left unaddressed.Und...
30/01/2026

Childhood obesity is a chronic disease that often begins early and carries lifelong consequences if left unaddressed.

Understanding the condition, reducing stigma, and recognizing the need for proper medical care are essential steps in protecting a child’s future health and well-being.

Source: ASMBS Childhood and Adolescence Guidelines

Insulin resistance often begins years, sometimes up to a decade, before type 2 diabetes is diagnosed.Yet many people mis...
14/01/2026

Insulin resistance often begins years, sometimes up to a decade, before type 2 diabetes is diagnosed.

Yet many people miss the early warning signs.
Persistent hunger, increasing abdominal fat, fatigue, and brain fog aren’t failures of willpower.

They are early red flags of metabolic dysfunction—your body struggling to respond properly to insulin.

The good news: you don’t have to wait for diabetes to take action. When addressed early, metabolic health can improve significantly.

Clinical, evidence-based treatments—medical and surgical management—do more than control blood sugar. They target the hormonal and metabolic drivers of insulin resistance and weight gain.

Early intervention changes the trajectory.
It means better metabolic outcomes, improved energy, and a better quality of life.

If you’re noticing the signs, it’s worth having the conversation—because treating the root cause early makes all the difference. 🤍

A well-regulated immune system starts with a healthier metabolic environment. Excess adiposity increases inflammation, d...
13/01/2026

A well-regulated immune system starts with a healthier metabolic environment. Excess adiposity increases inflammation, disrupts immune signaling, and makes the body more vulnerable to infections.

Improving metabolic health — whether through structured lifestyle changes, medication, or metabolic/bariatric surgery — reduces this inflammatory burden and helps restore more effective immune function.

Good immune health begins with better metabolic health.

If you’d like to understand how obesity treatment supports both weight and overall wellness, feel free to explore more. 🤍

Semaglutide does more than reduce appetite—it works across several organs that influence metabolic health.Clinical studi...
12/01/2026

Semaglutide does more than reduce appetite—it works across several organs that influence metabolic health.

Clinical studies show that semaglutide can:

🧠 Improve appetite regulation through brain pathways
🩸 Reduce inflammation within the blood vessels
🩺 Support healthier insulin and glucagon balance in the pancreas
🧬 Decrease liver fat and glucose production
💧 Aid kidney function through natriuresis and diuresis
🫀 Lower blood pressure and cardiovascular inflammation

Because obesity is a multisystem disease, effective treatment must target more than weight alone. Semaglutide supports this by acting on multiple pathways involved in metabolism and disease progression.

💙 A science-based approach to improving long-term metabolic health.

MetabolicHealth BariatricMedicine

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