Bariatric Surgery for Weight Loss in India

 Dr. Jasmeet Singh Ahuluwalia
 (MS, FNB-MAS, FBMS)

 Consultant
 Bariatric and Advanced Laparoscopic  Surgeon.

  Only Super-Specialist Surgeon in the Region in the field of
Bariatric and Laparoscopic Surgery
QUERY FORM APPOINTMENT FORM


What is Bariatric Surgery?

The term "bariatric surgery" refers to surgical procedures performed to reduce body weight. It has been proved to be the only effective treatment for morbid obesity.

For Asians,the guidelines for bariatric surgery for patients with BMI> 32.5 kg/m2 with severe obesity related comorbidity and for BMI > 37.5 kg/m2 with or without comorbidity.

There are basically two types of bariatric surgical procedures, Restrictive and Malabsorptive.

Restrictive procedures reduce the amount of food intake by decreasing the reservoir capacity of stomach whereas malabsorptive procedures decrease the amount of food being absorbed by the intestine. Some procedures have both these effects and are known as combined procedures.

There is a rapid loss of body weight after bariatric surgery during the first six months with a more gradual weight loss which can continue up to 2 years. The percentage of excess weight loss varies with the type of procedure performed and can vary from 50% to 80%.

All these procedures are performed laparoscopically by the minimal access technique. This reduces the trauma to the abdominal wall and provides ease of access to the organs inside the abdomen. The other advantages of this approach include less pain and faster postoperative recovery.

Procedures

RESTRICTIVE PROCEDURES
Sleeve Gastrectomy  Gastric Plication Gastric Banding 
   
MALABSORPTIVE PROCEDURES
   
Roux-en-Y Gastric Bypass Mini Gastric Bypass

FAQs

1. What is obesity ?
Obesity is a metabolic condition due to accumulation of excess fat in the body. In medical terms, a patient having BMI > 30kg/m2 is considered obese.

2. What is BMI ?
BMI stands for body mass index. It is calculated by dividing the weight in kilograms by the (height in meters)2.
BMI= Body weight in kg/(Height in meters)

3. Why is it important to lose weight ?
Obesity is associated with a number of metabolic diseases such as diabetes, hypertension, heart disease, sleep apnea, PCOD, osteoarthritis and depression. It causes severe health risks and is associated with decreased life span and poor quality of life. Hence, it is important to stay close to your ideal body weight in order to be healthy.

4. What is Bariatric Surgery ?
Bariatric surgery is the only medically approved procedure for long term and effective weight loss. It is a laparoscopic surgery which involves reducing the size of the stomach or bypassing part of the intestine to decrease the intake and absorption of food which results in a gradual and sustained weight loss which is generally permanent.

5. How would you know which procedure to choose ?
The choice of the correct bariatric procedure has to be individualized after detailed discussion with your bariatric surgeon.

6. Is it not possible to lose weight by dieting/ exercise or other alternative treatments ?
Diet, exercise and alternative treatments such as behavior/lifestyle modification are recommended for people who are simply overweight and not morbidly obese. These options are not effective in the morbidly obese group of people since it results in only 5-10% of excess weight loss and in most cases, this weight is regained after therapy is stopped. Also, vigorous exercise can strain their joints leading to wear and tear.

7. How long does the surgery last ?
The surgery lasts for anywhere between 1-3 hours depending upon the type of operation being performed.

8. How much weight would you lose after surgery and in how much time ?
Generally patients lose 60-80% of their excess body weight (i.e the weight above their ideal weight for height and age) gradually in 1 year after surgery. The weight loss is most rapid in the initial 3-5 months and slows down after that.

9.Will your diabetes, hypertension or other weight related conditions be controlled after surgery ?
Bariatric surgery not only helps in reducing weight but also results in complete remission or even cure of obesity related diseases like diabetes, hypertension, osteoarthritis, sleep apnea, etc.

10.How long do you have to stay in the hospital after surgery and when can you resume work ?
Generally, the patients are admitted one day prior to the day of surgery and get discharged 2-3 days after the procedure. The total stay in the hospital is between 3-5 days. Most patients can resume their work in the week following their surgery.

11.Will you be able to eat normally after bariatric surgery ?
After bariatric surgery, patients can eat almost all types of food, but they have to restrict the quantity which they consume at one time. Also, the meals have to be more frequent and evenly spaced. On an average, the patients eat 4-6 small meals in a day after bariatric surgery.

12. Will you be able to do hard work/exercise after surgery ?
Patients are generally advised to start routine activities 1-2 days after surgery. They can do light exercise in the first two weeks. They are told to avoid vigorous exercise or weights for two months after surgery. Post this period, they can do more or less everything.

13.What medicines are required after surgery ?
Generally patients require multivitamin and calcium supplements for 6 months to 1 year post surgery. After that, their bodies get adjusted to the new physiology and medicines can be stopped.

14.What are the side effects and risks of surgery ?
This surgery is generally safe and performed with the highest standards of care using imported sophisticated instruments. The usual risks are the same as any other surgical procedure occur in less than 1 % of patients.

15.Can the surgery make you lose excess weight or result in weakness ?
In most patients, bariatric surgery results in 60 -80% loss of the excess body weight so that patients come close to attaining their ideal weight. The majority of this weight loss is form of body fat hence the person feels lighter and better after surgery giving them new activeness and a sense of well being. Only in rare cases does a person lose more than the required weight which can then be treated by supplements.

16.Can you plan pregnancy after bariatric surgery ?
Yes, pregnancy is safe after the phase of rapid weight loss ( i.e 1 year) is over. Patients are advised to conceive 12 months after they have undergone their surgery.

17.Is this surgery reversible ?
Some of the procedures such as gastric banding, plication and gastric bypass are reversible by doing a redo surgery. However, other procedures such as a sleeve gastrectomy are not reversible and result in permanent reduction in the size of the stomach.

 
You are here: Home Soundarya Medi Spa Bariatric Surgery for Weight Loss