To qualify for surgery patients one must weigh 30 kgs more than their ideal body weight, or have a Body Mass Index greater than 37 without associated Diabetes / Hypertension or more than 32 with associated co morbidities. However, patients who weigh less than this may be considered for surgery as per new IDF (International Diabetes Federation) guidelines for Asians.
Candidate must have diagnosed type II Diabetes Mellitus which is not controlled with medicines and lifestyle changes, there is evidence of organ damage in the form of neuropathy or kidney disease, there must be sufficient insulin reserves on Investigations.
Today pre mature death rates are increased by 200% for men and women who are significantly overweight. Obesity causes or increases the risks of many diseases e.g. Diabetes, high BP, heart disease, joint pains etc
Mild form of obesity can be treated with Diet, Exercise & Medication, however for people who are severely obese after conventional approaches to weight loss such as diet and exercise – have failed, or for patients who have obesity – related disease, surgery may be the best treatment option.
The Results of bariatric surgery are long term, studies performed at various bariatric surgical centers concluded that after Bariatric surgery most of the individuals suffering from morbid obesity can maintain more than 50 % of the excess weight loss and among these individuals almost 80 % of those who are suffering from super super morbid obesity are able to achieve more than 50 % of the excess weight loss.
You could start your office/desk work after 3 days of surgery. If your job involves heavy lifting you may need to wait longer, possibly a week, though different patients behave differently post operatively.
It is strongly recommended that women wait at least one year after the surgery before a pregnancy. Approximately one year post-operatively, your body will be fairly stable (from a weight and nutrition standpoint) and you should be able to carry a normally nourished foetus. You should consult your surgeon as you plan for pregnancy.
