Weight Loss Surgery

Obesity is nowadays a major health hazard so much so that worldwide obesity tripled since 1975. In 2016, more than 1.9 billion adults aged 18 years and older were overweight. Of these over 650 million adults were obese and had obesity related problems. In India the number of obese people has doubled in the last 10 years, according to the National Family Health Survey.

With research, we have realized that obesity is difficult to treat and it might require long term changes in lifestyle as well as diet. Several researchers have highlighted that obesity accounts for 80-85 per cent of the risk of developing type-2 diabetes. The survey highlights that urban population is more prone to obesity as compared to their rural counterparts.

Obesity tends to run in families, suggesting there may be a genetic contribution. However, family members also tend to share the same diet and lifestyle habits. Environment also plays a role in obesity. Environmental factors include what and how often a person eats, a person's level of activity and behavioral factors.

Obesity is on the rise in children, which is having disastrous results in the younger population thus affecting the newborns of these adults. In 2016, an estimated 41 million children under the age of 5 years were overweight or obese.

Obesity causes?

The basic cause of obesity and overweight is an energy imbalance between calories consumed and calories spent. In recent trends, there has been:

• excessive intake of energy-dense foods that are high in fat

• Decrease in physical activity due to the sedentary nature of many forms of work, changing modes of transportation, and increasing urbanization.

What are common health consequences of overweight and obesity?

• cardiovascular diseases (mainly heart disease and stroke), which were the leading cause of death in 2012;

• diabetes

• musculoskeletal problems (especially degenerative disease of the joints)

• some of the cancers.

Childhood obesity is associated with a higher chance of obesity, premature death and disability in adulthood.

Low-calorie, low-fat diets along with exercise - usually are recommended to treat obesity. "Crash" diets and appetite suppressants generally are appropriate only under very specific conditions and under strict supervision.

Surgeries & Procedures

Abdominoplasty for Obesity

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All Types of Tummy Tuck Procedures

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Banded Bariatric Procedures

Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a small pouch to hold food.

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Bariatric surgery for obesity/ overweight

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Gastric Banding

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Intra Gastric Balloon

Intragastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach.

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Liposuction for Obesity

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Mini Gastric Bypass Surgery

The Mini Gastric Bypass is a short, simple, successful, reversible laparoscopic gastric bypass weight loss surgery. It is a newer version of the traditional Gastric Bypass.

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Roux-en-Y Gastric Bypass

Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.

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Sleeve Gastrectomy

Sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical weight-loss procedure, typically performed laparoscopically, in a sleeve gastrectomy, part of the stomach is separated and removed from the body.

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Swallow-able(Allurion)balloon

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Frequently Asked Questions about Weight Loss Surgery

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.