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Weight loss

Bariatric or weight loss surgery is a type of procedure performed on people for the purpose of losing weight. 

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Bariatric Surgery or Weight Loss Surgery in India

Overview about Weight Loss Surgery:

Often people with severe obesity find it difficult to lose weight only through exercise and diet. Such chronic conditions would need weight loss surgeries which most people who find it almost impossible to lose weight by any other means, opt for. This involves an operation on the stomach and/or the intestines. Such surgeries can seem very effective if the patients stick to a healthy diet and regular exercise post-surgery.There are many kinds of weight loss surgeries including:

Bariatric Surgery:

Bariatric Surgery is a type of weight-loss surgery which is performed on the stomach or intestine to reduce the intake of food by the patient. After the surgery such patients have to commit to regular exercise and healthy diet throughout his/her life. Only then can the results of such a surgery be maintained.

Bariatric surgery can adopt an open approach or can be done through laparoscopy. In an open approach the patient’s stomach will be cut open in the traditional way using standard methods while laparoscopy involves the insertion of complex instruments via half-inch cuts that will send images to a monitor using a small camera. In fact, a number of bariatric surgeries are done using the laparoscopic methods today as there are lesser complications involved.

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Gastric Banding:

Gastric Banding is a laparoscopic surgery that is intended to reduce the size of the stomach, thus enabling weight loss. This surgery will restrict the quantity of food that your stomach can hold. This way you can eat lesser and yet feel full.

In this type of surgery, several incisions are made in the belly and then a few surgical tools along with a camera are placed in these incisions. Then the gastric band is wrapped around the upper part of the stomach like a ring. To this ring a thin tube is attached that leads to an access port, left under the skin. The doctor then puts the needle in this access port either to add or to take away the saline. Saline is added to reduce the size of the stomach. In case the ring becomes too tight, the saline will have to be removed. The band will not be inflated during the surgery. Once the patient recovers from the surgery, the band will be adjusted for weight loss. Read More

Intra-gastric Balloon:

Intra-gastric balloon is a surgery where in a soft silicone balloon is placed in the stomach. This balloon is then filled either with air or with saline solution so that it takes up some space within the stomach. This way even if you don’t eat much you will start feeling full. However, this is only a temporary procedure. The balloon will be removed after a period of six months.

The procedure starts with an incision that is made in your abdomen. The intra-gastric balloon will be then passed from your mouth into your stomach through an endoscope. An endoscope is usually a thin flexible tube that comes with a light and a camera. People who generally do not fit into the criteria of other kinds of weight-loss surgeries go in for intra-gastric balloon. Read More

Roux-en-Y gastric bypass:

Roux-en-Y gastric bypass is a surgery where a new stomach pouch, about the size of an egg, is placed within the stomach. This small stomach gets connected to the center of the small intestine called the jejunum, bypassing the duodenum which is the top portion of the small intestine as well as the remaining portion of the stomach.

This is also a laparoscopic surgery where in small incisions are done in the belly and small surgical instruments with camera will be inserted inside.It might take about a week to recover from this surgery. Nevertheless, the patient will have to stick to a healthy diet after the surgery else the stomach might stretch and go back to its original size. Read More

Sleeve gastrectomy:

Sleeve gastrectomy is a laparoscopic surgery that is intended to limit the food intake of the patient by reducing his stomach size. The procedure involves about 5 to 6 small incisions made in the abdomen and placing a few surgical long instruments and laparoscope through them. During this surgery about 75% of the patient’s stomach is removed and a sleeve or a narrow gastric tube is left.

This surgery can help you feel much fuller while eating less food and it will make you remain full for a longer time after food intake. This visibly reduces your appetite not only by reducing the size of your stomach, but also by reducing the quantity of hunger hormones that are produced by your stomach. Read More

Weight-loss through diet:

A safer way to lose weight is through diet, which most people go for, unless they are severely obese or are suffering from any other serious medical ailment like a lung disease or a heart problem. There are many kinds of weight loss diets to choose from. Nevertheless, it is always better to check with your dietician or physician before going for one.

The idea is to make sure you lose weight in a healthy way, without missing on the nutrients. It is always better to stay away from fatty foods and fried stuff, as this can cause more harm to your body. You may also have to control that habit of munching every now and then. This will definitely need a determination from your side to stay away from those temptations, keeping your objective in mind. Read More

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Indications for surgery 

The U.S. National Institutes of Health recommends bariatric surgery for people

With a body mass index (BMI) of at least 40,

OR with BMI 35 and serious coexisting medical conditions such as diabetes.

They should be psychologically fot to undergo the surgery

Should have failed to lose weight by a supervised diet and exercise program.

All the procedures are performed through laparoscopy. When a laparoscopic operation is performed, a small video camera inserted into the abdomen allows the surgeon to conduct and view the surgery on a video monitor. The camera and surgical instruments are usually inserted through small incisions made in the abdominal wall.

Laparoscopic procedures for weight loss surgery employ the same principles as their 'open' counterparts and produce similar excess weight loss. Compared to open surgery, some benefits of laparoscopic surgery include faster recovery and return to pre-surgical level of activity.

Modern laparoscopic treatment offers the following advantages

  • Short stay (24-48 hrs)
  • Practically pain free
  • No wound related complications
  • Patients returns to work in less than a week
  • Cosmetically 5 tiny scars ½ - 1 ½ cm
  • Low complication rate comparable to any other surgery
  • Improves overall quality of life (QOL)

Risk

All major surgery involves a certain level of risk. Risks involved with weight loss surgery vary according to procedure performed.

Side Effects:

  • Restriction of eating small meal indefinitely
  • Occasional Vomiting / Regurgitation
  • Minor hair loss
  • Occasional constipation
  • Loose / Boggy skin
  • Deficiency of Protein /Vitamins if supplements are stopped
  • Important considerations for all weight-loss surgery
  • Weight loss surgery is not a cosmetic surgery
  • The decision to elect surgical treatment requires an assessment of the risk and benefit to you and the meticulous performance of the appropriate surgical procedure
  • The success of weight loss surgery is dependent on your long term lifestyle changes in diet, exercise and behaviour modification

Important considerations for all weight-loss surgery

  • Weight loss surgery is not a cosmetic surgery
  • The decision to elect surgical treatment requires an assessment of the risk and benefit to you and the meticulous performance of the appropriate surgical procedure.
  • The success of weight loss surgery is dependent on your long term lifestyle changes in diet, exercise and behaviour modification.
  • In a survey of over 10,000 patients, the mortality rate for weight loss surgery was 0.30%

Following bariatric surgeries are performed at Beams Hoapital

We are located in major cities like Bangalore – Koramangala and Mumbai – Khar