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Bariatric Surgery:

Weight loss is something almost every overweight or obese person is worried about. Most of them find it very difficult to stick to a routine that involves rigorous exercises and strict diets because of their busy schedules in life. Therefore many of them opt for weight loss surgeries that help them shed a lot of excess pounds within a short span of time.

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About the procedure

Bariatric surgeries are weight loss surgeries that work by reducing the capacity of the stomach to hold food. Today, these are carried out through minimally invasive techniques such as laparoscopy. This makes it easier to tolerate pain and discomfort involved in the procedure. It also reduces the time taken to complete the procedure.

What is the procedure?

There are different types of bariatric surgeries such as:

  • Gastric Bypass: Also known as the Roux-en- Y Gastric Bypass, this surgery involves the creation of a small upper stomach and the division of the small intestine into two parts, one of which will be directly connected to the smaller upper stomach that is newly created. This procedure makes sure the digestive enzymes and stomach acids get mixed with the food that is stored in the area that connects the bypassed stomach and small intestine portion. As your stomach pouch becomes smaller, your intake reduces. This changed route of food stream gives rise to a change in the hormones that are related to hunger, satiety and control of blood sugar.
  • Sleeve Gastrectomy: This surgery removes about 80% of your stomach, leaving out a tubular pouch resembling a banana. The amount of food that this new stomach pouch can hold is significantly lesser. This works very well for people with type 2-diabetes, as it changes the hormones that control blood sugar, create huger and promote satiety. The rate of weight loss that this procedure induces is rapid.
  • Adjustable Gastric Band: Also known as the band, this procedure is all about placing an inflatable band around the upper portion of your stomach. This effectively divides your stomach into two parts, one smaller and the other bigger. You will feel fuller even if you eat just a little amount of food and therefore, your intake will significantly reduce. A good thing about this procedure is that it is reversible and adjustable.
  • Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This procedure is very similar to sleeve gastrectomy as it involves the creation of a tubular stomach pouch by removing a major portion of your stomach. Also, a large portion of your small intestine will be bypassed here. The duodenum that is the top portion of your small intestine would be divided at the outlet of your stomach. Then a portion of the bottom of your small intestine would be brought up and then connected to the outlet of your newly created stomach pouch.

Benefits/Appropriate

If you are a person who is slightly overweight and in case you are finding it difficult to control your weight by reducing your intake, bariatric surgery can create wonders for you. The benefits of bariatric surgery include:

  • Instant Weight loss: You will start noticing results within a very short span after you undergo the bariatric surgery. You will start losing weight rapidly for about 18 to 36 months. Once you reach your ideal weight, it becomes easier to maintain.
  • Improvement in overall health: Bariatric surgery can solve most obesity-related issues such as:

    o High blood pressure

    o Diabetes

    o Sleep apnea

    o High Cholesterol

  • Better quality of life and mental health: Many people who have undergone bariatric surgeries have reported a reduction in their depression and improvement in their emotional and social well-being. You can have an active and energetic lifestyle after the surgery. This will automatically improve your quality of life.

Before surgery

Before the implant, you should get a thorough medical check-up done. It will confirm if you have any other ailments that might influence the outcome of the implantation. Weeks before the implantation have a talk with your dietician.

Recovery

After the Bariatric Surgery implantation, you will require three days to recover. Depending on how much time your body takes in adjusting to it.

After care

After you are discharged from the hospital, the aftercare is vital, right from changing your lifestyle to your diet. On discharge your entire health team surgeon, specialist nurses, Dieticians, Psychiatrists and exercise Specialist will guide you through.

Risk & complications

No surgery is free from risks and so bariatric surgery does come with its own risks. However, the advantages surely outweigh these risks to a great extent. The risks associated with bariatric surgery includes:

  • Excess skin: Bariatric surgery may cause some loose skin which might necessitate skin tightening or a body sculpting procedure.
  • Gallstones: In some cases people tend to develop a couple of gallstones about 10 months after the surgery. We therefore suggest our clients to attend regular follow-up sessions so that we can monitor their condition and make sure there are no such complications.
  • Psychosocial effects : Psychosocial effects such as mood swings, anxiety, stress or depression although these symptoms are rare, we suggest our clients to be a part of support groups that are meant for people who have undergone bariatric or any other weight loss surgeries.
  • Stomal stenosis: At times when the stoma or the hole that connects the stomach to the small intestine gets blocked or becomes narrow, you may face stomal stenosis. One of the symptoms of this condition is persistent vomiting. An endoscopy should usually correct this condition. To avoid this condition it is very important to chew food thoroughly and avoid having any drinks while eating.
  • Gastric band slippage: This can happen when your stomach pouch becomes too big. The symptoms of this include vomiting, nausea and heartburn. To avoid this condition, it is important to follow the instructions given to you carefully.
  • Food intolerance: As your intake reduces your body might find it difficult to tolerate certain food items such as green salad or red meat. It is better to avoid such foods.

We, at Beams Hospital, have a team of specialists who are highly experienced in carrying out bariatric surgical procedures. They have achieved great success with different cases. We also have sophisticated equipment and state-of-the-art facilities that enable us to administer effective treatments in a comfortable manner. Give us a call or send us an email to get in touch with our experts for a consultation session. This session will help you clarify all your queries and make up your mind in a relaxed way.

What next?

After your surgery, you will be required to stay on a liquid or puree-diet. From the third week on you can start intake of solid foods. In such quantities as prescribed by your dietician.  It is very important that you do not exceed the recommendations of your dietician. In six months, the balloon shall be removed, and you will have lost a good amount of weight, as well.

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