Bariatric Treatment in Bangalore
What is Bariatric Surgery ?
Bariatric surgery is a procedure done to reduce weight of the patients who are severely obese and are unable to reduce weight through diet, exercise and lifestyle measures. If accumulation of fat cannot be reduced by conventional means, bariatric surgery is a viable alternative for weight reduction in a phased manner.
Who is qualified for Bariatric Surgery ?
People seeking bariatric surgery should have the following criteria:
- A person who has a body mass index (BMI) between 35 and 40 and has other obesity-related co-morbidities like diabetes mellitus, severe sleep apnea, hypertension and heart related problems. BMI is calculated by dividing the weight in kilograms by height in meters.
A person seeking bariatric surgery should also fulfil the following criteria,
- Should be willing to exercise for a minimum of 90 minutes per week.
- Has been obese in excess of 5 years.
- Is willing to make dietary and lifestyle changes.
- Has been successful even for a short period with prior attempts at losing weight.
- Does not have auto-immune disease.
Who should consider Bariatric Surgery ?
Candidates of bariatric surgery should qualify the following conditions:
- A candidate should have a BMI (Body Mass Index) in between 35-40. The candidateshould also possess an obesity-related condition of diabetes mellitus, severe sleepapnea, cardiovascular disease and hypertension. The calculation of BMI is done bydividing the weight of a person in kilograms by height in meters squared. Apart from these, a Bariatric surgery candidate should also be –
- Willing to exercise for at least ninety minutes each week.
- Overweight for more than 5 years.
- Is able and willing to make lifestyle and eating habit changes.
- Have had a short-term success with earlier serious attempts for weight loss.
- Free from auto-immune disease.
Types of Bariatric Surgery
Gastric Sleeve surgery or Sleeve Gastrectomy is a surgical procedure wherein 85% of the stomach is removed to reduce its size in order to reduce the amount of food it can hold. The remaining 15% of the stomach which is left behind is in the form of a sleeve. No implants are needed and the patient is discharged after a short stay in the hospital.
Gastric Bypass Surgery
In gastric bypass procedure, the stomach is divided into two unequal sections. Around 5 percent of the area of stomach is left for food consumption. The food empties from this small pocket into the small intestine at the time of digestion. 60 to 80 percent weight loss can be achieved with this procedure.
Around the outer portion of the stomach, an inflatable band is placed to create division of the stomach into two unequal sections. The stomach’s outer section is considered as a new stomach and this restricts the amount of food consumed and promotes weight loss. An inflatable silicone device called laparoscopic adjustable gastric band or lap-band for short is placed around the outer part of the stomach. This is intended to reduce food consumption and promote weight loss. This is a short procedure and patients recover from this procedure in a short period of time.
Minimal Access Techniques
SILS is the latest laparoscopic procedure in which access is through a single port instead of multiple ports. This procedure uses a specialized port and roticulator instruments making the scar invisible as the scar is hidden within the belly button. The length of this procedure is more, however, post-operative recovery time is less and is less painful compared to conventional laparoscopic surgery thus making it appealing to the patients.
Endoscopic Bariatric Surgery
Bariatric Surgery Procedure
Restrictive Procedure – The Lap Gastric Band
This procedure is done to restrict the amount of food consumed at a given time. The aim is to create restriction so an individual feels satiated after eating a small amount of food. Due to delayed emptying, the food remains stored in the stomach for a longer duration. The aim is to minimise calorie intake without the individual feeling deprived of food.
The benefits of gastric band include –
- The procedure is reversible as the stomach can return to its prior form when the band is removed.
- A slightly shorter period of recovery.
- No incision, resection or stapling is required.
- The outlet of the pouch can be controlled as the band is adjustable.
Malabsorptive procedures-Roux -En- Y Gastric Bypass
This procedure is done to change the pattern of digestion. With the help of malabsorptive techniques, the length of the small bowel is decreased. When the partially digested food empties into the small bowel less calorie is absorbed. Roux-en-Y is considered as the gold standard procedure for weight loss.
The benefits of Roux-En-Y include
- High cholesterol, hypertension, sleep apnea, acid reflux are some of the medical co-morbidities associated with obesity. This surgery has a positive impact on these conditions.
- 70%-80% reduction in weight is achieved.
- This surgery reduces insulin resistance and can even cure diabetes by altering carbohydrate metabolism.
- The average weight loss achieved is more than average weight loss achieved through gastric band surgery and sleeve gastrectomy combined.
Aftercare for Bariatric Surgery
To maintain the amount of weight reduced after the surgery, an individual must continue with a healthy diet, adhere to healthy lifestyle changes with regular exercises and keeping active. The aim of weight reduction surgery is to help you reduce weight by early satiety, consuming smaller volumes of food and giving prolonged feeling of fullness so that an individual does not feel deprived of food.
Cost of Bariatric Surgery
India is a preferred destination in the world for its affordable Bariatric surgery. India offers a wide variety of Bariatric procedures for weight loss. Customised medical and diet plans are offered for prolonged efficacy. Cost of the surgery depends on which surgery will prove the most efficacious for the patient. Latest technology, world class hospitals, and excellent hospitality at low cost make India a very appealing destination for Bariatric surgery operations.