All you need to know about Bariatric Surgery

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Bariatric Surgerycomplete guide
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Whats OBESITY ?

• Obesity is a condition in which excess body fat
  collects in the body to an extent that it affects
  the health adversely, resulting in a variety of
  health problems. Obesity is a complex and chronic
  disease with many causes, and not simply a result
  of overeating. Statistics has shown that genetics
  often plays a crucial role, particularly if one
  is morbidly obese.
• There are several criteria to determine morbid
  obesity. One criterion is being 50 to 100 percent
  more than the ideal body weight or being 100
  pounds more than the ideal body weight. Another
  important criterion is the measure of one's Body
  Mass Index (BMI).

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• Bariatric Surgery (Weight Loss Surgery) is
  generally referred to as Weight Loss Surgery.
  When other fat reduction methods such as diet
  management and physical exercise are not
  effective, Bariatric Surgery (Weight Loss
  Surgery) is the best option to lose and manage
  weight in a planned manner.
• 'Bariatric Surgery (Weight Loss Surgery)' is a
  term used for all types of weight-loss surgeries.
  Bariatric Surgery (Weight Loss Surgery) is
  indicated in severely obese individuals who did
  not respond to non-surgical methods of weight
  loss.
• Bariatric Surgery (Weight Loss Surgery) is a
  treatment for those who fall in the following
  categories-

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• Suffering from severe obesity (Class 3 obesity) -
  Mainly defined by a BMI of more than 40.
• Class 2 Obesity - Those who are having BMI
  between 35-40 but having other comorbid diseases
  like hypertension, diabetics etc
• Those belonging to class 1 obesity and have been
  trying to do weight control by conventional
  methods of dieting, exercise etc with no results
  and falls in the high-risk category for
  obesity-related conditions due to hereditary and
  other factors.

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What are the Causes of Obesity?

• Medical
• The increased level of the hormone is responsible
  for insulin resistance and fat storage which is
  increasing appetite and causing weight gain.
  Certain prescription medications cause weight
  gain by slowing metabolic rate, increasing
  appetite and water retention in the body. Medical
  States such as hypothyroidism, PCOS, Cushing's
  disease and certain rare genetic diseases often
  lead to obesity.

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• Dietary
• Current generation is more inclined to fast
  foods, packaged foods and huge proportions which
  are more often than not because of misleading
  advertisements. The value of nutrition in daily
  diet has decreased while the overall intake of
  calories have increased, thanks to fast and
  packaged foods.
• Genetics
• Genetic factors cause obesity in 70 - 80 of
  cases. Genetics cause severe obesity, slow
  metabolisms and some genetic mutations. It has
  been observed that the food habits are also
  similar among family members who are playing a
  good role in obesity.

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• Environmental
• Our environment is not conducive with good food
  and lifestyle habits because of the dwindling
  number of walk paths and parks, packed work
  schedules, oversized portions in restaurants,
  expensive fresh produce and misleading food
  advertisements.
• Physical
• Low physical activity, excessive TV viewing and
  long hours on the computer makes a very sedentary
  lifestyle and leads to weight gain.

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How bariatric surgery can be treated?

• The main and most common types of Bariatric
  Surgery (Weight Loss Surgery) procedures are
• Gastric Binding Surgery
• Gastric Sleeve or Sleeve Gastrectomy
• Gastric Bypass Surgery
• Biliopancreatic Diversion
• Vertical Banded Gastroplasty

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Gastric Binding Surgery

• Gastric Band Surgery is a Bariatric Surgery
  (Weight Loss Surgery) which is a restrictive
  procedure. During Bariatric Surgery (Weight Loss
  Surgery), the area of the stomach is reduced by
  placing a rubber inflatable band around the upper
  part of the stomach creating a small stomach
  pouch above the band and remaining stomach below
  the band. Gastric Band Surgery is a minimally
  invasive Bariatric Surgery (Weight Loss Surgery)
  and is considered the safest of the procedures.

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Gastric Sleeve or Sleeve Gastrectomy

• Comparatively a new surgical procedure aimed at
  weight loss, the Gastric sleeve is a restrictive
  procedure where the size of the stomach is
  reduced to approximately 20 of the original
  size. The stomach gets full quickly thus reducing
  the food intake and in turn body weight.

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Gastric bypass surgery

• Gastric bypass surgery is a surgical procedure
  which is a combination of both restrictive
  procedure and mal absorption procedure. Here the
  stomach is restricted to much smaller size than
  the original by creating a pouch at the top of
  the stomach and separating it from the rest of
  the stomach. At the same time, the small
  intestine is first divided and reconnected to
  create a bypass to the full length of the
  intestine. The food from the new smaller stomach
  goes into the smaller part only which gets full
  quickly thus reducing the food intake and passes
  through the smaller bypass portion of the
  intestine only thereby reducing the absorption
  also. This, in turn, reduces the body weight.

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Vertical Banded Gastroplasty

• The vertical banded gastroplasty or VBG is a
  restrictive gastric (stomach) bypass surgery for
  weight loss surgery. The vertical banded
  gastroplasty for weight loss, along with the
  gastric bypass surgery is one of the two major
  types of operations for the treatment of severe
  obesity. The goal of this procedure is to
  severely restrict the patient's capacity to eat
  certain foods. The general or bariatric surgeon
  uses sophisticated surgical staples to make a
  small stomach pouch. This reduces how much food
  the stomach can hold. When the amount of food the
  stomach can hold is reduced, an obese person
  feels full sooner. But at the same time, the
  stomach digests nutrients and calories in a
  normal anatomical way. This is another common way
  to reduce how much food the stomach can hold.
  Vertical banded gastroplasty has an advantage by
  limiting only the amount of the food meal, and
  not affecting the absorption process involved in
  digestion.

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Is Bariatric Surgery (Weight Loss Surgery) Right
for you?

• A Bariatric Surgery (Weight Loss Surgery) is good
  for individuals who are obese or morbidly obese.
  Most have tried to slim down with diets and/or
  exercise, but have failed. Doctors take a close
  look at the whole person when determining if the
  person is a good candidate for Bariatric Surgery
  (Weight Loss Surgery). If the patient is not
  ready to do the pre-surgery dietand work, the
  doctor may not elect to go ahead with the
  procedure. Typically, to qualify for Bariatric
  Surgery (Weight Loss Surgery) you must be
  'morbidly obese', which usually means being
  overweight by 100 pounds (man) or 80 pounds
  (woman) with a Body Mass Index (BMI) of 40.
  There are other factors the surgeon will consider
  in determining if Bariatric Surgery (Weight Loss
  Surgery) is right for you, such as

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• Age - Generally, Bariatric Surgery (Weight Loss
  Surgery) can be performed on anyone between the
  ages of 18 and 60.
• Weight - If your weight is double than your ideal
  body weight, you may be a candidate for Bariatric
  Surgery (Weight Loss Surgery).
• Medical - There are no medical conditions
  responsible for the weight gain such as hormonal
  imbalances, tumors or other diseases, or those
  diseases have been treated, or are currently
  being treated.
• Commitment - You are bound to change your habits
  including eating, lifestyle, diet and exercisenot
  only immediately, but also into the future.

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• History - You have a history of trying to lose
  weight and gaining it back, or you have been
  obese for at least five years with no success at
  traditional weight loss methods.
• Addictions - You have no known or diagnosed
  addictions to alcohol, drugs or other controlled
  substances.
• If you meet all of the above requirements,
  you're probably a good candidate for Bariatric
  Surgery (Weight Loss Surgery)

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Best Hospitals for bariatric Surgery

• Some of the best hospitals available for
  Bariatric Surgery (Weight Loss Surgery) are
• Apollo Hospital Southern Region, Chennai
• Akshaya Apollo Hospital Limited, Ahmedabad
• Fortis Hospitals - Anandpur, Kolkata
• Columbia Asia Referral Hospital - Yeshwantpur,
  Bangalore
• Columbia Asia - WhiteField, Bangalore
• Columbia Asia Hospital - Palam Vihar, Gurgaon
• BLK Super Specialty Hospital, New Delhi
• Medanta - The Medicity, Gurgaon
• Sarvodaya Hospital and Research Centre, Faridabad
• JAYPEE Hospitals, Noida

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• Manipal Hospital, Bangalore
• Global Hospitals, Hyderabad
• Kokilaben Dhirubhai Ambani Hospital, Mumbai
• Indraprastha Apollo Hospital, New Delhi
• Fortis Memorial Research Institute, Gurgaon
• Beams Hospitals, Amritsar
• Liven Healthcare, Mumbai
• Hiranandani Hospital, Maharashtra
• Asian Bariatrics, Ahmedabad, Gujarat
• Kokilaben Dhirubhai, Maharashtra
• Narayana Hrudayalaya, Bangalore
• Kular Hospital, Ludhiana
• Saifee Hospital, Mumbai
• Paras Hospitals, Gurgaon
• Primus Super Speciality Hospital, New Delhi
• Rockland Hospital, Delhi

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Cost of Bariatric surgery in India

• Cost of Bariatric Surgery (Weight Loss Surgery)
  in India ranges from 4 to 7 lakhs.
• Treatment Cost for Gastric Banding Surgery ranges
  from 4 to 6 lakhs.
• Treatment Cost for Gastric Sleeve Surgery ranges
  from 4 to 6.5 lakhs.
• Treatment Cost for Gastric Bypass Surgery ranges
  from 5 to 7 lakhs.

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