Obesity has taken a toll on the health of people all over the world. It has become one of the major health concerns globally. Obesity involves a spectrum of problems that vary between the categories from mild obesity to morbid obesity. Morbid obesity is a condition in which patients are unable to reduce weight by medical means or diet or exercising.
What is the criterion to determine morbid obesity?
Obesity is determined by BMI or Body Mass Index. BMI can be calculated by the formula:
BMI = WEIGHT IN KG
(HEIGHT IN METER)2
(HEIGHT IN METER)2
Based on the above criterion, people can be classified into various weight categories, viz:
18.5 – 24.9
25 – 29.9
30 – 39.9
What is Weight Loss Surgery/ Bariatric Surgery?
Weight Loss Surgery (Bariatric Surgery) a surgical procedure to reduce weight. When one has not been able to lose extra weight even after following diet plans and rigorous exercises, weight loss surgery is the treatment of choice. The surgery is indicated for morbidly obese people or over weight and severe overweight with co morbidities. There are a number of weight loss procedures that either reduce the size of the stomach or remove a small portion of the stomach to limit the food intake and thus lead to weight loss.
How does BMI help in determining if you are a candidate for weight loss surgery?
People who have BMI more than or equal to 35 with associated obesity related conditions such as diabetes, hypertension, high cholesterol levels, sleep apnea etc. are ideal candidates for weight loss surgery. Other possible indications for people with BMI above 35 include – obesity induced physical problems that interfere with lifestyle, other lifestyle diseases that may be interfering with daily activities, family life and ambulation.
Why should an individual with morbid obesity undergo weight loss surgery?
Morbid obesity has many associated risk factors such as diabetes, High blood pressure, heart attack, infertility, polycystic ovaries, infertility, back pain, joint pain; arthritis etc. Bariatric surgery helps in decreasing the incidence of these diseases by 80 – 90 %. Thus patients with morbid obesity must consider undergoing weight loss surgery.
What are the different mechanisms with which weight loss/ bariatric surgery works?
There are mainly two techniques that effectively limit the amount of food intake and lead to weight loss. These are:
- Restriction of food – This mechanism involves making the stomach smaller. A section of the stomach is removed or closed by the surgery. This makes one feel full early and thus leads to effective weight loss.
- Mal-absorption of food – This mechanism shortens the length of the small intestine, mainly the part that connects with the stomach and thus limits the amount of food-intake. Thus mal-absorption leads to weight loss.
What are the different types of obesity /weight loss surgery?
There are many weight loss procedures that work with the mechanisms of food restriction and mal-absorption and they have proven to be the most effective ways to lose weight permanently. These procedures are:
Laparoscopic adjustable gastric band surgery - Laparoscopic adjustable gastric band or “lap band” is one of the most popular techniques. The procedure entails placing an inflatable band or silicone device around top portion of the stomach. This reduces the capacity of the stomach and thus leads to lesser food intake and effective weight loss.
Laparoscopic Roux-en-Y Gastric Bypass (RGB) – Gastric Bypass Surgery involves creating a small stomach pouch using surgical staples. This pouch is attached to the middle part of small intestine. Creating a pouch enables the food to bypass the upper part of the small intestine and stomach and the food directly goes to middle portion of the small intestine through a small opening. The benefits of food bypassing the part of intestine are lower absorption of calorie intake and the small opening slows down the rate food leaves the pouch.
Vertical sleeve gastrectomy or gastric sleeve surgery is a procedure in which left side of the stomach is surgically removed. This produces a stomach of the size and shape of a banana. This procedure does not involve any rerouting of food, thus is a simpler procedure unlike a duodenal switch.
Intra-gastric ballooning is a non-invasive procedure for patients who are not eligible for bariatric surgery. An intra-gastric balloon is inserted in the stomach and the empty balloon is filled with either saline water or air. With the intra-gastric balloon inserted in the stomach, the patient feels fuller even after eating smaller amount of food.
Biliopancreatic Diversion (BPD): A large part of the stomach is removed in Biliopancreatic Diversion (BPD) and an amount of food is restricted in addition to stomach acid production. The smaller remaining pouch of the stomach is connected directly to final segment of the small intestine completely bypassing other parts of small intestine. There is a common channel in which bile and pancreatic juices mix prior to entering the colon. Weight loss occurs by routing bile and pancreatic juices into the colon where they are not absorbed. This procedure is less commonly used. Another variation of the surgery is “duodenal switch” which leaves pyloric part of the stomach intact and small part of the duodenum is also retained.
Why consider Weight Loss Surgery in
Weight Loss Surgery is one of the commonly performed medical procedures at some of the best hospitals in
Over the years, weight loss surgery has seen many advancements and variations.
The newly evolved Laparoscopic or Minimally invasive bariatric surgery has given
a new horizon to obesity surgery in India. Minimally invasive procedures
involve lesser invasion in the tissue and give a magnified view to the surgeon
to perform the surgery with more precision. Besides technology and
infrastructure, the bariatric surgeons in India are well known for their
expertise and skills throughout the world.
The commonly performed minimally invasive bariatric procedures in
are – laparoscopic Gastric bypass surgery, lap band surgery, laparoscopic
sleeve gastrectomy, Bilio-pancreatic diversion, Intra-gastric ballooning. Now days, new revision weight loss surgeries
have also evolved such as StomaphyX gastric bypass revision surgery. StomaphyX
is an innovative revision surgery performed for those individuals who have
regained weight after a Roux-en-Y gastric bypass surgery.
The cost of Minimally invasive weight loss procedures in
India is much less as compared to the cost of obesity
surgery in western countries like USA,
UK, Canada, Australia
or New Zealand.
Owing to the lower cost of bariatric surgery in India,
many medical tourists come to India
for bariatric surgery in India.
IndiCure is the most trusted medical tourism company in
facilitates obesity surgery at some of the best bariatric surgery hospitals in . The
company offers affordable bariatric surgery at negotiated prices with some of
the most renowned weight loss surgeons in India . For more information about
weight loss surgery abroad in India ,
visit - India
http://indicurecosmeticsurgery.com/surgery/weight-loss-surgery.htm or http://www.indicure.com/weight-loss-surgery.htm or call at +919818462127 or +919320036777.