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Bariatric and Metabolic Surgery (Obesity Surgery) |
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Obesity today is recognized as a health problem of epidemic proportions. Obesity refers to a spectrum of problems of excess weight ranging from mild overweight to the morbidly obese. Patients with morbid obesity do not respond to medical means of weight loss. Efforts to treat morbid obesity through controlled diets, behavior modification and exercise programs are only temporarily successful with the patient invariably regaining even more weight than the amount lost. Obesity surgery is the only method by which long-term weight loss can be achieved in these patients. Seven to nine percent (20-25%) people in India are overweight, of which 7-9% are morbidly obese which amounts to a staggering 2 - 2.5 million people. Incidence of child hood obesity is on the rise due to changing lifestyles. These people are more likely to develop obesity related complications at an earlier age. If not addressed today this problem is likely to compound imposing heavily on medical resources.
Obesity leads to Hypertension, Diabetes, Heart Ailments, joint problems and Obstructive Sleep Apnea. They are all responsible for reduced life expectancy and impaired quality of life. Obesity is estimated to be the number two killer disease of the 21st century. Interaction between biological, behavioral and environmental factors leads to Obesity. Weight management for an obese individual is a complex issue that requires various levels of education, behavioral modification and surgical intervention.
Surgical procedures for obesity can now be safely performed by laparoscopic approach. Patients suffering from morbid obesity stand to benefit tremendously by laparoscopic surgery thus decreasing the hospital stay, minimizing pain and an early return to activity. Laparoscopic Sleeve has emerged as a highly popular and successful surgery for morbid obesity. The patient feels full after just few bites of food thus decreasing the intake and resulting in the weight loss. The procedure is safe and simple. It can be done as a short stay procedure (hospitalization for 24 to 48 hours). It is a very patient friendly procedure with tiny cuts on the abdominal wall hence an excellent cosmetic result (only few tiny puncture marks), very little pain and patient can resume his or her work within few days after surgery. |
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Weight Loss Surgery
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- Obesity and Morbid Obesity.
- OBESE Body Mass Index (BMI) of 30 or greater.
- (BMI = kg/m2).
- MORBIDLY OBESE Body Mass Index (BMI) of 35 or greater (Rough equivalent to 30 kg. over your ideal body weight).
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| The clinical guidelines for
consideration are |
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- 25 kg. or more above ideal body
weight or a BMI OF 35 or greater.
- BMI of 32 or greater with one or
more obesity related health conditions.
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| Other
considerations |
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- History or documented dietary
weight loss attempts Lifelong commitmentto follow-up care and extensive dietary, exercise and medical guidelines.
- Psychological evaluation.
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Obesity related health conditions
that may be improved or resolved
with weight loss
surgery |
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- Type II Diabetes (Total remission if duration less than 5 years).
- High Blood pressure / heart
disease.
- Osteoarthritis of weight bearing
joints.
- Sleep apnea / respiratory problems.
- Gastro esophageal reflux /
Heartburn.
- Depression.
- Infertility / menstrual
irregularities.
- Skin breakdown.
- Swollen legs / skin ulcers.
- Urinary stress incontinence.
- Extremity Venous stasis.
- Dyslipidemia (lipid metabolism
abnormalities).
- Pulmonary embolus.
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| Understanding the Gastrointestinal
Tract |
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- The Esophagus.
- The Stomach.
- The Pylorus.
- The Duodenum.
- The Jejunum.
- The Ileum.
- The Large Intestine.
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