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What is Laparoscopic bariatric surgery?

The bariatric surgery(obesity treatment) is mainly for people who have a body mass index (BMI) of more than 30. This body mass index is the main criterion on which the eligibility of bariatric surgery is considered such as,

1. Patient has a BMI of 30-35 with serious health issues related to obesity,

2. Patient has a BMI of 35-40 along with serious health issues related to obesity (such as heart disease) and last

3.Patient has a BMI of 40 or more.

How Does Weight loss surgery work?

The principle of this weight loss surgery is to confine the intake of food and drink and to limit the absorption of the food in the intestine. This reduction of nutrients and calorie absorption enables the patient to lose weight. In this modern medical era, some teens and adults are potential patients for minimally invasive laparoscopic bariatric surgery. This is more advantageous than the other types of weight loss surgery options.

Laparoscopic Bariatric surgery (weight-loss surgery) includes a variety of procedures performed on people who are obese. This weight-loss operation proceeds by reducing the size of the stomach with an implanted medical device (gastric banding) or through the removal of a portion of the stomach (sleeve gastrectomy) or by resecting and re-routing the small intestines to a small stomach pouch (gastric bypass surgery).

In the trial conducted by Swedish prospective, patients with (BMI) 34 or more for men and 38 or more for women underwent various types of bariatric surgery and were followed for an average of 11 years. Surgery patients had a 23.7% reduction in mortality (5.0% vs. 6.3% control).


Diabetes Surgery | Obesity treatment

Type 2 diabetes mellitus is an important component of metabolic syndrome which includes obesity, hypertension, and dyslipidemia. The concept takes origin from Bariatric (also called Obesity surgery) which was initially intended to treat Obesity permanently. But it was noticed that most patients with diabetes, this was completely cured over a follow up of 10-15 yrs. Further research and scientific data from our Institute and other pioneer institutes in the world have shown that this was related to certain hormonal changes that bring diabetes under remission permanently. Hence this hormonal concept was further studied and the results have shown promising results in control of diabetes even in patients using large doses of insulin and also inadequate control in-spite of various medication usage. Hence this is ideally suited for those patients who want to get rid of their insulin shots and also not able to achieve diabetes remission in-spite of maximum medical therapy.

Especially with India becoming the diabetic capital and more and more usage of insulin this diabetic surgery is possibly the only solution in this subgroup of patients. A recent Level I evidence that compared Bariatric surgery and medical therapy has clearly shown that surgery for diabetes provides most effective diabetic control in the short and long term compared to medical therapy.



Obesity Treatment

Purely Restrictive

● Intragastric balloon
● Endoscopic Sleeve gastroplasty
● Gastric adjustable banding
● Sleeve Gastrectomy
● Single-incision Sleeve gastrectomy

Restrictive > Malabsorptive

● Roux-en-Y Gastric Bypass
● DuodenoJejunal Bypass with Sleeve
● Mini Gastric Bypass

Malabsorptive > Restrictive

● BPD with duodenal switch

Obesity Surgery – FAQ

What is the best surgery to lose weight?

Bariatric surgery remains the proven best when compared to the other types of surgery as it aids definite results and quicker recovery. The principle of this weight loss surgery is to confine the intake of food and drink and to limit the absorption of the food in the intestine and thus aid weight loss.

How do operations reduce fat?

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Can belly fat be removed by surgery?

Obesity Surgery – Bariatric procedures are done for aiding weight loss by removing or redirecting a part of the stomach pouch. It is different from tummy tuck procedures which involves an abdominal wall surgery or liposuction operations.

Is Bariatric Surgery Safe?

Through the advancements of laparoscopic methods, bariatric surgery is now being carried out through minimally invasive methods. It thus remains the safest option among the other weight loss options

Can you eat normally after gastric bypass?

Post op care must be given prominent importance after the procedure. The net food intake reduces drastically and hence the patients must be conscious for a brief period before resuming their normal food behaviour.

How Dangerous Is Weight Loss Surgery?

Just like any other surgery, weight loss procedures also have their own associated health risks. The short-term risk factors include excessive bleeding, inflammations and infections. Through advanced laparoscopic techniques, these complications can be eliminated.

How overweight do you need to be for surgery?

The patients with BMI beyond 37 are prone to a lot of ailments associated with obesity like diabetes, heart diseases, hypertension etc., These patients can opt for a bariatric surgery and can achieve weight loss within a short period of time.

What is the best way to remove stomach fat?

Bariatric procedure has been proven effective to aid permanent weight loss without much complications like other procedures. It can also potentially aid shorter hospital stays and quicker recovery

Why do gastric bypass patients lose weight so fast?

The size of the stomach is reduced in this procedure through surgical resection. Thus the net food intake and nutrient absorption is reduced permanently aiding faster weight loss compared to other procedures.

Can you gain weight back after gastric bypass?

A part of the stomach pouch has been permanently removed from the digestive tract and hence it restricts the net food intake. Hence, gaining weight back does not happen after the procedure

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