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Bariatric or Obesity Surgery

Laparoscopic Sleeve Gastrectomy

ABOUT OBESITY SURGERY

If you're thinking about bariatric (weight-loss) surgery and you have doubts about whether it's right for you, you're not alone.

It's an incredibly difficult decision to go through with bariatric surgery, and that's why we provide you with all the information and support that you could need to help you make an informed decision. Therefore, if you have morbid obesity, then bariatric surgery should be a serious consideration for you.

VIGOS Hospital is the best center for treatment of obesity  and obesity Surgery in Vadodara.

When the tested methods of weight loss have failed, perhaps weight loss surgery is what you need. While Alon lost impressive amounts of weight, it is believed to have resolved or improved numerous conditions, including type 2 diabetes, high blood pressure, arthritis, sleep apnea, and others.

WHAT IS BARIATRIC SURGERY?

Weight-loss surgery is a treatment option that alters the patient’s internal organs and their functions, allowing for significant weight loss and the reversal or improvement of co-morbid conditions.

It is an effective means of long-term weight loss.
Weight-loss surgery is a tool that allows you to transform your eating habits so that you can successfully lose weight and keep it off.
In considering weight-loss surgery, it is important to select a bariatric program that offers a strong pre- and postoperative care plan.

Weight-loss surgery is a lifelong commitment on your part and the program, hospital and surgeon you choose for your surgery should be one that will continue to support you throughout your journey.

BENEFITS OF BARIATRIC SURGERY

Most importantly, bariatric surgery saves lives.

Recent studies show that bariatric surgery patients are living longer lives than morbidly obese individuals. You also can see the benefits of bariatric surgery when you look back on how individual lives have improved.

REDUCTION IN MORTALITY (EXTENDED LIFE EXPECTANCY)

Reduced lifespan due to obesity is important to consider. Compared to a person of normal weight, a 25-year-old obese man has a reduced life span, and he can expect a loss of about 12 years of life.

Bariatric surgery has been shown to improve lifespan by reducing excess body weight. In a recent study, bariatric surgery reduced overall mortality and the development of new health-related conditions in morbidly obese patients.

RESOLUTION OF OBESITY-RELATED HEALTH CONDITIONS

Obesity-related health conditions that may be improved or resolved with bariatric surgery include:

  • Type 2 diabetes
  • High blood pressure
  • High cholesterol
  • Osteoarthritis of weight-bearing joints
  • Depression
  • Sleep apnea/respiratory problems
  • Gastroesophageal reflux/heartburn
  • Infertility
  • Urinary stress incontinence
  • Menstrual irregularities
  • Asthma
  • Skin breakdown
  • Extremity venous stasis
  • Long-term weight loss

Bariatric surgery has been shown to be the most effective long-term weight-loss treatment.

The amount of weight a patient will lose after the procedure depends upon several factors. These include age, preoperative weight, motivation, exercise, and compliance with follow-up.

LIFESTYLE OPPORTUNITIES

Bariatric surgery, by reducing excess body weight and improving overall health, can improve patients’ lives in many personal ways. Some benefits are common among patients; others are unique to each individual patient.

Here are some of the surgery benefits patients have described:

  • Improvement of medical conditions
  • Improved job or career prospects
  • Reduced shortness of breath
  • Increased energy level
  • Regularly getting a good night of sleep
  • Greater confidence
  • Improved dating life
  • Greater variety in choice of clothes
  • Exercise is more rewarding

FACTS

  • It is done Laparoscopically (Key hole surgery)
  • It is the only effective treatment for long – term and sustained weight loss which results in improvement and / or resolution of comorbid conditions, improved quality of life and self esteem and increase in longevity.
  • It is a highly sophisticated procedure for a complex disease.
  • It is not a cosmetic surgery (It is not same as liposuction).
  • The results achieved are partly cosmetic.
  • 30 – 70% of your excess body weight will be lost over 6 months to 2 years.
  • Hospital stay is 2 – 5 day only.

BARIATRIC SURGERY TYPES

There are several types of weight loss surgeries. The most common being gastric bypass, gastric sleeve, and gastric balloon .

You and your surgeon will work together to decide which surgery, if any, is right for you.

Gastric bypass — Roux-en-Y gastric bypass (RYGB), also called gastric bypass, helps you to lose weight by reducing the amount of food you can eat and reducing the number of calories and nutrients you absorb from the food you eat. To perform gastric bypass, a surgeon creates a small stomach pouch by dividing the stomach and attaching it to the small intestine Figure1. This helps you to lose weight in two ways:

  • The smaller stomach can hold less food than before surgery. This causes you to feel full after eating a very small amount of food or liquid. Over time, the pouch might stretch, allowing you to eat more food.
  • The body absorbs fewer calories, since food bypasses most of the stomach as well as the upper small intestine. This new arrangement seems to decrease your appetite and change how you break down foods by changing the release of various hormones.

Gastric bypass has a high success rate, and people lose an average of 70 to 75 percent of their excess body weight in the first year. For a person who is 120 pounds overweight, an average of 85 to 90 pounds of weight loss would be expected. Weight loss typically levels off after one to two years, with an overall excess weight loss between 60 and 70 percent after five years.

Gastric sleeve — Gastric sleeve, also known as sleeve gastrectomy, is a surgery that reduces the size of the stomach and makes it into a narrow tube (figure 2). The new stomach is much smaller, does not stretch when eating, and produces less of the hormone (ghrelin) that causes hunger, helping you feel satisfied with less food. Sleeve gastrectomy is considered less aggressive than gastric bypass because the intestines are not rearranged, and there is less chance of malnutrition. It also does not require any permanently implanted device.

  • The gastric sleeve has a good success rate, and people lose an average of 60 to 65 percent of their excess body weight at two years after their procedure. For a person who is 120 pounds overweight, this would mean losing about 72 to 78 pounds. As with gastric bypass, it is important to follow an appropriate lifestyle after surgery. The long-term success is more varied than the gastric bypass.

Gastric balloon — The gastric balloon is a procedure whereby an inflatable balloon is placed inside your stomach via your mouth and esophagus using an endoscope. It also works by restricting the amount of food you can eat at one time.

  • Balloon placement still requires anesthesia, but it does not require an incision. The balloon is meant to be placed for up to six months, and removal usually requires a second procedure. This is an increasingly popular choice because it is relatively safe, easy to perform, and does not require any anatomical changes. The weight loss at six months is about 25 to 38 percent of your excess weight . After the balloon is removed, some, but not all, patients are able to maintain the weight loss.

Other procedures — Other procedures that are gaining popularity include the duodenal switch (DS), the mini-gastric bypass (MGB), and the single-anastomosis duodenal ileal bypass (SADI). These less common procedures work similarly to the gastric bypass in that they restrict intake and absorption of the food you eat. 



SIDE EFFECTS & COMPLICATIONS

A variety of complications can occur with weight loss surgery. The risks of surgery depend upon which surgery you have and any medical problems you had before surgery. Some of the more common early surgical complications (one to six weeks after surgery) include:

  • Bleeding
  • Infection
  • Blockage or leaks in the bowels
  • Dehydration, nausea, and vomiting
  • Important medical complications after surgery can include
    • blood clots in the legs or lungs,
    • heart attack,
    • pneumonia, and
    • urinary tract infection.

AM I A CANDIDATE FOR BARIATRIC SURGERY?

Weight loss surgery is recommended ONLY for people with one of the following :

  • Severe obesity (body mass index BMI above 40 
  • BMI above 35 with a serious medical problem related to obesity (including diabetes, severe joint pain, sleep apnea, and many others) that would improve with weight loss.
  • BMI above 30 with specific conditions, including a certain type of diabetes or a combination of diseases like high blood pressure, sleep apnea, high cholesterol, and diabetes (also known as "metabolic syndrome").
  • Certain races, such as South eastern Asians and Indians, have more truncal obesity and will experience the effects of obesity at lower BMIs; consequently, these patients may be eligible for consideration of surgery at a lower BMI of 27.5 kg/m2

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