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What is bariatric surgery?

The term "bariatric surgery" refers to surgical procedures performed to reduce body weight. It has been proved to be the only effective treatment for morbid obesity.

In 1991, the National Institute of Health (NIH) Consensus established the guidelines for bariatric surgery for patients with BMI> 35 kg/m2 with severe obesity related comorbidity and for BMI > 40 kg/m2 with or without comorbidity.

For Asian patients, these guidelines are more stringent since it has been observed that Asian (including Indians) have a greater proportion of body fat as compared to their Caucasian counterparts and are more prone to metabolic disorders associated with obesity.

For Asians,the guidelines for bariatric surgery for patients with BMI> 32.5 kg/m2 with severe obesity related comorbidity and for BMI > 37.5 kg/m2 with or without comorbidity.

There are basically two types of bariatric surgical procedures – Restrictive and malabsorptive.

Restrictive procedures reduce the amount of food intake by decreasing the reservoir capacity of stomach whereas malabsorptive procedures decrease the amount of food being absorbed by the intestine. Some procedures have both these effects and are known as combined procedures.

Types of procedures

There are basically two types of bariatric surgical procedures - Restrictive and malabsorptive. Restrictive procedures reduce the amount of food intake by decreasing the reservoir capacity of stomach whereas malabsorptive procedures decrease the amount of food being absorbed by the intestine. Some procedures have both these effects and are known as combined procedures.

Gastric Sleeve

Gastric Sleeve

Gastric Sleeve surgery removes up to 85% of the stomach. This procedure uses restriction as the main component of weight loss. Patients can expect to feel less hungry throughout the day.

Gastric Bypass

Gastric Bypass

Gastric Bypass surgery forms a new, small stomach pouch while keeping the stomach in place. A portion of the small intestines is bypassed causing fewer calories to be absorbed into the body.

Mini Gastric Bypass

Mini Gastric Bypass

Mini Gastric Bypass surgery creates a new, small stomach pouch that is shaped like a tube. It also bypasses about 20% of the small intestine, creating less caloric intake.

Gastric Plication

Gastric Plication

This is a novel bariatric surgery procedure wherein a part of the stomach is sewn with nonabsorbable sutures to reduce its size, that restricts the amount of food you can eat.

Benefits of bariatric surgery

90%
Resolved Acid Reflux
88%
Eliminated Sleep Apnea
82%
Improved Stress Urinary Incontinence
80%
Resolved Type2 Diabetes
72%
Decreased Heart Disease Risk
70%
Lowered High Cholesterol
70%
Cured Migraine
50%
Remission of Asthma
47%
Reduced Osteoarthritis

Who is a candidate for bariatric surgery?

If the answers to all of the questions are yes, then you qualify for bariatric surgery and can expect to significantly benefit from the procedure.

1. Are you morbidly obese (BMI>37 kg/m2) or obese (>32 kg/m2) with significant obesity associated diseases like diabetes, heart disease, osteoarthritis, etc.?

2. Have you tried conventional weight loss methods like diet and exercise or other alternative methods and not able to maintain your weight?

3. Is your weight static/constantly increasing?

4. Is your age between 18 years and 65 years?

5. Do you understand the details of the surgical procedure proposed for you?

6. Are you committed to lifelong changes in diet and lifestyle which are mandatory after bariatric surgery?

7. If you suffering from stress/depression, has it been treated by a psychologist/psychiatrist?

8. Do you have realistic expectations from your bariatric surgery and committed to long term follow up?

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Dr. Sunder Lal Memorial Hospital
C-201, Devli Rd, Jawahar Park,
Khanpur, New Delhi, 110062
www.slmhospital.com

+91-9650075862
011-29915642
011-29917085
vij.dranirudh@gmail.com

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