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Bariatric Surgery

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Bariatric Surgery

What is it?

Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health. It’s a leading preventable cause of death worldwide. Due to increase in prevalence of obesity in adults and children, WHO views it as one of the most serious public health problems of the 21st century. In India obesity is most commonly caused by a combination of excessive food energy intake, sedentary life style - lack of physical activity, and genetic susceptibility. People are considered obese when their body mass index(BMI), a measurement obtained by dividing a person's weight by the square of the person's height, exceeds 30 kg/m2. Obesity increases the risk of many physical and mental conditions. These comorbidities are most commonly shown in metabolic syndrome called “Diabesity”, a combination of medical disorders which includes: diabetes type 2, high blood pressure, high blood cholesterol, high triglyceride levels. Obesity is a debilitating disease of the mind, body and spirit and MUST BE ADDRESSED HOLISTICALLY to achieve long-term success.

Causes :

  • Diet
  • Sedentary Lifestyle
  • Genetics
  • Other illnesses (Physical, mental illness & pharmaceutical substances)
  • Social determinants
  • Infectious agents

Effects on health : Relative risk of death over 10 years for white men and women who have never smoked in the United States by BMI

Weight loss surgery: giving you your life back

  • Mortality – Obesity can be one of the leading diseases for death if untreated on time.
  • Morbidity - Obesity increases the risk of many physical and mental conditions. These comorbidities are most commonly shown in metabolic syndrome, a combination of medical disorders which includes: diabetes mellitus type 2, high blood pressure, high blood cholesterol, and high triglyceride levels
  • If you have tried other ways to lose weight, but have not been successful, weight loss surgery may be the solution for you. Weight loss surgery (also known as obesity surgery or bariatric surgery) in the form of gastric bypass, gastric balloon, gastric sleeve or may be the solution for you. Research suggests that weight loss surgery (also known as bariatric surgery) is a more clinically effective intervention for treating obesity in suitable people compared with non-surgical options such as weight loss drugs or diet.

Are you considering weight loss surgery?

There are several different surgical techniques available that can be highly effective in helping people to lose a significant amount of their excess weight.

Weight loss surgery is recognised as an appropriate treatment for people who are morbidly obese by the National Institute for Health and Clinical Excellence (NICE) and the World Health Organisation (WHO).

There are two main types of weight loss surgery:

  • Restrictive: where the size of the stomach is reduced using a band or staples so that only small meals can be eaten and you feel full sooner.Gastric banding, sleeve gastrectomy are all examples of restrictive procedures.
  • Restrictive/malabsorptive: a combined approach, with some surgical restriction, plus bypassing of some of the digestive system so that food passes through the body without its calorie content being fully absorbed. Gastric bypass and duodenal switch are all examples of restrictive/malabsorptive procedures.

There are different benefits and risks for each of the different types of weight loss surgery. Although the type of procedure plays an important role in determining possible weight loss, so does your willingness to make lasting changes to your eating habits and lifestyle, to make the most of the opportunity that surgery offers.

Types of Surgeries:

  • Laparoscopic Roux En Y Gastric Bypass
  • Laparoscopic Vertical Sleeve Gastrectomy
  • Laparoscopic Gastric Banding

How surgery treats obesity

Weight loss surgery helps to reduce the amount of food that can be eaten at one time and some weight loss procedures also change the digestive system so that fewer calories are absorbed from the food you eat. This makes it likely that you end up with a shortage of calories over what is needed as fuel for day-to-day activity. To compensate for this deficit, the body begins to use stores of fat that have built up over the years as a source of energy. As this fat is burnt up, your weight begins to fall.

Is weight loss surgery the right solution for you?

Our consultant will discuss all the options with you. Weight loss surgery may be a solution for you if:

  • your weight is putting your health at serious risk. This is known as ‘morbid obesity’ and corresponds to a body mass index (BMI) of at least 37.5kg/m²

or

  • you have a BMI >30 kg/m² and a medical condition that could be improved by losing weight and if
  • you have tried losing weight in other ways
  • you are aged 18 or over
  • you are fit enough to undergo surgery and an anaesthesia
  • there are no specific medical or psychological reasons why you shouldn’t have this type of surgery
  • you understand that you’ll need ongoing follow-up care from healthcare professionals.

Risks and benefits

Surgery isn’t a quick and easy answer to weight loss and it does involve some risk. The most effective procedures are major operations that change the way your digestive system works and sometimes further surgery is needed. Your consultant surgeon will be able to advise you on the specific risks and benefits involved with each procedure.

Overall, the risks from surgery are thought to be outweighed by the benefits for suitable patients. Research has shown that after surgery most people have an improved quality of life and reduced risk from medical conditions that are related to morbid obesity.

Losing excess weight can help resolve or reduce the symptoms of a number of conditions including type 2 diabetes, hypertension and sleep apnoea. It can also help reduce the risk of developing diseases associated with being very overweight.

Many past patients who’ve had weight loss surgery tell us it has had a positive impact on their lives. They feel more confident, have more self esteem, more energy and are happier and healthier. They feel like they’ve got their life back, are now living the life they want and looking forward to the future.

In simple words bariatric surgery gives a new life to an individual troubled due to problems secondary to obesity.

Why Ruby Hall Clinic, Wanowarie?

1.Safest: All facilities under one roof which ensures safe care delivery as obese people have comorbidities & are vulnerable to develop complications. In such event we are well backed up with facilities as Cath Lab, Endoscopy, ICU, Diagnostics, etc. 2.Cost: We offer surgical procedures with costs at par.

Bariatric surgery is not Liposuction:?

Liposuction

Bariatric Surgery

Focused on Sub-cutaneous fat

Focused on Visceral fat

Cosmetic treatment

Metabolic treatment

No change in comorbidities

Resolution of comorbidities

Recurrence very frequent

No such recurrences.

What will be the long term impact on my life?

Choosing to have weight loss surgery is a life changing decision. You may find after your procedure that some foods may be more difficult for you to digest and you may find you need a smaller amount of food to fill you up.Losing excess weight can help resolve or reduce the symptoms of a number of conditions including type 2 diabetes, hypertension and sleep apnoea. It can also help reduce the risk of developing diseases associated with being very overweight.Many past patients who’ve had weight loss surgery tell us it has had a positive impact on their lives. They feel more confident, have more self esteem, more energy and are happier and healthier. They feel like they’ve got their life back, are now living the life they want and looking forward to the future.

How much weight will I lose and how long will it take before I see the effects?

After certain procedures, the weight loss can be dramatic: it is normal for people who have had some types of operation to lose tens of kilograms in the first year.However, everybody’s journey is different. Some people lose weight very quickly and for others it can take longer. People who have had weight loss surgery do not continue to lose weight indefinitely. Although weight may continue to fall 12-18 months or more after surgery, the body adapts to the changes in the digestive system.You also need fewer calories as you get lighter. These factors help stabilise the weight.

About Us

Ruby Hall Clinic, in the past 50 years has set new bench marks for standards in the health care industry, the best of which have been adopted and incorporated in the new facility at Wanowarie.

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Get in touch

  • Wanowarie Ruby Hall
    59/6, Azad Nagar,
    Wanowarie,
    Pune
    411040 India
  • 020-664-94949
    +91-860-002-1169
  • wanowarie [at] rubyhall [dot] com