When weight loss efforts through lifestyle changes or medications have been proven unsuccessful, then bariatric surgery becomes a possible option.
For morbidly obese patients, bariatric surgery has fantastic results, prolonging the life of the patient, curing diabetes as well as aiding the loss of weight.
Quite often, this will be the only surgery needed to get the wanted result.
The bariatric surgeries that we perform are only through laparoscopy – key hole surgeries and hence have the following benefits. All are minimal invasive and scarless surgeries:
– lesser time in hospital
– lesser down time, patient can go back to work in 2 day
– no scar
– no pain
– fast recovery
Obesity is life threatening and most people are not aware of this fact and thus it is taken very lightly. It is paramount that right treatment is made at the right time. Our specialized operation theaters are best in the world and we have well-trained staff to look after our patients.
Unlike traditional hospitals, we let our patients recover in a relaxing environment and with personal attention from our proficient medical team. Our facility boasts of all amenities required for an all round recovery. With this, we hope to give our patients a complete all round speedy healing. Our strong Post-Surgery follow-up system along with dietic care, helps the patients in achieving the desired results. We keep records of a patient’s lifestyle even after a decade of his surgery. Guiding them through each day and making sure they never have to face the same situation again.
Types of Bariatric Surgery
1. Restrictive Procedures
These work by reducing the size of the stomach (typically to the size of a cup). There are 2 types of Restrictive surgeries. They are Lap sleeve gastrectomy and Lab adjustive gastric banding.
Lap Sleeve Gastrectomy –
Laparoscopic sleeve gastrectomy (LSG) is a new bariatric technique, which has a unique feature; it combines a satisfying gastric restriction with appetite suppression. In other words, LSG has a physiological advantage over other restrictive procedures such as gastric banding. Furthermore, in LSG no foreign material is implanted avoiding complications such as migration, erosion and infection.
The risk of peptic ulcer or dumping is low, while absorption of nutrients and orally administered drugs are not altered as may transpire after gastric by-pass. LSG provides substantial weight loss and resolution of co-morbidities to 3–5 years follow-up. Comparative data demonstrate percent EBWL at 1 year superior to AGB and approaching that of gastric by-pass.
Advantages of Sleeve Gastrectomy
- No silicone implants.
- Great appetite suppression
- Lower risk of peptic ulcer.
- No dumping.
- No vitamin or drugs malabsorption.
- It does not impair patient’s dietary habits.
- Better weight loss than gastric banding.
- No important late complications.
Laparoscopic Adjustable gastric banding
A band is placed around the upper most part of the stomach separating the stomach into a small and large portion. Band can be adjusted to increase or decrease restriction. Surgery can be reversed. Digestion and absorption is normal.
Results: As per the study conducted in US, an average weight loss for 3 years after surgery was 36.2% of excess weight.
2. Malabsorptive Procedures
(These work by decreasing the absorption of calories in small intestine)
Malabsorptive – Loop deodinal switch / BPD
Combines a lower level of restriction with a high degree of malabsorption.
Stapling is used to create a sleeve of stomach retaining the natural stomach outlet. The majority of the small intestine is bypassed causing nearly complete malabsorption of food contents.
- Patients have achieved excess weight loss of 74% at one year, 78% at two years, 81% at three years, 84% at four years and 91% at five years.
- Provides less restriction of food consumed than other procedures discussed.
- Provides highest levels of malabsorption
3. Hybrid surgery. RYGB
Stapling is used to create a small, upper stomach pouch which restricts the amount of food to be consumed. A portion of small bowel is bypassed thus delaying food from mixing with digestive juices to avoid complete calorie absorption.
- Average of 77% of excess body weight loss one year after surgery.
- Studies show that after 10 to 14 years, patients have maintained 60% of excess body weight loss. Study of 500 patients showed that 96% of certain associated health conditions were improved or resolved, including back pain, sleep apnea, high blood pressure, Type II diabetes and depression.
- In most cases patients report an early sense of fullness, combined with a sense of satisfaction, that reduces the desire to eat.
Since bariatric surgery is a surgical procedure, it is performed under general anaesthesia. An intravenous line is placed for easy administration of medication and fluids. A breathing tube is inserted to help the patient breathe easily during the surgical procedure.