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Metabolism is something that can make you gain weight without even eating too much. It can also be responsible for making it harder to lose it. Metabolism in simpler words is mechanism of processing food. When this process is disturbed or not working properly, you get unwanted gain or loss of weight. It leads to serious health issues over time. Metabolism is the rate at which the body manages calories and fats by turning them into energy.

Bariatric surgery comes to your aid when you have gained a lot of weight because of bad metabolism. It is one of the most successful surgeries in India with a success rate of more than 80%. People often fear their metabolism getting worse after the surgery. Let’s see how your metabolism is affected after bariatric surgery.

Your metabolism and the Gastrointestinal Tract

Your GI tract is an essential part of the process when it comes to weight loss and bariatric surgery. Your stomach secretes a hormone named GLP-1 which is crucial in controlling appetite. It also allows the gastrointestinal tract to work properly. In bariatric surgery, the size of the stomach is reduced and the intestines are rerouted. It has been seen that this reduction allows your body to increase the production of this hormone. It helps boost the metabolism and in turn aids in successful weight loss.

Metabolism of fat in the body

When you have accumulate an extreme amount of excess fat, you become obese. This excessive fat can be because of consumption of fried, packaged, processed foods in more than normal portions. It can also accumulate because of hormone imbalances which directs the body to store fat. Bariatric surgery is intended to reduce your stomach size and decrease the amount of food you can have. It leads to burning of stored fat. Your metabolism is heightened and you burn fat more easily. This surgery helps patients shed their weight by improving their fat metabolism.

Increased metabolic rate and diseases

Bariatric surgery helps process sugars, fats, and other nutrients far better than it did before. It helps increase the rate of metabolism which aids in different health conditions that were caused by obesity. After bariatric surgery you follow a specific diet to maintain the weight and to boost metabolism. This solves many issues that you had when you were obese. The blood sugar is normalized around 98% and cardiovascular health is improved. It resolves issues like type two diabetes, hypertension, OSA, cardiac problems, and many others.

Weight gain can have multiple reasons behind it. A bad metabolism is just one of them. But bariatric surgery not only helps lose weight. It also fixes your metabolism so you don’t gain that weight again. It helps you lead a healthy and happy life. It is important to choose the right surgeon for your surgery to get the desired results from bariatric surgery. Choose Ansh Obecure @ Radiance  hospital for its experienced surgeon and state of the art equipment for bariatric surgery in ahmedabad.

Written By : Radiance Hospital
Joint Problems

Our bones attach to each other at a joint, where strong tissues called tendons and ligaments help connect the bones. It is common for such joints to experience stress as we age. But it is pertinent to note that weight too plays a role along with age. Every pound of excess weight exerts about 4 pounds of extra pressure on knees. This means that if a person is 100 pounds overweight then the knees undergo 400 pounds of excess pressure. “Fat” itself is such an active tissue that releases such chemicals which promote inflammation. Researchers have also found that hand osteoarthritis (OA) is more common amongst obese people.

According to the Arthritis Foundation, the average onset of Rheumatoid arthritis (RA) is between the ages of 30 and 60, and children can also get it. RA is a chronic condition that progresses over time with periods of increased disease activity, called flares and periods of remission.

In 1971, the number of cases of arthritis primarily caused by obesity was at 3 %. By 2002, that number had increased six-fold to 18 %. An obese has a 60 % greater risk of getting arthritis than people who maintain healthy body weight. A study examined the factors contributing to total knee and hip replacements in people between the ages of 18 – 50. A remarkable 72 % of those who underwent joint replacement surgery were obese.

Bariatric or Metabolic surgery can prove to be very beneficial for joints too. For 0.5 kgs lost, 2.5 kgs of pressure on joints are reduced. Other benefits are pain reduction, increased mobility, better outcome after a joint replacement surgery etc. Bariatric surgery can be considered the best way for a joint replacement.

  1. Sleeve Gastrectomy- Reduces the stomach to approximately 15 % of its original size.
  2. Gastric Bypass-The surgery changes the absorption rate of food, as well as decreasing the amount that can be ingested.
  3. Robotic Surgery

Orthopaedic surgeons themselves are referring more patients for consideration of bariatric surgery in anticipation of future elective procedures.

Many patients pursue bariatric surgery for improvement in their physical image and somatic health improvement. Health-related quality of life improves after bariatric surgery & long-term improvements are positively associated with the long-term amount of weight reduction leading to less joint problems.

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Written By : Dr. Apurva Vyas
Spine Problem

The term “Orthopaedics” signifies a medical specialty that focuses on the body’s musculoskeletal system. This includes bones, joints, muscles, ligaments, tendons, and nerves.

Pain that originates in the spine anywhere between the upper and lower back is the “back pain” we refer to in our daily lives, obesity caused ones are:-

  1. A herniated disc
  2. Spine osteoarthritis

It affects approximately three out of four adults during their lifetime. Many back-pain patients complain about symptoms like numbness and tingling sensations, stiffness, achiness, and weakness.

It is known that obese people are more prone to spinal issues than those who’re not. Deleterious weight stresses almost every organ in the body, so it is no surprise that it also increases the risk of back pain, joint pain, and muscle strain. Every extra inch adds strain to the muscles and ligaments in the back since the spine tends to become tilted and stressed unevenly to an extent that the back may even lose proper support.

Extra weight around the stomach pulls the pelvis forward which in turn strains the lower back thereby causing pain. The vertebral disc as well, of an obese individual, may get weak or damaged sooner. Excess weight is also known to worsen pre-existing spinal issues.

The four common disorders found out by researchers are:-

  1. Lower back pain
  2. Spondylosis (spine degeneration)
  3. Internal disc disruption (IDD)
  4. Neck problems unrelated to IDD or spondylosis

Due to Obesity, adipose tissue causes extra pressure on the lumbar spine and knee which exacerbates pain. Bariatric surgeries help weight loss thereby reducing pain intensity to as much as 75% to 80.8%  as cited by an article of Bariatric times. The pain score carried out in the study when compared to preoperative baseline, indicated significant symptomatic pain resolution of the pain of head, neck, shoulder and lower back. Pain relief was observed in day to day physical activities during sports as well as work. Use of Analgesic significantly reduced. An increase in Quality of life within 6 months to 1 year post operation was observed.  

As per UCLA Health article, Retrospective studies showed that after performing Bariatric surgeries, the frequency of back pain decreased in up to 83% of the patients, and lumbar back pain symptoms were reduced in 82–90% patients in a period of 6 months to one year.

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Obesity Causing Joint Problems

Written By : Dr. Apurva Vyas

According to the article in mint by Michelle Fay Cortez, Bloomberg, 40% is the reduction in risk of death and heart complications for patients with diabetes and obesity who have undergone weight-loss surgery.

The various kinds of weight-loss surgeries help you lose weight and lower your risk of medical problems associated with obesity.

Let’s take a quick insight into the types of weight loss surgery and its benefits:

Sleeve Gastrectomy

In this procedure, the surgeon removes approx. 60 to 70% of the stomach and what remains is a narrow sleeve which connects to the intestines.

Since this procedure does not affect intestines, the body absorbs food due to which the person does not fall short of nutrients.

Gastric Bypass surgery

In this procedure the stomach is divided into two parts by the surgeon. The upper stomach is then connected directly to the lower section of the small intestine. In short, a shortcut is created for the food, bypassing part of the stomach and small intestine.

Weight loss in Gastric Bypass surgery is quick and almost 50% of the weight is lost after the first 6 months of the surgery.

Gastric Balloon/Intra-gastric Balloon System

In this procedure, a deflated balloon is placed in the stomach through the mouth. Once it is placed properly, it is filled with saline solution that provides a sense of fullness thereby curbing the hunger.

Gastric balloon/Intra-gastric balloon system does not require more hospital stay. The balloon is temporary, stays for 6 months to 1 year (2 types of balloon available – for 6 months and for 1 year) months and a person loses approx 12 to 17 kg of the body weight in the first 6 months.

Which Weight Loss surgery is the best?

A person should opt for a weight loss surgery depending on his/her BMI, Medical condition, comorbidities, and body type.

The best advice and guidance can be given by an expert and we at Radiance Hospitals are equipped to make sure you do not face any hassles while going for a weight loss surgery.

Written By : Radiance Hospital