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Do you know bariatric surgery not only helps in obesity but also in managing diabetes? It is true that bariatric surgery is performed primarily to remove excess fat from the body. It is done to the patients who are obese and nothing else have worked for them to decrease their weight. But obesity and diabetes are linked to each other. When the blood has a high amount of sugar in it and the body isn’t producing enough insulin to counter this increase, a person starts suffering from diabetes. Many obese people suffer from diabetes because it also indicates higher blood sugar level.

Obese people are more likely to develop diabetes. Foods which have higher fats and carbohydrates elevate fatty acids in the blood. This leads to fat build-up and storage in the liver and muscles. It increases insulin resistance and the patient suffers from diabetes. Bariatric surgery helps decrease the fat in the body. Let’s see how this procedure helps in maintaining diabetes.

Body weight including fat decreases

Bariatric surgery helps decrease a sizable body fat. It can be almost 11% of the body fat. The body fat that is gone is both peripheral and visceral fat. Peripheral fat is just below the skin and visceral fat is packed around the internal organs of the body. This visceral fat generally causes problems in processing sugar in the body. When it decreases drastically in such a manner. The blood sugar is processed correctly and the level can be maintained.

Blood sugar is lowered

After bariatric surgery, the blood sugar level goes down as the body starts processing it properly. The diet that follows the surgery also included fiber and other macro nutrients known for maintaining sugar level. A proper diet maintains what goes into the body and it is monitored properly. So, the blood sugar level is maintained which also lowers the use of diabetes medication. It also promotes a better lifestyle than before which aids in diabetes maintenance.

Risk of diseases decreases

Obesity brings a lot of diseases with it. Diabetes is just one of them. Maintaining diabetes becomes more and more difficult if other diseases keep popping up. Obesity increases the risk of cardiovascular diseases which also affects blood sugar level. Diabetes becomes worse with additional diseases. With bariatric surgery, the weight is lowered and maintained with proper post-operative care. This decreases the chances of getting other diseases which in turn makes managing diabetes easier.

Cholesterol and BP improves

Many patients have seen lower cholesterol levels after getting their bariatric surgery done. The blood pressure also improves as the cholesterol levels improve. There is no excess fat putting pressure on the blood vessels after bariatric surgery. This improvement helps in managing diabetes easier.

It is quite evident that bariatric surgery is helpful in both obesity and diabetes. Patients have seen a significant improvement in their diabetes after getting their bariatric surgery done. You need an expert to achieve such results though. We have industry experts with years of experience who understand the conditions of diabetics very well. Choose us for your bariatric surgery in Ahmedabad.

Written By : Radiance Hospital
PCOS with obesity

Infertility has become a bane of modern living and PCOS is one of the major causes of infertility.

Polycystic Ovarian Syndrome commonly called PCOS condition is a very common endocrine condition in reproductive-aged women often leading to difficulty in conceiving. Women diagnosed with PCOS can experience irregular periods, abnormal hair growth, acne, and can have ovaries containing multiple small cysts.

PCOS has a negative effect on fertility since such women are not able to ovulate or release an egg, each month due to an overproduction of estrogen. This subsequently leads to irregular periods and increased levels of hormones such as testosterone that can affect oocyte quality, inhibit ovulation, lead to insulin resistance, and increase the risk disorders such as gestational diabetes.

The relation between PCOS and obesity can be termed as complicated. Signs and symptoms of PCOS begin for some females soon after they start having periods. Women with PCOS produce too much insulin, or the insulin they produce does not function normally which leads to weight gain. Women diagnosed with PCOS may also find it difficult to lose weight. For some others substantial weight gain is followed by PCOS. However, it is certain that women suffering from obesity have a greater risk for PCOS and women with PCOS have a greater risk for obesity.

Many PCOS women with obesity may also develop coronary artery disease and glucose abnormalities at a very young age. Bariatric surgery can be a significant procedure to fight against all these abnormalities and a solution for all such irregularities. According to a study, in the state of Gujarat itself 18% females and 14 % of Males are over-weight.

If the prevailing PCOS condition is due to obesity, the chances of cure are almost close to 100% particularly young females with such condition. There are few types of surgeries and procedures for such condition, but your surgeon will likely have a recommendation as to which will be most effective for PCOS. The proven methods are Laparoscopic Sleeve Gastrectomy (LSG) and Endoscopic Sleeve Gastroplasty (ESG).

The Laparoscopic Sleeve Gastrectomy (LSG) generates weight loss solely through gastric restriction (reduced stomach volume). In LSG approximately 2/3rd of the stomach is stapled off roughly the size and shape of a Banana or Sleeve. This operation does not involve any ‘rerouting’ or reconnecting of the intestines. Hence it is technically as simpler operation than the gastric bypass.

Endoscopic Sleeve Gastroplasty (ESG) is one of the latest advancements in Medical Science. Endoscopic Bariatric Procedure does not require any hole or incision to put on any part of the body but a special Endoscopic instrument is inserted through an oral route to reach the stomach. Then the size of the stomach is reduced using stitches. On the same day after 4-6 hours of the procedure, a patient can go home. Moreover, as the procedure involves zero blood-loss, there is no need for blood transfusion and chances of infections are also almost nil.


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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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