Bariatric Surgery

What is Bariatric Surgery?

Bariatric (Obesity) surgery, or weight loss surgery, includes a variety of procedures performed on people who are obese. Weight loss is achieved by reducing the size of the stomach through the removal of a portion of the stomach (sleeve gastrectomy) or by resecting and re-routing the small intestines to a small stomach pouch (gastric bypass surgery). It is done when diet and exercise haven't worked for you. It works by reducing your body's ability to absorb nutrients. To understand how it works and its benefits we first need to address the problem itself.

What is Obesity?

Obesity is a life-long progressive and life-threatening condition marked by the excess accumulation of body fat in your body which can significantly reduce life expectancy. When the weight reaches extreme levels, it is called MORBID OBESITY. It is a chronic condition with numerous medical, psychological and social consequences.

Bariatric Surgery (Obesity Surgery)

Bariatric (Obesity) Surgery

Causes of obesity:

  • Genetics affect your metabolism and how your body processes food.
  • Sedentary lifestyle leads to low physical activity.
  • Uneven sleep cycle leads to hormonal changes which make you feel hungrier.
  • Pregnancy weight can be difficult to lose which eventually leads to obesity.
  • Polycystic ovary syndrome (PCOS) causes imbalance of female reproductive hormones which aids in weight gain.

Finding out if you are obese is simple; you calculate your Body Mass Index or BMI. Obesity is also defined by waist size - over 90 cm in males and over 80 cm in females.

Common diseases associated with obesity:

  1. Type II Diabetes
  2. Heart Disease
  3. Hypertension
  4. Hypercholesterolemia
  5. Liver and kidney disorders
  6. Joint Pain/Osteoarthritis/Gout
  7. Respiratory disorders
  8. Gastroesophageal reflux disease
  9. Infertility
  10. Certain cancers
  11. Depression and anxiety disorders

Advantages of Bariatric Surgery:

  1. Overall weight loss greater than other methods
  2. Faster initial weight loss
  3. Increased consumption of healthier food choices because of the discomfort caused by eating sugars, fats and carbs
  4. Resolution of most of the health problems related to obesity like type 2 diabetes, joint pain, obstructive sleep apnea
  5. Improved cardiovascular health

Description of the surgery

Sleeve Gastrectomy:
The Vertical Sleeve Gastrectomy (VSG) trigger weight loss solely through gastric restriction (reduced stomach volume). In VSG approximately 2/3rd of the stomach is stapled off along its greater curvature, leaving behind 1/3rd stomach along the lesser curvature, which is roughly the size and shapes of a Banana or Sleeve. This operation does not involve any “rerouting” or reconnecting of the intestines. Hence it is technically a simpler operation than the gastric bypass.
Gastric Bypass Roux-en-y:

It creates a small pouch in the upper stomach which restricts the amount of food consumption. With the help of stapling, a portion of the small intestine is bypassed which delays the mixing of food with digestive juices. Thus the caloric absorption is restricted. It promises an average 77 % of excess body weight reduction in the first year after surgery. A study shows that after 10 to 14 years, patients maintain 60 % of excess body weight loss. In most cases, patients report an early sense of fullness even after consuming small portion of food. This reduces the desire to have more food and thus helps lose weight.

Intragastric Air Balloon:
In this procedure, an air balloon is inserted in the stomach through the endoscopic route. This procedure is nonsurgical and minimally invasive. Intragastric Air Balloon is filled inside the stomach to create short term and rapid weight loss. It promotes the sensation of fullness after having a small portion of meal. This balloon is temporary and has to be extracted after six months to 1 year. Results of the surgery:
Patient will lose about 70 to 80 % of their overweight within span of 8 months to 1 year.

Team of Radiance for weight loss surgeries:

  • Dr. Apurva Vyas – Bariaric Surgeon
  • Dr. Yogesh Gupta – Metabolic Physician
  • Dr. Anuj Saraiya – General and Laparoscopic surgeon,
  • Dr. Dhruvisha Butani - Medical officer (diet counseling and pre / post-operative care)
  • Mr. Milin Maru – Psychologist
  • Post-operative care:

  • Change positions frequently while sitting.
  • Take stairs whenever possible.
  • Walk regularly.
  • Weight lifting exercises to avoid skin sagging.
  • Do breathing exercises.
  • Stay hydrated.