Bariatric Surgery Indore
Bariatric surgery, also called weight loss surgery, is a category of surgical operations intended to help people with obesity lose weight.
Bariatric surgery procedures work by modifying your digestive system — usually your stomach, and sometimes also your small intestine — to regulate how many calories you can consume and absorb. They can also reduce the hunger signals that travel from your digestive system to your brain.
These procedures can help treat and prevent many Metabolic Diseases related to obesity, including diabetes and fatty liver disease. But weight loss surgery isn’t an easy “quick fix”. It requires preparation beforehand and long-term lifestyle changes afterward to be successful.
Why is bariatric surgery done?
Bariatric Surgery is the most successful long-term treatment for class III obesity. According to the National Institutes of Health (NIH), it is nearly impossible for people with class III obesity to sustain weight loss through diet and exercise alone. Once your body has registered your higher weight as “normal,” it continues to try to return to that weight. Bariatric surgery works by changing how your body manages what you eat, allowing healthy diet and lifestyle changes to be effective for sustained weight loss and health.
Conditions that bariatric Surgery treat simultaneously :
Obesity is associated with many chronic diseases, many of which can be life-threatening.
- Hyperlipidemia (high cholesterol)
- Hypertension (high blood pressure)
- Hyperglycemia (high blood sugar)
- Type 2 diabetes
- Heart disease
- Obstructive sleep apnea
Eligibility for bariatric Surgery
- BMI of at least 40 and an obesity-related medical condition.
- BMI of at least 35 and a severe obesity-related medical condition.
How is weight loss surgery performed?
Weight loss surgery is usually performed through minimally invasive methods (laparoscopic surgery). That means small incisions, faster healing and less pain and scarring than you would have with traditional open surgery.
What are the different types of bariatric surgery?
- Gastric sleeve
The gastric sleeve, also called Sleeve Gastrectomy, is the most commonly performed bariatric surgery. This may be because it’s a relatively simple procedure that’s safe to perform on most people with little risk of complications. The gastrectomy simply removes a large portion of your stomach — about 80% — leaving behind a small, tubular portion, like a sleeve. This naturally reduces the amount of food you can consume in one sitting and makes you feel fuller faster. But it also reduces the hunger hormones that are normally produced in your stomach. This helps to stabilize your metabolism, decreasing your appetite and regulating your blood sugar.
- Gastric bypass
The Gastric Bypass is also known as the “Roux-en-Y,” which is a French term meaning “in the form of the letter Y.” With this procedure, your small intestine will end up in that form. First, surgeons create a small pouch at the top of your stomach, separating it from the lower portion with surgical staples. Then they divide your small intestine and bring the new segment up to connect to the stomach pouch. Food will now flow through the new, smaller stomach and lower segment of your small intestine, bypassing the rest. This restricts how much your stomach can hold and also how much nutrition your small intestine can absorb. Restricting the small intestine makes this method more effective than gastric restriction alone.
- Biliopancreatic Diversion with Duodenal Switch (BPD-DS)
This is the original version of the duodenal switch, an operation that combines a sleeve gastrectomy with an intestinal bypass. (It sometimes goes by a shorter name: Gastric Reduction Duodenal Switch). It’s similar to the Roux-en-Y gastric bypass but more extreme. This operation bypasses most of your small intestine — about 75%. This significantly reduces the hunger hormones produced in your small intestine as well as in your stomach. It also significantly restricts how much nutrition your small intestine can absorb. This is what makes the duodenal switch the most effective surgery for weight loss and for improving metabolic syndromes like diabetes. But it can also make it hard for your body to absorb enough nutrients to stay healthy.
- Stomach Intestinal Pylorus Sparing Surgery (SIPS)
This newer procedure is a modified version of the original duodenal switch, intended to reduce complications. It also goes by the names Loop Duodenal Switch or SADI-s. Like the original, it begins with a sleeve gastrectomy, then divides the first part of the small intestine just after the stomach (the duodenum). This time, the small intestine is reattached as a loop, which requires just one surgical connection (anastomosis) instead of two. It also means that less of the small intestine is bypassed, allowing for a little more absorption of nutrients.
Postoperative Care
During the first year after your surgery, your surgeon will see you regularly for follow-up visits and testing. They will advise metabolic blood tests to monitor how your health is improving and screen for any nutritional deficiencies. After the first year, if you’re in good health and have lost a lot of weight, you may want to discuss body contouring options with your healthcare provider. Body contouring can help remove excess skin folds and tighten loose tissues.
Advantages of Bariatric Surgery
- Significant, sustained weight loss – Surgery is the only treatment that has been proven effective for class III obesity over the long term.
- Reduced hunger hormones and improved metabolism – Surgery is the only obesity treatment that rewires your body’s metabolic programming after obesity to prevent weight regain.
- Cholesterol and blood sugar management – Weight loss surgery often causes remission of diabetes symptoms and allows people with various metabolic syndromes to discontinue medications.
- A longer, healthier life – In addition to reducing diseases and discomforts related to obesity, weight loss surgery can actually extend your life. Large scientific studies have shown that bariatric surgery reduces the risks of death from any cause by over 40%.
Recovery
You’ll likely spend a few days recovering in the hospital, then a few weeks recovering at home before you feel ready to go back to work. You may need to avoid strenuous activity for up to six weeks, and it may take up to 12 weeks to resume a normal diet.
