Obesity can often cause several life-threatening diseases in people. People who suffer from severe obesity with a BMI of over 40 and life-threatening conditions may need to go through certain medical procedures to reduce the risk factor of their diseases.
Bariatric Surgery is one such procedure that is used for patients who suffer from severe obesity along with many metabolic disorders. A combination of these two could be life-threatening. Hence gastric bypass along with other weight-loss surgeries (collectively called bariatric surgery) is often recommended to these patients. One must however remember that bariatric surgery is not a cosmetic procedure. Contrary to this, it is a life-saving procedure only recommended to patients who are in dire need of it. This includes those who haven't been able to improve their condition using diet changes and exercise. Moreover, the surgery consists of major procedures which may pose the danger of side effects and risk factors like any major surgery.
Who requires the surgery?
The surgery aims at reducing the weight of severely obese patients with a BMI of 40 or above who are at risk of life-threatening conditions like high blood pressure, high cholesterol, sleep apnea, heart diseases, stroke, Type 2 diabetes, NAFLD (Nonalcoholic fatty liver disease) or NASH (nonalcoholic steatohepatitis).
People with a BMI of 35-40 may also be prescribed this surgery if they have severe weight-related issues. However, it must be kept in mind that the surgery requires patients to meet certain guidelines and not everyone who is obese can opt for Bariatric surgery. Even after the procedure, patients are required to make major lifestyle changes and do regular follow-ups to monitor their health condition.
Types of Bariatric Surgery
1. Gastric Bypass
This is one of the most commonly prescribed forms of Bariatric surgery. The way this surgery works for reducing the weight of the patients is by creating a small pouch from the stomach of the patient. This small pouch is then connected directly to the small intestine. The food ingested by the person then goes into the small pouch from where it is directed to the small intestine. This way only a limited amount of food enters their body.
2. Weight Loss Surgery
This is another type of Bariatric surgery where the goal is to limit the food intake of the patient. This is done by preventing the stomach from extending to its full size. During this surgery the surgeon may use three of the following techniques:
Laparoscopic adjustable gastric banding
Vertical banded gastroplasty
Biliopancreatic diversion with duodenal switch (BPD/DS)
This is one of the least common types of weight-loss surgeries. This is done in two steps, the first of which is a sleeve gastrectomy. In the second step, a portion of the intestine is bypassed and its end portion is then connected to the duodenum near the stomach. The aim of the surgery is not just to limit the amount of food that a person ingests but also to reduce the absorption of nutrients like proteins and fats.
As has been mentioned, bariatric surgery is a term referring to a number of surgeries aimed at reducing the weight of a person. As with any other surgery, bariatric surgery may pose certain health risks. These complications may be both short term and long term. Infections, excessive bleeding, blood clots, bowel obstruction, dumping syndrome, breathing problems, etc are common risk factors associated with Bariatric surgery.
Treatments offered by CARE Hospitals
The Institute of Laparoscopic & Bariatric Surgery at CARE Hospitals offers specialized doctors and treatments using minimally invasive procedures. These include the following:
1. Weight Loss Surgery: this type of surgery is done through the following three procedures:
Laparoscopic adjustable gastric banding: In this procedure, the surgeon puts a Silastic band around the stomach below the food pipe. This is one of the most minimally invasive procedures of bariatric surgery. This is because instead of one large cut on the abdomen, the surgeon uses small incisions and the laparoscopic tool fitted with a camera is then placed inside the body. Using this tool the band is placed.
Vertical banded gastroplasty: in this procedure, the upper part of the stomach is stapled vertically and a small pouch is created in the upper part of the stomach near the food pipe.
Sleeve gastrectomy: in this type of bariatric surgery, a major chunk of about 80% is removed from the stomach. Consequently, the stomach is reduced to almost 15% of its original capacity. In this type of weight loss procedure, the stomach ends up looking like a tube or a sleeve.
1. Gastric Bypass: as has been mentioned, this is the most common form of bariatric surgery. CARE Hospitals offers top quality facilities and expert doctors who have years of experience performing this type of surgery.
How can CARE Hospitals help?
CARE Hospitals provide state-of-the-art facilities along with specialist doctors for bariatric surgeries. We focus on Minimal Access Surgeries that allow surgeons to perform complicated procedures using minimal incisions instead of more invasive open surgical procedures. Almost 70% of surgeries performed at CARE Hospitals use the MAS procedure. Consequently, the patients feel less operative pain and undergo quicker recovery. CARE Hospitals also ensure that patients undergo extensive medical screening before they can opt for the surgery. Moreover, extensive care is provided during follow up of the procedure. Bariatric surgery requires good quality and extensive after-care to avoid any complications. CARE Hospitals have experts who carefully do all the required follow-ups and checks on their patients.
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