Everything You Need To Know About Weight Loss And Bariatric Treatment
Weight-loss surgery is a procedure that makes changes to your digestive system and leads to weight loss. It is meant for individuals who have obesity and want to lose weight but are unable to do so through other means. Here, we will see weight loss surgery in detail, such as what is weight loss surgery, how to prepare for weight loss surgery, what are the complications of weight loss surgery, what is the cost of weight loss surgery in India, which are the best hospitals for weight loss surgery in India, and who are the top surgeons for weight loss or obesity surgery in India.
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What is weight loss surgery?
Weight loss surgery is intended to help individuals with obesity lose weight. The doctor may recommend weight loss surgery when other weight loss methods have failed to achieve results and if obesity poses an increased risk to your health. Weight loss surgery works by modifying the digestive system, generally the stomach, and sometimes also the small intestine, to control how many calories an individual can consume and absorb. Weight loss surgery can also reduce hunger signals that travel from the digestive system to the brain. Weight loss procedures can help prevent several metabolic diseases associated with obesity, such as fatty liver disease and diabetes. This procedure is also done for metabolic surgery for type 2 diabetes. To qualify for weight loss surgery an adult patient should have a BMI of 40 or higher. An adolescent would be a candidate if they have BMI of around 40 and an obesity-linked medical condition.
Types of weight loss surgery
Gastric sleeve: In gastric sleeve surgery, a surgeon will remove most of the stomach, leaving behind only a banana-shaped part which is closed with staples. The surgery decreases the total amount of food that can remain in the stomach, making an individual full sooner. Taking out some part of the stomach might also affect bacteria or hormones in the gastrointestinal system which influence metabolism and appetite. This surgery can’t be reversed as some of your stomach is permanently removed.
Gastric bypass: Gastric bypass surgery is performed in three steps. First, a surgeon staples the stomach, making a tiny pouch in the upper part. The staple makes the stomach smaller, which makes a person eat less as they feel full sooner. In the second step, a surgeon will divide the small intestine into two parts and then attach the lower section directly to a small stomach pouch. Food will bypass most part of the stomach and the upper part of the small intestine, so the body will absorb fewer calories.
Adjustable gastric band: In this surgery, a surgeon places a small ring having an inner inflatable band around the top of the stomach for creating a small pouch. Like gastric bypass surgery and gastric sleeve, the gastric band will make you feel full after consuming a small quantity of food. The inner band is attached to a circular balloon inside which is filled with a saline solution. The surgeon may adjust the inner band to make changes to the opening from the pouch to the rest of the stomach by removing or injecting the saline solution through a device, which is placed under the skin.
Causes and Symptoms
Causes
- Lack of physical activity
- Not getting enough sleep
- Unhealthy eating behaviors
- Health conditions
- Stress
- Medicines
- Genetics
- Environmental factors
Symptoms
- Breathlessness
- Difficulty doing physical activities
- Increased sweating
- Joint and back pain
- Feeling very tired
- Trouble sleeping
- Excess body fat
- Negative self-esteem, depression
Diagnosis
Upper Gastrointestinal (GI) Endoscopy: This test involves inserting a narrow flexible tube with a camera into the esophagus and stomach to assess the structures and detect any abnormalities that might affect the surgery or require more interventions.
Abdominal Ultrasound or CT Scan: These test provides a detailed image of the abdominal organs, like the gallbladder, liver and pancreas, to evaluate their condition and identify abnormalities.
Chest X-ray: This test will evaluate the health of the lungs and help detect any respiratory issues which might affect your surgery.
Echocardiogram: This non-invasive procedure uses sound waves to assess the structure and function of your heart. It helps detect any cardiac abnormalities that may influence the surgical procedure or require special considerations during surgery.
Sleep Study (Polysomnography): If you are affected with sleep apnea or other sleep issues, a sleep study might be conducted to diagnose and treat these conditions before surgery.
Risk & Complications
Blood clots: Blood clots may occur possible after weight loss surgery. This is because of how blood flows and clots after the surgery. Blood clots can often start in the lower leg or might sometimes travel to the lungs. If a blood clot that causes pain and swelling, the doctor can give anticoagulant medicines to help.
Stomach leak: After gastric bypass or sleeve gastrectomy, food could leak out of the tummy (abdomen). This might lead to a serious infection inside the tummy which will need antibiotic treatment.
Gastric band slipping: If an individual undergoes gastric band surgery, there may be a risk that the band moves out of its position. This might lead to nausea, vomiting and heartbu.
Wound infection: Wounds can be infected after weight loss surgery. Keeping the wound clean will help reduce the risk of infection and promote the healing process.
Blocked gut: The stomach and the small intestine may sometimes become blocked or narrower after weight loss surgery and foods can get stuck. This can be due to scarring as well as reduced blood flow to the area.
Gallstones: A gallstone is a small stone that forms in the gallbladder. They may develop if an individual loses weight quickly.
Excess skin: Losing weight after surgery, you might be left with excess rolls and folds of skin, especially around the breasts, hips, tummy and limbs. Surgery could be used for removing the excess skin.
Preparation of Treatment
Before scheduling weight loss surgery, the doctor would like to ensure that you are mentally or physically fit for the surgery. You should talk to specialists who will tell you about the benefits and risks while evaluating physical and mental health. You will have to get some medical screening tests done to ensure the surgery is safe for you. If you use drugs, tobacco, or excessive alcohol, you will have to quit to qualify for surgery. The surgeon might ask you to follow a pre-weight loss surgery diet for 2-3 weeks to prepare for the procedure. This is aimed at reducing the fat inside the abdomen, where the operation takes place. Include eating smaller portion sizes, staying adequately hydrated, chewing food completely, and tracking daily food intake. It is crucial to leave credit cards, jewelry, and other valuables at home. Wear comfortable clothes when you visit the hospital for the surgery. One or two days before the surgery, you may be asked to only have clear liquids. On the eve of the surgery, you will be asked not to drink or eat anything after midnight. You may need to stop various medications before undergoing surgery.
Best Doctors for Weight Loss And Bariatric Treatment
Dr. Amitabh Singh
23+ Yrs. Exp.MBBS, MS (General Surgery), MCh (Burns and Plastic Surgery)Plastic and Reconstructive SurgeonBest Hospitals for Weight Loss And Bariatric Treatment
Sector-128, Gautam Buddh Nagar, Delhi-NCR, India 201304 Cost of the treatment
Cost of weight loss surgery
The cost of weight loss surgery in India ranges from $3359 to $7198. However, the weight loss surgery cost in India depends on several factors, such as the health conditions of a patient, the fees of the surgeon, type and location of the clinic or hospital, experience of healthcare professionals involved, and more.
Recovery
Recovery after weight loss surgery
You will be able leave hospital 1- 3 days after undergoing weight loss surgery. After 4- 6 weeks, you will be able to return to your normal activities. In case a gastric band is fitted, you would need to attend a follow-up appointment where the band would be adjusted based on food intake and weight loss. Having a smaller stomach would mean you should make some changes to the way you drink and eat after the surgery. Eat slowly, chew properly and only eat small portions at a time during the initial stages of recovery. Avoid eating foods which might block your stomach. You will be given an exercise plan in order to help prevent weight loss causing muscle loss. You will need to attend some regular follow-up appointments.
Frequently Asked Questions About Weight -loss and Bariatric
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