Bariatric surgery or Obesity surgery or Weight loss surgery is the branch of medicine that deals with treatment of obesity.
Bariatric surgery is the only proven method for sustained weight loss in the long term for morbidly obese people. Bariatric surgery Or weight loss surgery in india leads to marked health benefits and improved quality of life. It is important to note that obesity surgery is not performed for cosmetic reasons.
|BMI (Kg/m2)||Classification for Asians|
|18.5 – 23.5||Normal weight|
|23.5 – 27.5||Overweight|
|27.5 – 32.5||Class 1 obesity|
|32.5 – 37.5||Class 2 obesity|
|37.5 and above||Class 3 obesity|
Obesity is growing at an alarming rate all over the world. Obese people are prone to developing type 2 diabetes, high blood pressure, high cholesterol, heart disease, obstructive sleep apnoea, chronic obstructive pulmonary disease, joint diseases, acid reflux, PCOS, infertility, fatty liver, gout, gall stone disease, venous thrombo-embolism, lymphoedema etc. The new emperor of all maladies, obesity, practically affects each and every part of the body and leads to a gradual deterioration in health and quality of life. It is a silent killer and more than 300,000 deaths across the world can be attributed to obesity and related diseases. The most unfortunate part is that although it is the precursor of so many serious diseases, it is still not considered as a “disease” by many.
Risk of developing heart disease increases with an increase in BMI points. WHO cut off points for public health action in Asians are as under:
|Risk of heart disease||Asian BMI cut off points (Kg/m2)||BMI cut off points for Non- Asians (Kg/m2)|
|Low||18.5 – 23.5||18.5 – 25|
|Moderate||23.5 – 27.5||25 – 30|
|High||27.5 – 32.5||30 – 35|
|Very high||32.5 and above||35 and above|
Presently, India is facing a dual challenge of malnutrition and poverty at one end of the spectrum and obesity at the other end. Today, India is the third fattest nation in the world and has the second highest load of diabetes. 3 out 4 Indians are overweight and almost 50% of Urban Indians are obese. Together we are the “diabesity” capital of the world. It is also worrisome that almost 22% of Indian children are either overweight or obese and face health risks in future.
Causes of obesity are multi-factorial. Asian region has been a disturbed and deprived region. Genetically are bodies are tuned for efficient energy storage to cope up with scarcity. Prompt stress and inflammatory responses also conferred a survival advantage in a food deprived, strenuous and pathogen rich environment. Today our society is undergoing a rapid nutritional and lifestyle transition. Food abundance, increased psycho-social stress, physical inactivity and an ageing population combined with these genetic traits have led to this epidemic of obesity and diabetes. In addition to this there may be specific causes for obesity in certain patients.
In some cases, endocrine disorders like PCOS, Cushing’s syndrome and hypothyroidism may be responsible for weight gain. Syndromes like Prader-willi syndrome, Bardet Beidl syndrome, Cohen syndrome, Alstrom syndrome constitute a small portion of the obesity spectrum. Monogenic obesity and leptin deficiency may also be responsible for obesity in some patients especially in young children.
As far as treatment of morbid obesity is concerned, unfortunately, till now there is no magic pill that can cure people of clinically severe obesity. 98% of morbidly obese people are not able to lose weight with diet and exercise alone. Even if they manage to lose weight, they are not able to keep the weight off and tend to yo-yo between weight loss and weight gain.
Bariatric surgery/ weight loss surgery/ obesity surgery is the only proven method for sustained weight loss in the long term in morbidly obese patients. Asia Pacific guidelines from the International Federation for Obesity and Metabolic Surgery (IFSO-APC) for bariatric surgery/weight loss surgery india were published in 2011 and are as under:
There are many types of bariatric suregry procedures. Weight loss surgery procedures are listed as under:
Choosing a best bariatric surgery mumbai procedure is a two-way exercise with equal involvement from the doctor and the patient. Based on your clinical profile, nutritional habits and lifestyle, Bariatric Surgeon will recommend the suited best bariatric surgery in india procedure for you. You will be explained the pros and cons of the recommended procedure. You need to remember that bariatric surgery india is only a tool that pushes one into a lifestyle change. It is a partnership between the doctor and the patient. Best results are obtained when both, doctor and the patient are equally committed. Best results of bariatric surgery mumbai are obtained when the patient fully embraces, the lifestyle modification that is required after obesity surgery mumbai. It is imperative to follow moderation in diet and to put in 30 to 40 mins of daily exercise after bariatric surgery india.
Most bariatric surgery Or Weight loss surgery in mumbai, india procedures lead to an average weight loss of about 65 to 75% of the excess weight. This can be less or more depending on a lot of factors. It is seen that most patients are able to maintain an excess weight loss of around 50% and above at the end of 5 years after weight loss surgery in india.
Weight loss surgery in mumbai leads to a marked improvement in obesity related diseases. Type 2 diabetes improves in 80 to 98% patients, metabolic syndrome improves in more than 80% patients, high cholesterol in more than 62% and high blood pressure improves in up to 70% patients. Post weight loss surgery in india, there is a significant decrease in the overall risk of heart disease. Marked improvement is also seen in other obesity related diseases such as gout, PCOS, obstructive sleep apnoea, joint diseases, respiratory diseases etc. A lot of times unexplained infertility is resolved after weight loss and patients conceive naturally after obesity Surgery in mumbai.
All types of bariatric surgeries entail alteration in the size of the stomach and sometimes re-arrangement of the anatomy. After obesity surgery or bariatric surgery or weight loss surgery mumbai, the quantity of food intake reduces considerably. The team dietician will guide you about the dietary changes post-surgery and there are several sessions of counselling before and after weight loss surgery in mumbai. However, in the initial few months it may take some time for patients to get adjusted to the new anatomy. Eating too fast or too much may lead to pain or vomiting. Patients also need to adjust psychologically to the decreased food quantity although unlike diets, after bariatric surgery mumbai, you will not feel hungry and there is a significant decrease in food cravings. You can relish all kind of food albeit it will be reduced in quantity.
It is also imperative to regularly take nutritional supplements as prescribed by your doctor and nutritionist. Inability to take nutritional supplements can lead to nutritional deficiencies in future. Some patients experience varying degree of hair-fall. Please note that this hair-fall is transient and temporary. Once the weight loss plateaus, hair falls stops and hair growth becomes normal.
In terms of safety, obesity surgery is as safe as any other surgery like gall stone surgery or knee replacement surgery. The chances of surgical complications are less than 1 to 2% and are even lower in the hands of a good surgeon and a good hospital set up.
Bariatric surgery Cost in Mumbai OR Cost of Bariatric surgery in India varies depending on the type of surgery, equipment used, the room type selected, duration of hospital stay etc. Bariatric surgery in Mumbai is a life changing surgery and surgery covers its cost in 6 years. Studies show that in the long term, patients who undergo bariatric surgery in mumbai end up spending much less than patients who do not undergo surgery and are on medical management only.
Cost of Gastric bypass surgery is marginally higher than that of sleeve gastrectomy. Obesity surgery cost or metabolic surgery cost is routinely not covered by health insurance. However, in the last few years some insurance companies have started covering weight loss surgery cost at a higher premium. Cost of obesity surgery is being covered under the central government health scheme (CGHS) for their employees. Cost of metabolic surgery or bariatric surgery mumbai can also be paid in EMI options now. There are some companies that provide interest free healthcare loans.