Bariatric Surgery in Mumbai OR (Best Weight Loss Surgery in India)
Bariatric Surgery in Mumbai OR (Best Weight Loss Surgery in India)
Bariatric surgery or Obesity surgery or Weight loss surgery is the branch of medicine that deals with treatment of obesity.
What is Bariatric Surgery Or Weight Loss Surgery?
Bariatric Surgery is the only proven method for sustained weight loss in the long term for morbidly obese people. Weight Loss Surgery or Bariatric Surgery in Mumbai across 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.
Video: How Bariatric Surgery Works or Performed?
Classification of obesity (For Asians)
Classification for Asians
18.5 – 23.5
23.5 – 27.5
27.5 – 32.5
Class 1 obesity
32.5 – 37.5
Class 2 obesity
37.5 and above
Class 3 obesity
Impact of 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)
18.5 – 23.5
18.5 – 25
23.5 – 27.5
25 – 30
27.5 – 32.5
30 – 35
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
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.
Video: Dr. Aparna Govil Bhasker talks on Childhood Obesity, Weight Loss Tips for you Kids, Children
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.
Rizwana underwent a bariatric/weight loss surgery in the form of Laproscopic Banded Roux En Y Gastric Bypass in 2016 as she was suffering from PCOD (Polycystic Ovarian Disease), hypothyroidism and weight related depression. She lost more than 30 kgs and even after 3 years she is able to maintain her weight at 58 kg and feels much more active and young. Her recent sonography does not show any cysts in the ovaries. She is very happy as she is able to manage work more efficiently and spend quality time with her family.
Best Bariatric Surgery in Mumbai, India- Treatment of Obesity
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.
Weight Loss Surgery/ Bariatric Surgery in Mumbai 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:
IFSO APC Consensus Guidelines for Bariatric Surgery in India/Weight Loss Surgery:
Bariatric surgery mumbai/ obesity surgery/ weight loss surgery in india must be considered for the treatment of obesity for acceptable Asian candidates with BMI ≥ 35 Kg/m2 with or without any associated diseases.
Bariatric surgery in mumbai /weight loss surgery in india must be considered for the treatment of type 2 diabetes or metabolic syndrome for patients who are inadequately controlled by lifestyle alterations and medical treatment for acceptable Asian candidates with BMI ≥ 30 Kg/m2.
Bariatric Surgery India /Weight Loss Surgery in Mumbai may also be considered as a non-primary alternative to treat inadequately controlled type 2 diabetes or metabolic syndrome for suitable Asian candidates with BMI ≥ 27.5 Kg/m2.
Types of Bariatric Surgery/Weight Loss Surgery in Mumbai, India
There are many types of bariatric suregry procedures. Weight loss surgery procedures are listed as under:
Best Bariatric Surgery Procedure Selection in Mumbai, India
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 Surgeonwill 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.
Bariatric Surgery FAQ (Frequently asked questions)?
Tests must be carried out atleast 2 weeks prior to weight surgery in mumbai. In case any abnormalities come up during this period, it gives the doctor some time to correct them. Also, in case you need fitness from other specialists such as a cardiologist, chest physician, endocrinologist etc, it gives us enough time.
No, infact we encourage you to start walking after 4 to 6 hours of your bariatric surgery in mumbai. You can go to the washroom yourself. Even after getting discharged from the hospital, being active is recommended. There is usually no need for bed rest after this weight loss surgery in mumbai.
Drinking alcohol, smoking or any other kind of substance abuse is to be strictly avoided after bariatric surgery in mumbai or weight loss surgery in mumbai. If you feel that you will not be able to stop smoking or drinking after the surgery, it is advisable to not undergo this surgery. There can be grave consequences later on.
Some degree of hair fall is expected with any kind of weight loss be it due to dieting, exercise or bariatric surgery in india. This hair fall is transient and once the weight loss stabilises, hair growth increases. At times, excess hair fall may happen due to protein or iron deficiency. Proper nutritional supplementation can help in limiting hair fall.
Most often we observe an improvement in the confidence levels of most patients. Weight loss and improved body image lead to positive changes in patient attitude. Yes, you will need to get used to smaller portions of food, but after the surgery your hunger and cravings will decrease considerably and your body will support you in your journey towards weight loss. It has been seen that patients who are on antidepressant medication before surgery, do not need to take those medicines after surgery. Very rarely do patients get depressed after bariatric surgery in mumbai and in those cases, the in house psychologist will help you.
Most patients experience rapid weight loss in the first year after surgery. Weight loss surgery in mumbai not only improves patient confidence but also increases the charm. Most patients find a renewed vigour to live life and enjoy their new life. Some degree of skin sagging does happen due to weight loss but it can be curtailed with regular exercise and weight training.
Patients who have undergone liver and kidney transplant tend to put on weight due to corticosteroids and immunosuppressant drugs. Weight gain after transplant can have ill effects on the new liver as well and can lead to liver disease over a period of time. There are a few reports about bariatric surgery in india having been done on post- transplant patients but the reports are equivocal. In such cases every patient needs to be evaluated on an individual basis and the treatment has to be tailormade pertaining to the clinical condition of the particular patient.
Liver disease is commonly associated with obesity. Fatty liver and NASH (non-alcoholic steato-hepatitis) are seen often in obese individuals. If they do not lose weight, a significant percentage of these patients may progress to cirrhosis of liver. Bariatric surgery in mumbai in such patients is decided based on their Child-Pugh score. Patients with Child’s A cirrhosis may benefit with bariatric surgery but the decision has to be taken after consultation with the hepatologist. However, each patient is different and treatment must be tailormade as per the individual case. Patients with higher degree of cirrhosis are not recommended to undergo bariatric surgery.
Dialysis per say is not a contra-indication for bariatric surgery in mumbai. The decision for surgery is taken after consultation with the concerned nephrologist. Pros and cons of bariatric surgery need to be weighed before recommending it to such patients. However, the outcomes of a kidney transplant are said to be better if the patient has lost significant amount of weight prior to the transplant.
Bariatric surgery in mumbai can be advised for morbidly obese adolescents if they have completed their growth. This is assessed by certain tests. Surgery must be advised only in extreme cases and must be done after consultation with an endocrinologist.
Bariatric surgery must strictly be avoided in young children and toddlers.
Obesity is a pre-disposing condition for formation of gall bladder stones. Rapid weight loss can also predispose one to develop gall bladder stones. 8 to 10% patients tend to develop stones in the gall bladder after bariatric surgery in mumbai. However, post-operative administration of urso-deoxycholic acid can reduce the incidence of stone formation.
Massive amount of weight loss can lead to sagging of skin in some patients. At the end of 2 years after bariatric surgery in mumbai, it can be assessed whether the patient needs to undergo plastic surgery. A plastic surgery consult is scheduled at 2 years and the patient along with the surgeon can then take a decision regarding the same.
Video: How Much Weight Loss is expected after Bariatric surgery #MUSTWATCH
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.
Improvement in associated diseases
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.
Bariatric Surgery Patient Video Testimonials
Problems faced after Bariatric Surgery
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.
Video: Facts and Myths about Bariatric Surgery?#MUSTWATCH
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.
How Much Cost of Bariatric surgery in Mumbai, India
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. BestBariatric 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 obesity 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.
Patient Testimonials - Summary
Lisa Shaikh is a young 20 years old girl, who underwent a bariatric surgery or weight loss surgery 1 year ago. She lost 59 kg and came down from 140 kg to 81 kg. from being a youngster who was hesitant to even step out of the house, today she has transformed into a beautiful girl brimming with confidence and ready to take on life!
About Dr. Aparna Govil Bhasker
Dr. Aparna Govil Bhasker is an accomplished Bariatric Surgeon and Laparoscopic GI Surgeon. Extremely passionate about her field of specialization. She completed her MBBS and MS in General Surgery in 2006, from Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. Set up in 1967 by none other than the first health minister of India, Ms. Sushila Nayar, MGIMS is deeply rooted in Gandhian ethics. Read more