Obesity is associated with various problems and comorbidities like diabetes, hypertension, sleep apnea etc. That is why, extreme obesity or obesity with comorbities is called as Morbid Obesity.
People suffering from Morbid obesity needs Bariatric surgery. Bariatric surgery helps in weight loss , improvement in hypertension, diabetes, back pain and sleep apnea. It improves the overall quality of life, health and boost confidence of the person.
Let me start with BMI first
BMI = Body weight in kgs / Height in metres square
You can calculate your BMI here.
Healthy BMI ranges from 18.5 to 25 kg/m2
Overweight: 25-30 kg/m2
Obesity: >30 kg/m2
Weight loss surgery are done laparoscopically by minimal access techniques.
Most commonly performed types of weight loss surgery are:
1. Sleeve gastrectomy
2. Roux en Y Gastric Bypass
3. Mini Gastric Bypass – One Anastomosis gastric bypass
In sleeve gastrectomy, as portion of stomach is removed leaving a small tube of stomach which leads to decrease in appetite , early fullness and various hormonal changes which leads to weight loss.
It is most commonly performed weight loss surgery. The stomach is reshaped in form of a tube or sleeve. 75-80% of the stomach is removed by the surgeon. Dr Ashish Sachan is an expert bariatric surgeon and has performed hundreds of sleeve gastrectomy procedures.
Aim of the procedure is to restrict the amount of food intake at a given time. There is no alteration in absorption of minerals and vitamins.
The surgery is performed laparoscopically. Median hospital stay is 2 days and return to normal physical activity is 4 days. It improved comorbidities like diabetes and hypertension. Mean excess weight loss after sleeve gastrectomy is 70% at one year.
[ Example: If a person’s ideal body weight is – 75 kgs but he is obese with a body weight of 150 kgs. After bariatric surgery, he is expected to lose 70 percent of 75 kgs (excess body weight) =52.5 kgs weight loss at one year.]
The best part about bariatric surgery is that the weight loss is sustainable. For further information or advice, contact @ +91- 7428617074
Gastric bypass is considered to be the gold standard procedure for weight loss. Roux en Y gastric bypass (RYGB) is the one of the most commonly performed bariatric surgery worldwide.
In RYGB, a small pouch of stomach is made and is connected with a bypassed segment of small intestine. 150 cm of small intestine is bypassed and ~3-5 cm small stomach pouch is created. Due to addition of intestinal component, there is more hormonal changes and more weight loss as compared to sleeve gastrectomy. No portion of stomach or intestine is removed from the body.
Dr Ashish Sachan is an expert bariatric surgeon and has performed hundreds of roux en y and mini gastric bypass procedures.
Aim of the gastric bypass is to restrict the amount of food intake at a given time and to add a malabsorptive component to the procedure. It is preferred procedure in patients having reflux symptoms, GERD and Hiatal Hernia.
The surgery is performed laparoscopically. Median hospital stay is 2-3 days and return to normal physical activity is 4-5 days. It improved comorbidities like diabetes and hypertension. Mean excess weight loss after sleeve gastrectomy is 80% at one year.
[ Example: If a person’s ideal body weight is – 75 kgs but he is obese with a body weight of 150 kgs. After bariatric surgery, he is expected to lose 80 percent of 75 kgs (excess body weight) =60 kgs weight loss at one year.]
The best part about bariatric surgery is that the weight loss is sustainable. For further information or advice, contact @ +91- 7428617074
Any person who is having a BMI >37.5 without presence of any obesity related comorbidities or BMI>32.5 with the presence of type 2 diabetes/ any obesity related comorbidities.
For details, refer to obesity and metabolic surgery societ of India (OSSI)
For patients who are having reflux symptoms, GERD, hiatus hernia and significant diabetes – Gastric bypass is preferred
For patients who are superobese (BMI>45-50) – Gastric bypass is preferred.
For patients with previous intestinal surgery or previous abdominal surgery – sleeve gastrectomy is preferred.