Weight loss/ Bariatri surgery



Weight loss surgery work in two primary ways.
  • Restriction. Surgery restricts the amount of food the stomach can hold, which limits the number of calories you can eat.
  • Malabsorption. Surgery is used to shorten or bypass part of the small intestine, which reduces the amount of calories the body absorbs.
Types of surgeries
  • Roux-en-Y gastric bypass
  • Laparoscopic adjustable gastric banding

  • Biliopancreatic diversion
  • Sleeve gastrectomy
The type of surgery depends on your health and body type.

Patient selection

 BMI >40 kg/m2 or BMI >35 kg/m2 with an associated medical co morbidity worsened by obesity

 Generally when a person’s weight is 220kg or over

  Failure of dietary therapy 

 Mentally  stable without alcohol dependence or illegal drug use

 Motivated

 No medical problems that would possibly prevent survival from surgeries

Average hospital stay is from 5 to 7 days depending on the physique of the patient.
Cost in chennai- Rs,70000 to 1.2 lakhs.Bariatric surgery generally takes 2-2 ½ hrs.
With Evalife health card you can  get treated the experts in this surgery at a discounted rate
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Complications
As with any surgery  side/adverse effects are associated, but fortunately the incidences are much less.
  1.  Bleeding,  Infection of the wound, Blockage, tear in the bowels
  1.  Food intolerance,Vomiting or straining
  1.  Deficiency of calcium, vitamin D, vitamin B-12, iron.
  1.  Gastroesophageal reflux, Hiccups and bloating,& Ulcer
  1.  Blood clots in the legs or lungs
  1.  Urinary tract infection
  1. Rapid gastric emptying or Dumping syndrome can occur causing unpleasant digestive effects.
References
  • http://www.forerunnershealthcare.com/weight-loss-surgery-India-low-cost-benefits.html
  • http://www.medindia.net
  • http://www.mayoclinic.org/tests-procedures/bariatric-surgery/in-depth/weight-loss-surgery/art-20045334?pg=2


Results

Bariatric surgeries can provide long-term weight loss in conjunction with life style changes 
In addition to weight loss, gastric bypass surgery may improve or resolve conditions often related to being overweight, including Gastroesophageal reflux disease,hypertension,sleep apnea,Type 2 diabetes and Stroke
Quality of life shows great improvement after surgery for many patients.The surgery may fail if life style changes are not adopted.