Bariatric Surgery in Bangalore

Apollo Spectra Hospital provides bariatric surgery in Bangalore with exceptional clinical outcomes. It is the surgery done if one has obesity that is severe and the person suffering from it is not able to reduce enough weight by any other therapies. This surgical method involves making the stomach smaller and also at times may change the small intestine to cause weight loss. It helps in lowering the various risks linked with obesity.

Ways by which the surgery is performed:

RESTRICTION: This is utilized when the procedure involves limiting the food amount that can be held by the stomach. Thereby, it leads to limitation in the number of calories one takes in.
MALABSORPTION: This is utilized when the procedure involves shortening or bypassing part of the intestine (small) that leads to a reduction in the calories and nutrients that are being absorbed by the body.

What are the benefits associated with the bariatric surgery?
It improves various health conditions that are linked with obesity like:

  • Diabetes – Type-II
  • Hypertension
  • Cholesterol levels that are not healthy
  • Sleep apnea
  • Also, this surgery creates a better quality of life
What are the different types of bariatric surgery?
The different types of bariatric surgeries are:

  • Gastric bypass
  • Sleeve Gastrectomy
  • Laparoscopic adjustable gastric band
  • Biliopancreatic diversion with duodenal switch
Gastric Bypass
The different types of bariatric surgeries are:

  • It is also known as the Roux-en-Y gastric bypass. It is referred to as a golden standard in the surgery of loss of weight.
  • In the first step, 30 mm in volume is formed by the division of the top of the stomach from the rest of the portion of the stomach.
  • In the second step, the first area of the small intestine gets divided in which the end at the bottom is brought up and linked to the tiny stomach pouch that is created newly.
  • The portion at the top of the small intestine is connected to the intestine which is at the bottom which leads to the mixing of the food by the acids in the stomach and the stomach that is bypassed.
  • Since the stomach pouch is small it requires lesser and smaller meals.
  • Especially, the rerouting of the food causes a change in the hormones of the gut. This reverses the mechanisms which induce critical health conditions.

Advantages:

  • Long-term weight loss is produced.
  • Amount of food that can be taken is restricted.
  • Increase in the energy expenditure.
  • Reduction in appetite.

Disadvantages:

  • It may cause vitamin or mineral deficiencies in the long run.
  • The hospital stay period is more.
  • Supplements of mineral and vitamins should be taken for a lifetime.
Sleeve Gastrectomy

It is also referred to as Laparoscopic sleeve gastrectomy. It is carried out by the removal of around 80% of the stomach.
The Procedure:

  • The newly formed stomach pouch which holds a lesser volume significantly lowers the amount of food which can be consumed.
  • This has an effect on the hormones present in the gut and thus a reduction in the appetite and the control of blood sugar.

Advantages:

  •  A restriction in the food that the stomach holds.
  •  A rapid and prominent loss in weight.
  •  Foreign objects are not required in this surgery.
  •  The stay period in the hospital is reduced.

Disadvantages:

  •  Reversal is not possible in this method.
  •  It may lead to the deficiency of vitamins.
Adjustable Gastric Band

It is commonly known as the band. It includes a band that is inflatable and is put around the top portion of the stomach, thus leading to the formation of a pouch above the band and the remaining portion of the stomach below the band.
The Procedure:
It comes into action when the stomach pouch that is considerably smaller now eats a lesser amount of food and may cause a feeling of satisfaction and fullness in the stomach. Filling of the band with saline that is sterile by injecting it through a port under the skin is carried out to adjust the size of the opening of the stomach.
Repeated fills are done for the reduction of the size of the stomach opening. It works by the mechanism of restriction. Malabsorption is not involved in this method.
The effect of the band procedure is that it causes a reduction in hunger and thereby the calories consumed by the patient.
Advantages:

  • The amount held by the stomach is reduced.
  • 40-50% of the loss of weight.
  • The intestines are not rerouted.
  •  The stay in the hospital is also reduced.
  •  This method can be reversed.
  •  The complication rate is the lowest in this method.

Disadvantages:

  • It is a slow weight loss surgery.
  • It utilizes foreign devices.
  • Other mechanical problems in the band can be reported.
  • If overeating is done by the patient then might lead to the dilation of the oesophagus.
Biliopancreatic diversion

It is called as Biliopancreatic diversion with duodenal switch gastric bypass.
In this method, a portion of the stomach is taken off and a tubular pouch of the stomach is created. In the second step, a large part of the intestine is bypassed.

The Procedure:
Duodenum gets sectioned just past the end of the stomach. The segment of the small intestine is put up and is linked to the ending of the newly formed stomach.
The BPD/DS firstly aids in the reduction of the consumption of the food, but after some time the consumption of the food gets nearer to a normal amount of food. Unlike the other technologies, there is a significant amount of small bowel which gets bypassed by the stream of food.
It results in the reduction of the absorption of calories as well as nutrients.
This is the most efficient and effective treatment.

Advantages:

  • The weight loss achieved is high.
  • Changes produced in the hormones of the gut thus leading to the reduction in appetite.
  • It is the most efficient procedure carried out against the ailments like diabetes.
  • There is a reduction in the absorption of fats

Disadvantages:

  • The hospital stay is prolonged.
  • It may lead to a deficiency of protein.
  • Strictly following a proper diet.

Want to know more about bariatric surgery in Bangalore? Book your appointment today!