Bariatric Surgery in Delhi

Considering bariatric surgery in Delhi? It is a surgical method which is commonly known as the weight loss surgery. It involves different procedures performed on people suffering from obesity. The loss in weight is attained by the reduction in the size of the stomach through a gastric band or by removing a part of the stomach. It may also be achieved by rerouting the small intestine into a little stomach pouch. The bariatric surgery causes evident long term loss in the weight. It also causes recovery from ailments such as diabetes and there is a significant improvement in the cardiovascular risk factors. Many institutes of health suggest that bariatric surgery for people who are obese and having BMI that is a body mass index of at least 40. Also, for people having BMI of around 35 and also having medical conditions that are serious like diabetes. According to the recent guidelines, any patient having a BMI of more than 30 and along with co-morbidities proves out to be a good candidate for this type of surgery.

What are the major objectives of Bariatric Surgery in Delhi?

There are various applications of this surgery but the main applications are as follows:

  • This surgery is most efficient in losing weight in the case of adolescents.
  • Reduction in mortality as well as morbidity.
  • It leads to the reduction in co-morbidities associated with obesity that is diabetes, and sleep apnea.
  • Fertility as well as pregnancy: It causes a reduction in the risk associated with gestational diabetes and disorders in pregnancy such as hypertension in women.
  • Psychological: The psychological condition is often improved after the bariatric surgery.
What are the types/methods of bariatric surgery in Delhi?

Biliopancreatic diversion: BPD

  • It is also referred to as the Scopinaro procedure.
  • It is not much performed these days due to the issues but has been substituted by a modification called as duodenal switch or BPD/DS.
  • Here, the stomach’s part is cut out that creates a stomach that is smaller. The distal portion of the small intestine is joined to the pouch.
  • A preventive measure taken during BPD is the removal of gallbladder because of the complication that is gallstones. Also, if not removed then medicines are given for the reduction of the risk.
  • There is a need for the follow up for nutritional monitoring and thereby this is not used by many surgeons.
Restrictive Procedure

These are the method which is restrictive and shrink the stomach size or may even take the space inside the stomach. Thus by making people having a feeling of fullness in the stomach and thereby making them eat less.

Vertical banded gastroplasty: In this method, one portion of the stomach is everlastingly stapled to develop a smaller pouch in the stomach. It is also known as stomach stapling or the Mason process.
Adjustable gastric band: The restriction created by the utilization of a silicone band. This can be adjusted by adding or removing of saline through a port placed under the skin. It can be performed Laparoscopically, known as Lap Band.
The main reason of performing this is the restriction of the intake of nutrients that is developed by the small gastric pouch and the outlet is narrowed. It is the safest method involved in this surgery.

Mixed Procedures

These work by blocking and restricting at the same time.
Gastric bypass surgery: It is designed according to the requirement that is in the reduction of the quantity of food that a person eats by resecting a part of the stomach. After this method, the stomach gets smaller. It is a procedure that is permanent. It is the most commonly utilized surgical method. Healthy eating pattern is the factor determining the success of this surgery.

Sleeve gastrectomy with duodenal switch: This deals with the reduction in the volume and thereby restriction in the intake of the food.

Implantgastric stimulationable: Here, a device familiar to a pacemaker of the heart is used as an implant and with the help of electrical leads the stimulation in the external surface is observed. These stimulations modify the enteric nervous system’s activity, which gives a sense of fullness. This is least effective surgical method.