Bariatric Surgery in Hyderabad

Apollo Spectra is recognized as a Center of Excellence for Bariatric surgery in Hyderabad. The term bariatric surgery includes a number of medical procedures performed on obese or excessively overweight people. It helps achieve weight loss by reducing the stomach in size with the use of a gastric band or by removing a portion of the stomach. This is called sleeve gastrectomy or biliopancreatic diversion. Another way of achieving the desired weight loss is by resecting and rerouting the small intestine through a tiny stomach much, and this technique is called gastric bypass surgery. The is the most preferred as well as commonly used surgery method as it comes with fewer complications than other weight-loss surgeries.

Studies have shown that bariatric procedures can also contribute significantly to long term weight loss, and can even aid recovery from diabetes, improvement in cardiovascular risk factors and can greatly reduce mortality from 40% to nearly 23%. Most medical institutes recommend bariatric procedures for people with a BMI of over 40, or those with a BMI around 35 along with coexisting medical conditions like thyroid or diabetes. The BMI, or body mass index is seen as the most appropriate measure of determining a suitable candidate for bariatric surgery.

Bariatric surgery can help with potentially life-threatening weight related illnesses like gastroesophageal reflux disease, high blood pressure, heart disease, severe sleep apnea, type 2 diabetes or stroke. It is usually a last resort option which is used when others like diet modifications and exercise have not worked. Preparation for the surgery includes dietary restrictions, a number of lab tests and physical examinations, beginning a physical activity programme and stopping any tobacco use.

Bariatric surgical procedures can be categorised into three types – blocking, restricting and mixed. Most procedures are laparoscopic rather than open.

Blocking procedures: Blocking proceduresprevent absorption of food after an extent, although they also reduce the size of the stomach. One type of blocking surgery is biliopancreatic diversion (BPD) where part of the stomach is used to create a smaller pouch. Others include jejunoileal bypass, which is no longer performed, and endoluminal sleeve surgery.

Restrictive procedures: Restrictive procedures either shrink the size of the stomach or take up space inside the organ so that a person feels full after eating smaller quantities of food. These include vertical banded gastroplasty also known as stomach stapling, adjustable gastric band where a restriction is made with a silicone band, sleeve gastrectomy where stomach is reduced in size, and intragastric balloon where a deflated balloon is inserted into the stomach and later inflated so it takes up space and reduces hunger pangs. Stomach folding is also a type of restrictive bariatric procedures.

Mixed procedures: Mixed procedures apply blockage and restriction in a simultaneous manner, which includes gastric bypass surgery, sleeve gastrectomy with duodenal switch, and in some cases, implantable gastric stimulation.

In the recovery period right after bariatric surgery, the patient is limited to a clear fluid diet, which could include clear broths, diluted juices or sugar free drinks and gelatin based desserts. Till the gastrointestinal tract recovers a little from the surgery, this diet must continue. The next stage comprises a pureed or blended sugar-free diet for about two weeks. The permitted items are liquids, soft foods like dairy products, shakes, mashed food, etc. Any food items high in carbohydrate content should be avoided for the entirety of the initial weight loss period. Post surgery, overeating is automatically curbed since the stomach’s reduced capacity will lead to nausea and vomiting out of the excess consumption. Diet restrictions also depend on the type of surgery. Many patients may become dependent on multivitamins for life since their stomach’s reduced capacity means they are unable to consume enough nutrients as well. Most doctors recommend high protein and low fat and alcohol diets. Since the new gastric volume is unfamiliar, patients may struggle to identify the new capacity at which they can eat and drink. In order to prevent dehydration or fluid depletion in the body, it is recommended that they take small sips of water continually through the day till they get used to their new gastric capacity.

Costs for bariatric surgery vary depending on the type of procedure, the surgical practice as well as the establishment where the procedure is carried out. In addition, factors like pre-procedure and post-procedural care must also be taken into consideration. It is recommended to check if your insurance would cover any of the cost involved in undergoing the procedure.
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