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Bariatric

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Are you struggling with shedding excess weight and are concerned about the health issues it may cause? If yes, you must opt for bariatric surgery and save yourself from risks associated with obesity. They encompass blood pressure, cardiovascular ailments, diabetes, stroke, osteoarthritis, osteoporosis, and more.

Types of Bariatric Surgeries

Gastric Bypass Surgery

 Gastric bypass surgery is a kind of weight loss surgery wherein a bariatric physician modifies the stomach and the small intestine to ease the digestion and absorption of food. It restricts the capacity of the stomach and thus limits the calories the body can absorb.

Endoscopic Bariatric Surgery

Endoscopic bariatric surgeryis minimally invasive. The endoscopist inserts a suturing device into the throat and further down to the stomach. He places sutures in the stomach to make it smaller.

Sleeve gastrectomy

Also called vertical sleeve gastrectomy, sleeve gastrectomy is a surgical procedure that treats obesity through laparoscopy. Your doctor inserts a tiny instrument through several small incisions in the upper area of the abdomen. This surgical procedure removes about 80 percent of the abdominal area. It limits the size of the stomach and thus restricts the food intake.

 Ileal Transposition

Ileal transposition surgery is meant to control the level of blood sugar in patients who suffer from type 2 diabetes. It enhances the secretion related to a gastrointestinal hormone named GLP-1. This, in turn, enhances insulin secretion and stimulates Beta cells of the pancreas. This surgery takes about 4–6 hours and adopts the laparoscopic technique with tiny surgical incisions on the abdomen. The length of the intestine is maintained in this procedure.

Gastric Banding

In this type of surgical procedure, a gastric silicone band is fitted in the stomach, leaving a banana-shaped sleeve or tube closed with staples. The silicone band squeezes the stomach and makes it a pouch with about an inch-wide outlet. After banding, the food-holding capacity of the stomach reduces dramatically. It is a minimally invasive surgery wherein a surgeon makes a few small surgical cuts in the abdomen and uses a laparoscope and a long narrow tube along with a camera.

Single-incision Laparoscopic Surgery

Single-incision laparoscopic surgery is a new modality of surgery wherein a single incision replaces three or more incisions near the naval area of the abdomen. The laparoscope and a few surgical instruments are placed inside the abdominal cavity. This scar-less surgery causes less pain and is cosmetically effective.

Biliopancreatic Surgery

In biliopancreatic surgery, the normal digestive process is changed by making the stomach smaller. There are two types of biliopancreatic diversion surgeries—one is a biliopancreatic diversion, and the other one is a biliopancreatic diversion with a duodenal switch.

Laparoscopic Duodenal Switch

In laparoscopic duodenal switch, the intestines are modified to make them absorb fewer calories with the reduced capacity of the stomach.

Who Qualifies for Bariatric Surgery?

Bariatric surgery is suitable for obese patients whose bodies show minimal or no response to weight loss techniques.

Patients should ideally be in the age bracket of 18–65 years.

They must have a BMI of more than 32.5 kg/m2.

 Bariatric surgery procedure cannot be performed under any of the following conditions:

  • The patient is incapable of participating in extended medical follow-up.
  • The patient suffers from non-stabilized psychotic or personality-related disorders. (Unless particularly suggested by a psychiatrist trained in obesity)
  • The patient abuses alcohol or has dependencies on drugs.
  • The patient suffers from any life-threatening disease in the short term.

Why is Bariatric Surgery conducted?

Bariatric surgery is conducted to help obese people lose weight by either surgically removing a part of their stomach or reducing its size. It is effective in cases where exercise and diet do not work for the patient. The procedure aims to reduce the absorption of calories in the body.

Benefits

The higher the BMI (Body Mass Index), the greater the risk of developing life-threatening diseases. An individual having obesity is a bariatric patient. For people struggling with bariatrics, bariatric surgery or weight-loss surgery is beneficial for the following reasons:

  • The loss in weight is more sustained and faster.
  • The patient can lead an improved quality of life, driven by a more natural food intake pattern.
  • Bariatric surgery involves fast recovery and short hospital stays.

Risks and Complications

Many bariatric procedures are minimally invasive and hence have minimal risk of complications. However, procedures like duodenal switch surgery are highly risky. The majority of the surgeons avoid performing this surgery and recommend it only in cases of extreme obesity. Some of the risks included in bariatric surgeries are listed below:

  • Acid reflux
  • Chronic nausea
  • Anesthesia-related risks
  • Inability to consume certain foods
  • Infection
  • Obstruction of stomach
  • Low blood sugar
  • Malnutrition
  • Vomiting
  • Bowel obstruction
  • Ulcers
  • Hernias

However, you need not worry much about the risk and complications as your bariatric surgeon will ensure taking deeper insights into whichever procedure is suitable for you.

Conclusion

Nowadays, more and more bariatric patients are opting for bariatric surgery since it is minimally invasive. They experience less pain, endure short hospital stays, and show fast recovery and minimal complications. If you are also struggling with obesity, you may consult a physician of Apollo Spectra Hospital for a bariatric procedure ideal for your condition.

Request an appointment at

Apollo Spectra Hospitals, Sector 8, Gurugram

Call: 18605002244

Is endoscopic bariatric surgery effective in weight loss?

Yes, endoscopic bariatric surgery ensures considerable weight loss with minimal operative complications. However, the patient must commit to a healthier lifestyle after the surgery to ensure the lasting success of the surgery.

How long does it take to recover from the gastric banding procedure?

The gastric banding procedure takes approximately one hour or less. A patient can resume normal activities within two days and a normal diet within six weeks.

Can the laparoscopic duodenal switch procedure lead to a nutritional deficiency?

Since the duodenal switch facilitates mineral absorption, it does not lead to any kind of nutritional deficiency. The process is preferable also because it causes minimal scarring and discomfort.

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