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Bariatric Surgery For Weight Loss

The Surgical & Most Effective Way to Tackle Obesity

Bariatric surgery is the collective term for types of weight-loss surgery. At Digestive Health Institute, we perform all types of primary and redo bariatric procedures such as Laparoscopic Banded Gastric Bypass, Laparoscopic Sleeve Gastrectomy, Laparoscopic Duodenojejunal Bypass, Laparoscopic Single Anastomosis Duodeno-Ileal Bypass (SADI) and Mini Gastric Bypass.

What is obesity?

Obesity is a medical condition that is associated with excess body fat or weight and has the potential to affect your health adversely. It is a worldwide health concern that is caused by several factors such as lack of physical activity, excessive food intake, hormonal disorders, genetic susceptibility, etc. and can go beyond control if not treated at the right time. Typically, doctors measure obesity using a statistical tool called the Body Mass Index (BMI). BMI measures your weight in regard to your height. Though BMI is not the accurate percentage of your body fat; it serves as the starting point for further investigation.

Causes of obesity

Obesity has become an epidemic and is the cause of several life-threatening health conditions such as diabetes, heart diseases, stroke, blood pressure, fatty liver disease etc., which are collectively referred to as metabolic syndrome. To prevent such consequences, it is important to get to the crux of the problem. The fundamental cause of obesity is substantial energy imbalance in your body. When the number of calories you consume exceeds the number of calories you spent, it results in tremendous fat accumulation. Some of the other obesity trends include excessive consumption of energy-dense foods that are high in sugar and fat, heightened sedentary lifestyle, sleep deprivation due to stress, anxiety or depression, hormonal imbalances, and side-effects of various medications.

Effects of obesity

Obesity can hamper your health to a great extent. In fact, more than 50 percent of health problems are related to excess weight gain. Such obesity-related health conditions can affect your quality of life and even bring down your morale. Some of the common consequences of being overweight are - Cardiovascular issues such as coronary heart diseases, high blood pressure, abnormal cholesterol level, etc.
- Endocrinological conditions such as diabetes, infertility, birth defects, complications in pregnancy, etc.
- Neurological problems include stroke, migraines, dementia, multiple sclerosis, etc.
- Orthopedic and musculoskeletal problems such as gout, osteoarthritis, lower back pain, etc.

Obesity treatment:

There are countless weight-loss strategies available to help shed the extra pounds off your body. But, as every individual is unique, a specific weight-loss strategy may not work for all. While a dietary modification can work wonders for some, others may need a more serious intervention such as surgery to overcome obesity. Here are some of the common solutions available to help you bring down your excess weight - Healthy eating plan: Consumption of food with fewer calories such as whole grains, fresh fruits and vegetables, and high fiber foods is the most required dietary modification for weight loss.
- Increasing physical activity: On an average, you need to burn 3500 calories if you want to lose one pound of fat. Some physical activities that will help you reach your weight loss goal are brisk walking, swimming, gym training, aerobics, regular participation in sports activities, etc.
- Weight-loss medications: If you have failed at the above attempts and are at the risk of a serious health condition due to excess weight gain, your doctor may also prescribe some medications for weight loss.
- Obesity surgery: When none of the above work, the only way to circumvent the consequences of obesity is by surgical intervention. Typically, weight loss surgery involves altering the size of your stomach or bypassing varying lengths of the small intestine so that it limits your food consumption. This, in turn, limits calorie absorption and initiates weight loss.

Weight loss surgery

These days weight loss surgery has become quite common. Thanks to advancements in medical technology, surgical weight loss method is becoming the most preferred choice for obese individuals. But let’s understand what is bariatric surgery and how it can help you achieve your weight loss goal. Weight loss surgery is also termed as obesity surgery or bariatric surgery or metabolic surgery. However, this method is only recommended when you have failed at all the other weight loss efforts. Bariatric surgery is a procedure that involves making slight modifications to your stomach and/or small intestine to limit the amount of food you consume and/or to reduce the absorption of nutrients. However, not all obese individuals can undergo weight loss surgery. Amongst Asians, only those who have a BMI above 30 with co-morbidities (such as diabetes mellitus, hypertension, increased cholesterol levels etc.) and those with BMI above 35 with or without co-morbidities, are permitted to explore the surgical alternative because they are at a relatively higher risk of serious health conditions.

Post-Surgical Care

Post-Surgical Care: At no bariatric surgery centre will you find post-operative care as sensitive and comprehensive as DHI’s care. It includes educative group sessions (known as the Win Life Club) on important diet, exercise and lifestyle changes, which are conducted every week. Our nutrition team has also written the Bariatric Nutrition Guidelines for the Asian population - the only publication on this subject. Post-operative care is extremely important for complete recovery and wellness, and at DHI, we stay connected with our patients for life through our Win Life Club. DHI is the only bariatric centre, in India, to offer post-operative care sessions to bariatric patients.

Types of Bariatric surgery

Digestive system image
Digestive system image
Who is it recommended for?

This procedure is the preferred choice for younger patients suffering from morbid obesity. It is helpful for patients suffering from various side-effects of obesity, such as diabetes, high blood pressure, sleep apnea, and PCOS. While the laparoscopic sleeve gastrectomy is a great first- stage procedure for patients falling under the super super obese (BMI more than 60-70) category, it is not recommended for patients suffering from severe gastroesophageal reflux disease or large hiatus hernia.

How long will it take before I can see the results, and will I regain weight after the surgery?

Nearly 60 to 80 per cent of your excess body weight will reduce over a period of one-and-a-half years. You will observe rapid weight loss within the first three to four months post surgery, after which the rate of weight loss will slow down. You may also regain the lost weight due to overconsumption of high-calorie foods and liquids, and lack of regular physical exercise. However, you can avoid this, if you follow our exercise, nutrition and lifestyle tips, and maintain a proper follow-up routine.

Is there anything else I need to know about this procedure?

The nerves of the stomach and the outlet valve (pylorus) are not altered, preserving the function of the stomach. The rest of the gastrointestinal tract anatomy is also not altered, so the food ingested follows the normal course. This results in a lesser chance of vitamin and mineral deficiencies and decreases the possibility of dumping syndrome.

Digestive system image
Digestive system image
Digestive system image
Digestive system image


Here’s What Others Had To Say…


Who are the candidates for weight loss surgery?

If you find yourself struggling with one of the below-mentioned problems or both, you are eligible to undergo

Can weight loss surgery prolong my life?

Obesity leads to various co-morbidities which hamper your quality of life and reduce your life expectancy. Several studies have concluded that morbidly obese individuals who undergo bariatric surgery are at a lower risk of death in comparison to people who choose conventional techniques for weight loss. However, the situation may vary from one person to another depending on the level of health damage already caused.

Can weight loss surgery help other physical conditions?

Bariatric surgery improves the overall quality of life. In addition to improved health and longevity, weight loss surgery has a positive impact on various physical functions such as mobility, flexibility, and sexual function. Alternatively, it also promotes emotional well-being through enhanced self-esteem and social interactions. As a result, it helps reduce stress and depression.

For how long will I have to be away from work after metabolic surgery or bariatric surgery?

At DHI, we believe in taking complete care of the patient. You will be allowed to return home the day after your procedure. In some cases, you may be asked to stay at the hospital for 3-4 days for observation. After the surgery, you can get back to your routine in 3 days and can resume work 5-7 days after the surgery. If your job involves heavy lifting, then you may need to wait for a week before resuming work.

Will my insurance cover bariatric surgery?

You can get insurance coverage for bariatric surgery if you make a wise policy choice. Insurance companies provide various health insurance policies, some including bariatric surgery coverage and some excluding the category. However, most companies offer covered benefit for obesity surgery only if your BMI is 40 and above or if your BMI is 35 and above and you are suffering from severe co-morbidities. Some insurance companies also limit the coverage benefit to specific types of weight loss surgery.

What are the health benefits of bariatric surgery?

Bariatric surgery is not just a means of shedding the extra weight off your body. It provides various other benefits that will improve your overall health and lifestyle. Some of these benefits include:

What are the possible complications/side effects of bariatric surgery?

While weight loss surgery works wonders for many, there are a few post-operative risks and complications that may affect you. Some of these include: