What is Obesity?
Obesity is as a weight of 15 to 30 kgs over your ideal body weight. Morbid Obesity is a weight of 30 to 45 kgs over your ideal body weight.
How is Obesity measured?
It is calculated from a simple formula of wt/ht2 or (kgs)/ (m)2 which results in a term called the BMI or Body Mass Index. This allows us to appropriately classify the severity of the weight problem.
BMI > 30 Obese
BMI > 37 Morbidly Obese
Laparoscopic Sleeve Gastrectomy
The sleeve gastrectomy as a new procedure for weight loss that is particularly suited to those patients at highest risk for surgery, either because of their medical co-morbidities or their weight.
We offer this procedure as a first-stage, lower-risk surgical alternative that serves as a bridge to other bariatric operations. The procedure involves removing 85% of the stomach, leaving behind only a sleeve of stomach. This portion of stomach restricts the amount of food that a patient can eat and leads to significant weight loss (up to 50%-70% of excess weight). As a patient loses weight (over a 6-18 month period), their risk for subsequent surgery decreases dramatically. At the appropriate time, they can be safely offered a second-stage operation, either gastric bypass or duodenal switch.
It can be offered to the patients of obesity with high volume eaters as a prime procedure also, wherein it not only restricts but also decrease the harmones like Ghreline, thereby decreasing hunger and increasing satiety.No cutting of small intestine and no foriegn material like in Lap Band involved in this procedure, complication rate is less than 1%.
SURGERY is the only proven approach to morbid obesity
adjuvent to lifestyle modification. Almost all described above
comorbid conditions are cured by weight loss surgery..
Non surgical treatment like diet, exercise, drugs proved to be futile in long term.
OPTIONS FOR WEIGHT LOSS SURGERY
Laparoscopic Adjustable Gastric Band
Laparoscopic banding is a restrictive procedure. An FDA-approved (June 2001) inflatable silicone band is placed around the top portion of the stomach to create a small pouch just below the esophagus (or food pipe). The stomach is stitched over the band to prevent it from moving. This surgery takes about 1 hour and patients will usually be able go home from the hospital on the first or second day after surgery.
How does surgery help in reducing the intake of food?
Following this surgery, only a small amount of food can be eaten before the pouch is full. The food then passes through the small opening created by the band and is digested normally.
How often will patient need to visit the hospital after the initial procedure?
After the band is placed, patients will need to come back to the hospital for a band adjustment. The band has an adjustable "balloon" that is filled by injecting fluid into a port placed under the skin. Injecting fluid into the port will decrease the size of the opening. Extracting fluid from the port will increase the opening. The number of adjustments needed varies from person to person, but most need between 3 and 5 before the band is at its ideal tightness.
Call Us: +(91)-(891)-2533232, 2718179, 2718211
Dr. T.Narayana Rao MS, FICS, FACS, FRCS
An Experienced, Compassionate and Caring surgeon
Laparoscopic Roux-en-Y Gastric Bypass
The gastric bypass (as it is commonly referred to) is a surgical weight loss procedure that was introduced in 1967. In recent years, a modified laparoscopic form of this procedure has been developed.
Gastric bypass is considered to be primarily a restrictive procedure, but it is widely believed that a small amount of decreased absorption also occurs. In gastric bypass surgery, a small 30 cc (1 ounce) gastric pouch is formed from the upper part of the stomach. A section of the upper intestine is connected to the small gastric pouch through a Y-shaped connection. As a result, patients eat less food, and somewhat less nutrients are absorbed. This surgery takes from 1 to 3 hours and most patients will be able to leave the hospital on the second or third day after surgery.
Potential surgical candidates should know and understand that in some people, this type of surgery can cause “dumping syndrome” in which eating sweet foods or drinking sweet drinks can lead to a dizzy, sweaty, queasy feeling. Patients who have this syndrome are therefore discouraged from eating sweets, which actually helps with weight loss because sweets are high in calories and usually low in nutrition.
Obesity, Its Complications & role of Bariatric Surgery
What are the indications for Obesity surgery?
A BMI of 37 or greater, with or without any obesity-related illnesses, or a BMI less than 37 with the associated illnesses listed below.
Most of which are known to reduce the life expectancy of the patient.
Relationship of obesity with other diseases