Obesity is a health condition wherein excess body fats are accumulated inside the body. This excess fat deposits lead to multiple health problems. But it would be incorrect to put the entire blame on unhealthy eating habits as many other factors like hormonal imbalance, hereditary tendency, e.t.c. also need to be considered for the fat gain.
Bariatric surgery is a medical procedure that helps people to shed off the extra weight easily and effectively. The surgery is performed only for the obese or morbidly obese people who failed to lose weight with controlled diet and exercise regimes. This surgery helps in reducing the overall stomach size. Bariatric surgery has an affect on a host of physiological and psychological issues besides just weight loss. In many cases, it has been successful in resolving type 2 diabetes, correcting problematic cholesterol interpretations, and not just curbing, but reducing the intake of food.
Who is eligibile For A Bariatric Surgery:
- A person who is 45 kg or more above the ideal body weight.
- A person who is healthy but has a BMI above 40.
- A person with a BMI more than 35 and is associated with one or more obesity related issues.
Types of Bariatric Surgery Procedure
There are various approaches used for bariatric surgery procedures, though all of them work in three basic ways:
- In Restriction surgery, the overall stomach size is reduced which in results in reduced intake of food. Adjustable gastric band or lap band or Gastric sleeve Surgery are examples of Restriction surgery technique.
- Mal-absorptive technique targets the amount of calories absorbed. In this approach, a portion of the alimentary canal is either removed or repositioned to restrict the amount of calories absorbed. But this approach is no longer adopted due to its negative impact on the overall health of the patient.
- Combination Technique is a combination of both restrictive and mal-absorptive procedures. It includes Gastric bypass, Duodenal switch and Mini-gastric bypass surgeries.
Bariatric Surgery Procedures
Gastric bypass surgery is a combination technique involving both the restrictive and mal-absorptive approach. In this procedure, a small pouch is made by cutting and clipping the stomach. The pouch at its lower end is attached to the lower part of the small intestine so as to send the food bypassing the rest of the stomach and the upper part of the small intestine. The top of small intestine is reconnected to the last part of the small intestine so that the bile, pancreatic enzymes and other gastric juices that are necessary for the breakdown and absorption of protein and fat, can eventually mix with the food stream and digest the food entirely. The stomach pouch created being small in size limits the amount of food eaten and the person feels that his stomach is already full. Restricted calories are absorbed by the stomach because the small intestine bypass causes the fat reserves to be utilized to create energy.
Gastric sleeve surgery approach is a restrictive technique. In this procedure, a small sleeve of the stomach which is usually in the shape and size of banana, is created by stapling it. The remaining portion of the stomach is resected. This small stomach pouch helps in less intake of food. The person feels satiated early. The consumption of fewer calories leads to using up the stored fat for energy. This procedure is irreversible.
Mini Gastric bypass is a restrictive and mal-absorptive technique in which a tube-shaped pouch is cut from the stomach at the end of the esophagus and is connected to the small intestine. About 2 to 7 feet of small intestine is bypassed. The pouch in this procedure is bigger in size when compared with classic bypass procedure.
Side effects of Bariatric Surgery
Some side effects of bariatric surgery are infection, bleeding, diarrhea, leaks from the surgery stitches and blood clots in the legs that may move towards the lungs and heart. Side effects that occur after few days of the surgery include poor absorption of nutrients, especially in patients who do not take supplements for vitamins and minerals. Other problems include strictures (narrowing of the surgery stitched sites) and hernias.
Post-Operative Care after Bariatric Surgery
Post-surgery, the patient has to stay in the hospital until the surgeon feels it to be safe to discharge the patient. The patient has to strictly adhere to the doctor’s instructions regarding driving, diet, and following the exercise regimes once the patient is healed. Regular visits to the doctor and the dietician are required postop follow-up for a healthy recovery.
Bariatric Surgery in India through IndianMedtrip Medical Tourism
India is growing to be a well-known destination for Obesity and Bariatric Surgery across the globe. The healthcare facilities available in India is at par with the advanced countries thereby promising to deliver better outcomes. The surgeons performing Bariatric Surgery in India are extremely competent and experienced. IndianMedtrip Medical Tourism Consultants can assist you in your medical travel program as they are best in identifying the specific needs of every individual patient and organizing their complete trip to India in a way that is most efficient and affordable.