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Looking for Weight Loss Surgery in India? Why it Won’t Let you Down

February 8th, 2018
Looking for Weight Loss Surgery in India? Why it Won’t Let you Down

Thanks to fast-paced lifestyle and improper eating practices, a great majority of population now suffers from obesity issues. Obesity is not just a physical condition of our body but it could be a breeding ground for many other disorders such as diabetes, heart attack, bone damage and others. This is why people have more and more concerned about their increasing weight. Let’s look at some startling facts on obesity.

In the year 2016, more than 1.9 billion adults of 18 years and older were found to be overweight. In 2016, 39% of adults aged 18 years and more (39% of men and 40% of women) were having excessive weight. In general, about 13% of the world's adult population (11% of men and 15% of women) was obese in 2016.

As this figure is set to rise in future, it’s a wakeup call for people to take some solid action against  the rising problem of obesity that is known adversely affect the lives of people in many ways. We will get to know more about the same in the below article and the scope of weight loss surgery in India.

Whenever it comes to shed excessive weight, the most commonly adopted option is physical exercising and diet restrictions. And these options are found to be quite effective in delivering desired results. But in more extreme cases, weight loss surgery in India emerges out as the most wonderful option. Let’s know why.

Weight loss surgery helps people with extreme obesity to shed weight.There are different kinds of weight loss surgery. They are known to bind the amount of food one can take in. Some kind of surgery also affects how one digests food and absorbs nutrients. All of them have their own risks and complications, such as infections, hernias, and blood clots.

Most of the people who undergo the surgery lose weight rapidly, but recoup some weight later on. If you follow diet and exercise commendations, you can keep most of the weight off.

Over the years, India has emerged out as a hot spot for people looking to undergo weight loss surgery at affordable rates and with excellent outcomes. In addition, there is no dearth of bariatric surgeons in India who carry tremendous expertise and exposure to latest surgical techniques.

Bariatric surgical procedures are known to promote weight loss by limiting the amount of food the stomach can clench, leading malabsorption of nutrients, or by a mix of both gastric restriction and malabsorption. Bariatric procedures also often lead to hormonal changes. A majority of weight loss surgeries in India today are performed using minimally invasive techniques (laparoscopic surgery).

The most commonly performed weight loss surgeries in India are:

Gastric Bypass : - The Roux-en-Y Gastric Bypass – often known as gastric bypass – is seems as the ‘gold standard’ of weight loss surgery.

The Procedure

There are two major elements to the procedure. First, a small stomach pouch, almost one ounce or 30 milliliters in volume, is formed by bifurcating the top of the stomach from the rest of the stomach. Afterwards, the first portion of the small intestine is separated, and the bottom end of the separated small intestine is brought up and linked to the newly formed small stomach pouch. The procedure is done by connecting the upper portion of the divided small intestine to the small intestine further down so that the stomach acids and digestive enzymes from the bypassed stomach and first part of small intestine will ultimatelycombine with the food.

The gastric bypass performs by various mechanisms. First, alike most bariatric procedures, the newly formed stomach pouch is noticeably smaller and facilitates significantly smaller meals, which results into less calories consumed. Moreover, as there is less digestion of food by the smaller stomach pouch, and there is a section of small intestine that would generally absorb calories as well as nutrients that no longer has food passing through it, there is possibly to some level less absorption of calories and nutrients.

The redirecting of the food stream causes changes in gut hormones that encourage satiety, suppress hunger, and reverse one of the major mechanisms by which obesity induces type 2 diabetes.

Advantages

  • Generates significant long-term weight loss (60 to 80 percent excess weight loss)
  • Limits the amount of food that can be taken
  • May cause conditions that augment energy consumption
  • Results into favorable changes in gut hormones that decrease appetite and promote satiety
  • General maintenance of >50% excess weight loss

Disadvantages

  • Is theoretically a more complex procedure than the AGB or LSG and possibly could result in higher complication rates
  • Can cause long-term vitamin/mineral deficiencies specificallydeficiencies of vitamin B12, iron, calcium, and folate
  • Typically has a longer hospital stay than the AGB
  • Needsobedience to dietary references, life-long vitamin/mineral supplementation, and follow-up compliance

Sleeve Gastrectomy: - The Laparoscopic Sleeve Gastrectomy – often known as sleeve – is carried out by eliminating approximately 80 percent of the stomach. The left over stomach looks like a tubular pouch like a banana.

The Procedure

This procedure takes place by several mechanisms. First, the new stomach pouch embraces a significantly smaller volume than the general stomach and helps to majorly reduce the amount of food that can be taken. The greater influence, however, seems to be the effect the surgery has on gut hormones that affect a number of factors including hunger, satiety, and blood sugar control.

Short term research worksreveal that the sleeve is as powerful as the roux-en-Y gastric bypass in regard to weight loss and development or remission of diabetes. There is also proof that suggest the sleeve, like the gastric bypass, is effective in treating type 2 diabetes irrespective of the weight loss. The difficulty rates of the sleeve fall between those of the adaptable gastric band and the roux-en-y gastric bypass.

Advantages

  • Limits the amount of food the stomach can hold
  • Promotes rapid and significant weight loss that comparative researches find parallel to that of the Roux-en-Y gastric bypass. Weight loss of >50% for 3-5+ year data, and weight loss comparable to that of the bypass with maintenance of >50%
  • Need no external objects (AGB), and no bypass or re-routing of the food stream (RYGB)
  • Requires a relatively short hospital stay of approximately 2 days
  • Makes favorable changes in gut hormones that defeat hunger, reduce appetite and enhance satiety

Disadvantages

  • Is a non-reversible procedure
  • Has the scope for enduring vitamin deficiencies
  • Has a higher primary complication rate than the AGB

Adjustable Gastric Band (AGB): - The Adjustable Gastric Band typically called the band – encompasses an expandable band that is put around the top portion of the stomach, resulting into a small stomach pouch just above the band, and the remaining stomach below the band.

The Procedure

The general definition of how this device works is that with the smaller stomach pouch, eating just a small level of food will fulfil hunger and encourage the feeling of fullness. The sensation of fullness relies on the size of the opening between the pouch and the balance of the stomach formed by the gastric band. The size of the stomach opening can be controlled by filling the band with sterile saline, which is inserted through a port put under the skin.

Decreasing the size of the opening is done slowly over time with frequent adjustments or “fills.” The fact that the band is a preventiveprocedure has been challenged by lessons that exhibit the food passes rather rapidly through the band, and that nonappearance of hunger or feeling of being full was not associated with the food remaining in the pouch above the band

The clinical bearing of the band is known to be that it diminishes hunger, which helps the people to reduce the amount of calories that are taken.

Advantages

  • Decreases the amount of food the stomach can hold
  • Promotes excess weight loss of around 40 – 50 percent
  • Contains no incision on the stomach or redirection of the intestines
  • Needs a shorter hospital stay, generally less than 24 hours, with some centers releasing the patient the same day as surgery
  • Is reversible and changeable
  • Enjoys the lowest rate of early postoperative complications and mortality among the permitted bariatric procedures
  • Carries the lowest risk for vitamin/mineral deficiencies

Disadvantages

  • Slower and less early weight loss than other surgical options
  • Higher percentage of patients failing to lose at least 50 percent of more body weight compared to the other surgeries commonly conducted
  • Needs a foreign device to stay there in the body
  • Can lead to probable band slippage or band erosion into the stomach in a small percentage of patients
  • Can have mechanical issues with the band, tube or port in a small percentage of patients
  • Can lead to dilation of the esophagus if the patient overdoes
  • Needsfirm adherence to the postoperative diet and to postoperative follow-up visits
  • Maximum rate of re-operation

Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Gastric Bypass

The Biliopancreatic Diversion with Duodenal Switch – termed as BPD/DS – is a process involving two components. First, a smaller, tubular stomach pouch is formed by detaching a portion of the stomach, alike the sleeve gastrectomy. Afterward, a big portion of the small intestine is sidestepped.

The Procedure

The duodenum, or the first part of the small intestine, is separated just past the outlet of the stomach. A portion of the distal (last portion) small intestine is then carried up and linked to the opening of the newly formed stomach, so that when the patient consumes food, it goes through a newly created tubular stomach pouch and empties straight into the end segment of the small intestine. Almost three-fourths of the small intestine is bypassed by the food stream.

The bypassed small intestine, which transports the bile and pancreatic enzymes that are important for the breakdown and absorption of protein and fat, is relinked to the end part of the small intestine so that they can ultimately combine with the food stream. Alike other surgeries, the BPD/DS initially helps to decrease the amount of food consumption; however, over time this impactdeclines and patients are able to finally consume near “normal” levels of food. Contrary to other procedures, there is a major amount of small bowel that is bypassed by the food stream.

In addition, the food does not combine with the bile and pancreatic enzymes until very distant from the small intestine. This causes a majorreduction in the absorption of calories and nutrients as well as nutrients and vitamins reliant on on fat for absorption (fat soluble vitamins and nutrients). Finally, the BPD/DS, alike the gastric bypass and sleeve gastrectomy, affects guts hormones in a way that affects hunger and satiety along with blood sugar control. The BPD/DS is known to be the most powerful surgery for the treatment of diabetes among those that are given here.

Advantages

  • Causesmore weight loss than RYGB, LSG, or AGB, i.e. 60 – 70% percent additional weight loss or greater, at 5 year follow up
  • Enables patients to finally eat near “normal” food levels
  • Diminishes the absorption of fat by 70 percent or more
  • Promotespositive changes in gut hormones to control appetite and expand satiety
  • Most powerful against diabetes in comparison to RYGB, LSG, and AGB

Disadvantages

  • Has morecomplexity rates and risk for mortality than the AGB, LSG, and RYGB
  • Needs a longer hospital stay than the AGB or LSG
  • Has a higherprobability to source protein shortages and long-term deficiencies in a number of vitamin and minerals, i.e. iron, calcium, zinc, fat-soluble vitamins such as vitamin D
  • Obedience with follow-up visits and care and firmobservance to dietary and vitamin supplementation guidelines are important to evadinggrave complications from protein and certain vitamin deficiencies

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