Bariatric / Weight Loss Surgery is a treatment option for patients suffering from morbid obesity. It is considered to be one of the most effective methods for weight loss and long-term weight maintenance. Moreover, this weight loss surgery causes significant improvement in obesity-related comorbidities such as Type 2 Diabetes, high blood pressure, joint pain, sleeping disorders, cardiac diseases, infertility and more.
Bariatric surgery is performed using the Laparoscopic (Keyhole surgery – minimally invasive) and Robotic technique.
The Bariatric Non – Surgical procedures provide following surgery options-
- Endoscopic Sleeve Gastroplasty – It is a procedure similar to gastric sleeve surgery but is not surgical. The procedure is done through mouth via endoscopic suturing system which doesn’t require any incision. Using this, size and volume of the stomach are reduced to much less than its original capacity. After 4-5 hours of the procedure, a patient starts walking and patient can be discharged within a day. After the discharge, the patient can perform normal activities from the next day itself. It leads to less pain and discomfort.
Endoscopic Intra Gastric Balloon – It is a non – surgical procedure to help lose weight who suffer from obesity. During this procedure, the balloon is inserted in the stomach for maximum of 6 month – 1 year and it is meant to increase the satiety and limit food intake.
BARIATRIC / OBESITY SURGERY & ROBOTIC SURGE
There are few different types of Bariatric surgeries:
Laparoscopic Sleeve Gastrectomy | Roux-en-Y Gastric Bypass | Mini – Gastric Bypass |
Restrictive procedure Stomach capacity reduced to 60 – 100 ml Hunger hormone removed Staple line over sewn Excess weight loss of 70 – 95% Reduction of Type 2 diabetes – 78.9 k% Reduction of hypertension – 72% Improvement in Obstructive sleep apnea (OSA)- 93% | Combined restrictive and malabsorptive procedure Small 20 ml stomach pouch created 175 – 250 cm of small intestine bypassed Excellence resolution of: a) Type 2 Diabetes b) GERD c) Hypertension d) OSA e) Metabolic Syndrome | 40 – 50 ml stomach pouch created Loop anastomosis of jejunum done with stomach pouch 150 – 250 cm of intestine bypassed |
Benefits of Bariatric Surgery
It is done to help an individual lose excess weight and reduce their risk of potentially life-threatening weight-related health issues, such as Type 2 diabetes, High blood pressure, Heart disease, Severe sleep apnea, Osteoarthritis, Infertility, GERD (Gastroesophageal reflux disease).
Usually, weight-loss surgeries are done only after a person has tried to lose weight by improving their diet as well as exercising. However, has been unsuccessful at the supervised attempts.
Success stories
Mr. Sanjeev Tomar, 41 years came to meet us troubled by his severe joint pains, super morbid obesity, snoring, hypertension, breathlessness. This young man with a BMI of 69.2 kg/m2. He was operated upon in June 5, 2019. His BMI now is 38.1 kg/m2. His biggest happiness is getting rid of all the above listed comorbid conditions and living a healthy life.
The author Dr.Vivek Bindal is Minimal Access Bariatric Surgeon at Sir Gangaram Hospital,New Delhi