Bariatric or weight loss surgery comprises of procedures like gastric bypass, gastric band etc. that are
performed on people suffering with obesity.
The aim of the surgery for the patient is to achieve significant weight
loss by opting for the most suitable procedure.
What does Bariatric Surgery
involve…
Bariatric surgicalprocedures aims at weight loss by
restricting the holding capacity of the stomach which causes malabsorption of
nutrients, or the procedure can be a combination of both gastric restriction and
malabsorption. Bariatric procedures also often cause hormonal changes which
suppress the feeling of hunger bringing about a feeling of fullness.
Some techniques of Bariatric surgery
performed at Wockhardt Hospital which is a premium institute for bariatricsurgery as per international standards.
Most weight loss surgeries today
are performed using minimally invasive techniques laparoscopic surgery.
The various procedures lead to
weight loss are
:
1)Reduction in the size of the
stomach through placement of Gastric Band Surgery or
Gastric
Bypass this is often called the ‘gold standard’ of weight loss surgery.
Some Advantages and Disadvantages:
Advantages:
·
Brings
about a long-term weight loss (60 to 80
percent excess weight loss)
·
Restricts
the amount of food that can be consumed
·
May
lead to conditions that increase energy consumption
·
Produces
certain changes in gut hormones that reduce appetite and enhance satiety
·
>50%
excess weight loss
Disadvantages:
·
potentially
could result in greater complication rates
·
Can
lead to long-term vitamin/mineral deficiencies particularly deficits in vitamin
B12, iron, calcium, and folate
·
Generally
has a longer hospital stay
2) Sleeve
Gastrectomy or
Biliopancreatic Diversion with Duodenal Switch)
The Laparoscopic Sleeve Gastrectomy – often
called the sleeve gastrectomy – is performed by removing approximately 80
percent of the stomach. The remaining stomach is a tubular pouch that resembles
a banana.
Some Advantages and
Disadvantages…
Advantages
·
Restricts
the amount of food the stomach can hold
·
Induces
rapid and significant weight loss that comparative studies find similar to that
of the Roux-en-Y gastric bypass.
·
Requires
no foreign objects to be inserted in the process, and no bypass or re-routing
of the food stream (RYGB)
·
Involves
a relatively short hospital stay of approximately 2 days
·
Causes
favourable changes in gut hormones that suppress hunger, reduce appetite and
improve satiety
Disadvantages
·
Is
a non-reversible procedure
·
Has
the potential for long-term vitamin deficiencies
·
Has
a higher early complication rate than the AGB
3) Adjustable Gastric Band Surgery: The
Adjustable Gastric Band – often called the band – involves an inflatable band
that is placed around the upper portion of the stomach, creating a small
stomach pouch above the band, and the rest of the stomach below the band. The
clinical impact of the band seems to be that it reduces hunger, which helps the
patients to decrease the amount of calories that are consumed.
Advantages:
·
Reduces
the amount of food the stomach can hold
·
Induces
excess weight loss of approximately 40 – 50 percent
·
Involves
no cutting of the stomach or rerouting of the intestines
·
Requires
a shorter hospital stay, usually less than 24 hours, with some centers
discharging the patient the same day as surgery
·
Is
reversible and adjustable
·
Has
the lowest rate of early postoperative complications and mortality among the
approved bariatric procedures
·
Has
the lowest risk for vitamin/mineral deficiencies
Disadvantages:
·
Slower
and less early weight loss than other surgical procedures
·
Greater
percentage of patients failing to lose at least 50 percent of excess body
weight compared to the other surgeries commonly performed
·
Requires
a foreign device to remain in the body
·
Can
result in possible band slippage or band erosion into the stomach in a small
percentage of patients
·
Can
have mechanical problems with the band, tube or port in a small percentage of
patients
·
Can
result in dilation of the oesophagus if the patient overeats
·
Requires
strict adherence to the postoperative diet and to postoperative follow-up
visits
·
Highest
rate of re-operation
Bariatric Surgery at Wockhardt Hospitals is
recognised as a centre of excellence Metabolic and Bariatric Surgery. Our renowned
doctor, Dr Raman Goel and his specialised and dedicated team provide the
clinical expertise for managing and treating obesity through this super
speciality surgery. The team is guided and has immense experience with all
surgical protocols for all procedures and Pre & Post-surgical Management.
Our centre of Excellence at Wockhardt Hospital
is supported by internationally trained nutritionist, counsellor &
bariatric physician. The department
conducts Weight loss surgery support groups’ benefits and motivates
post-surgery patients. These support groups helps patients achieve better
weight loss and deal with the issues related to following bariatric diet,
recipes and exercise by sharing experiences and communicating with peers. Our
world class infrastructure and cutting edge technology complement our teams’
efforts bringing about overall success of the patient at Wockhardt Hospital.
For Further queries and
information on Bariatric Surgery please visit our centres at Wockhardt Hospital.
Wockhardt Hospitals, a
chain of tertiary care super-specialty hospitals has more than 25 years of
experience in the creation and management of Super Specialty Hospitals in
India.
Wockhardt Hospitals
have been regarded as centers of excellence in medical science with facilities
in North Mumbai (Mira road), South Mumbai (Mumbai Central), Navi Mumbai
(Vashi), Nagpur, Nasik, Rajkot and Surat. Wockhardt Hospitals is having
state-of-the-art infrastructure whose prime objective is patient safety first
and quality of care at the core of its strategy. The guiding philosophy is to
serve and enrich the Quality of Life of patients and to make life win.
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