Obesity and Bariatric Surgery

Unwanted weight gain has become a life-threatening aspect in the recent past. Losing weight and making drastic changes in lifestyle has now become a necessity for those who tend to gain extra kilos by the pass of every day. Bariatric surgery is a common treatment procedure used to solve health-related issues that are associated with excessive weight gain. Critical conditions of such disorders are treated by surgical procedures that involve altering the whole digestive system. Our weight loss surgical procedures are tailored to satisfy the requirements of individual patients. Manipal Hospital has a dedicated team of bariatric nutrition specialists, trained physiotherapist, psychologist, anesthetist, bariatric surgeons, cardiologist and physician who offer the best services and comprehensive care right from the evaluation process to the follow-up stage. Being highly equipped with the advanced state of art devices for bariatric surgery, Manipal Hospital provides prime concern to patient privacy and comfort when undergoing weight loss treatment in the hospital.


When does Bariatric Surgery Become important for you?

When the extra fat starts causing unexpected health-related problems, it is a signal that you are suffering from obesity. There is a fine line between being overweight and being obese.

Here are a few symptoms which tell us when our extra weight has given way to obesity.

  • A Body Mass Index of 30 or above.
  • Hypertension and excessive psychological stress.
  • In females, gynecological disorders.
  • Disorders in the sleep patterns.
  • Reduced stamina and endurance capacity.

While these are some of the common signals, obesity manifests itself in the form of several diseases too. Cardiovascular discomforts like pain and mild attacks are potent symptoms as well. Therefore, doctors advise immediate treatment for morbid obesity. The bariatric surgery types are performed on different parts of the digestive system and help you lose weight by reducing your food intake. Doctors at Manipal Hospitals help you determine which bariatric surgical procedure is best suited for you and help you with it.


How Does Bariatric Surgery Become Successful for Weight Loss?

  • The bariatric bypass techniques enhance the early sensation of fullness thereby reducing excessive food intake
  • Decreased absorption of food after critical gastric bypass surgeries
  • Conversion of extra fat to glucose for body requirement enhancing weight loss
  • Reduction in size of the abdomen by surgery reduces food intake


Signs and symptoms: Do you need bariatric surgery?

Not everyone who is obese requires or qualifies for bariatric surgery. If your body mass index is higher than 40 it means that you are severely obese and it is a sure sign that you require surgery. If your BMI is within 30 to 40 and your diets have failed to bring down your weight then you may opt for the surgery. Obese people who are predisposed to or have related illnesses such as type 2 diabetes and high blood pressure also can opt for the surgery.

It is important to remember that bariatric surgery is not for everyone. There are certain medical guidelines you need to qualify in order to opt for this procedure. Also one must be willing to make permanent lifestyle changes to lead a healthier lifestyle.


Type of Bariatric Surgery or Bariatric Surgery Options

There are different gastric surgery options:

Gastric Banding – Credited to be the safest weight loss surgery, gastric banding reduces weight using an adjustable silicone band. A surgeon used laparoscopy to insert the band around the upper part of the stomach. This causes the stomach to be able to hold only about an ounce of food. Adjustable gastric banding results in 40% weight loss post surgery. However, the results differ with the patient.
Vertical banded gastroplasty is another variant of gastric banding. In this technique, the part of the stomach above the silicone band is stapled to form a smaller pouch.

Laparoscopic sleeve gastrectomy – In this bariatric procedure, about eighty-five percent of the stomach is surgically removed to reshape the stomach into a sleeve-like structure. The gastrointestinal tract otherwise remains intact. This procedure removes hunger by reducing the secretion of hunger-stimulating hormones. It is a safe procedure since there is no chance of developing ulcers or any vitamin or mineral deficiency.

Gastric bypass surgery – This is one of the most popular bariatric techniques. It entails dividing the stomach into a small (upper) pouch and a larger pouch below. The lower part does not receive any food but continues to secrete the digestive juices. The small intestine is re-routed and joined to the small pouch which receives food. Since the food now bypasses a section of the small intestine, fewer calories are now absorbed.

Biliopancreatic diversions – This class of procedures induces weight loss by altering the digestive system. They cause the food to bypass a section of the small intestine. This gives the body lesser time to absorb fats and calories resulting in weight loss.

Duodenal switch surgery – This procedure is a type of biliopancreatic diversion comprising of a malabsorptive and restrictive component. Almost 70% of the stomach is removed. The small intestine is divided into two paths connected by a channel. One section, the digestive loop, carries food and the other, the biliopancreatic loop, carries bile.


Risks of bariatric surgery

  • Excess bleeding during the operation.
  • Infection during and after the operation.
  • Unacceptable reaction due to the administration of anesthesia.
  • Blood clot formation due to patient body conditions.
  • Possibilities of lung and breathing problems.
  • Possibilities of leaks in the gastrointestinal tract.
  • Death (though rare).

There are also other potential problems that you may have to deal with. They are :

  • Bowel obstruction over a period of time.
  • Dumping syndrome resulting in diarrhea and vomiting.
  • Gallstones, hernia, low blood sugar, malnutrition, perforation of stomach and ulcers.


Benefits of bariatric surgery :

  • You will get relief from reflux disease.
  • There will be improvements to heart-related diseases.
  • You will be able to control blood pressure.
  • Sleep-related disorder will be under control.
  • You will less likely contract type 2 diabetes.
  • Possibilities of stroke will be reduced.

Bariatric surgery is a major procedure that will leave the patient in the hospital for a long time, but the cost of bariatric surgery in India is comparatively lower than in advanced countries. Before you decide on the cost of bariatric surgery in India, consider the benefits of getting it done in India after all the attendant expenses are taken into account.


Bariatric Surgical procedures at Manipal Hospital

The types of bariatric surgery for obesity allow the flexibility to choose the procedure which is best suited for a patient. Our bariatric services have gained popularity for helping patients lose weight and regain a healthy lifestyle. With a team of doctors with international repute, we specialize in all types bariatric surgery. Post surgery, we help carve out a healthy lifestyle so that the lost fat never makes its way back into your lives. Our counselors, dieticians, and therapists provide unprecedented support to all our patients making the treatment and happy experience for them.

Equipped with state of art technology, our team of specialists ensures a seamless weight loss experience for you and your family. If you want any insights or want to give us your opinion then do call or write to us.

Apart from the above mentioned surgical procedures, Manipal Hospital provides special medical management techniques and excellent patient support groups to render unconditional support and help to families and relatives of the patient. Type II diabetes, increased cholesterol, stress, hypertension and sleep disorders are caused due to morbid obesity. A combination of the right exercise regime and proper diet after bariatric surgery is what we recommend to achieve the desired level of weight loss.

We not only concentrate on losing weight when treating such patients. Gaining that extra willpower and skill to keep away the aspects causing weight gain is an added task that we consider important. With quality treatment by our experienced professionals in the Bariatric space and excellence in patient care, Manipal Hospital is a place where you can approach and gain treatment for weight-related issues and diseases. Approach us, get treated and walk home with confidence.


Other Treatments provided include

  • Cholecystectomy
  • Fundoplication (Nissen’s)
  • Cardiomyotomy for Achalasia
  • Vagotomy and Gastro Jejunostomy (Ulcer Disease)
  • Small Bowel Resections
  • Colorectal Resections (Benign and Malignant)
  • Thoracoscopic Esophagectomy (Esophageal Cancer)
  • Splenectomy
  • Gastric Bypass / Lap Band (Morbid Obesity Surgery)
  • Abdominal Procedures