Bariatric & Metabolic Surgery
Bariatric & Metabolic Surgery
WHAT IS OBESITY?
UNDERSTANDING OBESITY
Obesity is a disease characterized by excessive body fat. It is now considered as a “Killer lifestyle” disease& is an important cause of preventable death worldwide.
According to the World Health Organization (WHO); 1.2 billon people worldwide are obese of which 30 million Indians are obese, and most likely to double in next 5 years.
More than 15 to 20% percent of the Indian populations are obese. There is an urgent need to creat public awareness about the mechanisms of identification, prevention and treatment of severe obesity..
WHAT CAUSES OBESITY?
Obesity is due to an individual taking in more calories than they burn over an extended period of time. These “extra” calories are stored as fat. Although there are several factors that can lead to this energy imbalance in obese individuals, the main contributors are behaviour, environment and genetics.
BODY MASS INDEX
Obesity is determined according to one’s BMI. BMI measures weight for height of a person.
BMI= Weight (in kgs) / Height (in meters)
BMI | INTERPRETATION |
Below 18.0 | Under weight |
18.0-23.0 | Normal |
23-30.0 | Over weight |
30-33.0 | Obesity (Obesity I) |
35-40.0 | Severe (Obesity (Obesity II) |
40-45 | Morbid Obesity (Obesity III) |
> 45 | Super Morbid Obesity |
WHAT ARE THE TREATMENT OPTIONS?
Dietary Counselling
Lifestyle Modification
Exercise (Under guidance of our exercise specialist and Physio Trainer)
Pharmaco Therapy (Endocrinologist and Metabolic Physician Consultation)
Surgery (Bariatric Surgeon- Dr Sreejoy Patnaik).
INDICATIONS OF BARIATRIC SURGERY:
One can consider bariatric surgery as an effective weight loss option if a person has any of the following conditions:
BMI > 35 with co-morbid disease (hypertension, diabetes, heart disease, joint problems, reflux)
BMI > 40 without co-morbid disease
BMI> 30 and have tried several weight loss methods over a period of one player
Bariatric Surgery is the only permanent solution for weight loss.
BARIATRIC SURGERY:
(OTHERWISE KNOWN AS OBESITY SURGERY/ WEIGHT LOSS SURGERY)
Launched on 17th Jan 2010 by Sreejoy Patnaik for the first time in Odisha & one of its kind in Eastern India. The department has a long listof consultants dedicatedly involved in counselling & guiding morbid obese patients & a physiotherapist to guide them & nutritionist for dietary planning.
Free awareness programmes along with BMI counselling is being carried out in Cuttack & Bhubaneswar.
Obesity support group meetings are conducted for on regular basic postoperative patients.
We at Shanti Memorial Hospital have treated more than 1000 patients till date with successful results.
We are also providing non-surgical methods & diet plans for those who are determined to lose weight by medical therapy.
THE FOLLOWING PROCEDURES ARE DONE:
(A). ENDOSCOPIC:
Intra Gastric Balloon Insertion
Which involves no surgery. This balloon is inserted in the stomachendoscopically.
It remainsin place for ½ year of induces weight loss.
(B). LAPAROSCOPIC PROCEDURES:
(1)Sleeve Gastrectomy
(2) Roux-En-YGastricBy pass
(3) Mini Gastric Bypass or OAGB
1.SLEEVE GASTRECTOMY
The stomach i reduced to about 25% of its original size, by surgical removal
of a large portion of the stomach along the greater curvature. It combines a satisfying gastric restriction with appetite suppression.
ADVANTAGES
- Less chances of complications such as migration, erosion and inflection.
- Great appetite suppression.
- Lower risk of peptic ulcer.
- No vitamin or drugs malabsorption.
- GASTRIC BYPASS (ROUX-EN-Y)
Strapling is used to create a small, upper stomach pouch which restricts the amount of food to be consumed. A portion of small bowel is bypassed thus delaying food from mixing with digestive juices to avoid complete calorie absortion.
ADVANTAGES
About 96% of health conditions like sleep, Apnea, high BP, Type II Diabetes, depression and back pain get improved or resolved.
3.MINI GASTRIC BYPASS/ ONE ANASTOMOSIS BYPASS
Mini gastric bypass is a less invasive and an alternative to standard gastric bypass; but produces similar results. This procedure is performed laparoscopically, meaning the surgeon works through several small incisions using a tiny camera (called a laparoscope) and a television screen to guide special instruments through these incisions.
ADVANTAGES
- MGB is low risk surgery.
- It has excellent weight loss and minimal pain.
- It can be easily reversed or revised.
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