Obesity Surgery(weight Loss Surgery): Best weight loss surgery

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Dr. Gursimran Singh
General surgeons

Obesity Surgery(weight Loss Surgery): Best weight loss surgery

In this video SimpliHealth expert laparoscopy bariatric surgery Dr. Gursimran Singh will talk about Obesity Surgery(Weight Loss Surgery) and Best Weight loss surgery and its related causes, the outcome of the bariatric surgery, and the surgery treatment. 

What is Obesity?

Obesity means fat. Anyone who has a BMI of 34.5 is considered to be obese. Usually, the range for the normal person is 18 to 24. If he is not having any comorbid conditions, then we take 27 plus. If he has diabetes and hypertension or any hormonal issues or any female is having any diseases related to obesity then for them 27 above is considered as a risk. For people who do not have any of these symptoms, 34 is the line.

So here in Apollo, we are treating obesity with surgery. That is commonly known as bariatric surgery. As you people may know what bariatric surgery is. It is also called weight-loss surgery.

 

There is categorization. 

  • One is restrictive surgery. 
  • There is malabsorption surgery. 
  • There are respective + malabsorption surgeries. 
  • And there are surgeries that are made for dealing with hormonal issues like uncontrolled diabetes, etc. 

What are the criteria?

  1. One is purely on a BMI basis. A person who has a BMI of 34.5 and doesn’t have any of the comorbid conditions, with comorbid I mean diabetes, hypertension, hormonal issues or females who are obese and are not able to conceive due to this, PCOD, any hyperlipidemia any of these associated diseases. 
  2. The second is if you have all of these conditions like diabetes, hypertension.  Uncontrolled diabetes for the last three years, not controlled and uncontrolled hypertension from the previous three years, high lipid profiles, and your BMI is more than 27.5. For them, the cut-off line is 27.5. So those patients fall into this category of surgery. 

What is the safest form of weight loss surgery?

Surgical options depend on the conditions you have. You are obese. You have diabetes. You have PCOD issues. You have hypertension. You have other hormonal issues like thyroid, hyperlipidemia, hypercholesterolemia, etc. Depending on them, we categorize what suits you the best. As our expert already mentioned, there are three types of procedures. 

Respective Surgery procedure for Weight Loss

In this, we fashion your stomach in the form of a tube so that the capacity to take food decreases from the normal food taken. It comes to 60 to 70 ml. And plus you make some lifestyle changes there are side effects to it like people start having multivitamin issues, trace elements start reducing. But they are dealt with by prescribed supplements.

In this restrictive surgery, which is also known as sleeve gastrectomy, one has to really comply with the lifestyle. If you cannot change your lifestyle and you can not comply with the changed lifestyle, it leads to failure. 

Malabsorption Surgery procedure for weight loss

This was the first procedure that has been defined, and now we have the long-term results as well. So our literature shows a 30% failure of the sleeve. So looking into this failure, there was another procedure that came into existence, i.e., restriction plus malabsorption. This is Roux-en-Y gastric bypass. 

In this, we make your stomach into a small pouch and then bypass your intestine absorption pathway. So this is a Roux-en-Y bypass. So basically, what happens is that you bypass the major area where absorption often takes place and where all the things take place, and the food directly comes here, and the other process goes on. 

Gastric Bypass Surgery procedure for weight loss

Another latest which came after this is a gastric bypass (MGB). This procedure is currently becoming very popular, especially for patients who have very poor control over diabetes, who have very high lipid profiles, and who cannot maintain their lifestyles, foodies who love food. For these people, we give a very nice pouch of the stomach which can take your food of around 150 ml. You can eat whatever you want to eat as you are eating before surgery. You still will have a weight loss of 2-3 kg every month till you achieve your target weight loss. 

I have kept a duration of six months to 2 years to achieve the target weight loss. And when the person achieves the desired weight. Automatically the weight reduction starts to slow down. But then you can eat whatever you want to eat. 

Non-vegetarians say they can’t stop eating non-vegetarian food, but we still want to lose weight. This surgery is the best for them. People who say ‘I am very foody, I love my food’, this surgery is the answer for you. Eat as much as you want to but still, you will keep losing weight, till you come to your target weight loss. 

Restrictive & Malabsorbtive weight loss surgery

Then after this, there is another weight loss surgery that came into existence is a combination of restriction and malabsorption surgery. This is sleeve surgery combined with proximal regional bypass. This surgery has shown very commendable results in people who have very poor control of their sugar level. The sleeve will give you the weight loss that bypass will give you the hormonal control. Females who have PCOD problems are not able to conceive due to hormonal issues. When they start losing weight, these hormones start correcting themselves. We have seen results where young females have conceived. And people on insulin, despite being on insulin, are not able to control their diabetes. We have data on the patients who have stopped taking insulin. They are leading a normal life, eating their normal food. 

Bottom line 

So, if you are obese and you have all these problems, please do visit our clinic, Obesity is another pandemic. Our expert won’t say it is like covid, but it is a pandemic. Obesity comes with many things. People who have all these problems and are obese come to the clinic, take experts’ opinions, take our suggestions and then make up their minds.

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