What is Obesity?
Obesity results from the excessive accumulation of fat that exceeds the body’s skeletal and physical standards. According to the United States National Institute of Health (NIH), an increase in 20% or more above your ideal body weight is the point at which excess weight becomes a health risk.
For every 10 extra kilograms above the stipulated body weight (measured according to height), life expectancy of a person reduces by three years.
What is morbid or clinically severe Obesity?
Obesity becomes morbid when it reaches the point of significantly increasing the risk of one or more obesity-related health conditions (also known as co-morbidities). This results either in significant physical disability or even death. Morbid obesity is a serious and chronic disease, and its symptoms build slowly over an extended period of time.
What are the risks of Obesity?
Obesity is a risk factor for life-threatening diseases, including:
- High Blood Pressure (hypertension)
- Heart Disease
- Obstructive Sleep Apnoea
- Heartburn or Acid Reflux Disease (GERD)
- Cancer (in women: endometrial, gallbladder, cervical and uterine; in men: colorectal and prostate)
Studies show that the risk of death from these conditions drops significantly after weight loss.
Are you a suitable candidate for this surgery?
If you are someone for whom non-surgical procedures have failed to provide sustained weight loss, you can be evaluated for, and if appropriate, undergo lifesaving weight loss surgery. This surgery is known as Bariatric Surgery (also known as metabolic surgery).
Bariatric surgery is a major operation, and if you’re considering it, you must make a serious, lifelong commitment to lifestyle changes.
Our program follows the WHO guidelines for Asian patients for selection. These guidelines have also been endorsed by the Ministry of Health, Government of India. If you have a BMI (Body Mass Index) of 37.5 kg/m2 or more, or a BMI of 32 kg/m2 or more with illness related to excess weight, and have not been able to sustain weight loss through diet and exercise, you probably are a candidate for weight-loss surgery.
If you do not meet these guidelines, or we find that you are not eligible for surgery for health reasons, don’t despair. Through our intensive non-surgical weight management program, we can help you lose weight by helping you change your eating habits, modify your behaviour and increase your physical activity.
What are the types of surgeries?
A variety of bariatric procedures have been described, all of which can be carried out laparoscopically or robotically. All of these involve the patient being under general anaesthesia, making 4-6 small cuts on the abdomen ranging from 5-12 mm in size, and lasting for about 2-5 hours.
Bariatric surgical procedures work on the principles of restriction, malabsorption or both. Restrictive procedures limit the intake of food, and malabsorptive procedures affect the absorption of food through the alimentary tract.
Tell us more about the growing popularity of bariatric surgery?
Many obesity related health conditions may be improved or resolved completely following a gastric bypass surgery. These include Type II Diabetes Mellitus, High Blood Pressure/Heart Disease, Osteoarthritis of weight bearing joints, Obstructive Sleep Apnoea, Gastroesophageal Reflux Disease, Infertility in women, Stress Urinary Incontinence, etc. The lifestyle of these morbidly obese patient improves significantly especially in social/economic opportunities and physical functioning and appearance.
What are the risks associated with it?
Risks are usually categorized as immediate risks which include bleeding, Deep Vein Thrombosis, injury to neighboring organs (like oesophagus and spleen), shoulder pain and delayed risks, such as Pneumonia, Abdominal Infections and Pulmonary Embolism. These risks are common to all abdominal laparoscopic surgeries.
The risks associated specifically with bariatric surgery are chest pain, abdominal hernia, constipation or diarrhea, stoma obstruction, stretching of the stomach and reoperation for various reasons.
Is it a quick fix weight loss treatment? If not, why?
No, it is not a quick fix weight loss program, since this is not a cosmetic procedure (unlike liposuction, which involves sucking of fat cells for aesthetic reasons). This is a metabolic surgery, which helps not only to reduce weight over a period of months, but also control or cure comorbid illnesses as mentioned above.
Tell us about the procedure and recovery time?
Since the procedure is done by a minimally invasive technique, recovery is faster than conventional surgeries. The patient is ambulatory on the day of the surgery itself, and oral feeds are started a few hours after the surgery. Feeds are increased stepwise in accordance with our dietician. Patients can usually be discharged 2-3 days after the procedure.
What long-term precautions do I need? Will I return to my old weight?
Since this is a metabolic procedure, the key to its long-term success lies in maintaining a healthy lifestyle. Dietary habits need to change, and exercise is a must. Certain vitamin and mineral supplements will be required lifelong, but these usually have no untoward effects.
Studies have shown that interacting with those who have undergone bariatric procedures helps to stay more focused and motivated to maintain the newfound weight. Attending support group meetings gives a great platform to share your experiences and adjust to life better.
How does this affect my social relationships?
As they see your body undergoing a change, the attitude of those around you may change. Getting healthier will boost your confidence and energy levels, and create a more positive environment around you.
In India, how popular are bariatric surgeries for weight loss?
In India, 5% of the total population is morbidly obese, of which, around 10- 15% of these obese patients are coming for the surgical option nowadays. The demand has been on the rise over the last decade.
Why Kokilaben Dhirubhai Ambani Hospital?
Our Unique Features
- Skilled and experienced team of clinicians
- Surgeries performed using minimally invasive (laparoscopic or robotic) techniques
- Thorough preparation and follow-up programs to help you succeed
- Comprehensive medical weight-loss program
- Team members available FULL TIME for any problems
- Ability to handle complex cases (for instance, people with certain liver problems or previous abdominal surgery)
- Easy access to additional medical specialists
- Comfortable, state-of-the-art facility designed specifically for the care of bariatric patients
- Team of professionals devoted to your success
Our Weight Loss Program offers new hope and a long-term solution. For most patients, this will be a new beginning. Our dedicated team of specialists is committed to helping you throughout this life-changing journey.