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More About Bariatirc Surgery for Weight Loss
Symptoms of Obesity
There is a significant difference between being overweight or obese. The BMI range 18.5-25 is considered to be ideal but if you fall in BMI range from 25 to 35 then you are overweight and if you do not take proper corrective measures you will go into the obese category very soon. A person with BMI over 35 is considered to be obese and immediate medical attention is needed to control the weight issues.
Symptoms indicating the need for Bariatric Surgery for Weight Loss:
BMI greater than 35 and increasing
Not able to control your increasing weight
Having obesity related disorders like cardiovascular disease, diabetes mellitus, hypertension or severe sleep apnea
Not able to control hunger
Metabolic activities have got affected due to obesity
Medical Tests / Diagnosis for Weight loss surgery
Some tests are required to ascertain the success of Bariatric Surgeries. The important tests are:
A complete Blood Count
Urinalysis and a Chemistry Panel
Chest X-Ray and Electrocardiogram
Some Surgeons may also ask you to get the following tests on the basis of your medical history:
Gallbladder Ultrasound to look for gallstones
Pulmonary Function Test
Treatment / Procedure for Bariatric Surgeries
Bariatric Surgical procedures can be broadly divided into four parts:
Gastric Bypass: This is also called Roux-en-Y Gastric Bypass. The procedure is carried out in two parts. First of all a small stomach pouch approximately of an ounce is created by dividing the rest of the stomach then, the upper portion of the small intestine is divided and the bottom end of the divided intestine is connected to the newly created stomach pouch.
Further, the top portion of the divided intestine is connected to the remaining small intestine so that the stomach acids and the digestive enzymes can mix with the food of bypassed stomach.
The new stomach is smaller is size and hence the capacity to eat reduces significantly. The patient will feel fuller even after consuming smaller quantities of food. Calorie intake of the patients reduces considerably aiding the weight loss.
Sleeve Gastrectomy: In this process the major portion of the stomach is removed giving it a shape of tubular pouch in the shape of a banana. The stomach can hold only small portions of food and hence the capacity to eat reduces.
The surgery has great effect on the gut hormones impacting a number of factors like reduced hunger, blood sugar control and a feeling of satiety. It is very effective for diabetic patients.
Adjustable Gastric Band: In this procedure an inflatable gastric band is placed on top of the stomach dividing it from the remaining part creating a smaller stomach. This is a reversible and adjustable procedure and the creation of smaller stomach leads to less consumption of food.
The band restricts the amount of food that can be eaten leading to significant weight loss. This is a laparoscopic procedure and the band can be adjusted from outside later on as per the requirement felt by the doctor. The procedure is fast and non-surgical. It reduces hunger to a great extent.
The Biliopancreatic Diversion with Duodenal Switch: This procedure is a mix of Gastric Bypass and Sleeve Gastrectomy. In this procedure first a tubular sleeve is created by cutting of the major portion of stomach and then a large portion of small intestine is bypassed.
This leads to reduced consumption of food and bypassing the significant portion of small intestine leads to less consumption of calories aiding weight loss.
After the Procedure/ Treatment
Bariatric Surgeries can be completed fast and do not require long periods of hospitalization. Depending on the type of surgery performed you will be discharged within 1-4 days. The patient can get back to their normal routine after rest of one or two weeks at home. Along with a good diet and exercise routine the patients can easily lose a lot of weight at get fit. Bariatric Surgeries are comparatively safer than other surgical procedures and hence the chances of complications are few. You will feel more energetic and fit after the surgeries even after consuming fewer quantities of food.
Factors Affecting the Cost of Treatment
Some of the following factors may affect your cost of treatment:
The Kind of hospital you opt for
Room –Standard single room, deluxe room, super deluxe room for the number of nights specified (including nursing fee, meals, room rate, and room service).
Operating room, ICU
Fee for the team of doctors (Surgeons ,Anesthetist ,Physiotherapist ,Dietician )
Standard test and diagnostic procedures
Type of Bariatric Surgery Performed
o Gastric Bypass
o Sleeve Gastrectomy
o Adjustable Gastric Band
o The Biliopancreatic Diversion with Duodenal Switch