Bariatric Surgery in India

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Bariatric Surgery

• Get the Body You Deserve..

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What is Bariatric Surgery?

• To treat the person with severe obesity.
• The procedures cause weight loss by restricting
  the amount of food the stomach can hold.
• These are minimally invasive techniques.
•  

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Different Types of Bariatric Surgery Procedures?

• Gastric Bypass
• Sleeve Gastrectomy
• Gastric Banding

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Candidate for Bariatric Surgery

• Body Mass Index is 40 or more.
• BMI is 35 and one who has serious health problem
  like type 2 diabetes and high blood pressure.

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Gastric Bypass

• It is a surgical procedure in which the stomach
  is divided into a small upper pouch and a much
  larger lower "remnant" pouch.
• The small intestine is re-connected to both
  pouches of the stomach.
• This make changes to the digestive system to help
  lose weight by limiting how much one can eat or
  by reducing the absorption of nutrients, or both.

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Advantages of Gastric Bypass

• Produces significant long-term weight loss (60 to
  80 percent excess weight loss)
• Restricts the amount of food that can be consumed
• May lead to conditions that increase energy
  expenditure
• Produces favorable changes in gut hormones that
  reduce appetite and enhance satiety

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Disadvantage of Gastric Bypass

• Can lead to long-term vitamin/mineral
  deficiencies
• Longer hospital stay than the gastric band
• Requires adherence to dietary recommendations
• Life-long vitamin/mineral supplementation
• Greater complication rates Gastric Banding

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Sleeve Gastrectomy

• It is a surgical process in which the stomach is
  reduced to 25 of its original size by removal of
  the large pouch of the stomach, leaving a
  banana-shaped sleeve that connect the esophagus
  to the small intestines.
• Permanently reduces the size of the stomach.

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Sleeve Gastrectomy Risk Factor

• Blood clots and infections
• Aversion to food and nausea
• Vomiting
• Esophageal spasm / pain
• Infection

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Advantages of Sleeve Gastrectomy

• Short hospital stay
• Fewer food intolerances than with gastric
  banding.
• Weight loss generally is faster.
• The surgical risk is lower than with gastric
  bypass procedures.
• No need of band or device.

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Disadvantages of Sleeve Gastrectomy

• Non-reversible procedure
• Long-term vitamin deficiencies
• Higher early complication rate than the Gastric
  Banding

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Gastric Banding

• Also known as laparoscopic adjustable gastric
  band (LAGB)
• An inflatable band that is placed around the
  upper portion of the stomach, creating a small
  stomach pouch above the band, and the rest of the
  stomach below the band.

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Advantages of Gastric Banding

• Fully reversible
• No cutting or stapling of Stomach
• Short stay in hospital
• Reduces restricts food intake
• Band can be adjusted to increase or decrease food
  intake
• Does not affect digestion absorption
• Least invasive weight loss surgery hence less
  painful

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Disadvantages of Gastric Banding

• Slow Process
• Requires a foreign device to remain in the body
• Possibility of band slippage or band erosion
• strict adherence to the postoperative diet
• Highest rate of re-operation

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Comparison
Gastric Bypass Gastric Banding Sleeve Gastrectomy
Expected Weight Loss 55 70 40 50 60
Length of stay 2 -3 days 0 1 day 3-4 days
Reversibility Easily not reversed Band can be removed easily Non-reversible
Nutrient Absorption Some minerals not easily absorbed Not affected Not affected
Risk of Complication Moderate Low Low - Moderate
Foreign device No Used No
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Risk of Bariatric Surgery

• The amount of weight lost through surgery varies
• There is no guarantee the surgery will be
  successful
• If diet guidelines are not followed, the weight
  could return
• Some procedures are not reversible
• Extreme weight loss can result in cosmetic issues
  such as excess hanging skin
• Possible complications include ulcers,
  malnutrition, re-hospitalization, and even death

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What to Expect from Bariatric Surgery?

• Long term weight loss success
• Improved longevity
• Improvement of coexisting diseases (obesity
  diabetes)
• Improved physical appearance
• Improved overall quality of life

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