Most Common Bariatric Procedure Performed Worldwide.
Bariatric Surgery
LAPAROSCOPIC SLEEVE GASTRECTOMY
Popularity
Procedure
The stomach is freed from organs around it.
Surgical staplers are used to remove 80% of the stomach, making it much smaller sleeve.
Preparation Before Surgery
Pre-surgery diet and supplements. Our nutritionists will guide you every step of the way.
How It Works
The new stomach has decreased capacity to hold food and liquid helping reduce the amount of food (and calories) that are consumed. By removing the portion of the stomach (fundus) that produces most of the “hunger hormone”, the surgery has an effect on the metabolism. Decreased hunger, increases fullness, and allows the body to reach and maintain a healthy weight as well as blood sugar control.
Benefits
Sustained weightloss, remission/improvement in Diabetes, Hypertension, sleep apnea, fatty liver, high cholesterol, and lower the risk of heart disease and heart failure. It can also help improve PCOS (polycystic ovary syndrome) and improve fertility.
Pain Experienced
Minimal. You may experience mild difficulty in swallowing after the procedure which usually subsides in 2-3 days.
Admission Time
Two nights in the hospital followed by a one-month program of integrating back to normal, solid foods.
Safety
Highest rated, with safety standards that at par with international standards. The simple nature of the operation makes it very safe without the potential complications from surgery on the small intestine.
Side Effects
Bloating, heartburn, leakage (rare).
Followup
Lifelong follow-up is recommended on yearly basis. You’re a member of our Family for life.
MINI GASTRIC BYPASS/ ONE ANASTOMOSIS GASTRIC BYPASS
Popularity
This is a straightforward procedure that produces great long-term results with a relatively simpler and less invasive surgery. Its recently becoming hugely popular in Asia and around the world. It is now second most commonly performed procedure after Laparoscopic Sleeve Gastrectomy.
Procedure
This procedure consists of creating a smaller stomach pouch and attaching the small intestine to the new stomach pouch.
Preparation Before Surgery
Pre-surgery diet and supplements. Our nutritionists will guide you every step of the way.
How It Works
There is mild restriction of food intake but the number of calories the body absorbs is decreased as a result of food bypassing a part of small intestine.
Benefits
Sustained weightloss, remission/improvement in Diabetes, Hypertension, sleep apnea, fatty liver, high cholesterol, and lower the risk of heart disease and heart failure. It can also help improve PCOS (polycystic ovary syndrome) and improve fertility.
This procedure is proven by many studies to be better control over diabetes and in patients with BMI of more than 50.
It is great for revising a failed sleeve or other failed procedure into Mini Gastric Bypass/ One Anastomosis Gastric Bypass.
Pain Experienced
Minimal.
Admission Time
Two nights in the hospital followed by a one-month program of integrating back to normal, solid foods.
Safety
Highest rated, with safety standards that at par with international standards. The simple nature of the operation makes it very safe without the potential complications from surgery
Side Effects
Bloating, heartburn, leakage (rare), marginal ulcer(rare).
Followup
Lifelong follow-up is recommended on yearly basis. You’re a member of our Family for life.
Roux-en-Y Gastric Bypass (RYGB)
Popularity
The Roux-en-Y Gastric Bypass, often called the “Gastric bypass”, has now been performed for more than 50 years and the laparoscopic approach has been refined since 1993. It is one of the most common operations and considered as GOLD standard of Bariatric surgery. It is very effective in treating obesity and obesity related diseases.
Procedure
First, the stomach is divided into a smaller top portion (pouch) which is about 20-25 cc. The larger part of the stomach is bypassed and no longer stores or digests food.
The small intestine is also divided and connected to the new stomach pouch to allow food to pass. The small bowel segment which empties the bypassed or larger stomach is connected into the small bowel downstream, resulting in a bowel connection resembling the shape of the letter Y.
Eventually the stomach acids and digestive enzymes from the bypassed stomach and first portion of the small intestine will mix with food that is eaten in distal part.
Preparation Before Surgery
Pre-surgery diet and supplements. Our nutritionists will guide you every step of the way.
How It Works
The gastric bypass works in several ways. The newly created stomach pouch is smaller and able to hold less food, which means fewer calories are ingested. Additionally, the food does not come into contact with the first portion of the small bowel and this results in decreased absorption.
Benefits
The impact on hormones and metabolic syndrome often results in improvement of type 2 diabetes mellitus even before any weight loss occurs. The operation also helps patients with reflux (heart burn) and often the symptoms quickly improve.
Pain Experienced
Minimal.
Admission Time
Two nights in the hospital followed by a one-month program of integrating back to normal, solid foods.
Safety
Highest rated, with safety standards that at par with international standards. The simple nature of the operation makes it very safe without the potential complications from surgery.
Side Effects
Bloating, heartburn, leakage (rare), small bowel obstruction, marginal ulceration and dumping syndrome (very rare).
Followup
Lifelong follow-up is recommended on yearly basis. You’re a member of our Family for life.
Metabolic surgery
India is diabetic capital of the world. Obesity is associated with a chronic inflammatory state and insulin resistance so it will increase the risk of developing some diseases (diabetes, hypertension fatty liver etc.) or worsen others (knee pain, PCOS, varicose veins etc). This is also known as “Metabolic Syndrome”.
This procedure is performed laparoscopically and is proven to drastically improve Diabetes Mellitus Type II, often resulting in the normalization of blood glucose levels. It allows the patient to get rid of insulin therapy or stop taking oral hypoglycemic agents. Such remission of diabetes also avoids complications like blindness, renal insufficiency, peripheral limb gangrene. In our experience, the patient will experience improvements immediately following surgery.
Revisional Surgery
We understand that the need of revising for a failed weightloss surgery is unique and must be approached meticulously. Around 5-15% patients from various surgical procedures can have delayed weight regain. Every case needs to be worked up well to ascertain the cause of weight regain and managed accordingly.
Endoscopic sleeve gastroplasty
Popularity
The newest weight-loss procedure, done endoscopically so no incisions over the abdomen.
Procedure
It involves creating a sleeve within the stomach by suturing from inside.
Preparation
Pre-surgery diet and supplements. Our nutritionists will guide you every step of the way.
How It Works
Suturing stomach from inside decreases its capacity, helps patients feel full faster and consume smaller amounts of food and loose weight.
Pain Level
Minimal as there are no incisions on the abdomen.
Admission Time
One night admission is required. Followed by a one-month program of integrating back to normal, solid foods.
Safety
Highest rated, with safety standards that at par with international standards. The simple nature of the procedure makes it very safe without the potential complications from surgery.
Side Effects
Bloating, heartburn, leakage (rare).
Followup
Lifelong follow-up is recommended on yearly basis. You’re a member of our Family for life.
Childhood Obesity
A child is defined as “affected by obesity” if their body mass index-for-age (or BMI-for-age) percentile is greater than 95 percent. A child is defined as “overweight” if their BMI-for-age percentile is greater than 85 percent and less than 95 percent.
To simplify- children who can qualify for bariatric surgery include:
- BMI above 40
- BMI above 35 and one or more obesity-related health issues such as type II diabetes, hypertension, sleep apnea, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, PCOS, or heart disease
Why Is Teen Weight Loss Surgery Beneficial?
As with all diseases, treating it right time always provides better outcomes than waiting for long. When obesity begins in adolescence, the health risks it poses also start, taking a toll on a child’s health that can affect them into their adulthood severely. Bariatric surgery not only helps with weight loss, but it can cure metabolic disease, diabetes, and help balance hormones.
Caring for a child’s health with a bariatric procedure means setting them up for a healthier, more fulfilling life. It can also significantly improve their self-esteem and allow them to lead everyday lives.
Multiple researches show weightloss surgery in adolescents is beneficial for their healthy adulthood. Researchers found that earlier gastric bypass surgery may have greater benefits compared to waiting until later in life. To learn more about weight loss surgery for children, please visit niddk.nih.gov.
Which procedure is right for you?
Confused still!! Worried for which bariatric procedure is best for you?? You need not worry.
Our expert team will take detailed counselling session/s with you and your loved ones and discuss in detail about your medical history, work-you up with thorough per-operative investigations, you would be told in depth about every procedure, its mechanism and each procedures pros and cons.
Only after all this the best procedure customed for your body weight and comorbidities would be selected with your consent.
ASK DR. BHAMBRI?
