obesity treatment at Mumbai & Pune

1. OBESITY TREATMENT IN PUNE & MUMBAI www.obesityasia.com

2. WHAT IS OBESITY Obesity is a chronic condition defined by an excess amount of body fat. A certain amount of body fat is necessary for storing energy, heat insulation, shock absorption, and other functions. Body mass index best defines obesity. A person's height and weight determines his or her body mass index. The body mass index (BMI) equals a person's weight in kilograms (kg) divided by their height in meters (m) squared (more information will be found later in the article). Since BMI describes body weight relative to height, there is a strong correlation with total body fat content in adults. An adult who has a BMI of 25-29.9 is overweight, and an adult who has a BMI over 30 is obese. A person with a BMI of 18.5-24.9 has a normal weight. A person is morbidly obese (extreme obesity) if his or her BMI is over 40. www.obesityasia.com

3. Different Treatment option for obesity at LaparoObeso Centre Pune & Mumbai • Intragastric Balloon • gastric sleeve surgery • Single Incision Sleeve Gastrectomy • Roux-en Y Gastric Bypass Surgery • Mini Gastric Bypass • Duodenal Switch www.obesityasia.com

4. Intragastric Balloon surgery Intragastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster. The intragastric balloon procedure may be an option if you have concerns about your weight, and diet and exercise haven't worked for you. Like other weight-loss procedures, an intragastric balloon requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of the procedure www.obesityasia.com

5. Gastric sleeve surgery Gastric sleeve: also known as sleeve gastrectomy, a type of weight loss (bariatric) surgery that renders the stomach smaller. In gastric sleeve surgery, over half of the stomach is removed, leaving a thin vertical sleeve, or tube, in place of the normally-sized stomach. This results in an inability to eat the same volumes of food as prior to the procedure. Weight loss surgery is only performed for those who are severely obese, generally with a body mass index (BMI) greater than 40. Sleeve gastrectomy has been successful at helping many obese people lose over half of their excess weight. After the surgery, it is important to work with a dietician to establish a sound nutrition plan, because of changing dietary capacity and the possibility that certain nutrients may not be well absorbed. Risks of weight loss surgery include infections and blood clots. The gastric sleeve procedure is permanent and is not reversible www.obesityasia.com

6. Single Incision Sleeve Gastrectomy SILS is an advanced, minimally invasive technique used in bariatric surgery to ease post-operative discomfort and reduce complications. During traditional laparoscopic procedures, surgeons make four to five incisions in the abdomen to access the digestive tract. SILS builds on this foundation, but uses a single incision hidden by the belly button instead of multiple openings. The Single Incision Laparoscopic Sleeve (SILS) is rapidly becoming a popular laparoscopic weight loss surgery in INDIA. There are not a lot of doctors that can perform this laparoscopic procedure, which is why LOC is pleased to announce that Dr Shashank Shah is one of the few qualified surgeons to perform this procedure! www.obesityasia.com

7. Roux-en Y Gastric Bypass Surgery Roux-en-Y gastric bypass: A surgical procedure which may be done for severe obesity. The procedure involves cutting the stomach in two to create a pouch out of the smaller proximal (near) portion of the stomach, attaching it to the small intestine, bypassing a large part of the stomach and all of the duodenum. The procedure may help with weight loss because the stomach pouch is too small to hold much food and skipping the duodenum reduces the absorption of fat which is rich in calories. The procedure may be done by laparoscopy. Also called a Roux-en-Y anastomosis or Roux-en-Y gastrojejunostomy. www.obesityasia.com

8. Mini Gastric Bypass In this operation the top of the stomach is stapled to form a thin tube (30ml to 50ml in size). The thin tube becomes the new, smaller stomach and is completely separate to the rest of the stomach. This stomach is then sewn to a loop of the small intestine, bypassing the first part of the intestine called the duodenum and approximately 150–200cm of the bowel. The rest of the stomach and upper part of the small intestine remains in the body but is no longer used for food digestion. www.obesityasia.com

9. Duodenal Switch The duodenal switch (DS) procedure, gastric reduction duodenal switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect. The restrictive portion of the surgery involves removing approximately 70% of the stomach (along the greater curvature) and most of the duodenum. The malabsorptive portion of the surgery reroutes a lengthy portion of the small intestine, creating two separate pathways and one common channel. The shorter of the two pathways, the digestive loop, takes food from the stomach to the common channel. The much longer pathway, the biliopancreatic loop, carries bile from the liver to the common channel. The common channel is the portion of small intestine, usually 75-150 centimeters long, in which the contents of the digestive path mix with the bile from the biliopancreatic loop before emptying into the large intestine. The objective of this arrangement is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat. As a result, following surgery, these patients absorb only approximately 20% of the fat they consume www.obesityasia.com

10. Thank you For Obesity treatment at Mumbai & Pune www.obesityasia.com Visit us on +91-7277557755 +91-9021912223 drshashankshah@rediffmail.com