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Dr.AparnaGovilBhasker is the best surgeon who provides surgery for bariatric in Mumbai. Get an appointment to know about weight loss treatment.
Obesity has emerged as one of the biggest silent killers in this century. People who have attempted to lose weight, know how difficult it is to not only lose weight but also to maintain the weight loss. Bariatric Surgery Bariatric surgery or obesity surgery is the only proven method that leads to sustained weight loss in patients suffering from clinically severe obesity. It also leads to a significant improvement in most of the associated diseases such as diabetes, high blood pressure, high cholesterol etc and reduces overall risk of heart disease. Most bariatric surgery or obesity surgery procedures lead to about 60 to 75% excess weight loss. Who is eligible for bariatric surgery The IFSO- APC (International Federation for Surgery for Obesity and Metabolic Disorders – Asia Pacific Chapter) guidelines for weight loss surgery are as under: Bariatric surgery/obesity surgery/weight loss surgery must be considered for the treatment of obesity for acceptable Asian candidates with BMI ≥ 35 Kg/m2with or without any associated diseases. Bariatric surgery/metabolic surgery must be considered for the treatment of type 2 diabetes or metabolic syndrome for patients who are inadequately controlled by lifestyle alterations and medical treatment for acceptable Asian candidates with BMI ≥ 30 Kg/m2. Bariatric surgery/metabolic surgery may also be considered as a non-primary alternative to treat inadequately controlled type 2 diabetes or metabolic syndrome for suitable Asian candidates with BMI ≥ 27.5 Kg/m2.
Calculate your BMI: BMI= (weight in kg)/Height in m2) Types of bariatric surgery Common types of Bariatric surgeries include: Laparoscopic Roux en y gastric bypass Laparoscopic sleeve gastrectomy Laparoscopic adjustable gastric banding (not very popular any more) Endoscopic intra-gastric balloon insertion Laparoscopic single anastomosis gastric bypass (mini-gastric bypass) Selection of the type of bariatric surgery Which procedure is the most suitable depends on many factors which include the patient’s age, gender, weight, food habits, associated diseases, team and patient commitment etc. Bariatric surgery is all about a lifestyle change and best results can be achieved only if the doctor and the patient work together as a team. Expected weight loss after bariatric surgery Bariatric surgery or weight loss surgery leads to massive amounts of weight loss. On an average after any of the bariatric operations most patients will lose about 65 to 75% of their excess weight. This could be less or more depending on multiple factors such as post-operative diet, efforts put in terms of exercise, follow up by the bariatric team, associated co-morbidities, drug intake etc. Surgery also leads to a considerable improvement in the quality of life.
Improvement in associated diseases Bariatric surgery leads to a significant improvement in associated co-morbidities. Type 2 diabetes becomes better in 80 to 98% of patients. A significant number of patients do not need to take any medications for diabetes after the surgery. Ofcourse, this also depends on the duration of diabetes, c-peptide levels, age and BMI of the patient. High blood pressure becomes better in almost 70% of the patients. Surgery also leads to a significant betterment in other co-morbidities such as PCOS, joint diseases, gout, obstructive sleep apnoea, COPD etc. Post-operative schedule for follow up Regular follow up is the key to success after bariatric surgery. After surgery, you have to follow up for 3 times in the first year with your reports and once every year thereafter. There are many changes pertaining to your lifestyle, dietary habits, exercise schedule etc that need constant support and counselling. It has been seen that patients who follow up regularly, tend to get better results. Dr. AparnaGovilBhasker is a Bariatric Surgeon In Mumbai. She is one of the first surgeons in India to be accredited by the Surgical Review Corporation (SRC) as a Center of Excellence (COE) surgeon in 2011.
