Weight Loss Surgery
- Bariatric surgery or weight loss surgery is performed to control and reduce obesity, especially when other weight loss treatment options are exhausted.
- When obesity is associated with other medical conditions such as diabetes, obstructive sleep apnoea, and certain other conditions bariatric surgery helps.
While before surgery a full preoperative assessment is required to see if one is an ideal candidate for bariatric surgery. The following steps need to be taken to ensure higher success rate:
- If you are smoker
- Control blood sugar.
- Drink more water.
- Restrict other drinks such as coffee, energy drinks, soda, alcohol etc.
- Chalk out a good diet plan with your doctor.
- Avoid over eating to comfort boredom, tiredness, stress.
- Different weight loss surgery options are discussed to arrive at the best weight loss surgery for you.
- Build up a strong mental and emotional connect with the changes you want to bring before and after the procedure.
- Medications such as aspirin and herbal supplements to be avoided (one week prior to surgery).
- Liquid diet before surgery (prior to 24 to 48 hours).
- It is usually for about 4-6 days during which period the patient is monitored for any postoperative complications.
- Monitoring of blood sugar, hydration level, signs of infection and blood clots postoperatively.
Obesity Surgery/Weight Loss Procedures
- This procedure is done by Roux-en-Y technique which resembles the letter "Y".
- The stomach is divided into two smaller upper and lower larger portions.
- The small intestine (duodenum) is connected to the upper smaller portion of the stomach.
Laparoscopic Gastric Banding (Adjustable):
- A small band is tied around the upper portion of the stomach.
- This limits the food intake.
- With the adjustable band the doctor can adjust the rate of the band to alter the gastric emptying.
- It is a reversible procedure.
- This procedure has minimal complications since no part is removed.
- Here a major part of the stomach is permanently removed leaving only a banana shaped passage for the food.
- This is emerging as the most popular and safest weight loss surgerysince it has minimal long-term side effects.
Duodenal Switch With Biliopancreatic Diversion:
- Its a very complicated procedure where the major part of stomach is removed.
- The last part of the intestine is connected to the remaining small part of the stomach.
- Leads to rapid weight loss.
- Rarely performed but still in practice.
- Long term nutritional deficiencies and side effects are more pronounced.
Patient after discharge has to follow instructions given by the surgeon, which are:
- Liquid diet for about 2-3 weeks.
- You will have to work with your nutritionist to prepare a diet plan.
- Smaller meals.
- Avoid high fatty food.
- More fiber in food recommended.
- Chew properly and eat slowly.
- Do not overeat.
- Make sure all the nutrients are taken (may even take supplements).
- Scheduled lab work to know levels of vitamins, iron, calcium, copper and metabolic profile.
- Monitor your weight loss & maintain a chart.
- Monitoring of blood sugar levels and adjusting the medications by the doctor accordingly.
- Be physically active and exercise.
- No strenuous exercise or activity initially.
- Repeat sleep studies (in patients with obstructive sleep apnea).
- Long term complications may include stomach ulcers and gall bladder stones.
- Dumping syndrome (in gastric bypass) - Food and drinks pass quickly in the bowels leading to nausea, faintness and diarrhea. Discuss with your doctor and nutritionist.
- In gastric banding you may be require a repeat band adjustment.
Bariatric Surgery Cost in India
Cost of bariatric surgery in India ranges from USD 4000 to 9000 depending on the type of surgery.