Some Common Questions asked about Bariatric Surgery
i.e; Diabetes, hypertension, infertility, joint pains, obstructive sleep apnea, hyperlipedemia, fatty liver, hyperuricemia, impaired sexual function.
This is performed laparoscopically under general anaesthesia. The patient has 3-5 small 1-2cm incisions on abdomen. Laparoscopic surgery also known as key hole surgery has an advantage of less pain, better cosmesis, early recovery & discharge.
Patient needs to do some preliminary investigations followed by a liquid diet regime for 3 days to 7 days. Hospitalization is for 3-5 days & patient can resume work within 10-15 days.
Liposuction refers to procedures where superficial abdominal fat is removed. Mainly done who require cosmesis. Weight loss expected is less.
Bariatric surgery is different from liposuction. It is a Gastro Intestinal Surgery which produces significant weight loss.
What are the side effects of surgery?
This surgery has risks as any other laparoscopic surgery. There is a small <1% Risk of anastomotic leak & bleeding. Modern anesthesia has made this procedure safe.
Few patients may have skin laxity or nutritional deficiencies if adequate protein intake & diet is not followed.
Weight loss is more with malabsorptive procedures whereas less in predominantly restrictive procedures. An 60-90 % of excess weight loss is expected over 1-1.5 years time period.
Improvement is seen in 96% of Diabetics, 80% of Hypertensive patients. Resolution is seen in 85-90% of patients with hyperlipidemia & hyperuricemia,joint pain .
27% of obese patients will develop new onset Diabetes Mellitus as compared to 4% in normal patients over 10 years.
Quality of life improves with weight loss for example- increased mobility & work productivity
F.Is this Surgery covered under any Insurance or Government scheme ?
Central Government employees can avail the benefit of a free surgery under CGHS Scheme
Few of the patients do get insurance claims and the OSSI(Obesity Surgery Society of India )is trying to get his surgery covered under the insurance .Apart from that there are few financial institiutes who offer monetary help to the needy as a loan on EMI basis