Bariatric Surgery is a surgical operation procedure that is performed to reduce the excess weight in people who are suffering from morbid obesity. Bariatric surgery is performed by making some changes in the human digestive system. In persons whose non-surgical weight loss therapies have proved to be ineffective may opt for Bariatric surgery. Deserving and eligible persons can be evaluated for, and if deemed eligible, can undergo a lifesaving weight loss journey through a medical procedure known as Bariatric Surgery (otherwise called Weight Loss Surgery or Obesity Surgery).
Bariatric surgery is being performed in the West since 1980’s. currently, it’s being widespread in Asia. The long-run results (>20 years) have proven that these surgeries are safe & effective. a major sustained weight loss i.e. 60-90% is proved with a 70-96% improvement in obesity(fatness) associated diseases.
Bariatric surgical procedures cause weight loss by limiting the quantity of food the abdomen will hold, inflicting absorption of nutrients, or by a combination of each gastric restriction and malabsorption. Bariatric procedures conjointly often cause hormonal changes. Most weight loss surgeries these days are performed by minimally invasive techniques (laparoscopic surgery).
The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, also known as gastric sleeve operation, mini-gastric bypass. When the surgery is also performed for the reduction of severity of diabetes or other co-morbid conditions, it is referred to as Metabolic Surgery. Bariatric medical procedure, these days, is gaining prominence as a strategy definitive therapy for diminishing weight. Extreme weight gain is a common and widely recognized issue these days. In any case, individuals having queries related to bariatric surgery which is one of the most popular weight-loss procedures can get it resolved by meeting a qualified bariatric surgeon.
Bariatric surgeries result in long-run weight-loss success. Most studies demonstrate that more than 90 % of people previously suffering from severe obesity are successful in maintaining 60 % or more of their excess weight loss following bariatric surgery. Among those suffering from super severe obesity, quite 80 % are ready to maintain more than 60 % excess weight loss.
We at Presize, as a well-known and recognized clinic, are considered as one of the best hospitals for undergoing bariatric surgery in Pune, all the bariatric surgeries are performed laparoscopically, ensuring minimal visible marks and quicker recovery time. We perform out a wide range of essential and revisional bariatric procedures. If someone is suffering from obesity and is thinking about a weight reduction medical procedure, he/she should make a genuine, long-lasting promise to the way of lifestyle changes.
Who should undergo bariatric surgery?
- Patients with BMI > 37.5 without any diseases.
- Persons with BMI > 32.5 with any 2 comorbid diseases. i.e; Diabetes, hypertension, infertility, joint pains, obstructive sleep apnea, hyperlipidemia, fatty liver, hyperuricemia, impaired sexual function.
- Persons with BMI > 27.5 with uncontrolled comorbidities even with the best medical management for example – Persons with uncontrolled blood sugar levels even with insulin & antidiabetic medications.
- Age between 18-65 years and well-motivated person.
Who should not undergo Bariatric surgery?
- Patients with chronic alcoholism, substance abuse.
- Patients unfit for general anesthesia, portal hypertension.
- Unmotivated persons, severe psychiatric illness.
Why Bariatric Surgery is needed?
Bariatric surgery is needed when despite many attempts at weight loss there is hardly any effect on excess fat in the body. Bariatric Surgery is a specific type of surgical operation which helps one to lose about 60 to 80 percent of excess weight from the body by making changes in the human digestive system. Bariatric Surgery needs to be performed by well qualified and experienced surgeons. Bariatric Surgery is needed for those people who have tried all other natural methods to lose weight but were unsuccessful in losing weight despite many attempts. It can also be a good option for a person who after losing weight through other methods has failed to maintain the same shape and has gained weight thereafter.
Bariatric Surgery may also be needed for a person suffering from type 2 diabetes-related to obesity. Studies have shown that Bariatric Surgery is safe as any other laparoscopic surgery which significantly reduces obesity from the body. Many studies have proved that obesity is a disease and risk factor for many diseases, bariatric surgery prevents severe health risks like type 2 diabetes, hypertension, osteoarthritis, sleep apnea, colonic and pancreatic cancers, etc. It is unlike any cosmetic surgery performed only for beautifying or good looking skin.
How does Diabetes Mellitus get controlled after Bariatric & Metabolic Surgery?
- Duodenal exclusion via surgery improves pancreatic function.
- As the food transit time is shortened i.e. food is delivered early into the small intestine, GLP-1 hormonal levels rise & this controls sugar via the pancreas.
- The surgical procedure reduces weight which reduces insulin resistance.
How is this surgery performed?
This is performed laparoscopically under general anesthesia. The patient has 3-5 small 1-2cm incisions on the abdomen. Laparoscopic surgery also known as keyhole surgery has the advantage of less pain, better cosmesis, early recovery & discharge.
The 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 & patients can resume work within 10-15 days.
How Bariatric Surgery Causes Weight Loss?
Bariatric Surgery causes weight loss by limiting the amount of food a stomach can intake. Bariatric Surgery also causes hormonal changes to the body.
Now with available data over the past 40 years of millions of Bariatric surgeries performed worldwide, we know that it works via multiple mechanisms -neurohormonal axis in the body is altered, hormones such as GLP-1, PYY, GIP, Ghrelin, etc levels are altered, basal metabolic rate is improved, altered bile acid metabolism and gut microbes are the various mechanisms besides restriction and malabsorption of caloric intake that bariatric surgery works.
Studies have shown that people who undergo weight-loss treatment have a positive effect on their lives as they feel more confident, they feel more energized and an overall reduction in stress levels. They feel healthier and are happy with the transformation they have achieved through the surgery.
Below are the different types of Weight Loss (Bariatric) Surgery performed by surgeons as per the health condition of patients.
- Restrictive – This surgery is usually performed to limit the physical intake of food a person can hold, which in turn limits the number of calories a person can intake in his stomach. Due to this surgery, a person feels less hungry for foods that contain more amount of fats or calories.
- Divertive – This type of surgery involves performing surgical restriction and bypassing some parts of the human digestive system so that less food is absorbed, reducing the excessive calorie intake in the body.
The dietary changes, exercise and lifestyle changes are integral post-bariatric surgery aspects that cannot be ignored. Patients who do not follow these are likely to have weight regain and those looking for a quick fix solution or unwilling to modify their habits are not advised surgery.
Is this same as liposuction?
Liposuction refers to procedures where superficial abdominal fat is removed. Mainly done who require cosmesis. The weight loss expected is less.
Bariatric surgery is different from liposuction. It is a Gastro-Intestinal Surgery that produces significant weight loss.
What are the side effects of Bariatric 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.
How much weight loss is expected?
Weight loss is more with malabsorptive procedures whereas less in predominantly restrictive procedures. A 60-90 % of excess weight loss is expected over 1-1.5 years time period.
Why Presize Clinic for Bariatric Surgery in Pune?
Presize Clinic is one of the safest places to undergo bariatric surgery in Pune, all the members of the team are very well trained in taking care of patients.
The clinic has all the necessary support systems from all the staff members in terms of pre and post-surgical advice, follow-up, support groups, etc. Our main aim is to fulfil the patient’s wishes to achieve weight loss through our guidance in a scientific way.
We have all the latest equipment for performing all types of weight-loss surgeries. All our patients undergo weight loss consultation from Dr. Kedar Patil who is highly qualified and has vast experience & is also considered to be one of the best bariatric surgeons for the treatment of all types of obesity-related issues. Due to the huge experience in the treatment of weight loss surgeries Dr. Kedar Patil understands all the aspects and phases of weight loss, he knows how to treat all aspects of Obesity.
For someone looking for a bariatric surgery hospital in Pune that has all the support systems then Presize Clinic is the answer to all the questions.
The clinic has “Snehabandh” an obesity support group which guides patients in pre and post-surgery period. All aspects of Obesity management –Surgical and Non-Surgical are explained to the patient, Det and exercise do’s and dont’s are explained. Psychological support and Yoga sessions are conducted are well. Dr. Kedar Patil is one of the few Qualified and acclaimed bariatric surgeons whose work & research in the weight loss field has been recognized and admired by national and international organizations.
Will my co-morbid diseases get resolved?
Improvement is seen in 96% of Diabetics, 80% of Hypertensive patients. Resolution is seen in 85-90% of patients with hyperlipidemia & hyperuricemia, joint pain.
Why asymptomatic obese patients should undergo bariatric surgery?
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.
Why Presize is one of the most reliable and safest bariatric surgery hospital in Pune?
When it comes to dealing with health-related crisis particularly obesity, people always prefer safety as their priority in dealing with the disease, with the surgical procedure involved in the treatment for obesity extra care and safety is always preferred by patients and their family members. Our approach is always to ensure that every patient who undergoes treatment at the hospital feels safe. All the operations are performed keeping the highest standards of safety. All the support staff at the clinic are very well trained for ensuring the safety of patients during their stay at the hospital. Due to the high percentage of successful surgeries and the sheer hard work of the support staff and Dr. Kedar Patil, Presize Clinic is considered as one of the most reliable and safest bariatric surgery hospital in Pune.
Is this Surgery covered under any Insurance or Government scheme?
Central Government employees can avail the benefit of free surgery under the CGHS Scheme.
What is the cost of bariatric surgery in Pune?
The cost of bariatric surgery depends on the type of surgery done, the credentials of the performing surgeon and his team, the hospital where it is performed, and the disease status of the patient.
Few of the patients do get insurance claims. Apart from that, there are few financial institutes that offer monetary help to the needy as a loan on an EMI basis.
The costs incurred during bariatric surgery are recovered in 2-3 years due to cost-saving on medicines, hospitalizations, and investigations which many studies in the western world have proven. The insurance regulatory board of India has instructed all insurance companies to include bariatric surgery since October 2020.
Apart from this, the Pune Municipal corporation offers a grant for patients staying in PMC limits.
Contact Dr. Kedar Patil to know more about Bariatric Surgery Cost.
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