BARIATRIC SURGERY

Bariatric surgery is a highly effective treatment option for people suffering with obesity and its associated diseases. In comparison to any other treatment modality, bariatric
surgery has proven to the most successful in terms of sustained and long term weight loss treatment. This hold good not only for weight lost in terms of kilograms, but it has proven to effectively treat obesity-induced medical diseases like diabetes, dyslipidemia, control of hypertension, cardiac diseases, obstructive sleep apnoea, infertility, and many more, the list can be endless.

Weight loss following bariatric surgery single handedly improves a persons quality of life. Quality of life is the degree to which an individual is healthy, comfortable, and able to enjoy life events. Obesity induced stress, depression and anxiety are largely under diagnosed and not paid its due attention, leading to loss of interest in life as a whole, anti-social behavior changes, lowered self confidence and anger out bursts. With good sustained and long term weight loss following bariatric surgery, it restores confidence, improves social activities and happiness.

From the perspective of a person suffering with obesity, bariatric surgery gives them a new lease of life, version 2.0, where they get to be what they have wanted to be and do what they have always wanted to do all this time.

According to the OSSI(Obesity Surgery Society of India) Guidelines of 2019 the indication for bariatric surgery is,

How bariatric surgery works?

Bariatric surgery is surgical treatment for obesity where the anatomy of the GI system is changed, that brings about the weight loss. Bariatric surgeries work by two mechanisms. One is restriction, reduced capacity to eat at one particular point of time and two is.Malabsorption, From a post bariatric point of view it causes restriction, meaning the patient eats less and that in-turn makes them loose weight. This restriction is not the only way , the science in bariatric surgery causes anorexia(reduced appetite, reduced craving) and increase in basal metabolic rate(energy expenditure rate) by causing alteration in GUT(stomach/intestines) derived hormones by the effects of surgical manipulation.All the procedures combine one or both the mechanisms in a variable manner, meaning procedures are selected based on the outcomes that is required for that patient.

These surgeries are always performed laparoscopically.It can also be done by a single incision laparoscopic approach or using da Vinci Robotic technology.

PURELY RESTRICTIVE

  • Intragastric balloon
  • Vertical-banded gastroplasty
  • Gastric adjustable banding
  • Sleeve Gastrectomy
  • Gastric plication

RESTRICTIVE > MALABSORPTIVE

  • Roux-en-Y Gastric Bypass
  • DuodenoJejunal Bypass with Sleeve
  • Mini Gastric Bypass

MALABSORPTIVE > RESTRICTIVE

  • BPD with duodenal switch

PURELY MALABSORPTIVE

  • Jejunoilieal bypass
  • Jejunocolonic bypass
  • Duodenojejunal bypass