Bariatric Surgery

Metabolic and bariatric surgery is the treatment of morbid obesity and obesity-related diseases and conditions that limit the amount of food the stomach can hold. It limits the amount of calories absorbed, by surgically reducing the stomach’s capacity to a few ounces. Candidates for bariatric surgery have a body mass index (BMI) of 40 or more, or a BMI of 35 or more with an obesity-related disease, such as type 2 diabetes, heart disease or sleep apnea. Advanced Bariatric surgery can improve or resolve more than 30 obesity-related conditions, including type 2 diabetes, heart disease, sleep apnea, hypertension and high cholesterol.

BARIATRIC SURGERY TREATMENTS

• Gastric Band
• Gastric Bypass
• Gastric Sleeve
• Gastric Balloon
• Conversion Surgery
• Gastric Band Failure
• Gastric Bypass Failure
• Gastric Sleeve Failure

Dr.Himanshu Yadav is among the top Bariatric Surgeon in India

Gastric Band:Adjustable gastric banding / gastric bands (sometimes known as a lap band) is a restrictive Bariatric surgerical procedure. A silicone band is placed around the upper part of the stomach, creating a small pouch above the band that is about the size of a golf ball. This forms a large pouch below the band.

Gastric Bypass:There are several variations of a Gastric Bypass. The most common procedure in the UK is the Roux-en-Y, also known as RYGB. It is a combination of restrictive and malabsorptive procedures, therefore has a two-way weight reducing effect.A small pouch is created by stapling off a section of the upper part of the stomach. Below the staple line the stomach will remain but no food will enter here.

Gastric Sleeve:Gastric sleeve surgery is a restrictive procedure only. Two thirds of the stomach is resected and removed, leaving a smaller stomach in the shape of a sleeve.The portion of the stomach removed produces a hormone that stimulates appetite and hunger. Removing this portion of stomach results in a significant reduction in appetite.

Gastric Balloon: For many patients with a BMI (body mass index) of 27 – 35 surgery is not always available or recommended according to the NICE (National Institute of Clinical Excellence) guidelines, as patients with a lower BMI do not normally qualify for weight loss surgery.The gastric balloon is a soft, expandable intragastric (inside the stomach) device that is temporarily inserted into the stomach.

Conversion Surgery:Surgery patients are not always successful in reaching their weight loss goals. Reasons for post-operative weight loss failure can include problems with the original surgery, as well as the patient’s inability to comply with necessary life style changes.

Benefits of bariatric surgery

• Resolves type 2 diabetes in 73% – 83% of patients
• Cuts the risk of developing coronary heart disease in half
• Effective treatment for obstructive sleep apnea
• Patients can improve life expectancy by 89%
• Long term effectiveness – maximum weight loss 1-2 years after surgery and maintain a substantial weight
• Patients may lose 30% – 50% of their excess weight 6 months after surgery and 77% of their excess weight as early as 12 months after surgery