What is Obesity?
Obesity is the condition of excess energy stores in the form of the fat. It is a chronic, lifelong, genetically related, life threatening disease with highly significant medical, psychological, social, physical and economic co-morbidities.
How do I know that I am Obese?
Obesity can be measured by the term ‘Body Mass Index’ (BMI) which is calculated as follows:
BMI = Weight in kg/(Height in meter)2
According to the BMI,
18.5 – 24.9 Ideal weight
25.0 – 29.9 Overweight
30.0 – 34.9 Obesity Class I
35.0 – 39.9 Obesity Class II
40.0 – 49.9 Obesity Class III
50.0 – 59.9 Super Obese
60.0 – 69.9 Super Super Obese
>70.0 Hyper Obese
So what if I am fat?
Obesity does not come alone, but brings several life threatening medical diseases along with it. It is much more than a cosmetic predicament. At the minimum, it markedly affects the quality of life. For some people it is a matter of life and death. The morbidly obese are perhaps the worst off compared to a normal-weight person; a 25-year-old morbidly obese man has a 22% reduction in excepted remaining lifespan. This is an approximate loss of 12 years! This number will also likely grow if the ever-expanding numbers of currently obese children continue as obese adults.
What are the most common medical conditions as a result of obesity?
The three most common medical conditions as a result of Obesity are:
What health issues can these conditions lead to?
These conditions can lead to heart attack, stroke and many more health related issues. Battle against Obesity must begin during childhood.
What can I do to reduce my weight?
The two most important solutions are a healthy diet and cardiovascular exercise.
Are there any medicines to lose weight?
Although there are some medications thought to reduce weight, these have been shown to be ineffective and associated with side effects. There is no pill for obesity.
What is Bariatric Surgery?
Bariatric Surgery is a group of surgeries which are performed to induce long term weight loss along with curing most of the medical problems like Diabetes, Hypertension, Obstructive sleep apnoea, Hyperlipidemia, Arthritis etc.
Is Bariatric Surgery the same as liposuction?
No. Bariatric Surgery is often confused with liposuction. Liposuction is a cosmetic surgery where few kilograms of fat are removed by suction. This is mainly used for body contouring or shaping where there are few extra kilos of fat like the waistline or thigh. This cosmetic surgery does not help morbidly obese patients in reducing their weight or curing obesity associated ailments.
How Bariatric Surgery helps to reduce excess weight?
Bariatric Surgery will either restrict or reduce the amount you can eat, lower the rates of absorption of the food you eat or can be a combination of both.
Am I a candidate for Bariatric Surgery?
If you are morbidly obese (BMI >40 or BMI >35 with co-morbidities, BMI > 37.5 or BMI > 32.5 with co-morbidities for Asia Pacific) and you have failed to lose weight significantly by diet and exercise and if you are committed and motivated for a lifelong change in the lifestyle then you qualify for Bariatric Surgery. It is also important to make sure that you do not have any endocrine and metabolic disorders causing obesity.
How is this surgery performed?
We perform this surgery laparoscopically, where small incisions are made over the abdominal wall to accomplish the procedure. It has the advantage of being associated with less pain, faster recovery, fewer wound complications and early return to work.
What are the most common procedures performed?
Most common procedures performed are:
Laproscopic Sleeve Gastrectomy
The stomach is converted into a long thin tube by stapling along its longitudinal axis. The excluded part of the redundant stomach is removed, maintaining the natural continuity between the esophagus, stomach and small intestine, so malabsorption rarely occurs.
Laparoscopic Roux-en-Y Gastric bypass
This procedure works by changing the anatomy of your digestive system. Stapling is used to create a smaller upper stomach pouch which restricts the amount of food able to be consumed. A portion of small bowel is bypassed thus delaying food from mixing with digestive juices to avoid complete calorie absorption.
Laparoscopic band Surgeries
A non inflatable ring be added to these procedures to prevent excessive expansion resulting in weight gain. This is called banded Sleeve Gastrectomy and Banded Gastric bypass.
Laparoscopic Adjustable Gastric banding
As the name implies, adjustable gastric banding surgery involves your bariatric surgery placing a silicon adjustable band around the upper most part of the stomach. This stomach is separated into one small and one large portion. The band can be adjusted based on your progress of weight loss and nutritional needs.
How much weight loss will occur after my bariatric surgery?
Weight loss is not immediate. Each bariatric procedure produces different weight loss outcomes. However, on average patients may lose 30-50% of their excess weight in the first 6 months and nearly 77% in the first year. Achieving these weight loss results is highly dependent upon patient’s commitment to and compliance with post surgical diet and exercise regimen.
What are the co-morbidities resolved after weight loss surgery?
In addition to weight loss, bariatric surgery results in resolution of obesity related co-morbid conditions.
What are the risks associated with this procedure? How safe is it?
As with any surgical procedure, there are risks associated with Bariatric Surgery. Risks include bleeding, loosening of staple line or anastamotic leak, pulmonary embolism, vomiting due to decreased size of the stomach, blood clots in the legs, dumping syndrome leading to loose motions and vitamin and micronutrient deficiencies.
Why is Healios my best option?
Healios is not just another obesity clinic. We have been practicing Minimal Invasive Surgery for the last 18 years. We have been focusing our practice on Bariatric Surgery for the last 6 years. Having trained in the U.S.A and Europe we have been the pioneers in Bariatric Surgery in this part of the country. We have the largest volume of bariatric procedures done in India.
Together with the renowned Vikram Hospital, we offer to transform your life for the better. Vikram Hospital in Bengaluru is one of the largest private super-specialty hospitals in South India is equipped with the most sophisticated technology across all medical disciplines. By choosing Healios, not only will the entire procedure be supervised and performed by pioneers in the field of bariatric surgery, you will also be under the care of leading expert staff and your procedure will be undertaken in a state-of-the-art operating theatre, equipped with the latest eneration systems. Pre operative assessment, Counselling, multi speciality assessment for surgery fitness, Post surgery care, follow up, post surgery dietary management, fitness and rejuvenation treatment, support group and health educational programmes all under one roof.