Obesity can be considered a modern-day epidemic that’s slowly gripping the world population today. Obesity is not just about the weight but the condition that attracts a lot of life-threatening diseases like diabetes, heart stroke, and blood pressure. Obesity is measured in terms of Body Mass Index (BMI), which is further categorized into Class 1, 2 and 3. Class 1 obesity is when the person has a BMI of 30 to 35 while Class 2 obesity is a person with a BMI of 35 to 40 and Class 3 obesity is a person with a BMI of 40 and above. Class 2 and 3 are considered severe condition of obesity which cannot be treated by mere diet and exercise.
For such severe condition bariatric surgery is one life-saving solution that can be used as a treatment. This surgical procedure is done to the digestive system because of which the patient’s appetite and in some procedures, the body’s ability to absorb nutrients is reduced. Hence the patient starts losing weight and starts getting out of extreme obesity.
Types of Bariatric Surgery
The Bariatric Surgery Program at Ruby Hall Clinic offers many types of bariatric surgery to treat severe obesity. It is important to remember that no single operation is right for everyone, which is why our team of expert physicians will help you decide the best bariatric procedure based on your personal situation. The most common operations we perform are:
- Gastric band procedure
Gastric band procedure is the least intrusive surgical procedure that helps a person struggling with obesity reduce the food intake and thereby fast track weight loss. In this procedure, the doctor uses laparoscopy ( tiny incision or cuts on the belly) through which a silicone band is wrapped around the upper part of the stomach. This makes the stomach shrink and can now hold only an ounce of food.
The biggest advantage of gastric band procedure is the procedure is reversible and the patient does not have to cut any part of the stomach like other procedures. It is less painful and the recovery time is quick.
- Gastric bypass
Gastric bypass surgery helps in weight loss by making changes in the way the stomach and small intestine handle the food that’s consumed. Post the surgery the stomach area is significantly reduced hence you would feel full with less food consumption.
The procedure is performed in 2 steps. In the first step, the stomach is divided into a small upper section and a large lower section. The top small section which is also called a pouch is where the food will go. Due to a significantly less size, the intake of food will reduce and the patient will feel full very soon. The second step is a bypass. The surgeon will connect the newly created small pouch to a small intestine (the jejunum). When a patient consumes food, it will pass from the small pouch into this new opening and into small intestine bypassing the large intestine. The procedure makes the patient eat less and the body absorbs fewer nutrients and calories.
- Sleeve gastrectomy
Sleeve gastrectomy which is also called a vertical sleeve gastrectomy is a surgical procedure that again helps reduce weight and tackle obesity. This procedure is performed by using laparoscopy ( small incisions made on the belly ). During sleeve gastrectomy, about 80% of the stomach is removed, leaving a small part which would be a size of a banana.
This procedure is conducted for a patient with serious obesity i.e. BMI of 50. The reduced stomach consumes less food and hence, helps in reducing weight drastically. The patient needs to understand that this procedure is irreversible.
Metabolic conditions related to obesity:
Metabolic condition is a group of five risk factors that increases the probability of developing heart disease, diabetes, and stroke. The five risk factors are:
- Excess fat around the waist
- High triglyceride levels
- Increased blood pressure ( greater than 130/85 mmHg)
- High blood sugar levels
- Low levels of good cholesterol, or HDL
Although if the patient has one of these risk factors does not mean that you have a metabolic condition but the presence of one can help pave way for developing cardiovascular disease. However, having three or more of these factors will result in metabolic syndrome that significantly increase your health complications.
The risk factors for metabolic syndrome are directly correlated to obesity. Below are the two most important risk factors:
- Central obesity, or excess fat around the upper and middle parts of the body
- Insulin resistance, that makes it difficult for the body to utilize sugar
There are other factors that also contribute to increasing the risk of metabolic syndrome. These are:
- Family history of metabolic syndrome
- Not getting enough exercise
- Women who have been diagnosed with polycystic ovary syndrome
There very serious complications that can occur due to metabolic syndrome. These include:
- Heart attack
- Kidney disease
- Hardening of arteries
- Cardiovascular disease
- Peripheral artery disease
- Non-alcoholic fatty liver disease
Ruby Hall Clinic: India’s leading obesity care and physical wellness hospital
Ruby Hall Clinic is India’s leading obesity care and physical wellness hospital. We provide all the tests as well as a surgical solution for weight loss which includes Bariatric Surgery. Our state of the art facility has the most modern medical tools and devices along with our expert doctors with decades of surgical experience, we work towards giving you the best roadmap to weight loss journey that not just includes the surgery but even post-surgical guidance by our expert nutritionist as well as a physician. To know more about our services and offerings click here.