Bariatric and Metabolic Surgery

Bariatric also known as Weight Loss Surgery & Metabolic Surgery is the latest armamentarium to fight against Obesity & Type II Diabetes Mellitus.

Department of Bariatric and Metabolic Surgery

This surgery has been performed in the west since 1980’s. Now it has become popular in Asia. The long term results (>10 years) have proved that these surgeries are safe & effective. A significant sustained weight loss i.e. 60-90% is proved with 70-96% improvement in Obesity associated diseases.

OT (Actual Image)

Understanding the Comorbidities associated with Obesity

What are the Surgical procedures performed for Morbid Obesity ?

Sleeve Gastrectomy

This is the most popular surgery worldwide. In this procedure stomach volume is reduced to 200-250ml which produces a restrictive component. Removal of fundus abolishes hunger surge. 70-80% of excess weight loss is expected. 

It is a restrictive form of surgery which abolishes the ghrelin hormonal surge thereby preventing hunger induced food intake. It has been observed that it accelerates the gastric emptying thereby inducing hormonal changes i.e: increased GLP-1 thereby improving the glucose levels in diabetic patients. It Produces 60-80% of excess weight at 1 – 1.5 years

Gastric Bypass

In this surgery a small pouch (15-20 ml) is created & 100-150 cm of small intestine from the duodeno jejunal flexure  is bypassed. So it has a restrictive & malabsorptive component  which produces 80-90% of excess weight loss. Good for patients with severe comorbidities.

Mini Gastric Bypass

This is a form of bypass which has recently gained popularity in India. The diabetes remission rates have been to the tune of 80-90% with this procedure. Patients need to take iron, multivitamin & calcium supplements for prolonged time long after this procedure.

Non Surgical Weight loss -  Intra gastric balloon

The Intra-gastric balloon is a non-surgical procedure where a silicon balloon is placed inside the abdomen endoscopically which makes a patient feel full. It could be an adjustable or non-adjustable balloon. Adjustable balloons are typically placed for 1 year whereas non-adjustable are placed for 6 months

It can be a good option for patients with BMI less than 32.5 or those high risk  superobese patients with BMI more than 60 or 70 where balloon acts as a first stage procedure done to reduce the comorbidity severity and produce significant weight loss prior to definitive surgery.

Some Common Questions

For Enquiries or any information