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January 28, 2021 In Bariatric surgery By Dr. Vikas Singhal

Bariatric Surgery & its Types

Bariatric surgical procedure is carried out for weight loss which involves restricting the amount of food to the stomach. It is usually performed in people with obesity. Obesity is a metabolic disorder faced by the human population all over the world which imposes a person to various health conditions like diabetes, heart disease, high cholesterol level, osteoarthritis, and difficulty in conceiving. 


Who requires bariatric surgery?

The body mass index (BMI) is an indicator that defines overweight, obesity and morbid obesity. 

  • Patients with morbid obesity having Body mass index greater than 32.5 with co-morbidity or BMI greater than 37.5 with or without comorbidities 
  • Patients with type 2 diabetes and obesity not achieved by recommended treatment targets with medical therapies, especially when there are other major comorbidities
  • Patients who have type 2 diabetes and a BMI of 35 or more
  • Patients with a BMI between 30 and 35, when diabetes cannot be adequately controlled by optimal medical regime, especially in the presence of other major cardiovascular disease risk factors.

The patients for whom the bariatric surgery would be contraindicated are:

  1. Extreme body mass index less than 32.5 and greater than 65
  2. Extremes of age less than 18 years and more than 65 years
  3. Previous small bowel resection
  4. Previous multiple abdominal surgeries
  5. Inflammatory bowel disease
  6. Portal hypertension.


What are the different types of Bariatric surgery?

Bariatric surgery focuses on two types of surgery that involve restrictive procedures that diminish the intake of food and make you feel less hungry and the second one focuses on malabsorptive procedures where the absorption of the calories in the small intestine is reduced.


Some of the restrictive surgeries involve

  1. Roux-en-Y gastric bypass
  2. Laparoscopic gastric sleeve surgery
  3. Lap band surgery



Roux-en-Y Gastric Bypass

Roux-en–Y Gastric bypass is the most common procedure performed for weight loss in patients suffering from morbid obesity and uncontrolled diabetes. In this procedure the stomach is divided into two parts where the upper portion is left as a small pouch leaving the other half as a remnant pouch. After which, the small intestine is rearranged to connect to both of the halves.


Laparoscopic gastric sleeve surgery

Laparoscopic gastric sleeve surgery is a procedure where a surgeon measures a couple of ventures from the outlet of the stomach to the small intestine. The blood supply to the outer curvature is then divided. A sizing catheter that is less than one inch is passed down the oesophagus till the end of the stomach, a stapling device is then used to staple a long sizing catheter from the bottom to all the way to top. This results in a long narrow sleeve. The remaining portion is then removed from the abdomen.

The operation creates restriction of food intake by forming the narrow high pressure sleeve. There is no intestinal bypass with this operation allowing food and nutrition to be absorbed normally. 


Lap band surgery

A lap band is a soft silicon device wrapped around the upper portion of the stomach. The device is placed high on the stomach to leave a half ounce capacity stomach above the band. It is sutured in the position. The device is then connected by a tubing to a portal, the portal is secured to the abdomen wall muscle below the skin and in subcutaneous tissue by accessing the port by a specialized needle in the future, and fluid may be added or withdrawn to tighten or loosen the band around the stomach. The operation produces restriction of food intake by creating a small pouch on the upper stomach and is adjustable. 

You can find a  bariatric surgeon in Gurgaon, who offers different types of bariatric surgery to overcome your obesity and related problems.


Precautions to be taken after weight loss surgery

Patient who has undergone any type of Bariatric surgery, should consult a nutritionist and take necessary vitamins and minerals supplements as provided by your nutritionist. Some of the vitamins include vitamin C, Biotin, and Magnesium should be consumed every day. Drink plenty of water because it’s important to have water and stay hydrated. Eat protein containing food like protein shakes, nuts, dairy products, and well –cooked vegetables.


Cost of bariatric surgery in Gurgaon

Bariatric surgery cost in Gurgaon can range anywhere between 2- 3 lakhs, depending upon the type of hospital you are choosing, doctors expertise, and facilities provided by the hospital. Most of the private hospitals may charge higher rates for weight loss surgery, than the amount approved by the government. 

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