Weight Loss & Bariatric Surgery In IndiaWeight loss treatment of Indian hospitals lure a number of international patients to India. Obesity has become common all over the world. It is a condition where a person’s Body Mass Index or BMI is more than 30. It has become a global epidemic not only in developed nations, but also in developing nations so the number of patients is many. Obese people choose India as weight loss & bariatric surgery in India is economical so come within the budget of everyone. Obesity is rampant due to a number of reasons such as changed lifestyles, energy dense diets, minimum physical activity, environmental factors, heredity, psychological and cultural influences and many others. To get the procedure done, one can consider India as the cost is very low and successful rate is very high.Indian hospitals and research centers perform weight loss & bariatric surgical procedure by laparoscopic approach. With the latest procedures and skilled doctors, the procedure in India thus diminishes the hospital stay, minimizes pain and an early return to activity. Hospitals and research institutes in India are expert for carrying out minimally invasive weight loss surgery or laparoscopic weight loss surgery. They would create several small incisions to make ports rather than one large incision. It is also a cost effective and minimum time consuming process. People prefer minimally invasive weight loss surgery needs smaller incisions, less pain, shorter hospital stays and faster recovery than traditional open surgery.
Common weight loss treatment and obesity surgeries
- Weight-Loss Medications
- Bariatric Surgery
- Lap Banding
- Sleeve Gastrostomy
- Gastric Bypass Surgery for Obesity
Weight-Loss Medications in IndiaThere are a number of medications available in India, which are perfect for weight loss. To get the medications, one needs to consult doctors as they have experience in the field. The medications work as appetite suppressant, starch and fat blockers and fat burners. If you are looking for the medications, you should consult Indian healthcare service providers to get anti-obesity medications and diet pills. The medications are easily available at cost effective rates. The medications help regulate weight either by changing appetite, enhancing the rate of metabolism or inhibiting absorption from the digestive tract.
Bariatric SurgeryIf you are an obese, then you must need to remove the extra fat. One of the best treatments for obese is Bariatric surgery, which iseasily available at cost effective rates. An expert multi-disciplinary team of reputed Indian hospitals works towards solving a patient’s weight problems.The teams are well equipped with latest technology and resources in order to ensurethe best chances of weight loss success. A multidisciplinary team of doctors, dietician and psychiatrist is needed to help the patient lose weight and keep it off. International patients come to New Delhi in India as the cost of the treatment is minimal.
Gastroplasty surgery in IndiaGastroplasty surgery in Indiaby reputed hospitals and research institutions are cost effective. The healthcare service providers are well equipped with a tremendous staff of skilled and experienced surgeons and supporting staffs who are committed in providing the most advanced and compassionate in-patient and out-patient care.There is an increase in the Indian obese people looking for such procedures and also amongst patients coming for Medical Tourism from USA, Saudi Arabia, Nigeria, South Africa, Europe, Australia, etc. looking for a low cost option at International Standards.Apart from the low cost, pre and post-surgery care is also appreciated by Indian healthcare service providers.
Lap Banding Surgery in IndiaWith the availability of best bariatric surgeons and known hospitals and research centers, obese people can be sure of losing weight with safe and affordable lap banding surgery in India. There are a number of medical travel companies, including Viezec, helping people get the best treatment by top bariatric surgeons of accredited hospitals.Adjustable Gastric Banding or Lap Band is an FDA approved minimally invasive bariatric surgery to treat obesity. Indian doctors and supporting healthcare staffs are skilled enough to place the device.The procedure involves placing an inflatable silicone device or band around the top portion of the stomach, which diminishes the capacity of the stomach, leading to lesser food intake and thus promoting weight loss.
Sleeve Gastrostomy Surgery in IndiaOne of the best ways to reduce the extra fat and maintain the weight,Sleeve Gastrostomy surgery is the best option. The surgery entails removing of stomach upto 15% from its original size. Due to low cost and certified hospitals in India, people from the world consider India for the procedure. The hospitals and research institutionsin India are at par with western countries and are well equipped with best surgeons. Language is never a barrier here in India as translators are also easily available at cost effective rates. Healthcare Consultants in New Delhi, India, provide fully assistance to offshore patients in receiving the specific treatment at the hands of experts in the most renowned hospitals in India.
Gastric Bypass Surgery for ObesityOne of the most common weight loss surgery isGastric Bypass Surgery, which has two parts, including making a small pouch in the stomach and bypass. In the first procedure, a small pouch is created and thus eating less. And in the second procedure, the operation is performed to curb the absorption of calories and nutrients.Gastric bypass surgery for obesity in New Delhi is huge success in all over the world. The doctors, nurses and supporting staffs are trained and hospitals are well equipped with latest technology so that make the treatment easy and cost effective.
Getting assistance of healthcare consultantsViezec, a known and reputed healthcare consultant, makes India health care tourism easy and cost effective by providing all desired assistance to international as well as domestic patients. Our dedicated International Helpdesk assists international patients for all their medical, and travel and accommodation needs. We are experienced in the healthcare industry so know which hospital is perfect for which disease and thus we guide international patients to get the best treatment under the best doctors and hospitals. In order to easy the communication, we also provide translators to the visitors.
Gastric bypass and other weight loss surgeries are essentially designed to change the digestive system so as to help individuals lose weight by controlling how much one can eat and absorption of nutrients, or both via surgical intervention. These bariatric surgeries are typically sought after when diet and workout have failed to yield outcomes and the individual continues to have serious health complications because of weight gain. There are numerous types of weight loss surgeries and which are jointly known as bariatric surgery. Gastric bypass surgery is, however, one of the most common categories of bariatric surgery and countless surgeons usually prefer this weight loss process because of the fact that it has fewer complications when equated to other weight-loss surgery techniques. Nonetheless, all forms of weight-loss surgeries including gastric bypass are chief surgical interventions which can pose serious varieties of risks and side-effects. Furthermore, so as to ensure the long-standing success of bariatric processes, patients must be disposed to make perpetual healthy variations in diet and also get regular workout.
Causes of ObesityObesity is usually triggered by too much eating and moving far too little. When individuals consume high quantities of energy, predominantly sugars and fat and do not burn off enough via workout and physical activity, as a result, ample of this surplus energy will be stowed by the body as fat.
CaloriesThis is the energy value of food which is measured in units recognized as calories. Normal and physically active average menfolk need about 2,500 calories of energy per day with the intention of maintaining a healthy weight, while standard and physically active females need around 2,000 calories of energy each day. Although this quantity of calories might sound high, it is easy to reach when individuals take account of certain kinds of foods in their diet. Like for instance, big takeaway hamburger accompanied by French fries and milkshake along might total up to 1,500 calories, and this would just be a single meal. Another issue is that maximum obese individuals are not physically active, so that copious numbers of these calories wind up being stored within their bodies as fat.
Poor DietObesity cannot take place overnight. This condition steadily develops over time, occasioning from poor diet and lifestyle picks including the following:
- Eating Huge Amounts of Fast Food – This usually encompass consuming processed foodstuffs which are high in sugar and fats.
- Consuming excessive Alcohol – Since alcohol encompasses lots of calories, individuals who drink heavily are most often overweight.
- Eating Out enormously – Individuals are typically very much lured to have an appetizer or dessert in restaurants and which are usually much higher in fat and sugar.
- Eating big portions than what is required – Folks are commonly encouraged to eat excessively when they are with friends or relatives, and who are also eating huge portions as a sign of festivity.
- Consuming Excessive amounts of sugary drinks – These generally take account of consuming soft drinks and fruit juices.
- Comfort Eating – When individuals feel depressed or have low self-confidence, they typically take refuge in eating in an attempt to brighten up and feel much better.
Unhealthy eating habits also incline to run in families. Maximum obese subjects learn bad eating habits from parents when they were young and continue them right into maturity as well.
Dearth of Physical ActivityThis is another imperative factor which is meticulously related with obesity. Quite a lot of individuals have jobs which simply encompass sitting at a desk for the most part of the day. Furthermore, these individuals count on cars to travel, instead of cycling or walking. As a part of relaxation, obese individuals tend to watch TV, play computer games, surf the internet and seldom take out time for working out. Since they are not active enough, they do not devour the energy offered by the food they eat and the additional calories are consequently stored within the body as fat. It is suggested that adults implement at least 150 minutes of moderate-intensity aerobic activity like fast walking or cycling every week. This is not necessary to be put in one go, but can effectually be broken down into smaller periods. Like for instance, one can work out for 30 minutes each day for around 5 days every week. Individuals who are obese and trying to watch their weight might, however, need to work out more than the regime quantified above. Nonetheless, they might begin slowly and steadily build up to upsurge the amount of workout they put in every week. Some individuals also claim that it is impractical trying to lose weight since it is in the genes or runs in the family. Although there are some rare hereditary conditions which cause obesity like Prader-Willi syndrome, there is no reason with regard to why other individuals cannot lose weight. Though it might be true that certain congenital genetic traits from parents, like having a huge appetite, might make it problematic to lose weight, this certainly does not make it impossible to do so. Obesity in numerous cases has more to do with environmental aspects like poor habits of eating which were learned during childhood.
Medical ReasonsSome cases of obesity might have underlying medical disorders which contribute to weight gain. Some of these might take account of the following.
- Hypothyroidism: This disorder signifies an underactive thyroid gland which is not generating sufficient hormones.
- Cushing’s syndrome: This is a rare syndrome which causes overproduction of steroid hormones.
However, when these conditions are appropriately diagnosed and treated soon enough, they pose lesser barriers to weight loss programs. However, certain medicines including corticosteroids, medications for diabetes and epilepsy and some medications which are given to treat mental illnesses, including medicines for schizophrenia and antidepressants, can also contribute to weight gain. Furthermore, weight gain can also at times ensue as a side-effect of quitting smoking.
Classification of ObesityObesity essentially is a medical condition where additional fat has amassed to an extent that it generates an adverse effect on health. Body mass index (BMI) and relative weight are rational estimates of fitness as measured by the percentage of body fat. However, BMI will not be able to make up for extensive variation in the distribution of body fat and consequently might not be able to correspond to the same gradation of fatness or associated health risk in diverse persons and populations. Furthermore, there are other approaches of fat distribution which take account of body fat percentage and waist-hip ratio as well. Normal weight obesity is a disorder where a person is having normal body weight but a high percentage of body fat with the same expanse of health risk as obesity. The grouping system below computes the individual body mass index (BMI) and categorizes the patient as per standards laid down by the World Health Organization.
- Underweight: < 18.5 kg/sq.m
- Normal: 5 – 24.9 kg/sq.m
- Obese Class 1: 30 – 34.9 kg/sq.m
- Obese Class 2: 35 – 39.9 kg/sq.m
- Obese Class 3: > 40 kg/sq.m
BMI however, does not arrange for info about composition or distribution of weight and consequently cannot differentiate between bone, muscle and fat. Consequently, these limitations can cause the following issues.
- Overestimation of body fat amid patients gaining muscle and slack fat, but without any modification in weight.
- Underestimation of body fat amid older patients as lean body mass is steadily decreasing with age.
Underestimation of body fat among South AsiansCriteria for South Asian populations, as a result, are as the following.
- Normal BMI: 0 – 22.9 kg/sq.m
- Overweight:0 – 24.9 kg/sq.m
- Obese: > 25.0 kg/sq.m
Measurement of waist circumference, consequently, is a progressive measuring tool for trailing body shape change, predominantly when BMI is < 35 kg/sq.m
Good Candidates for Weight Loss SurgeryGastric bypass surgery is one of the most common categories of bariatric surgeries. This and other kinds of weight loss surgeries make surgical modifications to belly and the digestive system which limits the quantity of food an individual can eat and how much of the nutrients can be absorbed so as to result in weight loss. However, gastric bypass and other bariatric processes are not for everybody. They pose a substantial amount of health risks and side-effects. In addition, the long-standing success of bariatric surgery inexorably depends upon the patient’s aptitude to make perpetual lifestyle vicissitudes. Consequently, patients are required to undergo detailed evaluation so as to determine if they are appropriate contenders for weight loss surgeries.
Guidelines to Qualify for Bariatric SurgeryGastric bypass and other bariatric surgeries are chief life-changing surgical interventions. While this helps reduce the peril of weight-related health complications like sleep apnea, high blood pressure and Type 2 diabetes, they also pose key risks and difficulties. Bariatric surgery patients as a result need to meet certain medical strategies with the intention of qualifying for weight-loss surgeries. For this reason, bariatric surgery patients will necessitate going through a widespread screening process to qualify for weight loss surgical interventions. Gastric bypass and other kinds of weight-loss surgeries can be a choice for patients in the following conditions.
- All efforts for losing weight with diet and workout have proved futile.
- Extreme Obesity – Body mass index (BMI) is 40 or greater than that.
- Obesity – BMI is 35 – 39.9, and the patient is having serious weight-related health complications like severe sleep apnea, high blood pressure or Type 2 diabetes.
- In some of the cases, patients might also qualify for certain categories of weight-loss surgeries if their BMI is 30 – 34 and they are having serious weight-related health complications.
Evaluating Patients for Bariatric SurgeryEven when a patient meets the aforementioned general guidelines, he/she will still need to meet certain other medical guiding principle so as to qualify for weight-loss surgeries. Most likely, they will have to go through a widespread screening procedure to qualify for processes like gastric bypass surgery. The team of health specialists which consist of a surgeon, dietician, a doctor and psychologist will assess if gastric bypass surgery or any other kind of weight-loss surgery is suitable for the patient. This assessment process will usually determine if health benefits outweigh possibly serious risks ascending out of weight loss surgery. This assessment is also meant to determine if the patient is medically and psychologically prepared to undergo the planned bariatric surgery process. The health crew will contemplate the following factors while steering an evaluation for gastric bypass surgery.
- Nutrition and Weight History of Patient – The health crew will review the patient’s weight tendencies, eating habits, diet efforts, workout regimen, motivation, time restraints, stress level and other elements.
- Medical Condition – There are certain health complications which upsurge risks which are generally associated with surgical interventions like blood clots, kidney stones, heart problems, liver disease and nutritional deficiencies. The health team will evaluate medicines the patient is taking, quantity of alcohol they consume and whether they indulge in smoking. The patient will also have to go through an in-depth physical examination and laboratory tests. Outcomes of the laboratory tests and inspections will help determine a person’s suitability for bariatric surgery.
- Psychological Status – Certain mental health disorders can contribute to obesity or make it challenging for the patient to maintain health benefits resultant from bariatric surgeries. These take account of substance abuse, binge eating complaints, anxiety complaints, depression and problems which are related to sexual abuse during childhood. Although these do no avert a patient from going through bariatric surgery, the healthcare team might want to delay surgery so as to ensure that these conditions are suitably treated and managed well.
- Motivation – Health crew will also assess readiness and aptitude of the bariatric surgery patient to follow recommendations given by them and to be able to perform prescribed alterations in diet and routine workout.
- Age – Though there is no particular age limit for a patient to go through bariatric surgery, risks and complications from surgical interventions certainly upsurge as patients get older. However, weight-loss surgery remains controversial amid patients below the age of 18 years.
Pre-Surgery Requirements for Bariatric SurgeryWhen an individual is approved for bariatric surgery, the health care crew will provide him/her directions about how to prepare in the weeks or months before undergoing surgery. Common directives take account of restrictions eating and drinking practices and undergoing counseling for lifestyle modifications which can help them deal with drastic changes in diet and workout, quitting smoking and beginning an administered physical activity or a workout program. Furthermore, in some cases patients might be required to lose weight before undergoing gastric bypass surgery. Even after a gastric bypass surgery has been programmed, it can at times be postponed or annulled in case the health care team defines the following.
- The patient is not medically or psychologically ready to go through bariatric surgery.
- The patient has not made suitable deviations in eating or workout habits.
- The patient has gained weight during the evaluation process.
Are you apt for Gastric Bypass Surgery?Gastric bypass surgery is no miracle and is also not for everybody. Furthermore, undergoing gastric bypass or any other bariatric process does not in any way promise that the patient will lose all additional weight or that they will be able to keep it off in the long term. It is neither a way to sidestep making changes in diet and workout practices. In fact, patients can recoup the weight they lost with gastric bypass surgery if they do not persevere with changes with lifestyle. However, in case somebody still feels that gastric bypass surgery is correct for them, they should speak to a bariatric surgeon.
Types of Bariatric SurgeryBariatric surgery helps individuals lose weight and lessens risk of developing medical complications which are related with obesity. Bariatric surgeries are designed to contribute to weight loss in the following two ways and means.
- Restriction – This is a surgical intervention which is designed to bodily limit the quantity of food the belly can hold. Consequently, it will limit the number of calories an individual can devour.
- Malabsorption – This is a surgical intervention which is designed to abridge or bypass slices of the small intestine. This will finally decrease the quantity of calories and nutrients which the body can absorb.
Four Common Types of Bariatric Surgeries
- Roux-En-Y Gastric Bypass Surgery
- Laparoscopic Adjustable Gastric Banding
- Laparoscopic Gastric Sleeve Surgery
- Biliopancreatic Diversion with Duodenal Switch
Roux-En-Y Gastric Bypass SurgeryRoux-En-Y Gastric Bypass is acknowledged as RYGB in a nutshell. It is the gold standard for weight-loss surgery which works by constraining consumption of food and by diminishing absorption of nutrients. First of all, the food consumption is limited via a small pouch which is similar in size to the adjustable gastric band. Moreover, absorption of food within the digestive band is abridged by excluding maximum of the stomach, duodenum and upper intestine from contacting food by steering it straight from the pouch into the small intestine. This process is typically implemented laparoscopically and encompasses making 5 – 6 small incisions within stomach via which a small scope linked to a video camera is inserted accompanied by surgical tools for operating. Bariatric surgeons will then staple the top part of the belly so that it is disjointed from bottom with the purpose of creating a trifling stomach pouch. This small pouch is meant to confine consumption of food. Successively, a segment of the small intestine called jejunum is attached to the small belly pouch which will permit food to bypass lower belly and the duodenum. This bypass is meant to lessen the quantity of calories and nutrients which the body can absorb. This procedure is called mal absorption.
Advantages of Roux-En-Y Gastric Bypass Surgery
- Usual loss of weight following Roux-En-Y procedure is usually much higher when instructions are heartily followed, when equated to other restrictive procedures.
- Weight loss via this process averages 77 percent of the unwarranted body weight, a year after carrying out this surgical intervention.
- Studies divulge that about 50 – 60 percent of unwarranted body weight loss is maintained by some patients even after 10 – 14 years following this process.
- Study piloted over 500 patients revealed that 96 percent of some health disorders like depression, diabetes, high blood pressure, sleep apnea and back pain were principally improved or resolved after Roux-En-Y gastric bypass surgery.
Shortcomings of Roux-En-Y Gastric Bypass Surgery
- Since duodenum is bypassed in this process, it can lead to poor absorption of calcium and iron and can consequently causes lowering of body iron and which can ultimately lead to iron deficiency anemia. Metabolic bone disease is also found to befall in some patients who have gone through this process. However, this shortcoming can be managed via consumption of appropriate diet and vitamin supplements.
- Chronic anemia because of shortage of vitamin B12 might befall. This issue can also be effectually managed via injections or vitamin B12 pills.
- There is a condition called ‘dumping syndrome’ which can ensue because of speedy emptying of stomach contents into the small intestine. At times, this is triggered when huge quantities of food or excessive amounts of sugar are consumed.
- Roux-En-Y techniques efficiency might diminish in some cases when the stomach pouch is strained or when it is primarily left bigger by 15 – 30 cubic centimeters at the time of operation.
- Bypassed sections of the belly, duodenum and small intestine cannot be easily envisaged with endoscopy or x-ray in case glitches like bleeding, ulcers or malignancy befall.
Laparoscopic Adjustable Gastric BandingLaparoscopic adjustable gastric banding is another kind of bariatric surgery which is intended to help with weight loss. During this process, the bariatric surgeon will place a band around an upper part of the belly in an attempt to create a small pouch which can clench food. This band is doomed to limit the quantity of food which an individual can eat before he feels full after eating small amounts of food. Furthermore, doctors can also fine-tune the band after surgery in order to make food pass gently or rapidly via the stomach. Patients are typically given general anesthesia before undergoing this surgery. They will, consequently, be asleep during this process and will not feel any pain. Laparoscopic adjustable gastric banding surgery makes use of a miniature camera which is sited in the abdomen. This camera is acknowledged as a laparoscope and the operation is known as laparoscopy. It permits the bariatric surgeon look inside the patient’s abdomen.
- Bariatric surgeon will make 1 – 5 small surgical incisions in stomach for this process. Via these incisions, the bariatric surgeon will place a camera and surgical instruments which are necessary to carry out this operation.
- The doctor will now place a band around upper part of the belly separate it from the lower portion. This will form a small pouch with a narrow opening in an effort to which goes into a bigger lower portion of the belly.
- Laparoscopic adjustable gastric banding technique does not encompass any stapling or cutting inside the patient’s stomach.
- Bariatric surgeons will only take around 30 – 60 minutes of time for carrying out this process.
- The small stomach pouch will stock up rapidly when patients eat after undergoing this surgery. They will fill full only after eating trivial amounts of food. Food inside the trivial upper pouch will slowly empty into the key lower portion of the belly. However, this weight loss surgery might upsurge the risk of developing gallstones. In case this ensues, doctors might recommend a cholecystectomy procedure before or during laparoscopic adjustable gastric banding procedure.
Why to undergo Laparoscopic Adjustable Gastric Banding?This weight loss surgery is a choice for patients who are sternly obese and have been unable to lose weight via diet and workout. However, this is not a speedy fix arrangement for obesity and will encompass remarkable variations in lifestyle. Patients must also diet and workout after this process. Complications or poor weight loss might result in case patients fail to do so. Individuals undergoing this weight loss process must be mentally stable and not reliant upon illegitimate drugs or alcohol. Bariatric surgeons have recognized the following BMI (body mass index) measures to identify folks who are most likely to profit from this weight loss operation. While normal BMI is considered to be 18.5 – 25, this process is suggested for folks in the following category.
- BMI of 40 or more. This means that male patients are 100 pounds overweight and female patients are over 80 pounds their idyllic weight.
- BMI of 35 or more accompanied by a serious medical condition like heart disease, high blood pressure, Type 2 diabetes or sleep apnea and which might improve with this weight loss process.
Laparoscopic Gastric Sleeve SurgeryBariatric surgeons laparoscopic gastric sleeve surgery or laparoscopic sleeve gastrectomy by removing about 75 – 80 percent of the stomach. Many doctors and bariatric surgeons would like to use the term ‘sleeve gastrectomy’ while most patients prefer the familiar term ‘gastric sleeve’ which is far easier to remember. This, in fact, is the same operation which leaves the remaining stomach as a tubular pouch resembling a banana. Gastric sleeve surgery is a newer procedure which has gained popularity due to lower rates of complications and good results for weight loss. This reiterates the fact that over 40 percent of all bariatric surgeries performed in the United States were gastric sleeve surgeries.
Gastric Sleeve Surgical ProcessSleeve gastrectomy helps weight loss in numerous ways including the following.
- The newly designed belly pouch holds significantly less quantity of food than the normal belly did formerly. This ultimately helps in decreasing the quantity of food an individual can restfully eat in a single sitting. Furthermore, the food is also able to move much quicker in the newly developed belly pouch.
- There is a substantial level of effect on gut hormones as well which help patients feel less hungry and completer for long.
- Research has proven that sleeve gastrectomy is equally effective as Roux-En-Y gastric bypass process. Some advantages of this process take account of the following.
- Similar expanse of weight loss to Roux-En-Y gastric bypass surgery.
- Reversal of obesity-related health glitches are similar and consist of sleep apnea, fatty liver disease, high blood pressure and Type 2 diabetes.
- Impediment rates are lower than Roux-En-Y gastric bypass surgery.
- Estimated 1 – 2 days of hospital stay which are comparatively shorter.
- There are lower probabilities of nutrient shortage as well.
Biliopancreatic Diversion with Duodenal SwitchBiliopancreatic diversion factually changes the normal procedure encompassing digestion by making the belly much smaller and permitting food to bypass portions of the small intestine so that they absorb fewer calories. Because of the risks involved, this bariatric surgical intervention is only for individuals who are severely overweight and have not been able to efficiently lose weight with any other technique. Super obesity usually means individuals having body mass index (BMI) of 50 or even higher. Following biliopancreatic diversion surgery, patients would feel fuller much quicker than when it was in original size. This will ultimately decrease the amount of food the patient would want to eat. Furthermore, bypassing parts of intestine will also mean that the biliopancreatic diversion patient will absorb fewer calories and thus leading to weight loss. However, the superlative chance of losing weight after this process is to adopt healthy eating habits in conjunction with consistent physical activity. There are two multiplicities of Biliopancreatic diversion surgeries. One is the biliopancreatic diversion and the other is biliopancreatic diversion with duodenal switch. However, maximum bariatric surgeons will not carry out the duodenal switch process unless the patient is BMI 50 or higher (super obese) and this gigantic weight is instigating serious health complications. Portion of the belly is removed in this biliopancreatic process. The residual part of the belly is successively connected to lower portion of the small intestine. This is, in fact, a high-risk surgical intrusion which can also cause long-standing health complications since it makes it tough for the body to absorb food and nutrients. Furthermore, individuals undergoing this operation must also take mineral and vitamin supplements for the rest of their lives and which can prove to be additionally costly as well. A diverse portion of the belly is removed in the biliopancreatic diversion with duodenal switch process and the bariatric surgeon will leave the pylorus intact. Pylorus is the valve which controls food drainage from the belly. This is also a high-risk surgical intervention and can also cause long-standing health complications because of the fact that the body will now have a problematic time in absorbing food and nutrients. Furthermore, individuals undergoing this process will also be required to take mineral and vitamin supplements for the rest of their lives and which can also prove to be costly. Biliopancreatic diversion with duodenal switch is also recognized as Duodenal Switch surgery in short. These bariatric procedures can either be done via an open process encompassing a big cut within the stomach or by making smaller cuts and using smaller tools accompanied by a camera (laparoscope) to guide during surgery.
Expectations Following Biliopancreatic Diversion SurgeriesPatients will experience some pain in the belly and for which they will need to take medicines during the first week following surgical intervention. The incision site might also feel tender or painful. Since surgery will make the belly smaller, patients will feel full more speedily after eating. Food will also empty more speedily into the intestine. This activity is acknowledged as the dumping syndrome and which can at times cause diarrhea and make the patient feel shaky, pale and nauseated. This whole sequence of digestion can make it challenging for the body to absorb sufficient nutrition from food. However, the addition of a duodenal switch will efficiently decrease the risk of dumping syndrome. Biliopancreatic diversion patients will have to watch their activities during retrieval, contingent upon the kind of process they underwent, open or laparoscopic. Patients going through open surgery will need to evade lifting hefty weights or carry out strenuous workouts while they are recuperating so as to permit their belly to heal. Open surgery patients will return to normal routine or work within 4 – 6 weeks of time.
Eating Following Biliopancreatic Diversion SurgeriesBariatric surgeons will offer particular instructions as to what to eat following biliopancreatic diversion. The belly can only handle small amounts of soft food and liquids during healing for about the first month post-surgery. It is also imperative that patients aspire to sip water throughout the day so as to avoid getting dehydrated. Patients might also experience irregular bowel movements right after operation. Although this is common, patients must, however, try to circumvent constipation and straining with bowel movement after operation. Patients will steadily be able to add solid foods back into their diet. They must make it a point to chew prudently and to stop eating each time they feel full. This will often require some time to get used to since now they will be feeling full after eating much less than they used to do previously. When patients do not chew food well or do not stop munching when they feel full, they might feel nausea or discomposure or might even vomit at times. Patients drinking lots of high-calorie fluids like fruit juices or soda might not be able to lose weight after biliopancreatic diversion. Furthermore, the belly is also likely to stretch after unremitting overeating and thus disturb profiting from operation. It is that this surgical intervention confiscates portions of the intestine where minerals and vitamins are usually absorbed. Because of this fact, patients undergoing this process may have a shortage in vitamins or minerals like magnesium, calcium and iron. It is consequently moderately imperative to ensure that biliopancreatic diversion patients get satisfactory quantities of nutrients in everyday meals so as to prevent mineral and vitamin shortages via supplements. These patients will, thus, need to work with dieticians so as to develop a meal strategy.
Why to undergo Biliopancreatic Diversion with Duodenal SwitchBiliopancreatic diversion surgery with duodenal switch is only appropriate for individuals who are severely overweight and have also not been able to slim down with medication, diet of workout. Most bariatric surgeons will not implement duodenal switch unless the patient is severely obese with BMI 50 or higher and this unwarranted weight is triggering serious health problems.
Intragastric Balloon SurgeryOnce intragastric balloon is put in place, it is now packed with saline in order to partly fill the abdomen. This will ultimately help the patient feel less hungry and devour smaller portions of food so as to experience gratification they would have earlier experienced with a big meal. This balloon is introduced into the belly via the mouth and consequently does not necessitate the patient to go through surgery. Bariatric surgeons for this purpose will insert a gastroscope (endoscopic camera) into the belly. They will search for any aberrations and when none are found, the intragastric balloon is placed via the mouth down the esophagus into the belly. Then this balloon is filled with sterile saline solution via a trivial filling tube which is attached to the balloon. Following the filling process, the doctor will now take away the tube by gentle pulling at the outside end and which then leaves the balloon inside the belly. This process is routinely executed by qualified gastroenterologist’s accompanied by an anesthetist and trained nursing staff as an outpatient process. Placement of intragastric balloon takes just around 20 minutes following which the patient is scrutinized by the nursing staff in the retrieval room. As this is a simple outpatient process, patients are discharged within 2 hours after inclusion of the balloon into the belly.
Good contenders for Intragastric Balloon ProcedureEssentially designed to help weight loss amid individuals preferably having 10 – 30 kilograms of extra weight, minimum BMI for intragastric balloon process is BMI 27 and greater. This process is also used for folks who are inappropriate for other types of weight loss processes. Use of intragastric balloon can also help patients in decreasing weight before undergoing bariatric surgeries and by this means decrease risks which are allied with surgical interventions on overweight patients.
How Long Will Intragastric Balloon stay in bellyMaximum intragastric balloons can stay inside belly for a period of 6 months. In case the gastroenterologist vouches for further use of balloon, the prevailing balloon is required to be substituted by a new intragastric balloon whenever the 6-month period is finished.
What Ensues When Intragastric Balloons Spontaneously Deflate?Gastroenterologist’s generally place colored dye inside the intragastric balloon and which is acknowledged as Methlyene Blue. This is to help classify leakage or initial deflation as this will change the color of the patient’s urine to green. In case this happens, the patient must instantaneously inform the gastroenterologist and which then will be followed by amputation of the balloon.
How is Intragastric Balloon Removed?Intragastric balloons are taken out the same way as they were placed, via the esophagus and the mouth. An endoscopic camera is consequently used and the gastroenterologist will introduce a catheter via mouth into the belly. This balloon is then pierced and deflated before it can be seized and removed.
How much weight can a person lose with Intragastric Balloon Placement?It is very imperative for intragastric balloon patients to comprehend that this process is only a tool designed to help weight loss and must consequently be used in coordination with diet, workout and lifestyle adjustments. Quantity of weight which can be lost and maintained will however depend upon how thoroughly the patient follows diet constraints in conjunction with adopting lifestyle changes.
Advantages of Weight Loss SurgeryEfficiently combined with a comprehensive treatment plan, bariatric surgery can act as an efficacious tool for providing long-standing weight loss and ultimately help patients upsurge their quality of life. Bariatric surgeries have displayed to help resolve numerous obesity-related ailments like heart disease, high blood pressure, Type 2 diabetes, etc. Quite often bariatric surgery patients shedding weight find themselves taking lesser medications which they have been taking as treatment for obesity-related disorders. Substantial weight loss via bariatric surgery can also pave way for copious other opportunities for patients, their families and most significantly their individual health.
How Bariatric Surgeries work?Bariatric surgeries like gastric bypass, gastric sleeve and adjustable gastric banding, work by changing the anatomy of the belly and digestive system (gastrointestinal system) or by initiating diverse types of physiologic variations within the body in order to change the balance between energy and fat metabolism. Irrespective of the kind of bariatric surgery process the patient and the gastroenterologist’s decide as the superlative option, it is pretty imperative to bear in mind that bariatric surgery is usually just a tool. Success in attaining weight loss also depends upon several other facets like nutrition, workout, alterations in lifestyle and more. By modifying the gastrointestinal anatomy, certain bariatric processes also affect the manufacturing of intestinal hormones in ways which decrease hunger and appetite while simultaneously increasing feelings of satiety (completeness and gratification). The end result is meant to lessen the patient’s craving to eat and the frequency of eating. Fascinatingly, these surgically-altered modifications in hormones are in fact opposite to those manufactured by dietary weight loss programs. A closer look at the hormonal vicissitudes between dietary weight loss and bariatric surgeries are as cited below.
Bariatric Surgery and Hormonal ChangesHormonal changes which are found to befall following bariatric surgery tend to improve weight loss by maintaining or augmenting calories which are burnt (energy expenditure). In fact, some bariatric surgeries even upsurge the quantity of calories which are burnt with regard to the alterations in the size of the body. Consequently, unlike it is in dietary weight loss, bariatric surgery weight loss has higher probabilities of lasting is because of the reason that an apt balance of energy is produced and maintained.
Dieting and Hormonal ChangesDietary weight loss encompasses reducing energy expenditure to levels which are lower than they would be anticipated by loss of weight and modifications in composition of the body. This modification in energy which is unstable can often result in weight gain in future. Substantial loss of weight is usually related with numerous other alterations which happen within the body so as to help decrease shortcomings in metabolism of fats. Consequently, with upsurge in weight loss, patients will also find themselves engaging in more physical activity. Patients who find themselves on a weight loss drift most often engage in physical activities like swimming, biking, walking, etc. Moreover, upsurge in physical activity when pooled with weight loss often inclines to improve the aptitude of the body to burn fat and lead to a positive personal outlook accompanied by declining stress levels. Enormous loss of weight occasioning from bariatric surgery also inclines to lessen hormones like insulin which regulate sugar levels and cortisol stress hormones in order to improve production of numerous related factors which lessen uptake and storing of fat inside fat storage depots. Physical activity is also a tremendously imperative constituent in fighting obesity. Bariatric surgeries, consequently, improve several conditions including hormonal changes (biological actions) in order to reverse the headway of obesity. In fact, more than 90 percent of bariatric surgery patients are able to maintain long-standing weight loss of 50% unwarranted body weight or even more. Bariatric surgery can, thus, be a very advantageous tool, which can help obese patients break the rancorous weight-gain cycle; so as to improve patients and achieve long-term weight loss, in conjunction with improving the overall quality of physical health and life at large.
Long-term Weight Loss SuccessBariatric surgeries typically lead to efficacious long-standing weight loss. Countless studies have demonstrated that more than 90 percent folks who were formerly affected by severe obesity have been prosperous in maintaining about 50 percent or more of disproportionate weight loss following bariatric surgery treatments. Amid those who were affected by super severe obesity, more than 80 percent patients are able to uphold more than 50 percent of their disproportionate body weight loss.
Improved LongevityNumerous big illustrations of population studies have publicized that folks affected by severe obesity and have undergone bariatric surgery have lesser risk of death than individuals affected by obesity and have not undergone any kind of surgical intervention. One such study found that there was an 89 percent of greater decrease in mortality via a 5 year period of observation of persons having undergone bariatric surgery when equated to individuals who did not. Another such big population study that compares mortality rates of non-bariatric and bariatric patients found that more than 90 percent decrease in deaths which were related with diabetes and more than 50% decrease in deaths happening from heart disease. Mortality rates, 3 out of 1000 for bariatric surgery, are similar to that of gallbladder elimination and significantly less than that of hip replacement surgery. These remarkably low mortality rates related with bariatric surgeries are relatively noteworthy, considering the fact that maximum patients affected by severe obesity were in poor health conditions and were having at least one or more dangerous sicknesses at the time of operation. Consequently, in regard to mortality, advantages of bariatric surgery far overshadow the risks.
Improved or Resolution of Coexisting DiseasesRemarkably high reduction in mortality rates related with bariatric surgeries is also because of highly substantial improvements in ailments which are instigated or deteriorated by obesity. Bariatric surgeries are related with enormous weight loss and improvement, or in some circumstances even curative in obesity related co-morbidities for majority of patients. These co-morbidities usually include pseudotumor cerebri, urinary stress incontinence, fatty liver disease, venous stasis, gastroesophageal reflux disease, arthritis, lipid (cholesterol) abnormalities, obesity-related breathing complaints and more. Bariatric surgeries are also found to bring improvement and remission of Type 2 diabetes mellitus (T2DM). However, at one time, diabetes was usually considered to be a progressive and irrepressible syndrome.
Modifications in Psychological Status and Quality of Life with Bariatric SurgeryWeight-loss accomplished via bariatric surgery improves overall quality of life along with improvement in health and longevity. Positively affected methods of quality of life affected by bariatric surgery consist of sexual function, social communications, work, self-confidence and flexibility. Furthermore, singlehood is also considerably reduced, as is infirmity and unemployment. Moreover, nervousness and depression are also considerably abridged after undergoing bariatric surgery treatments.
Cost of Bariatric Surgery across the globeProfessionals across the world agree that obesity is fast becoming an international epidemic. However, specialists agree that obesity as such is not a condition but illness which can cause serious disorders. Millions of males and females across the globe are struggling with this ailment even after following strict diet routines accompanied by working out but are still inept to lose weight with paramount efforts. Weight Loss or Bariatric Surgery ultimately comes to the salvage of such individuals when everything else has failed. Furthermore, thanks to worldwide medical tourism, such folks can avail reasonable bariatric surgery techniques outside their home nation where undergoing these weight loss procedures are way beyond their budget. In addition to the low cost of weight loss surgery processes, it is needless to say that bariatric surgeons in India are amid the most qualified in the world and are highly trained. Healthcare sector in India also features several contemporary hospitals which are NABH and JCI accredited and fortified with forward-looking technology. Cost of bariatric surgery procedures in India are incredibly lesser that a global patient would have to pay for weight loss surgery in any western nation like the UK, France, Germany, Canada or even the United States.
Bariatric Surgery in UK, France and USAObesity rates are the maximum in UK within Europe and have intensely amplified over the past some years to a degree that virtually 20 percent of the population are now considered obese. Obesity in France is also snowballing and is quoted as a key health risk in recent years. Obesity cases in French kids are also growing at a quicker pace than obesity in adult populaces. WHO assesses that 23.9 percent of French population abode 18 years of age is clinically obese with BMI 30 or more. Obesity is pervasive within the United States and continues to be a principal public health apprehension. Moreover, severe obesity is a seriously increasing issue amid kids and teenagers, although considerable differences exist based upon demographics. Nonetheless, weight loss surgery is extensively predominant and available in these nations, but then it is so costly that it is beyond the reach of a cosmic majority of the populace. On an average cost of Bariatric Surgery procedures within the United States are given below:
- Gastric Bypass in USA – $25,000
- Lap Band in USA – $15,000
- Duodenal Switch in USA – $29,000
- Gastric Sleeve in USA – $19,000
Bariatric Surgery in TurkeyTurkey is another worthy place to avail low-cost weight loss surgery processes. Istanbul is also a hub of medical tourism since they are able to bid healthcare amenities at reasonable rates. However, it is another matter that bariatric surgery in India is far better and much reasonable than weight loss surgery techniques in Turkey. Furthermore, healthcare industry in India is posh with several NABH and JCI accredited specialty hospitals which are at par with the superlative in the world. When equated to internationally famous bariatric surgeons carrying out weight loss surgeries in India, Turkey would not be able to stand a second chance in any arena equated to the cost and quality of bariatric surgery in India.
Bariatric Surgery in Southeast AsiaAlthough Southeast Asian nations are experiencing some of the lowest rates of occurrence of overweight and obesity cases when equated with the rest of the world, the drift is changing in the recent years. Boom in economic development and cultural aspects are generally quoted as drivers. India and Vietnam are considered to have the lowest rates of obesity, while Malaysia is having the maximum with over 14 percent of the population. Obesity rates in oceanic nations like New Zealand are having 28.3 percent and Australia 26.8 percent. Thailand and Malaysia offer objectively good qualities of bariatric surgery processes and weight loss treatments for international patients at relatively affordable prices and so as to boost medical tourism Malaysian law dictates that foreign patients should be offered bariatric processes at the same rates as the local Malaysians.Obstructive Sleep Apnea
- Gastric Bypass in Thailand – $11,000
- Lap Band in Thailand – $12,000
- Duodenal Switch in Thailand – $15,000
- Gastric Sleeve in Thailand – $11,000
Bariatric Surgery in South AmericaBariatric surgeons in South America are exclusive in their community of surgeons. They normally enjoy independence in clinical verdict to an enormous extent. However, there are several benefits and shortcomings of undergoing bariatric surgery processes in developing nations. The shortcoming of freedom in verdict is that ambitious and unprincipled bariatric surgeons might severely damage obese patients by trying processes for which they have not been skilled or licensed. Aggressive gastric sleeve surgery which is poorly implemented can also result in stricture and chronic leak. Furthermore, bariatric surgery in this part of the world has inactive support from the healthcare sector. Owing to this factor, bariatric surgeons often have to persuade patients on the effectiveness and safety of the process and even counter negative references of primary physicians. These emergent economies also take poorly to bariatric surgery complications and which might be extremely challenging situation for global patients. Reliability of the bariatric surgeon is often under doubt and in some cases mob violence resulting in injury to surgeons and mutilation to hospitals have also happened together with lawsuits.
- Gastric Bypass in Costa Rica – $13,000
- Lap Band in Costa Rica – $9,000
- Duodenal Switch un Costa Rica – $13,500
- Gastric Sleeve in Costa Rica – $10,000
- Gastric Bypass in Mexico – $8,800
- Lap Band in Mexico – $7,500
- Duodenal Switch in Mexico – $14,000
- Gastric Sleeve in Mexico – $8,200
Affordable Bariatric Surgery in IndiaIn addition to high quality of weight loss surgery processes implemented by highly trained and internationally recognized bariatric surgeons, low cost of treatments is the key driving factor. Cost of bariatric surgery in India is in fact just a fraction of what a similar process would cost in the United States. Maximum weight loss processes in India would virtually cost one-thirds or even lesser of a correspondent weight loss surgical process in the United States with results at par with the best in the world. Like for instance, average cost of sleeve gastrectomy in the United States costing $19,000 there would just cost about $6,500 in India.
- Gastric Bypass in India – $7,000
- Lap Band in India – $6,000
- Duodenal Switch in India – $11,500
- Gastric Sleeve in India – $6,500
Best Surgeons for Bariatric Surgery
Mufazzal LakdawalaExtensively acknowledged as an international authority in bariatric surgery, Dr. Mufazzal Lakdawala got Masters in Surgery from Mumbai University before moving on to advanced training in Minimal Invasive Surgery from Seoul, South Korea. After this, he joined the Cleveland Clinic in United States. He has conducted numerous teaching courses at Saifee Hospital for local and global group of surgeons. He is the chairman of Position Statement Committee for International Federation for Surgery of Obesity and Metabolic Disorders (IFSO) and is on board of Asian Endosurgery Task Force. He is also the founder and Director of CODS India and is referred to as one of the most identifiable faces in bariatric and advanced laparoscopic techniques. He has done years of revolutionary work in the arena of gastrointestinal diseases and has brought great levels of skill to his practice. He has implemented the biggest number of SILS (Single Incision Laparoscopic Surgery) processes in the world with high success rates. He set up CODS in 2004, with a purpose of offering topnotch obesity solutions to patients under one roof, and has grown leaps and bounds since these years. Dr. Mufazzal Lakdawala is recurrently called upon by leading institutions across the globe to teach and implement live demonstrations of bariatric and laparoscopic surgeries.
Ramen GoelDr. Ramen Goel is an exceedingly trained gastrointestinal surgeon who is among the forerunners of bariatric surgery in India. Having expended 6 months in Austria for postgraduate at the University of Vienna, he began practicing laparoscopic surgery in Mumbai and was selected at Grant Medical College and JJ Group of Hospitals in 1993. He has been conferred the Fellow of Surgery by International College of Surgeons, Chicago, USA. He has attended bariatric surgeries with Dr. V Frering at Lyon and Dr. Michel Suter at Lausanne and did his first gastric band surgery in the year 2000. As of now, he has executed thousands of all categories of accepted bariatric processes. He has presented his works at international conferences of IFSO, IASO and ASMBS at numerous venues including Delhi, Las Vegas, Rustsu, New York, Dallas, San Diego, Geneva, Sydney and Crete. He has attended bariatric surgeries of Dr. Mal Fobi at Los Angeles and also finished preceptor program of ASMBS. He is faculty in all yearly meetings of Obesity Surgery Society of India since its commencement. He has attended surgeries of Dr. Aureo de Paula, who is a forerunner in Ileal Transposition Surgery for thin diabetics. He is also the first Indian surgeon elected as Surgeon of Excellence by Surgical Review Corporation, United States, which is an accreditation recognizing volume and results of surgical programs globally. He has improved sleeve gastrectomy technique so as to sidestep potential complications to include omentopexy, over-sewing and usage of fibrin sealant and reinforcement material in particular patients. This is to warrant reduction in major complication rates while encouraging smooth post-operation retrieval. In acknowledgement for this, he was conferred Honorary Fellowship in Advanced Bariatric Surgery by the Indian Association of Gastrointestinal Endo Surgeons (IAGES). Ongoing his quest, he has attended the children and adolescent bariatric surgery training program at Cincinnati and voyaged to Buffalo to get trained in robotic application in bariatric surgeries and started the first da Vinci robotic facility at Mumbai. He has also pioneered the Mini-Lap bariatric surgery conception where 5 – 12 mm instruments were ultimately substituted by 3 mm instruments in an attempt to ensure that safety of surgery is not compromised. He is on the National Advisory Board of Ethicon En do-Surgery (EISE) and bariatric faculty at Center of Excellence in Minimal Access Surgery Training (CEMAST). As an authority on the subject, he has presented numerous papers and has a flourishing general surgical practice concentrated on bariatric and metabolic surgeries. He spares amplified time to consult and to follow-up patients and to operate for securer outcomes. He has executed above 250 bariatric surgeries since 2013 and which makes him one of the most high volume bariatric surgery performing surgeons in the country.
Sanjay BorudeDr. Sanjay Borude is a senior consultant and obesity surgeon who started his practice in the year 1989 as a general surgeon. Currently, he is solely practicing bariatric surgery and has specialized in Gastric Bypass and Lap-Band surgeries. One of the revolutionary surgeons in India, he has the honor of learning obesity surgery at well-known centers in Spain and Belgium. He is also the receiver of numerous tributes and awards for the work he has done in the arena of laparoscopic bariatric surgery. Currently, he is working with Wockhardt Hospitals and brings along a gigantic experience of carrying out more than 180 obesity surgery processes. He is also aiding as a professor in Obesity Surgery at College of Physician and Surgeons at Mumbai, India.
S.S. SagguBased in New Delhi, Dr. Sukhvinder Singh Saggu is one of the most esteemed and trained laparoscopic bariatric surgeons in the nation. Over the past decade, he has made a niche for himself in the arena of laparoscopic processes for weight loss surgeries. He was awarded the most popular bariatric surgeon and the doctor of the year in laparoscopy and bariatric surgery grouping in the national capital in 2015. He delivers exceptional and extraordinary obesity care and treatment approaches accompanied by overall health maintenance methods. He comprehends that treating an obese patient is not sufficient and that the doctor must also support the patient in maintaining weight loss and avert reappearance of weight gain and allied issues. Having graduated from the prestigious SMS Medical College in Jaipur, he finished post-graduation in General Surgery from Medical College in Amritsar before starting his career at MCD Hospital in New Delhi. He has continually sought new boulevards and courses to update and stay well-informed on evolving technology and modifications in the field of medicine. Consequently, he finished a minimal access skill course in laparoscopic and gastrointestinal surgery from All India Institute of Medical Sciences in New Delhi. He is now a renowned figure in the Indian healthcare industry and is considered a professional in bariatric surgery processes. Over the previous 10 years, he has been connected with some of the best hospitals in the nation. He has served at the Asian Institute of Gastroenterology Surgery at Ahmadabad as a fellow surgeon and from where attained bariatric and advanced laparoscopic gastrointestinal surgical abilities. He has also attended Advanced Laparoscopic Bariatric Surgery course from AZ Saint John Hospital in Belgium under the leadership of Dr. Bruno Dillemans and assisted as Fellow, Gastric Surgery at International College of Surgeons in Chicago, USA. As of now, he is a top obesity, bariatric surgery and laparoscopy counselor in numerous hospitals in Delhi and is a much pursued name within the healthcare industry and is exceedingly appreciated amid his peers. His abilities, widespread knowledge and humility combined add to his overall persona.
Randeep WadhwanDr. Randeep Wadhwan is currently the director and head of the Department of Minimal Access Bariatric and Metabolic Surgery and Gastrointestinal Surgery at Fortis Hospital, New Delhi, India. With more than 21 years of proficiency in Minimally Invasive Surgery, Gastrointestinal Surgery, Bariatric Surgery and Metabolic Surgery for Type 2 Diabetes, Dr. Wadhwan is a principal laparoscopic surgeon who has undergone all-encompassing training and practice. He puts forth a strong line of authorizations as a practicing laparoscopic surgeon and also as an academic. As of now, he has implemented over 30,000 laparoscopic operations and his expanses of proficiency and practice consist of laparoscopic bariatric surgeries, advanced laparoscopic and complex gastrointestinal surgeries, laparoscopy in pediatric patients and laparoscopic urology cases. His work with Fortis Hospital is allied with operating patients from all across the globe coming for advanced laparoscopic processes, laparoscopic bariatric surgeries including robotic surgeries. Some of the nations from where patients are frequently visiting his department for aforementioned processes include Germany, Canada, UK, United States and from African nations like Congo, South Africa, Ghana, Tanzania, Rwanda, Kenya and Nigeria. Other nations from where he repeatedly accepts patients include New Zealand, Australia, Oman, Kuwait, Dubai, Iraq and SAARC countries. Previous positions where he had worked earlier before joining Fortis Group of Hospitals consist of R.G. Stone Urological and Laparoscopic Research Institute and Sir Ganga Ram Hospital in New Delhi, India. During this term, he has attained training in laparoscopic surgery from principal laparoscopic surgeon in the country and where he self-sufficiently implemented endo-urological procedures and keenly assisted in renal transplantation surgery including carrying out donor nephrectomies. He was also keenly involved in teaching programs of DNB surgery students including bedside clinics, specialty clinics, seminars and journal clubs. His degrees and fellowships are:
- MBBS, MS, FIAGES, FMAS, FAIS, FICS (USA)
- FICS – Fellowship of International College of Surgeons, Chicago, USA
- FAIS – Fellowship of Association of Surgeons of India
- FIAGES – Fellowship of Indian Association of Gastrointestinal Endosurgeons
- MS – Masters in General Surgery 1919 – 1994
- MBBS – Bachelor of Medicine and Bachelor of Surgery 1984 – 1990
On top of these, Dr. Randeep Wadhwan has far-reaching academic accomplishments and teaching experience. He has numerous national and international publications as well to his credit in internationally indexed periodicals. He is habitually invited to numerous operative faculties at several conferences and workshops for demo of advanced laparoscopic processes including laparoscopic bariatric surgeries. He has also presented over 100 papers on advanced laparoscopic techniques, laparoscopic gastrointestinal and laparoscopic bariatric surgeries in national and international conferences and maintains effect in the international community of laparoscopic surgeons. His proficiency can be recognized from the fact that he is well conversant in using daVinci Xi Robot for carrying out numerous robotic bariatric surgeries.
Hospitals for Bariatric Surgery
Fortis HospitalFortis hospital is a top healthcare service provider in India. Healthcare verticals offered by this premier facility primarily include hospitals, diagnostics and day care specialties. Fortis Healthcare presently operates 54 medical facilities with 10,000 beds and 314 diagnostic centers in Sri Lanka, Mauritius, Dubai, and India. The flagship Fortis Memorial Research Institute (FMRI) was graded No.2 in a global study of 30 most advanced hospital facility across the globe and placed ahead of numerous other outstanding healthcare institutions in the world. Bariatric and Metabolic Surgery department of this healthcare organization specializes in laparoscopic methodologies, advancements in surgical methods and is geared up in order to help and improve or resolve countless obesity-related illnesses like heart disease, Type 2 diabetes, GERD, sleep apnea, high cholesterol, high blood pressure, joint problems and certain cancers. Patients undergoing bariatric surgery processes at Fortis Hospitals averagely are well known to maintain 50 percent of their disproportionate weight loss five years after operation.
Wockhardt HospitalsIncreasing a 40-year tradition of caring and innovation fostered by the organization, Wockhardt Hospitals is the 5th biggest pharmaceutical and healthcare company showcasing facilities in 20 odd nations across the globe. Wockhardt Hospitals maintain a sturdy presence in western portions of India with hospitals in Surat, Goa, Rajkot, Nasik, Mumbai, and Nagpur. These super-specialties satisfy needs of the community in preferred fields which embrace aesthetics, urology, neurology, gastroenterology, orthopedics, cardiology and laparoscopic bariatric surgery. Featuring state-or-the-art multidisciplinary competences together with first-rate infrastructure and technology, Wockhardt Hospitals, in fact, enhance quality of life of each patient in a cautiously fostered milieu with great respect for human dignity and life. Nationally accredited to follow the most stern quality standards, Wockhardt Hospitals have a quality driven methodology starting from patient registration, admission, pre and post-surgery measures, discharge from hospital and right up to follow-up evaluation checks post-discharge. Wockhardt group of hospitals are a favored destination for patients coming from numerous nations across the globe including South Asia, Africa, Middle-East Asia, Europe and the Unite States of America. Maximum of the doctors and surgeons allied with Wockhardt Hospitals in India have undergone all-encompassing training and work experience at some of the finest medical institutions in advanced nations of Europe and United States. Wockhardt is determined for setting best standards of service by unremittingly endeavoring to improve performance and surpassing expectations of patients. They categorically believe in building and upholding a long-standing link with patients so as to become a vital resource for their well-being. Departments of bariatric care at Wockhardt Hospitals offer the newest and most advanced leading-edge diagnostic and surgical solutions to obesity and issues which are related with obesity. This department is well functioned by skillful and veteran team of clinicians and bariatric surgeons who favor using minimally invasive laparoscopic or robotic methods for treatment.
Apollo Spectra HospitalsApollo Group of Hospitals is an incorporated healthcare organization in India with an ultramodern vision. In the last 30 years of its existence, Apollo Group has efficaciously catalyzed private healthcare revolution within the nation. Along the journey, Apollo Group has touched and supplemented 42 million lives from 120 nations by improving their quality of life. Existence of this primary healthcare facility incorporates over 10,000 beds across 64 hospitals around the world together with 15 academic institutions and a research foundation dedicated on stem cell and genetic research, epidemiological studies and clinical trials. Apollo Group is conscious of the accountability it bears and endures to break new ground in embracing the newest technologies now and again. Unique feature of Apollo Spectra specialty hospital is that it gives patients the benefit of expert and quality healthcare accompanied by benefits of being a big hospital while being kindlier and more reachable simultaneously. Apollo Spectra is having 10 centers across seven Indian metropolises including Pune, Mumbai, Jaipur, Kanpur, Delhi, Chennai and Bengaluru. Communally, these facilities have implemented over 50,000 successful surgical interventions with admirable clinical results. There are above 700 top doctors serving Apollo Spectra Hospitals which continue to set newfangled standards within the Indian healthcare services. In fact, each of this healthcare facility is an astonishing place where superlative infrastructure, advanced technologies and the best of doctors resourcefully gather together to deliver the most advantageous personalized care in order to enable quicker retrieval with virtually near-zero risk of infection. Furthermore, Apollo Spectra Hospitals abide by the policy of easy admission and discharge so as to warrant an annoyance-free experience for all patients. This is the reason why, not just native patients, but universal patients across countless nations place their trust in this leading healthcare institution. All Apollo Spectra Hospitals maintain a bariatric surgery department which is dedicated to treating circumstances of severe obesity for patients from all over the globe. Adapting the finest and the cutting-edge laparoscopic surgical techniques, the Apollo Spectra offers superb surgical options for particularly overweight individuals to undergo weight loss process in a warm and comfy atmosphere.
CODS – Centre for Obesity and Digestive SurgeryCentre for Obesity and Digestive Surgery is situated in the financial capital of Mumbai, in western India. CODS offer admirable solutions for patients suffering from all kinds of gastrointestinal ailments. Since its foundation in 2004, CODS has facilitated thousands of obese patients return to normal life with usage of holistic care and pioneering technology. This leading obesity specialty center is the vision of Priyanka Kaul Lakdawala and Dr. Muffazal Lakdawala who is one of the most renowned names in bariatric healthcare. As of now, CODS is acknowledged as Asia’s best center for undergoing GI surgeries implemented laparoscopically via SILS (Single Incision Laparoscopic Surgery). CODS aims to give a pleasing experience for every patient, by not just meeting their anticipations, but even going beyond them. Bunch of services offered at CODS is a testimony to their commitment to offer holistic experience to each and every patient. These amenities are specifically designed to cater to numerous requirements of the patient and to help them experience a level of ease which is tough to happen upon. This is the reason CODS still continues to be the principal light in bariatric healthcare and have officially been elected as the Centre of Excellence for the standards they set. Set on building upon these accomplishments, CODS keeps pushing their boundaries of service to matchless levels of fineness in healthcare.
Max HealthcareFeaturing 2600 beds within 13 top hospital facilities situated in Delhi-NCR, Uttarakhand and Punjab, Max Hospitals endeavor to be respected healthcare facilities offering first-rate patient care via outstanding medical procedures and healthcare services. Max Healthcare facilities employ 2300 world-class doctors and 500 ICU beds to handle a variety of emergencies. Max Healthcare is one of the finest groups of hospitals in the nation fortified with the most progressive technology accompanied by high-tech infrastructure. Conforming to statutory regulations, Max Healthcare comprehends that knowledge of clinicians and employees basically necessitates recurrent improvement. Maximum Max Healthcare hospitals are maintaining devoted departments for bariatric surgery processes for national and international obese patients looking for an assortment of weight loss processes in order to overcome their issues with excessive weight and diseases linked to overweight conditions.
Max Healthcare Hospitals Network
- Max Super Specialty Hospital at Saket
- Max Smart Super Specialty Hospital at Saket
- Max Super Specialty Hospital at Shalimar Bagh
- Max Super Specialty Hospital at Patparganj
- Max Super Specialty Hospital at Vaishali
- Max Super Specialty Hospital at Bhatinda
- Max Super Specialty Hospital at Mohali
- Max Super Specialty Hospital at Dehradun
FAQs about Weight Loss Bariatric SurgeriesResearch consistently supports advantages of bariatric weight-loss surgery, particularly for those with BMI 35 – 39.9 with obesity-related health disorders like osteoarthritis, high blood pressure, obstructive sleep apnea, type 2 diabetes and numerous other obesity-related conditions. These patients can be best contenders for bariatric weight loss processes when they meet the following criteria.
- Having more than 100 extra lbs. over supreme body weight.
- Having BMI (body mass index) over 40.
- Having BMI over 35 and experiencing severe negative health effects like diabetes, high blood pressure which is connected to being sternly overweight.
- When the patient is inept to attain healthy body weight for a continual period of time even after medically administered dieting programs.
Why Should Somebody Contemplate Undergoing Bariatric Surgery?Obesity as such is detrimental to health. Furthermore, for individuals who are 40 percent overweight, it is twice as more likely that they might die a premature death, than average-weight individuals. This effect is generally seen after an individual has been obese for a period of 10 – 30 years. Obesity is a risk factor for some life-threatening health disorders, including the following.
- Hypertension i.e. High Blood Pressure
- Heart disease
- Obstructive Sleep Apnea
However, studies have revealed that risk of demise from these disorders can also return to normal after weight loss. Within the first 6 months after undergoing bariatric weight-loss surgery, patients might no longer be required to consume medicines for these disorders. Moreover, females who were earlier struggling with infertility before undergoing bariatric surgery will find that conception is now promising after operation.
What is the Retrieval Time after Weight Loss Surgery?Following a fruitful bariatric surgery treatment, maximum patients recuperate from surgery somewhat speedily and without any complications. Average hospital stays for patients who have gone through Roux-En-Y gastric bypass process is generally between 2 – 4 days. Normally, patients who have undergone laparoscopic gastric banding process stay at the hospital only for one or two days.
What is my Ideal Body Weight?As per the guidelines set out by body mass index scale, it suggests a BMI of 18.5 – 24.9 as usually idyllic body weight. Using the BMI calculator, individuals can find out their present BMI and ideal BMI.
Is there any support from the surgeon and operative staff after Weight Loss Surgery?Yes, gastroenterologist’s and the gastric bypass surgery healthcare squad usually guide patients after each process. Regular follow-up visits are also programmed during the first year following bariatric surgery processes and to check overall physical and mental health including metabolism and nutritional status.
How Much Weight Loss can be expected from Weight Loss Surgery?Maximum bariatric surgery patients lose between 66-80 percent of excessive body weight and maximum of this is lost between 18-24 months after surgical intervention for weight loss.
What are the dietary restrictions after Weight Loss Surgery?Patients will need to follow particular eating advice’s offered to them following bariatric surgery process. Dieticians also work straightaway with bariatric surgery patients in order to help them plan healthy and suitable meals. Moreover, patients are also required to stop smoking and to discontinue usage of NSAIDs medicines.
Is it Possible to Gain Back Weight Following Weight Loss Surgery?Bariatric surgery processes are having an excellent long-term proven record of helping morbidly obese patients lose excessive weight. However, there can be no guarantees with any weight loss method, including surgery. Success is possible only when the patient is dedicated to making changes in diet and lifestyle for the rest of his/her life.
What are the risks of Bariatric Surgery?Like all surgical intrusions, bariatric surgery also has characteristic risks, predominantly when the patient is morbidly obese. Furthermore, diverse procedures have diverse risks which depend upon individual situations and which might be sometimes higher or lower than average. It is also significant for patients to comprehend that those bariatric surgeons with more experience in carrying out these weight loss surgical processes report fewer complications. Prospective dangers of surgical interventions should, thus, be discussed with bariatric surgeons so as to make well-versed decisions.
Is Bariatric Surgery Reversible?Yes, gastric bypass surgery is possibly reversible and so is laparoscopic gastric banding via a minimally invasive method. However, reversals encompass another operation of the same degree or even greater, accompanied by same or bigger amount of risks involved.
What if I Need a Revision Weight Loss Surgery?Bariatric weight loss surgery is not a magic shot. While maximum patients have efficacious results and are contented with their weight loss surgery, there are illustrations where revision weight loss surgery was also needed. Regardless of whether reasons for seeking revision weight loss surgery are because of medical complications, unsettled co-morbidities and/or insufficient weight loss or weight regain, it is possible that an amendment solution can be found for these complications.
Bariatric Surgery Revision ProceduresIrrespective of preceding surgery, revision bariatric surgical interventions are a perplexing chore for gastroenterologist’s. This necessitates sufficient proficiency for accomplishing the anticipated outcomes. Revision bariatric processes also encompass multi-disciplinary crew and equipment for managing patients necessitating revision of their weight loss process. It is thus highly suggested that bariatric patients necessitating gastric bypass revision or any other kind of bariatric revision surgery should find a bariatric center having sufficient experience with revision bariatric surgical interventions.
Weight Loss Surgery in IndiaObesity is generally considered a medical condition when BMI or Body Mass Index, calculated by dividing height by weight, is more than 30. This is now becoming a global epidemic, not only in advanced developed countries but also in developing countries like India. With morbid obesity affecting about 5 percent of the population, obesity nowadays is also a huge issue in India as well. Several departments and clinics devoted to bariatric surgery have sprung up in the country performing numerous types of weight loss surgeries, including revision surgeries with success rates at par with global standards. Nevertheless, morbid obesity within the population has led to achievement of better outcomes and improved quality of life for numerous obese patients, not just local but international patients as well. Moreover, second-generation single-incision laparoscopic procedures along with robotic surgical options have put India right among advanced bariatric center catering to a global clientele. Weight loss or bariatric surgery includes a wide spectrum of combination of procedures performed upon people having morbid obesity. In this context, weight loss is generally achieved by reducing size of stomach with gastric banding or by removing portions of stomach through procedures like sleeve gastrectomy or biliopancreatic diversion with duodenal switch. Other procedures commonly involved in achieving weight loss include resecting and re-r outing small intestine through gastric bypass surgery.
Why Choose Viezec for Weight Loss Surgery?Bariatric surgery is not liposuction and vice versa. Liposuction is elimination of fat from diverse portions of the body. It is virginally cosmetic targeting to create an eye-catching body line. Morbid or severe obesity causes numerous diverse health jeopardies. The aim of bariatric surgery is not just losing weight, but more prominently, improving health and quality of life including lifespan as well. Bariatric surgery is intended to accomplish these objectives by application of numerous surgical interventions on belly and small intestine. These bariatric operations also create imperative hormonal changes which dramatically decrease appetite and rectify obesity-related medical disorders. Viezec is a globally reputable one-stop solution for all your healthcare complications including bariatric surgery for obesity. Related with top gastroenterologist and the best recognized multi specialty hospitals and obesity clinics in the nation, Viezec is here to offer all that a global patient would search for to go through affordable medical services in an overseas land. In fact, seamless array of vital services offered by Viezec start with the first telephonic conversation with the patient and set off to pinpoint the best surgeon and idyllic hospital for treatment. Other Viezec services to follow take account of helping in attaining medical visas for the patient and his/her assistant, warm welcome at the airport when the patient arrives for treatment, convenient local travel arrangements, comfy stay at budget, luxury hotels or tuned apartments near the treatment facility, programmed appointments with doctors and surgeons for diagnostic tests and surgical processes without any waiting period, choice for exotic recuperative outings at evenhanded costs, follow-up assessment checks for prompt retrieval and a friendly farewell when the patient is heading back home after a prosperous aftermath.
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