Bariatric Surgery

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  • Speciality |
  • Bariatric Surgery |
  • Bariatric Surgery in Mumbai, India | Weight loss Surgery Mumbai
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Overview

Obesity is the excessive accumulation of fat that exceeds the body's skeletal and physical standards.. It is essential for those suffering from obesity to seek professional medical assistance. The best bariatric surgeon in Mumbai can provide effective weight-loss solutions and assist patients in achieving a healthy lifestyle. The National Institute of Health (NIH) states that excessive weight becomes a health hazard when it is 20 percent or more above the ideal body weight. Patients with serious health risks are susceptible to serious diseases like heart disease, respiratory diseases, or even infertility. It can result in either a significant physical disability or even death.

Causes of obesity

 

Obesity can be caused due to various reasons like changing lifestyles, energy-dense diets, low levels of physical activity, environmental factors, heredity, psychological and cultural influences, and many others. Overeating and insufficient exercise are the two main contributors to obesity. If you ingest a lot of calories, especially fat and sugar, but don't expend them through physical activity, the body will store a large portion of the excess calories as fat. Make sure to give visit to the top obesity doctor in Mumbai to make changes in your diet.

 

  • Heredity: Genes may increase vulnerability to obesity.
  •  Metabolic factors:Obesity is directly linked to a slow metabolism or reduced metabolic activity.
  • Endocrinological factors:This is a rare occurrence and contributes to less than 1% of all weight gain in the world.
  •  Hypothyroidism:Hypogonadism in men and polycystic ovarian syndrome in women is closely associated with obesity.
  • Medication: Certain drugs may contribute to weight gains, such as corticosteroids, sulfonylureas for diabetes, steroidal contraceptives, and anticonvulsants such as valproate used in epileptic therapy. Antipsychotics, antidepressants, and mood stabilizers like lithium are medicines that have weight gain as a side effect.
  •  Psychological factors: Though psychological factors play a minor role in the development of obesity, they are important in relation to responses to treatment. For example, many patients reduce depressive symptoms by eating. These people may gain weight with one episode of depression and increase it with the next. Further, concepts of dietary restraints, body image dissatisfaction, and binge eating disorders have been intimately linked to the increase in obesity.
  • Dietary factors: An increase in caloric intake, changes in lifestyle, food systems, and increased portion sizes, eating out frequently also leads to increased calorie intake as one meal served in restaurants and fast food outlets exceed a person's caloric needs for the entire day.

 

Health risk due to obesity

 

If you are having obesity there are various health risk. These are the following

 

  • Mortality

Research shows that excessive body weight is linked to overall health and susceptibility to chronic ailments. It has been proven that a BMI beyond 30 kg/m2, increases the risk of cardiovascular death, heart attack, and diabetes, even after adjusting for age, smoking, social class, alcohol consumption, and physical activity. Studies show that non-smoking overweight men and women lose 3.1 and 3.3 years of life respectively, as compared to normal-weight non-smokers. Those suffering from obesity can seek professional medical assistance from the best bariatric doctor in Mumbai, who can provide effective weight-loss solutions and help in achieving a healthy lifestyle because these studies have also established that weight fluctuations increase the risk of death.

  • Heart disease

    Coronary heart disease is the major cause of weight-related death followed by diabetes mellitus, Liver diseases, and cancer. Evidence suggests that women can reduce the mortality rate by 25% in diabetic, cardiovascular, and cancer conditions by achieving a weight loss of 9 kgs. However, if an obese person has already developed an associated co-morbidity, then planned weight loss of any amount has been reported to reduce mortality by 20%. It has also been established the risk of mortality is greater in younger patients suffering from obesity as compared to older ones.

     

  • Morbidity

    Obesity is associated with chronic diseases such as heart disease, type 2 diabetes, hypertension, stroke, gallbladder disease, sleep apnoea, certain cancers, and osteoarthritis. These chronic ailments tend to worsen with increasing degrees of obesity. A non-alcoholic fatty liver disease that may progress to end-stage liver disease is now also being recognized as a consequence of obesity. obesity may also lead to poor wound healing and poor antibody response.

 

 Regional distribution of fat & health risk 

 

  • There are two types of obesity

    1.Android or apple shape obesity
    2 Gynoid or pear shape obesity

This fat distribution is determined genetically and varies among men and women. Android obesity is more common among males whereas females are more susceptible to gynoid obesity. While in the case of gynoid obesity, it is more difficult to shed weight, android obesity is linked to chronic ailments such as glucose intolerance, insulin resistance, hyperlipidemia, and hypertension. This type of obesity is also closely associated with the development of metabolic syndrome (a complex of unified conditions like glucose intolerance, high blood pressure, and alterations in serum lipids).

 

 

 

Is the bariatric surgery for me?

  • Presence of serious sequelae of morbid obesity
  • 30 kg overweight or a BMI> 33 kg/m2for more than 5 years with at least one co-morbidity (Asia pacific guidelines).
  • BMI > 37 with or without co-morbidities.
  • Failure of sustained weight loss on supervised dietary and conservative approaches (or multiple unsuccessful attempts at weight loss with non-surgical methods)
  • Absence of an endocrine cause.
  • Acceptable operative risk.
  • Compulsive eaters.
  • Educated, the compliant patient demonstrates a willingness to maintain dietary guidelines and other follow-up care.
  • Have support from family, spouse, or close friends.
  • Surgery is not recommended for the mentally ill or impaired, patients known to abuse alcohol or drugs, or those with an eating disorder such as bulimia.

If the answer to the above is yes, then you should be seeking the opinion of our bariatric doctor in Mumbai

 

 

Obesity surgery

 

Exercise and diet alone frequently neglect to treat individuals with outrageous and over the top heftiness, really. The bariatric medical procedure is an activity that is acted to assist such people with getting in shape. Proof recommends that bariatric medical procedures might bring down death rates for patients with serious weight, particularly when combined with good dieting and way of life changes after a medical procedure.

A. Restrictive procedures: The lap gastric band

Restrictive weight loss surgery in Mumbai works by reducing the amount of food consumed at one time. For patients suffering from obesity, this can be an effective way to lose weight and maintain a healthy life. The best bariatric hospital in Mumbai provides a variety of surgical options that can be tailored to each patient's specific needs. The theory is simple, due to the restriction created, you feel satiated with small amounts of food and because of a smaller outlet, food stays in the stomach for a longer time. The net result is a reduction in daily caloric intake without a feeling of deprivation.

 

Bariatric surgery procedure

 

Entails laparoscopic implantation of a Silastic band around the stomach just below the gastroesophageal junction to section off a small portion called a stomach pouch creating an hourglass effect. Patients considering laparoscopic adjustable gastric banding as a weight loss solution can seek advice from the best obesity doctor in Mumbai. A small outlet, about the size of a pencil eraser, is left at the bottom of the stomach pouch.

B. Combined procedures: Roux-En-Y gastric bypass

Procedures that alter digestion are known as malabsorptive procedures. Malabsorptive techniques reduce the length of the intestine that comes in contact with food so that the body absorbs fewer calories. In this procedure, stapling creates a small (15 cc to 20 cc) stomach pouch. The remainder of the stomach is completely stapled shut and divided from the stomach pouch. It is not completely removed. The outlet from this newly formed pouch empties directly into the lower portion of the jejunum, called the roux limb, thus eliminating the duodenum and a small portion of the jejunum from the absorptive circuit. The omitted segment is connected to the side of the roux limb of the intestine creating the "Y" shape that gives the technique its name. The length of either segment of the intestine can be adjusted to produce lower or higher levels of malabsorption. The Best Weight Loss Surgery in Mumbai can provide guidance on which procedure will be most effective for the patient's specific needs.

 Risks

  • The duodenum is bypassed, and poor absorption of iron and calcium can result in the lowering of total body iron and a predisposition to iron deficiency anemia.
  • Chronic anemia due to vitamin B12 deficiency may occur. The problem can usually be managed with vitamin B12 pills or injections.
  • A condition known as "dumping syndrome" can occur as the result of rapid emptying of stomach contents into the small intestine. This is sometimes triggered when too much sugar or large amounts of food are consumed. While generally not considered to be a serious risk to your health, the results can be extremely unpleasant and can include nausea, weakness, sweating, faintness, and, on occasion, diarrhea after eating. Some patients are unable to eat any form of sweets after surgery.
  • Metabolic bone disease in some patients, resulting in bone pain, loss of height, humped back, and fractures of the ribs and hip bones.
  • All the above-listed deficiencies can be easily managed through a proper diet and vitamin and calcium supplements. It is mandatory for patients undergoing gastric bypass to consume a multivitamin and calcium supplement daily.

 

We are the best bariatric hospital in Mumbai

 

 Our bariatric surgeon, Dr Jayasshree Todkar, who is the best obesity surgeon in Mumbai, is a highly skilled and world-renowned surgeon. She is a speaker and faculty member for live demonstrations of advanced laparoscopic and bariatric operations, at multiple international and national conferences. She performs minimally invasive or keyhole surgery techniques, with very high success rates and low complication and mortality rates.Our center is easily accessible in the metro city of Mumbai with the availability of an experienced team of bariatric doctors around the clock. Our bariatric center in Mumbai is the first in India and the Indian subcontinent to start training bariatric surgeons and multidisciplinary members in the field of obesity surgery.

 Importance of support

Obesity and its treatment require tremendous support. Unlike what most people think, obesity is not caused by over-eating or eating disorders. It is a chronic disease, the causes of which may vary. People suffering from obesity may suffer from severe depression as well and need tremendous support from their loved ones. What one needs to understand is that the first step towards any kind of remedy, such as consulting a doctor in a top obesity hospital in Mumbai, is fraught with many unexpressed fears and tensions, and the support of friends and family is of incalculable help at such times.

 Diseases related to morbid obesity

There are multi related to morbid obesity are following-

  •   Cardiovascular diseases morbid obesity

There are high chances of getting cardiovascular due to morbid obesity there are various diseases are following

  •  Essential hypertension

Hypertension, otherwise called hypertension (HBP), is a drawn out ailment wherein the pulse in the veins is relentlessly raised. Hypertension seldom causes symptoms. Long-term hypertension, notwithstanding, is a significant gamble factor for stroke, coronary course infection, cardiovascular breakdown, atrial fibrillation, fringe blood vessel sickness, vision misfortune, persistent kidney illness, and dementia

  • Heart failure

Cardiovascular breakdown is a constant, moderate condition wherein the heart muscle can't siphon sufficient blood to address the body's issues for blood and oxygen. Essentially, the heart can't stay aware of its responsibility

  • Fatal or non-fatal myocardial infarction

Propels in the treatment and anticipation of coronary conduit sickness have been related to diminishes in death rates. Hence, scientists have started to consolidate nonfatal myocardial localized necrosis (MI) into composite results to empower sufficiently fuelled at this point plausibly measured clinical preliminaries. Nonfatal MI is a significant end highlight for patients  however, this end point is likewise frequently designated in view of the conviction that forestalling ensuing MIs can prompt lower cardiovascular mortality

  • Risk of coronary heart disease

With every 1 kg of weight loss, there is a corresponding reduction of about 1% in total cholesterol and LDL and a rise by 1% in HDL, and a 3% decrease in triglycerides.

Metabolic Syndrome

  • Central adiposity is also more closely associated with the development of metabolic syndrome than the absolute degree of fatness.
  • Prevalence of diabetes mellitus and cardiovascular disease.

Pulmonary

  • Obesity hypoventilation syndrome (OHS)
  • Obstructive sleep apnoea syndrome (SAS)

 Liver diseases

  • Fatty liver
  • GERD - Gastroesophageal reflux disease

 Cancer

  • Colorectal cancer

  • Endometrial cancer

 

Childhood obesity

 

Since well before the COVID-19 pandemic started, the world has been facing the global epidemic of obesity since the decade of 1990. This owes to a highly sedentary lifestyle and easy availability of high-calorie foods. The best obesity treatment in Mumbai can aid in the fight against this epidemic.

During the pandemic of COVID-19, it has been globally noticed that morbidity and mortality were significantly higher in patients suffering from obesity and diabetes. Lockdowns restricted movement, social distancing, and work/learning from home seem to worsen obesity indices across the middle class and higher socio-economic groups.

The children and adolescents have suffered the most: We are observing a minimum 10% to maximum 80% rise in the weight of children and adolescents in the last 2 years. This partly owes to the non-availability of a playground/sports complex/opportunity to mingle with friends and thereby decrease in physical activity combined with increased screen time and junk food intake. This has unveiled genetically predisposed diabesity. (Combination of obesity and diabetes) in children and adolescents.

 Patients present with

  •  Weight gain
  • Central obesity
  • PCOD and hirsutism in girls
  • Gynecomastia and less facial hair in boys
  • Hypertensive tendencies

It is important to monitor weight, waist circumference, signs of fatigue, and signs of hypogonadism in this age group before they land up in the long-lasting impact of obesity on various organs of the body. Up to the BMI of 30 kg/m2, dietary modifications and physical activity can reverse the disease of obesity. A rising BMI shifts the control from voluntary factors to involuntary factors and creates impairment of various organ functions like heart-lung, liver, kidney, skeletal and endocrine systems during these age groups.

After a BMI of 35 kg/m2, many of the organs get near-permanent function damage. In this situation, bariatric surgery can save the patient from severe diseases with long-term impacts.

Severe obesity affects the health and well-being of millions of children and adolescents in the India and is widely considered to be an "epidemic within an epidemic" that poses a major public health crisis.

  The outcome of bariatric surgery in type 2 diabetes

 

  •  Efficacy: The benefits of surgery are compelling, and its recipients are among the most grateful patients you will encounter. Weight-reducing surgery does more than reduce weight. It offers psychological benefits and reduces blood pressure, lipids, and blood glucose, and the need for these to be treated. Deaths from cardiovascular disease and cancer are reduced, and many of the secondary consequences of obesity, such as fatty liver, and musculoskeletal disorders. Intracranial hypertension, sleep apnea, and infertility are ameliorated. Not surprisingly, long-term health costs are also likely to fall, including those associated with diabetes. A study of more than 22,000 patients showed that obesity surgery leads to the disappearance or improvement of medical problems such as type 2 diabetes, high cholesterol, high blood pressure, and obstructive sleep apnea. It is critical to choose a top bariatric hospital in Mumbai that will provide comprehensive care and support throughout your journey.

 

  • Safety: Bariatric surgery is safe in the hands of experienced surgeons. One meta-analysis revealed 30-day mortality of 0.1 % after gastric banding. 0.5 % after gastric bypass and 1.1 % after biliopancreatic diversion. The short-term operative mortality for low-risk patients attending centers with experienced surgical teams is around 1 / 2,000. Short-term complications after surgery are venous thrombo - embolism and cardiovascular events. Venous thromboembolism affected 0.3 % of banding patients and 0.4 % of laparoscopic gastric bypass patients in a large survey from US.

 

  • Healthcare cost savings: The evidence for the cost-effectiveness of surgically induced weight loss is compelling. The best bariatric treatment in Mumbai can provide patients with a solution to their weight loss needs. During the last five years, papers have been published from all over the world where the conclusions are that bariatric surgery saves money spent on health care. The best obesity surgery in Mumbai can provide patients with a solution to their weight loss needs. Keating et al conducted a within-trial where they compared the cost-effectiveness of surgical therapy with conventional therapy in obese patients with Type II Diabetes. They found strictly from a cost perspective (disregarding quality of life and life expectancy benefits of diabetes remission) that after 10 yrs. the return on investment in surgical therapy is fully recovered through savings in healthcare costs to treat type 2 diabetes.

 

  • Improvement in quality of life: Weight reduction in the severely obese is accompanied by improvements in health, and related quality of life ( HRQL ) and some studies indicate that a dose, response relationship exists between the magnitude of weight loss and HRQL benefits. Best Bariatric Surgery in Mumbai can help the patient in losing significant weight and improving their quality of life. In the swedish obese subjects (SOS) intervention study, they followed 655 surgically treated patients for 10 years and compared them with a group of conventionally treated obese patients. They concluded that the change in HRQL followed the phases of weight loss, weight gain, and weight stability. But they also found that a maintained weight loss of 10 % is sufficient for positive long-term effects on HRQL. The surgically treated patients who completed 10 years of the study easily achieve this.

 

 

 

 

 

 

 

 

 

Our Team

FAQ's

Generally accepted guidelines from the American society for bariatric surgery and the national institutes of health indicates surgery only for those 18 years of age and older. Surgery has been performed on patients in their teens. There is a real concern that young patients may not have reached full developmental or emotional maturity to make this type of decision. It is important that young weight loss surgery patients have a full understanding of the lifelong commitment to the altered eating and lifestyle changes necessary for success.

Patients over 65 years of age need to evaluate their fitness of the patient to undergo surgery.

At one year after successful bariatric surgery, 96% of obesity-related medical conditions are either completely resolved or significantly improved.

Certain basic tests are done prior to surgery, a complete blood count (CBC), a complete profile in terms of liver functions, kidney functions and lipid profile will be done, thyroid function test, iron levels, and B12 levels. All patients but the very young get a chest X-ray and an electrocardiogram. Due to the high incidence of obstructive sleep apnea, most patients will require a polysomnography study. Patients will get an abdominal ultrasound. Other tests, such as pulmonary function testing, echocardiogram, GI evaluation, cardiology evaluation, or psychiatric evaluation, will be requested when indicated.

An accurate assessment of your health is needed before surgery. The best way to avoid complications is to never have them in the first place. If you are diabetic, special steps must be taken to control your blood sugar. Our objective is to maximize your likelihood of success.

Patients, who have significant gastrointestinal symptoms such as upper abdominal pain, heartburn, belching sour fluid, etc, may have underlying problems such as a hiatus hernia, gastroesophageal reflux, or peptic ulcer.

The sleep study detects a tendency for abnormal stopping of breathing, usually associated with airway blockage when the muscles relax during sleep. This condition is associated with a high mortality rate and can be present in nearly 70% of obese patients. It is important to have a clear picture of what to expect and how to handle it.

Bariatric surgery will require significant changes in your lifestyle and will also change your life. A psychiatric evaluation will help prepare you for these changes by developing coping skills and encouraging behavior modification. Additionally, our psychiatrists will evaluate your understanding and knowledge of the risks and complications associated with weight loss surgery and your ability to follow the basic recovery plan.

  • Make a list of all the diets you have tried (a diet history) and bring it to your doctor.
  • Bring any pertinent medical data to your appointment with the surgeon - this would include reports of special tests (echocardiogram, sleep study, etc.) or a hospital discharge summary if you have been in the hospital.
  • Bring a list of your medications with the dose and schedule.
  • Stop smoking, surgical patients who use tobacco products are at a higher surgical risk.

No. Laparoscopic operations carry the same risk as the procedure performed as an open operation. The benefits of laparoscopy are typically less discomfort, shorter hospital stay, decreased hernia and wound infection rates, earlier return to work, and reduced scarring.

Every attempt is made to control pain after surgery to make it possible for you to move about quickly and become active. This helps avoid problems and speeds recovery. Often several drugs are used together to help manage your post-surgery pain. While you are still in the hospital, patient-controlled analgesia (PCA), which allows you to give yourself an intravenous dose of pain medicine on demand, will be used to initially control your pain. When you are ready to go home, you will be given a prescription for pain medicine.

As long as it takes to be self-sufficient. Although it can vary, the hospital stay (including the day of surgery) can be 1 to 2 days for a laparoscopic band, and 3 to 4 days for a laparoscopic gastric bypass.

Almost immediately after, the doctor will require you to get up and move about. Patients are asked to walk or stand at the bedside on the night of surgery, and take several walks down the halls the next day, and thereafter. Walking is the most effective means to decrease your risk of having a pulmonary embolus. On leaving the hospital, you may be able to care for all your personal needs but will need help with shopping, lifting, and transportation.

For your own safety, you should not drive until you have stopped taking narcotic medications and can move quickly and alertly to stop your car, especially in an emergency. Usually, this takes 3 to 5 days after surgery.

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