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Ready to take control of your health and change the course of your future? Go no further than Mumbai's top choice for bariatric surgery and weight loss management- DR L H Hiranandani hospital. Our team of best bariatric doctor in Mumbai are committed to assisting you in achieving long-lasting results and leading a healthier, happier life. We have a reputation for excellence and a dedication to patient-centred care.
Some of most accomplished and proficient bariatric surgeons in Mumbai practice at our hospital. Our best bariatric surgeon in Mumbai has years of specialized training combined with their emphasis on cutting-edge surgical methods have helped countless people improve their general health and well-being and reach their weight loss objectives.
Obesity is a multifactorial, chronic illness that can result in high body fat and occasionally, poor health. Naturally, body fat in and of itself is not a disease. However, an excessive amount of body fat can alter how your body functions. These alterations are progressive, may get worse with time, and may have negative consequences on one's health.
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.
Healthcare providers classify obesity into class types based on how severe it is. They use BMI to do it. If your BMI is between 25.0 and 29.9 kg/m², they put you in the overweight category. There are three general classes of obesity that healthcare providers use to evaluate what treatments may work best for each person. They include:
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.
Genes may increase vulnerability to obesity.
Obesity is directly linked to a slow metabolism or reduced metabolic activity.
This is a rare occurrence and contributes to less than 1% of all weight gain in the world.
Hypogonadism in men and polycystic ovarian syndrome in women is closely associated with obesity.
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.
While psychological factors are not as significant in the development of obesity, they are significant when it comes to treatment outcomes. For instance, eating helps a lot of patients with their depression symptoms. These individuals might put on weight during one depressive episode and then put it on again during the next. Furthermore, there is a close connection between the rise in obesity and the ideas of dietary restrictions, body image issues, and binge eating disorders.
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.
If you are having obesity there are various health risk. These are the following
Excessive body weight has been related in studies to both general health and vulnerability to long-term conditions. Excessive BMI (above 30 kg/m2) has been shown to increase the risk of diabetes, heart attacks, and cardiovascular death even after controlling for age, social class, smoking, alcohol use, and physical activity. Research indicates that compared to non-smokers of normal weight, overweight non-smokers lose 3.1 and 3.3 years of life, respectively.
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.
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.
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.
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).
Bariatric surgery encompasses a range of surgical procedures designed to alter the digestive system, aiding substantial weight loss. These surgeries work by either restricting the stomach’s capacity, reducing nutrient absorption, or both. The procedures are often recommended for individuals who have failed to lose weight through conventional means such as diet and exercise.
If the answer to the above is yes, then you should be seeking the opinion of our best bariatric doctor in Mumbai
Undergoing the best bariatric surgery in Mumbai requires careful preparation to maximize results and ensure safety. At Dr LH Hiranandani Hospital, the pre-operative process includes:
Exercise and diet on their own often fall short in treating people who are outrageously and excessively overweight. The goal of the bariatric medical procedure is to help these individuals lose weight. Research suggests that bariatric surgeries could lower the death rates for patients who are seriously overweight, especially when paired with healthy eating and lifestyle modifications following surgery.
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.
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.
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
Our bariatric surgeon, Dr. Jayashree S 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.
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.
There are multi related to morbid obesity are following-
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.
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.
It was observed throughout the world during the COVID-19 pandemic that patients with diabetes and obesity had much higher rates of morbidity and death. Across middle class and higher socioeconomic groups, lockdowns, restricted movement, social distancing, and working/learning from home appear to exacerbate obesity indices.
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.
Prior to the long-term effects of obesity on the body's organs, it is crucial to keep an eye on this age group's weight, waist circumference, signs of exhaustion, and signs of hypogonadism. Dietary changes and physical activity can reverse the obesity disease up to a BMI of 30 kg/m2. Growing BMI causes a shift in control from voluntary to involuntary factors, impairing the functioning of many organs, including the skeletal, endocrine, liver, kidney, and heart-lung systems, in 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.
At Dr. L H Hiranandani Hospital, we pride ourselves on offering the best bariatric surgery in Mumbai through cutting-edge technology and compassionate care. Here’s what sets us apart:
These factors make us the preferred destination for individuals seeking the best weight loss surgery in Mumbai.
Bariatric surgery is more than a medical procedure—it’s a gateway to a healthier, more fulfilling life. At Dr L H Hiranandani Hospital, we are committed to providing the best bariatric treatment in Mumbai, ensuring every patient receives personalized care and achieves sustainable weight loss. Our expertise, combined with a patient-centered approach, makes us the best bariatric hospital in Mumbai.
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.
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.
