Bariatric & Weightloss Surgery

The Biliopancreatic Diversion with Duodenal Switch is a two-part bariatric procedure wherein the surgeon would first create a tubular pouch in the stomach by removing a part of the stomach – as in case of a gastric sleeve and secondly, a bypass is made in the large intestine. This procedure helps reduce the amount of food intake and thereby assists weight loss over a period of time.

However, in some of the other procedures the affect of the reduced stomach wanes over a period of time and thereby the patient by return to normal consumption of food over a period of time. Thus, in case of BD/DS, this is addressed by bypassing a large part of the small intestine, also the food consumed does not mix with the pancreatic and/bile enzymes until it is considerably down in the lower intestine leading to much lower quantities of absorption of nutrients into the blood stream.

This procedure is known to result in about 60-70% weight loss with a reduction in fat of 70% or more. It is also helpful in mitigating risks from type 2 diabetes, heart conditions, hypertension and other lifestyle/obesity related conditions.

However, on the disadvantages side, the procedure may require a slightly longer hospitalization compared to other bariatric procedures and has a statistically higher mortality rate when compared to the other bariatric surgeries.

An adjustable gastric band is a partition created in the stomach by placing a band in the upper part of the abdomen. This reduces the intake and absorption of food into the body, and thereby leads to weight loss. This is a widely practiced and successful variant of bariatric surgery and helps fight not just obesity but also a slew of other gastroenterological and other conditions.

Gastric banding helps prevent, gastroenterological reflux disease, reduces the risk of heart disease & hypertension, alleviate type 2 diabetes and provides protection against strokes.

The procedure is advised for patients with a BMI of 40 and above, however, those with a slightly lower BMI but co-morbidities such as – type 2 diabetes, hypertension or sleep apnoea – may also under the procedure.

Like all surgical procedures, gastric banding does have a few risks. But the medical staff will take all precautions to mitigate every possible. Some of the inherent risks include – excessive bleeding, infections, blood clotting and breathing difficulties.

A sleeve gastrectomy or laparoscopic sleeve gastrectomy is a common bariatric procedure that removes about 75% of the stomach. This procedure is performed via a small laparoscopic incision. The remainder of the stomach following the surgery, is the size of a banana, shaped like a tube. This results in an overall reduction in consumption of food and absorption of nutrients that subsequently causes weight loss.

In addition to reduced food intake and absorption of nutrients, the surgery also results in hormonal changes in the body that further accelerate the weight loss.

Apart from aiding weight-loss the procedure is also known to reduce the risk of hypertension, heart diseases, strokes, gastroenterological reflux disease and alleviate the symptoms of type 2 diabetes.

This bariatric procedure is helpful for patients with a higher than 40 BMI, although doctors will also advise patients with a lesser BMI also to undergo this procedure, should they have various other co-morbidities as well.

Like all surgical procedures, gastric banding does have a few risks. But the medical staff will take all precautions to mitigate every possible. Some of the inherent risks include – excessive bleeding, infections, blood clotting and breathing difficulties.

A gastric by-pass, also known as a Roux-en-Y bypass is a bariatric procedure wherein the size of the stomach is reduced by creating a bypass for the food to enter the small intestine. The altered food path changes the secretion of the gastrointestinal hormones, and consequently reduces appetite, improves metabolism rate and causes weight loss. It is one of the widely accepted and performed bariatric procedures that has a high rate of success.

The success of this procedure requires the patient to maintain a strict dietary pattern for a few weeks/months following the surgery before they can return to normalcy.

Patients with a higher than 40 BMI can opt for this procedure, while those with slightly lesser BMI also qualify for the surgery should they be suffering from other co-morbidities such as heart-disease, type 2 diabetes and sleep apnoea.

The changes in metabolism, and subsequent loss of weight are expected to have certain side-effects, including but not limited to – body pains, fatigue, dryness of the skin, hair loss and mood swings. Gastric by-pass surgery does have a few risks, like all other surgical procedures, these include – excessive bleeding, infections, blood clotting and breathing difficulties. However, the medical staff will take all precautions to mitigate every possible risk.

The expected weight-loss from this procedure is around 65% over a period of about 18 months from the date of the procedure. If the patient has the habit of smoking, the result may not be very encouraging, and it may also increase the risks following the surgery.

Diet and lifestyle are the leading causes of obesity as our diets are increasingly unhealthy, and our lifestyles are increasingly sedentary, without proper care, leading to obesity.

Gleneagles Global Hospital, Lakdi-ka-pul is one of the best healthcare facilities with a state-of-the-art bariatric care specialty providing the best bariatric surgery in Hyderabad with care for the most challenging and complex obesity disorders.