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Evolution in the humankind has totally changed the way we modern humans work. Sedentary lifestyles along with the consumption of junk food have created metabolic disorders the results of which are obesity, hypertension, diabetes, etc. Among these, obesity is one of the most dangerous outcomes and is implicated in a variety of diseases. If not checked for a long time, it can cause problems in the knees, back, etc.  An individual can be considered overweight or obese when the body mass index (BMI), is over 30 kg/m2; the range 25–30 kg/m2. It can precipitate and/ or aggravate a variety of metabolic diseases which can cause further problems. There can be many reasons which can cause Obesity. Genetic component can also be a major factor and can run in the family. 

Getting away with obesity is not easy and many factors need to be considered while dealing with it. Controlled diet, exercise and other factors play a major role to get a lean body. Sometimes, various factors and time constraints affect a person’s capability to achieve the desired result. In such circumstances, surgical intervention can be very useful. 

Different kinds of procedures are performed on people who are obese or have excessive weight issue. Such surgeries are referred to as Bariatric surgery or Weight loss surgery executed by bariatric surgeons in India. Long term weight loss through Standard of Care procedures (Roux en Y Bypass, Sleeve Gastrectomy, and Biliopancreatic Diversion with Duodenal Switch) is largely achieved by altering gut hormone levels that are responsible for hunger and satiety, leading to a new hormonal weight set point. Bariatric surgery is a hormonal surgery in these procedures, for which the alteration in gut hormones develops as a result of the procedure's restriction and malabsorption.

A Bariatric Surgeon is a surgeon who performs bariatric surgery on patients.

Why Bariatric Surgery is required?

Bariatric surgery is required to help lose excess weight. It can also be performed to reduce the risk of life-threatening health problems which are weight-related. Some of the health problems can be:

  • High blood pressure
  • Stroke and Heart disease
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)
  • Type 2 diabetes
  • Sleep apnea

Bariatric surgery is recommended to those who have tried their best to lose weight by improving diet and exercise habits and though unable to achieve the desired result.

Some common types of Bariatric Surgeries:

There are various kinds of Bariatric surgery and amongst them which one is suitable for an individual depends on many factors such as eating habits, body mass index, other health issues, previous surgeries and the complications involved with each procedure.

  • Laparoscopic Adjustable Gastric Band

The Bariatric surgeon in India creates a small pouch by placing a ring with an inner inflatable band around the top of your stomach. The stomach will get full after eating small amount of food. A circular balloon is inside the band that is filled with salt solution. In comparison to other bariatric surgeries, there will be less weight loss.

  • Gastric Bypass 

It is a most common procedure. In this surgery, a small pouch is created from the stomach which connects the newly created pouch directly to the small intestine. Greater weight loss is achieved by this method compared to gastric band.

  • Sleeve Gastrectomy

A surgical procedure in which large portion of the stomach along the greater curvature is removed and the stomach is reduced to about 15% of its original size. This results in a tube like or sleeve like structure. Greater weight loss is achieved by this method compared to gastric band.

  • Biliopancreatic diversion with duodenal switch

This surgery is done in two parts. The 1st step is similar to a sleeve gastrectomy. In the 2nd surgery end portion of the intestine is connected to the duodenum, bypassing the majority of the intestine. This surgery helps in losing more weight than the other three. There can be shortage of vitamins, minerals and proteins in the body due to this surgery.

Why choose online doctor consultation?

By opting for an online consultation, the patients, from the comfort of their homes, can choose from a variety of bariatric surgeons in India. In this way, the patient can at least get a fair amount of idea related to the problem he/she is having and can visit a nearby doctor if advised by the doctor consulting online or meet the same doctor if that is viable.

Why MediFlam?

MediFlam has a panel of some of the best Bariatric Surgeons available in India. We at MediFlam make sure that our platform provides hassle free experience to the patient as well as the doctor at the best cost possible. Our doctors work in close conjunction with the patients so as to provide them quick diagnosis, treatment and regular follow ups. 

For major conditions, we can connect you to the best Obesity hospitals and Doctors that are paneled on MediFlam platform.

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Frequently asked questions about Bariatric

Is MediFlam good for online Bariatric consultation?

MediFlam has a stringent process of checking the qualifications of doctors that are taken on the platform so that the patients get access to the best qualified doctors to get the best possible diagnosis. MediFlam has a panel of some of the best known Bariatric Surgeons in India. We at MediFlam make sure that our platform provides hassle free experience to the patient as well as the doctor at the best cost possible. Our doctors work in close conjunction with the patients so as to provide them quick diagnosis, treatment and regular follow ups. 

Is there any difference between bariatric surgery and weight loss surgery?

No there is no difference between bariatric surgery and weight loss surgery as bariatric surgery is the method to reduce the excess weight from body through surgical method for obesity.

What are the different types of weight loss surgery?

Types of weight loss surgery are:

  • Restrictive surgeries which are gastric bending, sleeve gastrectomy and bended sleeve gastrectomy, gastric balloon
  • Malabsorptive surgery which is duodenal switch
  • Combined surgeries which are gastric bypass, banded gastric bypass and mini gastric bypass 
Which is the best and safest technique for bariatric or weight loss surgery?

It depends on weight, body type and overall health of patient, that doctors suggest the surgery whether to go for gastric bypass or sleeve surgery or for other methods. Also, it depends on how quickly a patient wants to lose weight.

What are the risks of bariatric surgery?

Nausea, vomiting, wound infection or hernia, bleeding from the stitches, bloating, diarrhea or constipation, excessive sweating, fatigue and dizziness sometime. These symptoms are not life threatening and can be easily treated under the assistance of any bariatric surgeons in India.

Can I lose weight with diet and exercise?

Yes, people can lose weight with diet and exercise but it is hard to maintain it. But for some people these weight loss techniques fail and weight loss surgery remains the only option.

What care should be taken after weight loss surgery?

The amount of food should be in small portions and also should be ingested gradually with proper chewing. Liquids should also be ingested slowly in small portions. Generally, nutritionist will prescribe certain supplements like vitamins and minerals that a patient has to take. Chew food properly because large food masses can block small intestine. Take high protein diet and avoid sugar and fatty food. To avoid dehydration, one need to maintain proper liquid diet. To get a proper diet as per your body, you can try online consultation with bariatric surgeon with Mediflam.

What are the advantages of weight loss or bariatric surgery?

More than 40% of a person’s excess body weight can be lost by this surgery. Apart from the advantage of losing weight, the other significant advantages are improved cardiac condition, relief from stress due to overweight, relief from joint pains, auxiliary role in treatment of diabetes and improve other medical conditions like pregnancy complications, metabolic diseases, etc.

Am I eligible for weight loss surgery?

People who have BMI of 40 or more can be considered as the candidate for weight loss surgery yet need to consult doctor as he/she must be the best judge.

What is the success rate of bariatric surgery?

When considered for gastric bypass surgery on an average, a patient loses approximately 60-70% of excess body weight initially. And two years of surgery a patient will gain 5-10% of excess body weight.

Can I consult with my Bariatric Surgeon online?

With the advent of modern technology, it is very possible for the person experiencing any symptoms related to teeth or gums to at least get a probabilistic diagnosis by connecting with the leading Bariatric Surgeons on an online platform. Then the Bariatric Surgeon can advise the patient for further process to understand the disease and its associated complications, and get treated at the earliest.

What are the Risks and Complications of Bariatric Surgery?

  • Infection and bleeding at the surgical site
  • Internal bleeding
  • Lung or breathing problems
  • Perforation and leak from the bowel
  • Malabsorption of other nutrients
  • Loose, sagging skin
  • Blood clots
  • Slipping of gastric band leading to blocked stomach
  • Hypoglycemia, vomiting, ulcers are long term risks

What are the benefits of Bariatric Surgery?

Bariatric surgery has benefits like losing excessive weight and getting improved many health problems related to obesity.

These health problems include:

  • High Blood Pressure
  • Type 2 Diabetes
  • Unhealthy Cholesterol Levels
  • Sleep Apnea
  • Urinary Incontinence
  • Body Pain
  • Pain In Knee And Hip

Is bariatric surgery safe?

Any surgical procedure has risks, but though bariatric surgery has been found to be one of the safest surgeries to undergo. Compared to other elective surgeries, it is considered as safe. Vertical sleeve gastrectomy and roux-en-y gastric bypass procedures use a laparoscopic approach to reduce the risks of complications.

Should I Consider Having Weight Loss Surgery?

Not everyone needs to undergo this surgery. Doctors usually recommend it to those:

  • Who have a body mass index (BMI) of 40 or above 
  • Who have a lower BMI (35 to 40), but also have serious life threatening health problems related to obesity such as type 2 diabetes, heart disease,  high cholesterol, or severe sleep apnea
  • Who have tried various ways such as diet and exercise and yet not successful.
  • Who fully understands the risks linked with weight loss surgery and are motivated

Eating and drinking recommendations after bariatric surgery

Once the surgery gets done, overeating is controlled as exceeding the capacity of the stomach can cause nausea and vomiting. After recovery from surgery, restrictions in diet are recommended in part on the type of surgery done by the bariatric surgeons in India. To compensate for reduced absorption of essential nutrients, many of the patients are recommended to take daily multivitamin pill. As one cannot eat a large quantity of food, doctor recommends a diet that is relatively high in protein and low in fats and alcohol.

Due to the surgery, patients have difficulty drinking the appropriate amount of fluids as they adapt to their new gastric volume. Factors such as limitations on oral fluid intake, reduced calorie intake, and a higher incidence of vomiting and diarrhea have a significant contribution to dehydration.

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