Obesity is one of the most serious problems confronting the world’s population today. Obesity is a disorder that attracts a variety of life-threatening diseases such as diabetes, heart attack, and high blood pressure. The BMI (Body Mass Index) is a metric for determining obesity (BMI).
Class 1 obesity is defined as a BMI of 30 to 35, class 2 obesity is defined as a BMI of 35 to 40, and class 3 obesity is defined as a BMI of 40 and above. Class 2 and 3 obesity are considered extreme cases that cannot be managed with diet and exercise alone.
Bariatric surgery is one solution that can be used as a remedy for such a serious disease. This is a surgical procedure that affects the digestive system and reduces the patient’s appetite as well as the amount of food consumed. As a result, the patient begins to lose weight and is able to overcome his extreme obesity.
Bariatric surgery types
If you are looking for bariatric surgery in Mumbai, India, four main types of bariatric surgery are currently in use, all of which bypass (or go around) the small intestine and minimize stomach size in some way. Based on your medical history and weight loss goals, your doctor will help you decide which form of surgery is best for you.
“But not everybody is a candidate for bariatric surgery. When all other choices, such as medications, diet, and exercise, have failed, this technique is recommended.”- Says Dr. Harsh Sheth who is one of the best bariatric surgeons in Mumbai.
According to Dr. Harsh Sheth you are the right candidate for bariatric surgery in Mumbai if-
- You have a BMI of class 3 or higher, bariatric surgery could be a choice for you.
- Your BMI is in the second category (35-39.9), whether you have significant health problems including type 2 diabetes, high blood pressure, or extreme sleep apnea.
- Patients with a BMI of 30 to 34 may also be eligible for the procedure if they have significant weight-related issues.
How do you know which bariatric surgery is right for you?
Adjustable gastric banding
An inflatable silicone band is wrapped around the top portion of the stomach in this form of bariatric surgery. This band decreases the stomach’s intake area, causing the patient to feel fuller with less food, allowing him or her to lose weight and obesity.
Although the treatment alone will not help the patient lose weight, the patient must still choose healthy eating habits and exercise on a regular basis. This is a surgical operation, so it is not an easy way to lose weight. But, as compared to other surgical options, gastric banding is the least invasive with the shortest recovery period.
It is also a reversible procedure, so if the patient wishes to remove the band in the future, it can be accomplished through a ‘Keyhole’ surgery. Furthermore, no part of the stomach is cut or stapled, and the intestines are not rerouted, allowing the patient to consume all of the nutrients from the diet normally.
Gastric bypass Roux-en-Y
This is one of the most common forms of surgery among patients, and it has been used for more than 30 years. This treatment strikes a good balance between weight loss and side effects. This operation can be done in two ways: laparoscopy (small abdominal incisions) or robotically (computer-assisted surgery that helps in the surgical procedures).
The surgeon divides the upper and lower portions of the stomach in this operation. After that, the upper portion of the “pouch” is attached to a small intestine limb known as the “Rouxlimb.” Since this new stomach pouch is thin, it limits the amount of food you can consume, making you feel full even after a small meal.
Following the development of the smalle pouch, the surgeon reroutes your digestive system to avoid the greater part of your stomach and a portion of your small intestine. This causes the body to consume less nutrients from the food you eat, resulting in weight loss.
Biliopancreatic diversion with a duodenal switch
A biliopancreatic diversion with a duodenal transfer is a less popular surgical treatment for weight loss that patients choose. There are two main phases to the treatment.
The first stage is a sleeve gastrectomy, which involves removing about 80% of the stomach and leaving a narrow tube-shaped stomach about the size of a banana.
The second stage connects the intestine’s end to the duodenum, bypassing the majority of the intestine. As a result, this treatment restricts the amount of food that the patient will eat while also reducing the absorption of nutrients.
Both of these measures are usually done together, but they may be done independently in some situations. This drastic procedure is only performed on patients with a BMI of more than 50 because it has significant side effects such as malnutrition, vitamin deficiency, and so on.
Vertical sleeve gastrectomy
Small tubes are inserted through several small incisions in the upper abdomen during this surgery, which is usually done laparoscopically. Around 80% of the stomach is eliminated in this process, leaving only a tube-shaped stomach the size of a banana. Limiting the size of your stomach limits the amount of food you can eat. Additionally, certain hormonal changes will occur as a result of the operation, which will aid the body in losing weight even more.