India is witnessing a dramatic shift in its health landscape, with rising obesity rates becoming a significant concern. This surge in obesity is not just a matter of aesthetics - it’s a health crisis that demands urgent attention. And as obesity rates rise, more people are turning to weight-loss surgery to improve their health and quality of life. With this growing demand, new, personalised procedures are emerging to meet individual needs better.
Gastric bypass, or Roux-en-Y gastric bypass, is one of the most effective treatments for severe obesity and related co-morbidities such as diabetes, sleep apnea, and high blood pressure. This weight-loss procedure not only stands out as a highly successful approach but also offers a life-changing opportunity for those struggling to lose weight through traditional methods.
In Delhi, a hub for advanced medical cases, one of the most trusted names in performing gastric bypass surgery is Dr. Atul Peters, a leading expert in the field. Renowned for his surgical skill and patient-centred care, Dr. Peters has empowered many people to reach their weight-loss goals and enhance their quality of life. If you're contemplating gastric bypass surgery in Delhi, Dr. Peters stands out as one of the top surgeons, ready to support you at every stage of your journey to improved health.
The gastric bypass procedure is typically performed using laparoscopic (minimally invasive) surgery. During the surgery, small incisions are made in the abdomen, and a camera and surgical instruments are inserted through these incisions.
» Patient Preparation Before Surgery: Each patient undergoes a thorough evaluation by a multidisciplinary team before surgery. This includes body composition analysis, dietary consultations, and assessments by a physician, pulmonologist, cardiologist, and psychiatrist. Additional evaluations are conducted on a case-by-case basis. Prophylaxis for thromboembolism is administered 6 to 12 hours before surgery, along with antibiotics if necessary.
» Positioning of the Patient in the Operating Theatre: Once general anesthesia is administered, the patient is placed in a special position known as the reverse Trendelenburg position.
» Operating Ports: Typically, 3 to 4 small incisions are made, and in 99% of cases, these do not require stitches or bandages postoperatively. The incisions are closed with a special surgical glue, allowing the patient to bathe after surgery. There are usually no drains or tubes required.
» Formation of the Gastric Pouch: The first step of the surgery involves the creation of a small gastric pouch using surgical staplers. The pouch is formed with the help of a gastric calibration tube to ensure it is the correct size.
» Bypass: Approximately 100 to 170 cm of the small intestine is bypassed. The intestines are then reconnected to the stomach pouch through stapling or suturing, depending on the surgical approach.
Altering the path of food through the gastrointestinal tract has a significant impact on reducing hunger, enhancing feelings of fullness, and enabling the body to achieve and sustain a healthy weight.
Laparoscopic surgery offers key benefits like minimal scarring, quicker recovery, and fewer complications. When used for gastric bypass, this approach offers significant advantages for those dealing with severe obesity and related co-morbidities, including:
• Sustainable Weight Loss - One of the most notable benefits is the ability to achieve and maintain significant weight loss. Most patients lose between 60-80% of their excess body weight within the first two years post-surgery.
• Better Quality of Life – Beyond physical benefits, many patients experience enhanced mental well-being, increased energy, and improved mobility, leading to a better overall quality of life.
• Improved Cardiovascular Health – Losing a significant amount of weight contributes to a lowered rate of developing heart disease, stroke, and other cardiovascular issues.
• Tackling Comorbidities – Gastric bypass surgery can help resolve or improve conditions such as:
o Type 2 Diabetes: Patients often experience a significant improvement or remission of type 2 diabetes, as the surgery helps regulate blood sugar levels.
o Hypertension: Blood pressure becomes easily manageable after weight loss. What’s significant is the reduced need of medications and improving heart health.
o Sleep Apnea: Weight loss can reduce or eliminate sleep apnea, leading to better sleep quality and overall well-being.
People who have undergone bariatric surgery must comply with the diet and lifestyle modifications, suggested by their surgeon and the team. Like in any surgery, non-compliance with dietary and lifestyle recommendations can raise the likelihood of complications such as blood clotting, nutrient deficiency, and chronic diseases.
Individuals might overcome some risks that involve leakage, bleeding, or infection at the site where the surgery was conducted. Those who had a history of smoking or were on NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) had a much higher risk of developing ulcers.
However, most of these risks can be minimized if patients follow post-surgery care, including dietary guidelines and lifestyle changes recommended by their doctor.
Gastric bypass surgery is recommended for individuals who are severely overweight and have not been able to lose weight through diet, exercise, or other methods. Candidates for gastric bypass typically meet the following criteria:
» BMI above 32.5 kg/m2 with obesity-related co-morbidities
» BMI above 37.5 kg/m2 without co-morbidities
» BMI > 30 kg/m2 with life-threatening obesity-related disorders like uncontrolled diabetes, cardiovascular disease/cardiomyopathy and severe obstructive sleep apnoea.
» Patients motivated to lose weight and committed to long-term follow-up
» Patient should have attempted conservative methods of weight loss and failed in the past
» Bariatric surgery is to be considered only between the ages of 18 - 65 years
» Bariatric surgery may be considered in patients more than 65 years in the presence of severe obesity-related co-morbidities / disability
» Bariatric Surgery may be considered in patients < 18 years in special situations after paediatrician/endocrinology certification, or after attainment of puberty or completion of skeletal maturity
Experts like Dr. Atul Peters always recommend individuals to discuss the options carefully with their surgeon before undergoing the surgery. This enables the surgeon to thoroughly evaluate patient’s medical history, weight loss goals, and other factors that might potentially influence their overall well-being.
Delhi has become a hub for medical tourism, offering state-of-the-art facilities, experienced surgeons, and affordable healthcare options. Thought of undergoing gastric bypass surgery in Delhi? Here’s why you should go for it:
1. World-Class Hospitals: Delhi is home to world-class care facilities, equipped with advanced infrastructure, cutting-edge technology, and top-rated surgical teams.
2. Expert Surgeons: Renowned surgeons like Dr. Atul Peters bring years of expertise and have successfully performed a good number of gastric bypass surgeries, ensuring the highest standards of care.
3. Cost-Effective: Compared to Western countries, the cost of gastric bypass surgery in Delhi is significantly lower, without compromising on quality.
4. Comprehensive Support: Patients receive holistic care, including pre-surgery counselling, post-surgery support, and long-term follow-up, ensuring the best possible outcomes for patients.
If you are looking for the best gastric bypass surgeon in Delhi, look no further than Dr. Atul Peters. Dr. Peters is a highly skilled and experienced bariatric & metabolic surgeon. With a reputation for delivering excellent patient outcomes, he is regarded as one of the leading experts in his field.
Dr. Peters is known for his expertise in performing advanced, minimally invasive surgeries like gastric bypass. His dedication to utilizing cutting-edge technology and his patient-first approach have earned him a loyal following of patients who trust him for complex bariatric and metabolic surgeries.
Patients who consult Dr. Peters can expect detailed consultations where their concerns and medical history are carefully evaluated to determine the most appropriate treatment plan. Dr. Peters ensures that each patient receives the highest quality care and achieves the best possible outcome, whether they are undergoing surgery or following a non-surgical treatment plan.
Most patients lose around 60-80% of their excess weight within the first 12-18 months after surgery. The exact amount of weight loss depends on factors like adherence to lifestyle changes and individual metabolism.
Yes, lifelong supplementation of vitamins and minerals is necessary after gastric bypass due to the altered absorption in the digestive system. Common supplements include vitamin B12, iron, calcium, and multivitamins.
Yes, gastric bypass is reversible.
Most patients can return to work after 2-3 days or a week post-surgery, depending on their occupation and how quickly they heal. For physically demanding jobs, it may take longer.
While there is no strict upper age limit for gastric bypass surgery, it is generally recommended for individuals between the ages of 18-65. However, age is not the only factor, and the decision should be made in consultation with a surgeon.
Gastric bypass surgery is a life-changing procedure that can significantly improve health, quality of life, and self-esteem for individuals struggling with severe obesity. With the expertise of leading surgeons like Dr. Atul Peters and the world-class medical facilities in Delhi, patients can expect safe, effective, and affordable treatment. If you’re considering gastric bypass, don’t hesitate to consult with a leading surgeon in Delhi to explore how this surgery could help you achieve your health goals.
