Tag: bariatric surgeon in Delhi

Life After Intragastric Balloon Procedure

Life After Intragastric Balloon Procedure: Maintaining Your Weight Loss Success

Intragastric balloon therapy is a non-surgical weight management option that involves placing a temporary, saline-filled device in your stomach through an endoscope. By occupying space, the balloon helps you feel fuller sooner, reducing your overall food intake.

This procedure can be a viable choice if you’ve struggled to achieve your weight goals through diet and exercise alone.

Intragastric balloon procedures typically result in weight loss of 5-15 kilograms, but individual outcomes can vary based on factors such as initial weight, commitment to a healthy lifestyle, balloon type, and metabolic rate. These procedures are generally intended for individuals without any underlying health conditions.

However, it’s important to remember that sustained weight loss requires a holistic approach. Adopting lasting healthy habits, such as nourishing your body with balanced meals and engaging in regular physical activity, is crucial for long-term success.

Understanding the Intragastric Balloon Procedure

Since the beginning of the 1980s, the global prevalence of obesity has substantially increased. An approximate one in three adults is categorized as overweight or obese, equating to greater than 1.4 billion adults. The soaring rates of obesity have triggered a parallel epidemic of associated health problems. These include hypertension, hyperlipidemia, cardiovascular disease, diabetes mellitus, orthopedic conditions, gastroesophageal reflux disease, metabolic dysfunction, psychiatric disorders, obstructive sleep apnea, non-alcoholic fatty liver disease, and cancers.

While bariatric surgery is considered the most effective treatment modality for morbid obesity, the eligibility criteria for these surgical interventions, such as Roux-en-Y gastric bypass, duodenal switch, and laparoscopic sleeve gastrectomy, are clearly defined. Patients must typically exhibit a body mass index (BMI) surpassing 25 kg/m² to qualify as candidates for surgery.

Intragastric balloon therapy is a less invasive but temporary weight management solution compared to the more comprehensive and lasting effects of bariatric surgery. However, it’s essential to emphasize that, like any weight management intervention, long-term success hinges on consistent lifestyle modifications.

Intra-gastric balloon treatment offers flexible options for weight management

  • Standard duration: The balloon typically remains in place for around 6 months.  
  • Refill: Some types of balloons can be refilled to extend their duration, often up to a year.
  • Customization: Treatment plans and the size of the balloon can be tailored to individual needs.
  • Reversible: It refers to the ability to remove the device once its intended purpose has been achieved. The primary method for removing an IGB is through endoscopy.

Immediate Post-Procedure Care

Effective intragastric balloon procedure requires a programmatic approach. Before the procedure, patients should collaborate with a nutritionist to develop a tailored meal plan. A multidisciplinary team, including your surgeon, will provide ongoing care for up to a year, encompassing the balloon placement and post-removal periods.

Failing to remove an intragastric balloon after its prescribed duration can have serious health consequences.

Potential complications include:

  • Balloon migration: The balloon may shift from the stomach into the intestines, causing a blockage that can lead to severe abdominal pain, vomiting, and the need for urgent surgery.
  • Infection: Prolonged balloon placement can increase the risk of infection.
  • Gastric ulcers: The balloon may irritate the stomach lining, raising the risk of developing ulcers.
  • Weight regain: The benefits of the balloon may decrease over time, and individuals may regain weight if it’s not removed as scheduled.

It’s essential to adhere to your healthcare provider’s instructions regarding balloon removal to avoid these complications.

Consistent exercise and dietary adherence are crucial throughout the process.

To minimize discomfort, patients typically follow a liquid diet for the first week, transitioning to soft foods in the second week, and gradually reintroducing solid foods, thereafter.

Dietary Adjustments and Nutrition

Intragastric ballooning is known to help one lose between 5 and 15 kilograms over six months to a year. By occupying space in your stomach, the balloon helps you feel fuller sooner, reducing cravings and portion sizes.

The process involves several stages:

  • Initial weeks: After the procedure, you’ll transition from clear fluids to pureed foods, then soft foods, before gradually returning to a normal diet. This takes about four weeks, but recovery times vary.
  • Diet: During the first week, stick to clear fluids, avoiding straws and carbonated drinks. Gradually increase fluid intake to ten cups daily, including dairy for essential nutrients.
  • Progression: As you recover, incorporate pureed foods like khichdi and porridge into your diet. Chew slowly and stop eating when full. In the third week, you can start soft foods. After four weeks, you can gradually return to normal eating but remember to eat slowly, in small portions, and increase physical activity like walking. This procedure requires patience and discipline. By combining the balloon with a healthy diet and regular exercise, you can achieve significant weight loss and improve overall health.

Incorporating Physical Activity

You might be eager to get back to your regular workout routine after receiving a gastric balloon. While it’s possible to resume exercise sooner than you might expect, it’s important to listen to your body and progress gradually.

To allow your body to adjust to the changes in food and fluid intake, it’s recommended to avoid strenuous physical activities such as sports for approximately one to two weeks post-procedure.

During this initial period, gentle activities like leisure walking while staying well-hydrated are encouraged.

Once you’ve acclimated to the balloon and the first week has passed, you can gradually increase the intensity and duration of your physical activities. Choosing enjoyable exercises can help you stay motivated. Remember to start slowly and listen to your body’s signals.

Your healthcare team can provide personalized guidance based on your specific circumstance and recovery. By working together, you can develop an exercise plan that supports your weight loss goals and overall well-being.

Psychological and Emotional Support

The psychological dimensions of weight loss are often overlooked. For individuals undergoing intragastric balloon therapy, emotional well-being significantly impacts weight loss maintenance.

Initially, intragastric balloon therapy can boost self-confidence dramatically as patients experience physical transformations. This newfound positivity often fuels motivation for sustained lifestyle changes. However, the weight loss journey remains challenging, requiring emotional resilience to overcome obstacles.

The journey post-procedure requires both, physical as well as, emotional fortitude. A supportive environment, fostered by positive feedback and encouragement, can further enhance the emotional benefits of intragastric balloon therapy. The interplay between physical and psychological factors underscores the importance of a holistic approach to weight management.

Ultimately, intragastric balloon therapy can be a catalyst for broader personal growth and improved quality of life.

Regular Monitoring and Follow-Up

Regular check-ups are essential after Intragastric Balloon (IGB) placement. These visits allow your healthcare team to monitor your progress, address any concerns, and ensure your overall well-being.

During these appointments, you will undergo assessments to evaluate:

  • Physical health, including weight loss, any side effects experienced, and overall physical condition.
  • Nutritional status, to ensure you are getting the necessary nutrients.
  • Psychological well-being, as emotional factors play a significant role in weight management.

It’s important to be open and honest with your healthcare provider about any symptoms or challenges you may be facing. This information helps them provide the best possible care and support.

Conclusion: Your Journey to Lasting Success

Obesity is a complex metabolic disorder with numerous associated health problems. Effective and safe weight management options have been in high demand. The intragastric balloon offers a promising intermediate treatment between medical therapy and surgical intervention for obesity. Compared to medical treatments, it may provide superior outcomes while carrying a lower risk profile.

Additionally, the intragastric balloon can serve as a valuable initial treatment for high-risk obese individuals who will eventually require surgery. By improving weight loss and overall health, it can help reduce the risks associated with surgical procedures.

References:

  1. https://www.mayoclinic.org/tests-procedures/intragastric-balloon/about/pac-20394435#:~:text=Intragastric%20balloon%20placement%20is%20a,that%20does%20not%20require%20surgery.
  2. https://www.ncbi.nlm.nih.gov/books/NBK578184/
  3. https://www.atulpeters.com/blog/diet-after-intra-gastric-ballooning/
  4. https://lsdc.uk/exercising-with-a-temporary-gastric-balloon/#:~:text=It’s%20recommended%20that%20you%20avoid,you%20can%20start%20leisure%20walking.
  5. https://obesity-care-clinic.com/weight-loss-medical-solutions/gastric-balloon/gastric-balloons-and-emotional-well-being-a-winning-combination
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416269/
  7. https://www.atulpeters.com/success-stories
  8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917609/

Finding the Best Weight Loss Surgeon in Delhi

Finding the Best Weight Loss Surgeon in Delhi: Key Factors to Consider

Choosing the right surgeon for one’s weight loss surgery is a crucial decision that can significantly impact your health and well-being. With numerous options available in Delhi, it’s essential to consider several key factors to find the best surgeon for your surgery. 

Delhi, a bustling metropolis, offers an extensive choice of surgeons, each with their own expertise and experience. From traditional bariatric surgeries to innovative new age robotics, the city caters to diverse patient needs. and navigating this landscape so as to make an informed choice requires careful research and consideration. 

I’m interested in weight loss surgery. How do I choose the best surgeon for my needs? 

When selecting a weight loss surgeon, prioritize the following qualities: 

  • Experience: A surgeon with a proven track record of successful weight loss surgeries is more likely to deliver positive outcomes. Look for individuals who have performed a significant number of procedures and have a reputation for excellence. 
  • Certifications: Ensure the surgeon is certified by recognized professional bodies, such as the American Board of Obesity Medicine or the American College of Surgeons, American Society for Metabolic & Bariatric Surgery (ASMBS), and the Obesity & Metabolic Surgery Society of India (OSSI). These certifications validate their expertise and adherence to industry standards. 
  • Specialization: Consider surgeons who are trained and specialize in weight loss surgery. This focus indicates a deep understanding of the field and a commitment to providing the best possible care. 
  • Patient Reviews and Success Stories: Read patient reviews and testimonials to gauge the surgeon’s reputation and patient satisfaction. Look for feedback on their bedside manner, communication skills, and overall outcomes. 

Beyond the Basics 

  • Surgical Approaches: Discuss the different surgical approaches offered by the surgeon, such as gastric sleeve or gastric bypass. Your surgeon can help you determine the best option based on your individual needs and goals. 
  • Minimally Invasive Surgery: Inquire about the surgeon’s experience with minimally invasive techniques, which can often lead to less pain and a faster recovery. 
  • Bariatric Center of Excellence: Choose a surgeon under whose mentorship the department is being awarded as the Bariatric Center of Excellence, accredited by the Surgical Review Corporation (SRC). These centers provide the highest standards of care and support. 
  • Team Qualifications: Assess the qualifications and experience of the surgeon’s team, including any Bariatric Care Specialists certified by the SRC. 
  • Pre- and Post-Surgery Support: Inquire about the pre-and post-surgery education and support programs offered by the surgeon and their team such as long-term follow-up, patient support group meetings, connecting with other operated patients, etc.  
  • Communication and Comfort: Ensure you feel comfortable and confident in your interactions with the surgeon. Ask questions and express your concerns to gauge their responsiveness and understanding. 

Consultation Process: What to Expect 

The process of consulting with a weight loss surgeon typically begins with a comprehensive evaluation. During this initial appointment, the surgeon will carefully assess your medical history, current health status, and weight loss goals. They will also discuss the various weight loss surgery options available, their potential benefits, and associated risks. 

To ensure your suitability for surgery and identify any underlying health conditions, the surgeon may recommend a series of assessments, including blood tests, physical examinations, and psychological evaluations. 

Your surgeon will provide guidance on pre-surgery preparations. This may involve dietary changes, medication adjustments, and lifestyle modifications to optimize your health and prepare for the surgical procedure. 

Why Choose Dr. Atul Peters for Metabolic or Bariatric Surgery? 

Dr. Atul N. C. Peters is a renowned surgeon and the Senior Director and Head of the Department of Bariatric, Minimal Access, and Robotic Surgery at Max Smart Super Speciality Hospital, Saket, Delhi, India. With over two decades of experience, he has established the department as a leading center of excellence. Dr. Peters’ expertise and dedication to patient care have earned him international recognition, including the prestigious Surgeon of Excellence accreditation from the Surgical Review Corporation. 

His contributions extend beyond clinical practice. Dr. Peters is a mentor to aspiring surgeons and has played a pivotal role in advancing the field through research and innovation. His commitment to providing the highest quality care has earned him respect in the medical community. 

Conclusion 

Choosing the best weight loss surgeon is a crucial step towards achieving your weight loss goals. By carefully considering factors such as experience, certifications, specialization, and patient reviews, you can make an informed decision and find a surgeon who is committed to providing exceptional care. 

Ready to take the next step towards a healthier you? Consult with the best weight loss surgeon in Delhi today. Schedule a consultation and explore the life-changing benefits of weight loss surgery. 

How Weight Loss Surgery Can Improve Your Health & Wellbeing

Imagine a Life Free from the Struggles of Obesity: Your Guide to Weight Loss Surgery

Imagine a life where every step feels like a struggle, and your breath hitches with every simple task. That’s the harsh reality for many living with severe obesity.

Struggling with obesity can be overwhelming, impacting daily life and long-term health. obesity-related comorbidities like heart disease, diabetes, and high blood pressure can significantly affect one’s quality of life. Weight loss surgery offers a lifeline to those battling not just the bulge, but a cascade of health problems that come with it.

It not only improves mobility by taking pressure off joints but also reduces the risk of associated health complications. For some, the most life-changing benefit is the effective management & control of type 2 diabetes, often happening soon after surgery.

Understanding Weight Loss Surgery

Weight loss surgery, also known as bariatric surgery, includes interventions such as gastric bypass and sleeve gastrectomy and offers a transformative approach to obesity management by modifying the anatomy of the stomach and small intestine. These interventions act on the body’s hormonal signaling system, influencing satiety (feeling of fullness) and hunger cues, while also impacting metabolic processes that regulate calorie intake. As a result, individuals experience a shift in their physiological makeup, facilitating significant and fast weight loss.

If you qualify for bariatric surgery, your weight loss surgeon and the healthcare team will determine the best surgical intervention for you and tailor a pre-surgery plan specific to your needs accordingly. Your pre-surgery preparation may involve:

Medical Checkups: Expect pre-operative lab tests and physical exams to establish your fitness levels for surgery.

Dietary and Medication Adjustments: You may receive instructions on what to eat and drink, and which medications (if any) need to be stopped or taken before surgery.

Exercise and Lifestyle Changes: Starting a physical activity program and quitting tobacco and alcohol might be crucial for a successful surgery and recovery.

Health Benefits of Weight Loss Surgery

Imagine shedding 70 to 80% of your excess weight and keeping it off for good!
Bariatric surgery offers impressive long-term success rates. Patients achieve substantial weight loss, shedding around 70 to 80% of their excess weight and keeping it off in the long term. Beyond the numbers, the impact is life-changing. Many report increased energy, reduced pain, and the ability to engage in activities they once struggled with. The rapid weight loss even triggers hormonal changes that further support weight management. Remember, consistency is key! Regular exercise and a healthy diet regimen after surgery play a crucial role in maintaining weight loss and newfound vitality.

Moreover, studies show a significant reduction in the risk of death from various conditions:

  • Heart Disease: Patients see a remarkable 40% decrease in their risk of dying from heart-related issues.
  • Diabetes: The risk of death from diabetes plummets by an impressive 92% after surgery.
  • Cancer: The chances of succumbing to cancer also see a significant 60% drop.

Well-being and Quality of Life Improvements

Diet-induced weight loss often isn’t sufficient nor sustainable, so health complications associated with obesity tend to persist.

Bariatric surgery offers a significant transformation that extends far beyond just weight loss. While significant weight loss is a key benefit, the true magic lies in the overall health improvements it unlocks. Patients report a surge in energy, a brighter outlook, and a newfound confidence that empowers them to fully embrace life. Activities that may have once been difficult or avoided become accessible, leading to a more fulfilling lifestyle.

The positive impact doesn’t stop there. Bariatric surgery becomes a catalyst for adopting healthier habits, including better food choices and regular exercise. This ripple effect often extends to loved ones, creating a supportive and healthy environment within families. Ultimately, weight loss surgery empowers patients to take control of their health, not just for the present, but for the long term. It’s a testament to the power of modern medicine in promoting a healthier, longer, and more fulfilling life.

Who Should Consider Weight Loss Surgery?

If you are trying hard to lose weight and/or have been battling weight-related complications, you might be wondering if weight loss surgery is a viable option for you. It is important to understand that Weight Loss Surgery is not a one-size-fits-all solution. Here’s a breakdown of who might be a good candidate for bariatric or weight loss surgery:

  • 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 are committed to long-term follow-up.
  • Patients who have unsuccessfully attempted conservative methods of weight loss in the past.
  • Weight Loss Surgery is to be considered only between the ages of 18 – 65 years.
  • Weight Loss surgery may be considered in patients more than 65 years old in case of severe obesity-related co-morbidities/disability.
  • Weight Loss Surgery may be considered in patients < 18 years in special situations as recommended by a trained pediatrician/endocrinologist, or after attainment of puberty/completion of skeletal maturity.

Weight Loss surgery is a life-changing procedure, and the surgeon you choose plays a critical role in your safety, success, and overall experience. Here’s why selecting a right bariatric surgeon is crucial:

  • Long-Term Support: A good bariatric surgeon offers comprehensive care beyond surgery. They will guide you through pre-operative education, support you during recovery, and provide long-term follow-up care. This includes nutritional counseling, managing potential side effects, and monitoring your overall health.
  • Understanding Your Needs:   Not all bariatric surgeries are the same. A skilled surgeon will take the time to understand your individual needs, medical history, and weight loss goals. They should discuss the various bariatric surgery options available (gastric bypass, sleeve gastrectomy, etc.) and explain the advantages and disadvantages of each concerning your specific situation.
  • Experience Matters:  Look for a surgeon who specializes in bariatric surgery and has a high volume of successful weight loss procedures under their belt.  Experience translates to better surgical technique, improved efficiency, and a deeper understanding of potential complications and how to manage them.

Why Choose Dr. Atul Peters for Metabolic or Bariatric Surgery?

At Smart Cliniqs, we’re dedicated to your overall well-being, from the surgery itself to your post-operative recovery. Dr. Atul Peters, a renowned bariatric surgeon with over two decades of experience, has successfully performed numerous surgeries and is passionate about helping patients achieve their health goals. He leads comprehensive bariatric programs both locally and nationally, supported by a highly skilled team. Our global certification and active involvement in various National & International Surgical Societies underscores to our commitment to providing you with the best possible care.

Conclusion

While undergoing a weight loss surgery, you need to understand that results can vary, and long-term success requires a commitment from your side as well. Remember, obesity is a chronic condition, and additional treatments might be needed down the road. There are different surgical options with varying risks and benefits. Discuss these with your surgeon to see which weight loss surgery works for you.

References:

  1. Managing obesity (bomss.org)
  2. https://www.sages.org/
  3. https://asmbs.org/for-patients/
  4. https://www.niddk.nih.gov/health-information/weight-management/bariatric-surgery
  5. Obesity & Metabolic Surgery Society of India – OSSI (theossi.com)
  6. Best Weight Loss Surgery in Delhi NCR, Weight Loss Treatment India (atulpeters.com)
  7. Bariatric surgery – Mayo Clinic

Sleeve Gastrectomy Surgery: A Key to Better Health and Improved Quality of Life

Sleeve Gastrectomy Surgery: A Comprehensive Guide to Transformative Weight Loss Surgery

Sleeve gastrectomy is a weight-loss surgery that involves reducing the size of the stomach into a tube-like shape. This is often referred to as vertical sleeve gastrectomy surgery or gastric sleeve.

This procedure helps patients eat less by limiting stomach capacity, without altering the digestive process. It’s primarily used for individuals with a BMI of 30 or higher.

Sleeve gastrectomy is considered a relatively safer surgical intervention. The procedure is typically performed using minimally invasive techniques, such as laparoscopy or robotic surgery.

Understanding Sleeve Gastrectomy Surgery

Sleeve gastrectomy involves the removal of approximately 75% of the stomach, leaving a tubular-shaped remnant. Unlike other weight-loss surgeries, it doesn’t alter the anatomy of the small intestine.

The bariatric procedure is performed under general anaesthesia. Surgeons typically employ a minimally invasive approach using laparoscopic/robotic surgery, which involves several small incisions in the abdomen. The method entails removing approximately 75-80 percent of the stomach, and reshaping the remaining portion into a narrow, banana-shaped sleeve using surgical staples. Once completed, the incisions are closed. The entire procedure usually takes between 30 to 45 minutes.

Sleeve gastrectomy significantly impacts appetite regulation by modifying gut signals associated with taste, hunger, and blood sugar control. The reduced stomach capacity limits food and liquid intake, contributing to weight loss by decreasing calorie consumption.

Moreover, by removing the portion of the stomach responsible for producing a significant amount of the “hunger hormone,” sleeve gastrectomy influences metabolism, reducing hunger, enhancing feelings of fullness, and facilitating weight management and improved blood sugar control.

Health Benefits of Sleeve Gastrectomy

People who undergo sleeve gastrectomy typically lose between 70 to 80 percent of their excess body weight. The bariatric procedure offers a transformative approach to weight management, providing a range of benefits that contribute to improved overall health and quality of life.

  • Technically simple and shorter surgery time
  • Can be performed on certain patients with high-risk medical conditions
  • May be performed as the first step for patients with severe obesity
  • May be used as a bridge to gastric bypass or SADI-S procedures
  • Effective weight loss and improvement of obesity-related medical conditions

Quality of Life Improvements

A remarkable 95% of patients reported a significant enhancement in quality of life following bariatric surgery, while mortality rates decreased by a substantial 89% within five years.

  • Migraines 57% resolved 
  • Depression 55% resolved 
  • Pseudotumor cerebri 96% resolved 
  • Obstructive sleep apnea 74% -98% resolved 
  • Dyslipidemia hypercholesterolemia 63% resolved 
  • Asthma 82% improved or resolved 
  • Cardiovascular disease 82% risk reduction 
  • Hypertension 52% -92% resolved 
  • Non-alcoholic fatty liver disease 90% improved steatosis; 37% resolution of inflammation; 20% resolution of fibrosis 
  • GERD 72% -98% resolved 
  • Metabolic syndrome 80% resolved 
  • Type II diabetes mellitus 83% resolved 
  • Stress urinary incontinence 44% -88% resolved 
  • Polycystic ovarian syndrome 79% resolution of hirsuitism; 100% resolution of menstrual dysfunction 
  • Degenerative joint disease 41% -76% resolved 
  • Venous stasis disease 95% resolved 

Who Should Consider Sleeve Gastrectomy?

Bariatric surgery can be considered an appropriate alternative for:

  • 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 apnea
  • 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

Bariatric surgery offers potential benefits, but it’s essential to weigh these against individual risks. Your weight, age, and medical history play a crucial role in determining your suitability for surgery. To make an informed decision, careful consideration of specific guidelines and patient factors is necessary.

Choosing the Best Weight Loss Surgeon and Facility

Your choice of clinic and surgical team plays a crucial role in the success of your sleeve gastrectomy. Here’s why top bariatric surgery centres can make all the difference:

  • Expertise at Every Step: A renowned bariatric surgeon runs a comprehensive bariatric program with all the infrastructure required to facilitate bariatric surgery candidates. They’ll guide you through pre-operative evaluation, ensure you have access to state-of-the-art surgical facilities, and provide extensive support post-surgery.?
  • A Team You Can Trust: To run a comprehensive bariatric program, it is essential that the team comprises a Bariatric Surgeon, Bariatric Nurse, Bariatric Dietician, Program Managers and Coordinators to provide the best guidance and facility.

Before deciding, take some time to research renowned bariatric surgeons. Here are some key factors to consider:?

  • Accreditation: Look out for clinics and surgeons accredited by recognized healthcare organizations, ensuring they meet the highest safety standards.?
  • Surgeon’s Qualification: Research the surgeon’s experience and qualifications in performing sleeve gastrectomy. ?
  • Success Rates: Inquire about the surgeon’s success rates for the procedure.?
  • Patient Testimonials: Reading real patient experiences can offer valuable insights into the surgeon’s approach and patient care.?

Real-Life Success Stories

Peter Arthur, a Kenyan businessman, was struggling with severe obesity, diabetes, hypertension, high cholesterol, joint pain, and backache. His weight of 171 kilograms significantly impacted his professional and personal life.

Despite repeated attempts at diet and exercise, he was unable to achieve sustainable weight loss.

Bariatric surgery ultimately proved to be a successful intervention, leading to a weight loss of nearly 45 kilograms within a year. As a result, he has experienced significant improvements in his overall health and quality of life.

Conclusion

Sleeve gastrectomy offers a transformative path to improved health and well-being for individuals struggling with obesity. By reducing stomach capacity and regulating hunger and satiety hormones, this procedure can lead to significant weight loss and the resolution of obesity-related health conditions. However, it’s essential to remember that surgery is just the beginning. Long-term success depends on adopting healthy lifestyle changes, including balanced nutrition and regular exercise.

In cases of extreme obesity (BMI 60 or above), sleeve gastrectomy surgery can be the initial step in a two-part surgical plan. This first surgery helps patients lose significant weight, making them healthier candidates for a second weight-loss procedure, if necessary.

If you’re considering sleeve gastrectomy surgery, it’s crucial to consult with a qualified bariatric surgeon to determine if you’re a suitable candidate. By partnering with experienced professionals and committing to a holistic approach, you can embark on a journey towards a healthier, happier you.

Remember, every individual’s experience is unique. While sleeve gastrectomy has shown remarkable results for many, it’s important to manage expectations and understand the potential risks and benefits involved.

Banded Gastric Bypass Achieve Lasting Weight Loss

Is losing weight becoming a struggle for you?

At times, following a healthy lifestyle, diet and exercise alone isn’t helpful in losing those extra kilos putting you at risk of developing obesity-related complications like diabetes and hypertension. In such a scenario, Bariatric surgery is a suitable and established alternative to lose weight.

One such surgical intervention is Banded gastric bypass. Like other bariatric surgeries, it can help patients achieve significant and sustained weight reduction, thereby enhancing their overall well-being.

Understanding Banded Gastric Bypass 

Banded bypass surgery is a modification of the Roux-en-Y Gastric Bypass (RYGB) that enhances its restrictive component. In the bariatric procedure, a band encircles the upper portion of the stomach pouch, created during the RYGB surgery.

This band, in conjunction with the bypass, aims to

  • Calibrate and standardize the size of the pouch and the stoma (the opening between the stomach pouch and the small intestine).
  • Reinforce the sizes to improve the restrictive effect of the surgery.

The rationale for adding a band is to further restrict the size of the stomach pouch and the stoma which helps in slowing the passage of food and preventing overeating. This modification is intended to sustain weight loss for a long-term.

It’s a minimally invasive procedure performed under general anaesthesia.

How Banded Gastric Bypass Presents a Unique Approach?

Banded gastric bypass offers numerous benefits. Patients often experience:

  • Long-term maintenance of weight loss
  • Reduced risk of obesity-related co-morbidities, such as Hypertension (High Blood Pressure), Type 2 Diabetes Mellitus, and Sleep Apnea
  • This minimally invasive surgery restricts food intake and, helps to achieve significant weight loss

With its advantages, Banded Gastric Bypass surgery proves to be an effective option for combating obesity and its associated health issues.

Who Should Consider Banded Gastric Bypass?

Banded Bariatric Procedure can be considered an appropriate alternative for:

  • 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 apnea
  • 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 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 paediatrician/endocrinology certification, or after attainment of puberty or completion of skeletal maturity

Banded Gastric Bypass is proven to be an effective approach to reducing BMI and maintaining a healthy weight.

Success Stories: Real-life Transformation

Dr. Vivek Gupta, a senior orthopaedic and joint replacement surgeon, has openly shared his successful journey with gastric bypass surgery. Struggling with obesity since childhood, his weight peaked at around 130 kilograms, accompanied by alarmingly high cholesterol levels. His blood pressure soared to dangerous levels of 210 over 140. Despite rigorous exercise and strict dietary regimens, he was unable to shed the excess weight.

Dr. Gupta underwent gastric bypass surgery and achieved a remarkable weight loss of 89 kilograms in a relatively short period. Now he enjoys a higher quality of life and has experienced a significant boost in self-confidence.

Embracing a Healthier Future

Banded Gastric Bypass is a promising option for those battling obesity. This minimally invasive procedure offers significant weight loss and tackles obesity-related health concerns.

While Banded Gastric Bypass offers a compelling choice, it is necessary to consult an accredited surgeon about the type of bariatric surgery suitable for you, based on your anatomic needs. Bariatric surgery can effectively help you reach your weight-loss goals and maintain long-term results when combined with careful adherence to your surgeon’s post-operative care plan.

References:

  1. Gastric Band Surgery (Lap-Band® Surgery) > Fact Sheets > Yale Medicine
  2. Banded Gastric Band Surgery (circlehealthgroup.co.uk)
  3. Banded Gastric Bypass – Bariatric Solutions: Bariatric Surgery (bariatric-solutions.com)
  4. Gastric Bypass Surgery | Healthier Weight
  5. Obesity & Metabolic Surgery Society of India – OSSI (theossi.com)
  6. https://www.verywellhealth.com/gastric-banding-2509704
  7. https://www.thedigestive.in/weight-loss-treatments/bariatric-surgery/gastric-band
  8. https://www.medicalnewstoday.com/articles/298313#risks
  9. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/gastric-restrictive-surgery

How Mini Gastric Bypass Surgery Can Transform Your Health and Lifestyle

Mini Gastric Bypass Surgery: A Comprehensive Guide to Weight Loss and Health Benefits

Bariatric surgery has become increasingly popular due to its proven effectiveness in achieving long-term weight loss and resolving weight-related health problems compared to non-surgical methods. 

Mini Gastric Bypass Surgery, also known as One-Anastomosis Gastric Bypass Surgery (OAGB), is a type of bariatric surgery that is minimally invasive and involves creating a smaller stomach pouch (restriction) to limit food intake and rerouting part of the small intestine (malabsorption) to reduce nutrient absorption. The result is both decreased food intake and less calorie absorption, promoting significant weight loss.  

What is a Mini Gastric Bypass? 

Mini Gastric Bypass surgery is performed under general anaesthesia. It typically involves three to four small incisions. In this technique, a long gastric tube is created, resembling a sleeve and a wide loop anastomosis requiring only one anastomosis (surgical joint). The length of the intestines bypassed varies between 170 cm and 250 cm, depending on the individual needs of each patient.

The mini gastric bypass is classified as a malabsorptive procedure, resulting in reduced absorption of ingested food.

Health Benefits of Mini Gastric Bypass 

Mini Gastric Bypass surgery offers significant weight loss and health improvements for people struggling with obesity. Here’s how it benefits you: 

  • Effective Weight Loss: Patients can expect to lose 60 to 70% excess weight with an initial rapid reduction of 8 to 10 kilograms per month for the first few months and then at a comparatively slower rate. You tend to achieve your target weight in 1-1.5 years post-surgery. Long-term success is dependent on regular follow-up with your surgeon and bariatric dietician and maintaining a healthy diet and exercise routine. 
  • Reduced Hunger and Increased Fullness: The surgery brings about positive hormonal changes leading to promoting a feeling of fullness with smaller portions, helping you manage hunger and calorie intake. 
  • Improved Blood Sugar Control and Diabetes Management: Mini Gastric Bypass can significantly improve blood sugar control and even lead to remission of type 2 diabetes. 
  • Reduced Risk of Obesity-Related Conditions: The surgery can help address other health problems associated with obesity, such as high blood pressure and sleep apnea.
  • Potential Reversibility: Unlike some weight loss surgeries, Mini Gastric Bypass is potentially reversible due to its simpler design. 

It’s important to remember that Mini Gastric Bypass requires a lifelong commitment to healthy habits. This includes following dietary recommendations, taking regular vitamin and mineral supplements, and attending follow-up appointments with your surgeon. 

Lifestyle Changes and Improvements 

After Mini Gastric Bypass surgery, expect a hospital stay of about 1 to 2 days. Your surgeon will prescribe pain-relieving medications to manage discomfort. You will be given instructions to follow regarding wound care, diet, and activity such as:  

  • Keep the incision area clean and dry 
  • Avoid strenuous exercises and lifting heavy weights 
  • Sip liquids throughout the day as suggested by the dietician to stay hydrated 
  • Follow an exercise program as per your surgeon’s instructions to maintain the weight loss 
  • Take nutritional supplements as advised

How this surgery improves and enhances your overall quality of life:  

  • Facilitates an active lifestyle – As you lose weight, you’ll likely have more energy for physical activities. Regular exercise (aerobic, strength training, and flexibility) is critical to maintaining weight loss and overall health. 
    • Helps you manage underlying Associated Medical Issues – Weight loss may improve one’s overall well-being and help manage health conditions such as inflammation, diabetes, arthritis, and other conditions associated with obesity. Your surgeon will monitor your progress, based on which some medications might be eliminated as the health improves eventually. 
    • Improves Fertility – One possible result of weight loss surgery is improved fertility. If you plan to get pregnant, discuss it with your surgeon. They might recommend a waiting time of 18 months post-surgery.

Eligibility and Considerations 

Mini Gastric Bypass surgery may be an option for patients struggling with obesity, but BMI (Body Mass Index) plays a key role in determining eligibility.  

Bariatric surgery is for patients with: 

  • BMI > 32.5 kg/m2 with obesity-related co-morbidities 
  • BMI > 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 
  • Bariatric Surgery 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 

Consulting with a qualified and experienced bariatric surgeon is essential to determine if the Mini Gastric Bypass Surgery is the right alternative for you. They will consider individual circumstances, including BMI, health history, and overall health goals. 

Selecting the Best Surgeon and Facility 

Your choice of clinic and surgical team plays a crucial role in the success of your Mini Gastric Bypass surgery. Here’s why top bariatric surgery centres can make all the difference:

  • Expertise at Every Step: A renowned bariatric surgeon runs a comprehensive bariatric program. They’ll guide you through pre-operative evaluation, ensure you have access to state-of-the-art surgical facilities, and provide extensive support post-surgery. 
  • A Team You Can Trust: To run a comprehensive bariatric program, it is essential that the team comprises a Bariatric Surgeon, Bariatric Nurse, Bariatric Dietician, Program Managers and Coordinators.

Before deciding, take some time to research renowned bariatric surgeons. Here are some key factors to consider: 

  • Accreditation: Look out for clinics and surgeons accredited by recognized healthcare organizations, ensuring they meet the highest safety standards. 
  • Surgeon Qualifications: Research the surgeon’s experience and qualifications in performing Mini Gastric Bypass surgery.  
  • Success Rates: Inquire about the surgeon’s success rates for the procedure. 
     
  • Patient Testimonials: Reading real patient experiences can offer valuable insights into the surgeon’s approach and patient care. 
     

Inspiring Success Stories 

Ms Kamaljeet, a housewife from Delhi met Dr. Peters with Co-morbidities like Diabetes Mellitus, Hypertension, and a BMI of 46.4 which were making life difficult for her. Post Surgery in 6 months she lost 30 kgs and HbA1C came down to 5.5 from 7.0 and now she leads a normal and happy life free of any medications.

Mr Manish young businessman from Gorakhpur met Dr. Peters with complaints of morbid obesity (BMI: 48.2 kg/m2), backache, joint pains, and breathlessness. After many unsuccessful attempts to lose weight through gym and diet, he decided to undergo bariatric surgery. In a period of six months, he lost about 32 Kg and is maintaining the same through regular follow-up and adhering to a suggested diet pattern. 

They are both free from their previous medical issues and are enjoying a vibrant and joyful life. They express deep gratitude to the my entire team for transforming their lives and enabling them to live with renewed energy and positivity.

Embracing a Healthier Future 

Mini Gastric Bypass surgery is a game-changer in weight loss surgery. It’s a minimally invasive procedure with big benefits for your health and life. By learning about its advantages, the surgery itself, and what to expect afterwards, you can make a well-informed choice about getting it done at a leading clinic. With proper preparation, support, and following post-surgery instructions, you can achieve significant weight loss and experience a dramatic improvement in your overall well-being. 

References 

  1. Bariatric Surgery Patient Stories, Before and After Photos | Dr Atul Peters  
  2. Choosing the Best Mini Gastric Bypass Surgeon and Clinic | by Bariatric Surgeon in Indore | Dr. Achal Agrawal | Medium  
  3. Mini-gastric bypass: Advantages, procedure, and recovery in renowned clinics (medicaltourism.com) 
  4. Clinical Resources (bomss.org) 
  5. Obesity & Metabolic Surgery Society of India – OSSI (theossi.com) 

Facts About Bariatric Surgery

Essential Facts About Bariatric Surgery: Debunking Myths and Understanding Benefits

Bariatric surgery can benefit you in innumerable ways but, myths persist about the surgery and obesity. Here are some facts you should know about weight loss surgery.

  1. Being overweight is a health problem

In our society, many people think that being overweight is an appearance issue. Obesity is a metabolic disease. Diabetes, heart disease, joint pains, breathing issues, sleep apnea, mood swings, and low energy levels are health problems that can come from being overweight. So being overweight can devastate a person’s entire quality of life.

  1. Bariatric Surgery health benefits go beyond weight loss

Bariatric Surgery not only helps in weight loss but often improves Type2 Diabetes, Hypertension, Sleep Apnea, Cardiac issues, Reflux, Depression, and many other medical issues as well. It can also cure newly diagnosed Type 2 Diabetes. Bariatric surgery patients can live longer and healthier lives.

  1. Unlikely to get a big scar

The two most common Bariatric surgeries involve three to five incisions that are 5mm – 15mm (approx. ½ inch). Small incisions cause less pain and reduce the recovery time. Scars affect the patients mentally and remind them the pain they went through during surgical procedures.

  1. The risk could be almost the same as for uterus removal surgery

The surgical risk in weight loss surgery and uterus removal surgery (Hysterectomy) could be almost the same if done in a high volume Bariatric Centre (Centre of Excellence) and by a dedicated Bariatric Surgeon. The surgical risks can always be treated and resolved. The health risks of Bariatric surgery are much lower than the health risks of obesity.

  1. Bariatric surgery- an emotional experience

Patients need to understand that there would be certain changes in their lifestyle and eating habits after the Bariatric surgery. They slowly start coping and get habitually with the routine eventually. That’s why you get psychological as well as nutritional support before undergoing weight loss surgery.

  1. It’s a journey, not a destination

Be realistic about the time it will take to lose healthy weight. It’s not just the weighing scale that will show you your advancement but also, notice the numbers moving down on the measuring tape and the change in your fat percentage. Don’t stop the journey even when you feel like it’s not happening because your body is perpetually changing from within.

If you’re looking for the best bariatric surgery in Delhi, then consult us at Smart Cliniqs – the clinic for bariatric surgeries.

Benefits of Losing Weight

The Comprehensive Benefits of Weight Loss: Health, Lifestyle, and Social Gains

If you are overweight or obese and planning to lose weight, it’s important to understand the benefits of losing weight. Actually, weight loss has to be pleasing or it isn’t sustainable. You are either stressed or relaxed. Anything stressful will give you a stress response. Find things that are enjoyable and use it to construct a healthier lifestyle.

Every weight loss plan falls apart at the seams at some point. Therefore, to set yourself up for favorable outcome, understanding the extended weight loss benefits that help to keep you motivated after Bariatric Surgery (Weight loss surgery) include Health benefits, lifestyle benefits, and social benefits. There are different approaches to losing weight depending on your BMI and health issues. A BMI greater than 32.5 with one or more significant obesity-related medical conditions or a BMI 35 and above can be taken up for Bariatric Surgery (Weight loss surgery).

Diet and exercise would work for people with a BMI less than 32.5 but beyond this Bariatric Surgery (Weight loss surgery) is recommended for realistic, sustainable, and long-term results. This also means that surgery is more likely to improve the health conditions connected to obesity.

Health Benefits of Losing Weight

  • Lowers the risk of some types of cancers
  • Lowers the risk of / resolves Diabetes
  • Decreases the risk / resolves Hypertension
  • Improves / resolves Lipid profile
  • Reduces / resolves backache
  • Improves Fertility
  • Reduces the symptoms of Arthritis (Osteoarthritis)
  • Lowers the risk of Cardiovascular disease
  • Improves breathing
  • Reducing the risk of Kidney disease
  • Decreases risk of / resolves Sleep Apnea
  • Reduces risk of a weak bladder (in women)
  • Decreases/resolves Joint pains Reduces symptoms of Gastric Reflux
  • Reduces the risk of Stroke
  • Reduces the risk of varicose vein or DVT
  • Improves mobility

Your doctor will inform you more information about the health benefits you can expect when you lose weight. He may also recommend a dietician and physical activity post Bariatric Surgery.

Lifestyle Benefits of Losing Weight

  • Better Hormonal Imbalance
  • Better Sleep
  • Clearer and brighter skin
  • Increased sexual performance
  • Improved memory
  • Active social life
  • Stress relief
  • More confident
  • Improves vitality
  • Better wardrobe
  • Less medications
  • Better mood
  • Improves energy level

For many people, their weight defines how they feel about themselves. Our body image states how we connect with others, and our confidence, and it affects how healthy we feel going about our daily lives. Apart from the medical benefits of weight loss, you will also experience an improved lifestyle.

Social Benefits of Weight Loss

  • More comfortable in your body
  • Moving around is easier
  • Satisfaction of knowing you look your best
  • You can focus on improving yourself in other ways
  • Decreases the perspiration levels
  • Being confident in a group

The social benefits of weight loss are mostly very substantial short-term motivators. However, these incline to be less potent at sustaining long-term lifestyle change because they often are geared towards short-lived events, such as some social function. Positive changes in lifestyle that are not externally imposed may more likely be able to sustain themselves over time.

Enjoying the Benefits of Weight Loss

If you decide that there are significant reasons for you to lose weight, then there’s no time like the present to start your weight loss journey. Our physique dictates how we feel about ourselves and that lightens up our confidence. Your first step should be to set a reasonable goal. Then make small changes to your daily routine and eating habits.

Suffering from being overweight and wanna lose weight through bariatric surgery? consult us at Smart Cliniqs as we have the team of the best bariatric surgeons in Delhi.

Do I qualify for bariatric surgery?

Growing Importance of Bariatric Surgery: How to Qualify for Bariatric Surgery

Growing Importance of Bariatric Surgery

Since, progressive generations are growing heavier with increased association with other metabolic disorders – diabetes, hypertension, and dyslipidemia. There has been an increasing role of bariatric surgery in the management of obesity and its associated co-morbidities. Technological leaps in the field of Laparoscopic Bariatric Surgery as well as Robotic Bariatric Surgery have led to the evolution of bariatric surgery from a major, uncommon, and often dangerous surgery with doubtful outcomes to a much safer, routine procedure with assured results.

Evolution of Bariatric Surgery Criteria

Initially, it was a difficult task to elect candidates who could undergo bariatric surgery. In 1991 the National Institutes of Health (NIH) consensus statement for the first time defined clear universally acceptable criteria for patient selection. This statement was revised and re-defined as more and more data began to be analysed subsequently. The cut-off BMI to undergo surgery was lowered over a period of time.

Types of Bariatric Surgery

Starting with Gastric Bypass surgery, in which Roux-en-Y gastric Bypass being the gold standard, nowadays Gastric Sleeve Surgery is becoming more and more popular among surgeons since it is relatively simple to perform with similar post-operative outcomes.

Shift from Weight Loss to Metabolic Surgery

With the understanding of the metabolic syndrome, of which obesity was just one part, there was increasing interest in the role of surgery in the resolution of co-morbidities, particularly diabetes and dyslipidemia.

The increasing incidence of diabetes and cardiovascular disease even at lower BMIs, particularly in specific populations such as Asians led to a demand to consider these surgeries for selected candidates with low BMIs also. The emphasis shifted from ‘weight loss’ surgery to ‘metabolic’ surgery. It was suggested that perhaps action points for Asians should be 2.5 BMI points lower i.e. at 32.5 and 37.5.

New Eligibility Criteria and Recommendations

With this background, the International Diabetes Federation (IDF) released a position statement on 28th March 2011 supporting surgery to treat Type II diabetes in obese patients. It defined new lower BMI criteria for patient selection as explained in the table below.

Eligibility and prioritization for bariatric surgery based on failed non-surgical weight loss therapy +, BMI, ethnicity ++, and disease control.

BMI range Eligible for surgery Prioritised for surgery
< 30 No No
30 – 35 YES – Conditional +++ No
35 – 40 YES YES – Conditional +++
> 40 YES YES

+ In all cases, patients should have failed to lose weight and sustain significant weight loss through non-surgical means, and have type II diabetes that has not responded adequately to lifestyle measures (+/- metformin) with HbA1c < 7%.

++  Action points should be lowered by 2.5 BMI points for Asians.

+++ HbA1c > 7.5 despite fully optimized conventional therapy, especially if weight is increasing, or other weight-responsive co-morbidities not achieving targets on conventional therapies.

Impact and Endorsements

The new recommendations significantly lowered cut-off BMIs making many more patients eligible for surgery. Theoretically, an Asian patient with a BMI as low as 27.5 could be a candidate for metabolic surgery, provided other conditions are met. This is a significant shift from the previously recommended cut-offs.

These have received widespread attention in the medical community and have been endorsed by several medical bodies – The American Heart Foundation (AHA), the American Medical Association (AMA), The American Society of Metabolic and Bariatric Surgeons (ASMBS), and The American Association of Clinical Endocrinology (AACE).

Confused if you qualify for bariatric surgery or not? Consult us at Smart Cliniqs and we will schedule your appointment with the best bariatric surgeon in Delhi.

Side Effects of Bariatric Surgery

Understanding the Side Effects of Bariatric Surgery: What You Need to Know

Overview of Bariatric Surgery

Bariatric surgery is increasingly being accepted as a viable option for treating morbid obesity and its associated diseases such as diabetes mellitus and hypertension. Surgery provides long-term sustained weight loss as well as resolution of co-morbid conditions.

The benefits of bariatric surgery are numerous but there are also a few risks and side effects associated with various bariatric surgical procedures.

Common Bariatric Procedures in India

The most common bariatric surgical procedures performed in India are:

Immediate Side Effects of Bariatric Surgery

There are a few immediate side effects that can happen after bariatric surgery like bleeding, leak, intestinal obstruction, and venous thromboembolism. The side effects due to malnutrition or undernutrition are seen in the long term, particularly after laparoscopic gastric bypass surgery.

The incidence of bleeding is less than 4% in patients undergoing bariatric surgery. Most cases can be managed by blood transfusions alone. Some cases might require laparoscopy to stop the bleeding. A leak from the anastomosis site or sleeve staple line occurs in about 0.7% to 5% of the patients. If the leak is early, re-laparoscopy with identification of the leak and its closure is done with adequate drainage, bowel rest, and antibiotics.

Similarly leaks after a mini gastric bypass can be managed early by drainage and conversion of the procedure to Roux-en-Y gastric bypass along with a feeding tube in the intestines. The other rare immediate problem can be that of wound infection which is managed by dressing and antibiotics. Obesity is an independent risk factor for thromboembolism which is the clotting of blood in the veins of the body particularly the legs. This is best avoided by taking heparin injections for the first few days after the surgery and wearing graded pressure stockings for a few weeks. Early active mobilization is the best precautionary method.

Long-Term Side Effects and Nutritional Deficiencies

Lately, there can be obstruction of the intestines due to various factors which result in pain and distension of the abdomen along with vomiting. The possible causes usually are smoking, and the formation of ulcers. This can be identified by doing an endoscopy or a CT scan. Treatment of the possible causes can be done immediately.

After bariatric surgery, iron, vitamin B12, and other micronutrient deficiencies can occur.  Iron deficiency occurs in patients within 2 to 5 years after surgery. Supplementation with iron can reduce iron deficiency significantly. Calcium and vitamin D absorption are impaired after gastric bypass as well. We obtain a complete blood count and iron, B12, calcium, folic acid, vitamin D, levels before surgery, 6 months and 1 year after surgery, and yearly thereafter. We recommend routine daily supplementation with a multivitamin, iron, vitamin B12, and calcium along with vitamin D supplementation depending on the serum levels.

Dumping Syndrome

Dumping syndrome is a common side effect after Roux-en-Y Gastric Bypass (RNYGB) surgery. This usually occurs due to poor food choices. It is related to the ingestion of refined sugars (including high fructose corn syrup) or high glycemic carbohydrates. It can also occur with dairy products, some fats, and fried foods.

The fact is that these foods will interfere with long-term weight loss and should not be eaten anyway.

Symptoms start typically 20-30 min after the food. It includes sweating, flushing, lightheadedness, tachycardia, palpitations, desire to lie down, upper abdominal fullness, nausea, diarrhea, cramping, and active audible bowel sounds.

Conclusion

In summary, although bothersome and sometimes worrisome, dumping syndrome is not a life-threatening problem. Patients need to learn about and read basic nutrition labels. The benefit is that it teaches patients quickly that certain foods and additives cannot be tolerated. Patient compliance and commitment to long-term follow-up are mandatory.

In short, the side effects of bariatric surgery are rare. Timely
identification and intervention are the keys to preventing serious complications.

Still confused about bariatric surgery? Then schedule your consultation with the top bariatric surgeon in Delhi at Smart Cliniqs.