Tag: bariatric surgery

Robotic Gastric Sleeve: Advanced Precision for Effective Weight Management

Robotic Gastric Sleeve: A Minimally Invasive Approach to Weight Management

Weight Management is quickly growing into a significant global concern, transcending borders and cultures. Whether due to a sedentary lifestyle, poor dietary habits, or genetic or environmental factors, maintaining a healthy lifestyle is more important than ever.

Among the options for effective weight loss solutions, bariatric surgery has become the most effective option, and among the various surgery procedures, Robotic Gastric Sleeve also known as ‘Robotic Sleeve Gastrectomy‘ has emerged as the most common and advanced technique for those seeking long-term weight loss, improved health outcomes, and a better quality of life.

What is a Robotic Gastric Sleeve?

Robotic gastric sleeve is a type of bariatric surgery that helps in significant weight loss by reducing the size of the stomach.

During the procedure, around 75-80% of the stomach is removed, leaving behind a sleeve-shaped stomach, roughly the size of a banana, incapable of holding a lot of food. This, of course, brings about hormonal changes favourable for weight loss.

This highly effective option for surgery is performed using robotic technology that enhances the surgeon’s ability to make precise movements through small incisions better than traditional laparoscopic or open surgery methods.

Why is the Robotic Gastric Sleeve gaining popularity?

Those who receive the traditional approach might experience greater postoperative pain, longer hospital stays, and a delayed return to daily activities. But with this advanced robotic approach, they typically experience:

  • Minimally Invasive: Smaller incisions and reduced trauma to surrounding tissues leading to lesser pain and faster recovery, unlike traditional methods.
  • Improved Precision: Robotic surgery systems offer surgeons an HD 3D view of the operating area.
  • Faster Recovery: Many patients are seen resuming their normal daily activities within a week.
  • Reduced Risk of Complications: It reduces the risk of infection and other complications since the surgery is minimally invasive.
  • Shorter Hospital Stay: With faster recovery times, many patients are able to go home within 24 hours after surgery.

Benefits of Robotic Gastric Sleeve Beyond Weight Loss

  • Improved Metabolic Health: This leads to improvement of conditions like type 2 diabetes, high blood pressure, and high cholesterol.
  • Enhanced Mobility: Losing excess weight often reduces joint pain and improves physical mobility, leading to a more active lifestyle.
  • Better Quality of Life: As patients lose weight, many experience a boost in self-esteem, confidence, and mental health. The ability to participate in activities they may have previously avoided due to weight-related limitations can lead to a more fulfilling life.
  • Reduced Risk of Obesity-Related Diseases: As patients achieve and maintain a healthier weight, their risk for heart disease, stroke, certain cancers, and other obesity-related conditions reduces.

Life-Changing Impact

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 (Gastroesophageal Reflux Disease) – 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 is a Candidate for Robotic Gastric Sleeve?

Robotic gastric sleeve is typically recommended for people who have been unable to achieve sustained weight loss through traditional methods such as diet, exercise, or medication. This surgical approach is often considered for people with:

  • BMI above 32.5 kg/m2 with obesity-related co-morbidities
  • BMI above 37.5 kg/m2 even without co-morbidities.
  • BMI > 30 kg/m2 with life-threatening obesity-related disorders like uncontrolled diabetes, cardiovascular disease/cardiomyopathy, and severe obstructive sleep apnea.

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.

  • 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 old in the presence of severe obesity-related co-morbidities / disability

Bariatric Surgery may be considered in patients < 18 years in special situations after pediatrician/endocrinology certification, or after attainment of puberty or completion of skeletal maturity

Understanding the stages of Post-Surgery Recovery Process

  • Initial Recovery: Most of the patients stay at the hospital for one or two days. During this time, the pain is managed, and hydration is ensured, along with the gradual introduction of liquids.
  • Dietary Changes: The patient starts with a liquid diet and then progresses to soft food, ending with solid food over a period of weeks. The prescribed diet must be followed for faster results.
  • Follow-up Care: An important factor that enables your health professional to understand any improvement in you and change your diet or medicine accordingly.

The Essential Lifestyle Factors for Long-Term Success

  • Balanced Diet: Emphasize high-protein, low-carb foods, plenty of vegetables, and plenty of fluids.
  • Regular Exercise: Incorporate cardio, strength training, or both in your workout session.
  • Support Systems: participating in support groups or professional counseling can help maintain motivation and accountability in your actions.

Follow-up Care by Top Bariatric Surgeon in Delhi

Bariatric surgery is a transformative journey for many people struggling with obesity. While the surgery itself is a critical step towards weight loss and improved health, follow-up care is equally essential to ensure lasting outcomes.

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. They’ll guide you through pre-operative evaluation, ensure you have access to state-of-the-art surgical facilities, and offer 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 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.?  

Consult with the best bariatric surgeon in Delhi for the finest possible care. And before you go somewhere else, why not read about us and rest assured that you are in safe hands?

Conclusion

Robotic gastric sleeve is a new revolutionary trend towards obesity management. The approach is recommendable for its minimally invasive nature, coupled with increased precision, and effective solution to fight obesity with less recovery time.

After you have opted for weight loss surgery, please consult a competent healthcare professional so that the Robotic gastric sleeve may become your first step toward transforming your life.

References

  1. American Society for Metabolic and Bariatric Surgery
  2. National Institutes of Health – Bariatric Surgery
  3. Bariatric Surgery: Benefits and Risks
  4. Obesity Action Coalition
  5. https://www.theossi.com/

Mini Gastric Bypass vs Roux-en-Y Gastric Bypass

Mini Gastric Bypass vs Roux-en-Y Gastric Bypass: Understanding Your Weight Loss Journey

Embarking on a weight loss journey is a deeply personal experience. As obesity rates continue to rise globally, many people are turning to surgical solutions to help achieve substantial weight loss and improve their overall health.

This blog post addresses this concern and offers a comprehensive overview of Roux-en-Y Gastric Bypass (RYGB) and Mini Gastric Bypass, two popular weight loss surgeries. It discusses the procedures, benefits, and potential risks associated with each option. The article also explores the criteria for eligibility for bariatric surgery in India and offers guidance on choosing a qualified bariatric surgeon in Delhi. Ultimately, the goal is to empower individuals considering weight loss surgery to make informed decisions based on their specific needs and goals.

Introduction 

When considering weight loss surgery, understanding the available options is crucial. Two common procedures, Roux-en-Y Gastric Bypass (RYGB) and Mini Gastric Bypass, offer significant weight loss benefits but differ in their techniques and outcomes.

On average, people who undergo gastric bypass surgeries, lose 70 to 80% of excess body weight. However, it’s important to remember that these surgeries require a lifelong commitment.

This blog will delve into the details of 2 such procedures, helping you make an informed decision about which is best suited to your individual needs.

What is Roux-en-Y Gastric Bypass (RYGB) Surgery?

Roux-en-Y Gastric Bypass (RYGB) is a more traditional weight loss surgery that involves creating a small stomach pouch and bypassing a portion of the small intestine. This rerouting of the digestive system leads to reduced food intake and absorption, resulting in significant weight loss.

How RYGB Works:

  • Stomach pouch creation: The upper portion of the stomach, near the oesophagus, is stapled to create a small pouch that holds less food. 
  • Intestinal rerouting: The lower section is attached directly to the new stomach pouch, creating a pathway called the “roux limb.” The upper section of the small intestine, which carries digestive juices, is then attached further down the digestive tract, to the end of the roux limb. This allows food to bypass the lower stomach, the duodenum (the first part of the small intestine), and a portion of the small intestine itself. 
  • Reduced food intake and absorption: The rerouted digestive system limits the amount of food that can be consumed at once and reduces the absorption of nutrients.

Benefits of RYGB Surgery:

  • Significant weight loss: Patients often experience substantial weight loss within the first year of surgery.
  • Improved health outcomes: RYGB can address obesity-related health conditions such as diabetes, high blood pressure, and sleep apnea.
  • Long-term weight loss maintenance: Many individuals who undergo RYGB surgery are able to maintain their weight loss over the long term.

What is Mini Gastric Bypass Surgery?

Mini Gastric Bypass, also known as one anastomosis gastric bypass, is a less invasive procedure compared to the traditional Roux-en-Y Gastric Bypass. It involves creating a small stomach pouch to limit food intake and rerouting part of the small intestine to reduce nutrient absorption.

How Mini Gastric Bypass Works:

  • Stomach pouch creation: Similar to RYGB, the surgeon makes your stomach smaller by stapling and reshaping it into a long, slender pouch.
  • Direct connection: A new path is created for the food to pass through. A section of your small intestine is connected to the new stomach pouch. This bypasses the lower part of your stomach, the duodenum, and some of your small intestine.
  • Reduced food intake and absorption: The rerouted digestive system limits the amount of food that can be consumed and reduces the absorption of nutrients.

Benefits of Mini Gastric Bypass Surgery:

  • Potential Reversibility: Unlike some weight loss surgeries, Mini Gastric Bypass is potentially reversible due to its simpler design.
  • Reduced risk of obesity-related comorbidities: Mini Gastric Bypass can help address other health conditions associated with obesity, such as high blood pressure and sleep apnea like in RYGB.
  • Less restrictive: Mini Gastric Bypass may allow for a more flexible diet compared to RYGB.

Which Gastric Bypass Surgery is Right for You?

The decision between Roux-en-Y Gastric Bypass and Mini Gastric Bypass depends on various factors, including:

  • Individual health goals: Consider your desired level of weight loss and any specific health conditions you want to address.
  • Medical history: Discuss any existing medical conditions or risk factors with your surgeon.
  • Lifestyle factors: Consider your dietary habits, exercise routine, and overall lifestyle.

There are minor differences in these two procedures. With different advantages and disadvantages, the best outcome will depend by making an informed choice in consultation with your bariatric surgeon.

Who is Bariatric Surgery for?

  • Bariatric/metabolic surgery should be considered a treatment option for acceptable Indian patients with a BMI ? 35 kg/m2, with/without the presence of any obesity-related co-morbidity.
  • Bariatric/metabolic surgery should be considered a treatment option for acceptable Indian patients with a BMI ? 30 kg/ m2, in the presence of two or more obesity-related co-morbidities.
  • Bariatric/metabolic surgery should be considered as a non-primary treatment option for acceptable Indian patients with a BMI ? 27.5 kg/ m2, with uncontrolled type 2 diabetes despite optimum medical management.
  • Any bariatric/metabolic surgery for an Indian patient with a BMI < 27.5 kg/ m2 should be strictly performed under an experimental study protocol with prior ethics committee approval and informed consent from the patient.
  • Bariatric/metabolic surgery should be considered as a treatment option for acceptable Indian patients with central obesity with a waist circumference ? 80 cm in females and ? 90 cm in males along with type 2 diabetes and other obesity-related co-morbidities.
  • Bariatric/metabolic surgery may be advised as a treatment option for acceptable Indian patients who qualify for the above BMI criteria if they are ? 18 years of age. It may be advised as a treatment option to patients younger than 18 years of age under special circumstances with the approval of a multi-disciplinary team constituting a pediatrician, endocrinologist, dietician, psychologist, and a bariatric team including a bariatric surgeon. Attainment of puberty and completion of skeletal maturity must be taken into account for this patient population when considering the option of surgery.
  • Bariatric/metabolic surgery should be advised as a treatment option for acceptable Indian patients who qualify for the above BMI criteria for patients up to 65 years of age. Bariatric/metabolic surgery may also be recommended for patients ? 65 years of age if they are medically fit, and the benefits of surgery outweigh the risks.
  • All patients who are advised of bariatric/metabolic surgery as a treatment option should be motivated to enter a long-term weight management program and should be committed to life-long follow-up.
  • Long-term weight management programs and follow-ups must be provided by all bariatric teams.

    Choosing a Bariatric Surgeon in Delhi

    It’s essential to consult with a qualified bariatric surgeon who can assess your individual needs and recommend the most appropriate procedure. A bariatric surgeon can provide personalized guidance, address your questions and concerns, and help you make an informed decision.

    Ready to take the next step towards a healthier you?
    Here’s a quick checklist to help you find the perfect fit:

    • Experience and qualifications: Look for a surgeon with extensive experience in performing weight loss surgeries.
    • Board certification: Ensure the surgeon is board-certified in bariatric surgery.
    • Hospital affiliation: Consider the surgeon’s affiliation with reputable hospitals in Delhi.
    • Patient reviews and testimonials: Read reviews and testimonials from previous patients to get a sense of the surgeon’s expertise and patient satisfaction.

    Preparing for Weight Loss Surgery

    If you decide to undergo weight loss surgery, it’s important to prepare for the procedure and the recovery process. This may involve:

    • Making lifestyle changes: Adopting healthier eating habits and increasing physical activity can help you prepare for surgery and improve your overall health.
    • Undergoing pre-operative evaluations: You may need to undergo various medical tests and evaluations to assess your suitability for surgery.
    • Following pre-operative instructions: Your surgeon will provide specific instructions to follow before the procedure.

    Recovery and Post-Operative Care

    Recovery from weight loss surgery typically involves a hospital stay of several days, followed by a period of at-home recovery. During this time, you will need to follow your surgeon’s instructions for wound care, medication, and dietary restrictions.

    Long-Term Follow-Up

    After surgery, it’s important to attend regular follow-up appointments with your bariatric surgeon. These appointments will help monitor your progress, address any concerns, and ensure that you are receiving the necessary support for long-term weight loss maintenance.

    Conclusion: Mini Gastric Bypass vs Roux-en-Y Gastric Bypass

    Both, Roux-en-Y Gastric Bypass and Mini Gastric Bypass, surgeries offer significant potential for weight loss and improved health outcomes. By understanding the differences between these procedures and consulting with a qualified bariatric surgeon, you can make an informed decision that aligns with your unique needs and goals. Remember, the journey to a healthier you, begins with taking the first step and seeking the right guidance.

    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

    Navigating Bariatric Surgery With Laparoscopic and Robotic Techniques

    Debunking Myths and Making Informed Choices: A Guide to Bariatric Surgery

    Struggling with severe obesity and its health risks?

    You’re not alone. Bariatric surgery, also known as weight loss surgery, is a safe and effective option for many people. This blog aims to debunk certain myths associated with Bariatric Surgery and simultaneously help people overcome the fear of going for surgery.

    It is crucial to choose a physician, who specializes in Bariatric Surgery and understands your anatomy and emotions to significantly enhance your procedural outcomes, reducing recovery time and helping maintain results post-surgery.

    What is Bariatric Surgery?

    Bariatric surgery involves rerouting the intestines to limit nutrient absorption. Besides being a potent treatment for obesity, this procedure is quite effective in managing diabetes, high blood pressure, sleep apnea and high cholesterol, among many other diseases.

    Bariatric surgery has come a long way! The origins of bariatric surgery date back to the 1950s, when weight loss surgeries were complex and intense procedures . Today’s bariatric surgeries are safer and more effective. Laparoscopic and robotic-assisted bariatric surgery, have simplified the procedure to a great extent, making it less invasive.

    Understanding Laparoscopic Bariatric Surgery? 

    Laparoscopic weight loss surgery is a well-established method, the surgeon uses a laparoscope, which is basically a mini camera, to see inside the abdomen and perform the surgery through small cuts. It’s a well-established technique with a proven track record for helping patients achieve significant weight loss. 

    Knowing About Robotic Bariatric Surgery? 

    Robotic Gastric Bypass, or robotic weight loss surgery integrates laparoscopic procedures with the precision of robotics to facilitate intricate surgical procedures. With the assistance of a robotic arm and high-definition visualization, it offers a wider range of motion and tremor filtration for smoother movements and a magnified 3D view of the surgical site, enabling greater precision and amplifying the efficacy of the procedure. Similar to laparoscopic surgery, robotic surgery requires only a few small incisions, therefore significantly reducing the risks of complications and enabling even faster recovery.

    Which is a Better Technique for Me? Laparoscopic Vs. Robotic? 

    Both laparoscopic bariatric surgery and robotic bariatric surgery are minimally invasive techniques that have become game-changers in weight loss surgery. They offer smaller scars, shorter hospital stays, and a quicker recovery compared to traditional open surgery. 

    Laparoscopic weight loss surgery has emerged as a safer route than traditional approaches and uses a minimally invasive technique, which means smaller scars, less pain, and a faster recovery. 

    Robotic weight loss surgery is a newer approach that uses a robotic platform to assist the surgeon and provides technical ease for complex laparoscopic procedures. This technology can offer even more precise movements and potentially shorter recovery times.  

    Both procedures are equivalently effective surgical methods for the patient suffering from obesity but only in the case of severely obese patients, it is advised to opt for Robotic weight loss surgery for more precision.

    For the long-term success rate of bariatric surgery, it is important for the patient to adopt healthier habits, as advised by the bariatric surgeon and his team, including a balanced diet and regular exercise as part of post-procedural care, thereby maintaining a healthy lifestyle.

    Choosing the Right Surgeon… Because Expertise Matters? 

    Post-bariatric surgery, a patient may lose 60-80% of their excess weight on average, lessening their vulnerability to serious health complications like diabetes, cancer and cardiovascular diseases. It is of utmost importance to reach out to the right surgeon because indisputably, every surgeon’s experience varies, and the right surgeon can guide you about the surgical outcomes. They can assess your individual needs, discuss the risks and benefits of each technique, and recommend the best approach for your weight loss goals and medical history.

    • Consider their specific experience:
      A potential surgeon must be equipped with the skills to perform a bariatric procedure safely and effectively. A surgeon’s learning curve is a determinant factor, for robotic surgery demands extensive technical training.?It may be worthwhile to consider a surgeon’s personal experience with bariatric surgery, both in terms of years as well as the number of procedures successfully performed.
    • Look out for a surgeon who makes you feel comfortable:
      Along with surgical prowess, a good surgeon must make you feel safe and comfortable so that you can openly discuss personal information.
    • Supportive Team:
      The surgeon should be backed by a team of specialists, including assistant surgeons, registered bariatric dietitians, nurses and coordinators. This team will guide you through dietary changes, manage post-operative complications, and provide emotional support throughout your journey.

    Don’t hesitate to ask your surgeon about their team and their approach to aftercare. A skilled surgeon with a dedicated team by their side is more likely to help you achieve long-term success.

    Boosting Your Confidence: Narrating the Success Stories?of Our Patients

    Many people have found success with bariatric surgery, and they’re happy to share their stories! Our proud heroes, Ms. Anisha and Mr. Satinder Singh share their positive experiences post-bariatric surgery and how it optimistically encouraged them, boosting their confidence to pursue their dreams.? 

    Mr. Satinder Singh shares “It’s a new birth for me,” stating the problematic health scenarios pre-surgery.? 

    While Ms Anisha shares how she faced the situation of body shaming, post-bariatric surgery, she feels positively motivated and encourages – “It’s never too late to get that change in yourself; you owe it to yourself.”

    These are just a few examples of how bariatric surgery can transform lives.

    Making an Informed Decision Because ‘Healthy Choices, Healthier ME’

    Bariatric surgery isn’t just about weight loss; it’s about taking control of your health and well-being. If you’re struggling with severe obesity and its health risks, consult a qualified bariatric surgeon to discuss your options. Remember, bariatric surgery is a life-changing decision. By understanding your options and working with a skilled surgeon, you can take charge of your health and achieve lasting weight loss success, leading to a happier you!

    References

    1. Best Robotic Surgeon in Delhi, Robotic Surgery in Delhi (atulpeters.com) 
    2. Robotic bariatric surgery: A general review of the current status – Jung – 2017 –      The International Journal of Medical Robotics and Computer Assisted Surgery – Wiley Online Library 
    3. Robotic or Laparoscopic in Gastric Bypass? | Koru Hospital (koruhastanesi.com) 
    4. Your Guide to Choosing a Bariatric Surgeon – Long Island Laparoscopic Doctors (journeytothenewyou.com) 
    5. Robotic Bariatric Surgery | Bypass vs Sleeve | Da Vinci Surgery (intuitive.com) 
    6. Robotic bariatric surgery: A new weapon in the fight against obesity | Diet and Nutrition | Digestive | UT Southwestern Medical Center (utswmed.org)

    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.

    Examining the Pros and Cons of Bariatric Surgery

    Experience a Journey Towards a Healthier You!

    Weight loss surgery, also known as bariatric surgery, can be a transformative step towards a healthier and happier you. This procedure acts as a powerful ally in your weight loss journey, helping you achieve significant, lasting weight loss. As a result, the risk of developing serious health conditions like heart disease, diabetes, and even some cancers can be significantly reduced. Bariatric surgery allows you to unlock a future filled with increased energy, improved mobility, and a renewed sense of well-being. 

    Moreover, here’s the good news: weight loss surgery has become much safer over time. Thanks to newer techniques, better training for surgeons, and quality control programs, the mortality risk associated with this surgery has gone way down, from around 1.5% to a much lower 0.3%. So, while it remains a major procedure, it can be a powerful tool to help people with obesity live longer, healthier lives. 

    Consider the Option that Best Meets Your Requirements  

    There are different procedures available for Bariatric surgery, and surgeons can choose the best option based on each patient’s, individual needs. 

    • Roux-en-Y Gastric Bypass: This two-pronged surgical approach tackles weight loss by both curbing appetite and reducing nutrient absorption. Staples are used to create a smaller stomach to limit the amount of food intake, and certain section of the small intestine is bypassed to limit the nutrients and calories absorbed.
    • Sleeve Gastrectomy: The method encompasses the stapling and removal of a portion of the stomach to reduce the size of the stomach to that of a small banana. It also influences weight loss by altering gut hormones that regulate appetite, taste, and blood sugar levels, contributing to feelings of fullness after consuming a smaller volume of food.?
    • Mini Gastric Bypass: In this surgery, the surgeon creates a long, sleeve-shaped pouch from the stomach. This pouch is then connected directly to the small intestine, forming a loop. 
    • Banded Gastric Bypass: By adding a band to a gastric bypass surgery, surgeons can precisely control the pouch and stoma sizes in this banded gastric bypass procedure. This standardization and adjustability can potentially improve weight loss outcomes in the long run. 
    • Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is a two-part weight loss surgery. The first part involves reducing the stomach’s size through a procedure called sleeve gastrectomy. The second part reroutes the digestive system. This reduces the body’s ability to absorb fats and calories, leading to weight loss. 

    Is Weight Loss Surgery Right for Me?  

    Weight loss surgery isn’t for everyone. The question comes round to: 

    Am I qualifying for bariatric surgery?  

    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

    Obesity treatment encompasses a lot more than stated. A good lifestyle works wonders with a follow-up routine. Moreover, regularly consulting the multidisciplinary team to monitor progress is fundamental to addressing the underlying potential complications.  

    Weighing the Pros and Cons of Bariatric Surgery  

    Weight-loss surgery is an effective and more reliable alternative to lose 60-80% of your excess weight within a year of surgery. Significant weight loss after bariatric surgery positively impacts cardiac metabolism, workload, performance, and structure.?

    Bariatric Surgery improved the quality of life for 95% of patients with an 89% reduction in 5-year mortality.   

    • 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 

    Understanding the risks associated is of equal importance. By and large, every surgery involves risks.  

    Risks of Bariatric & Metabolic Surgery 

    The more extensive the bypass operation, the greater the risk for complications and nutritional deficiencies. Patients with extensive bypasses of the normal digestive process require not only close monitoring but also may require the use of special foods and medications. Five to ten percent of patients who undergo weight-loss operations may require surgical/medical interventions to correct complications.

    Rare complications of gastric bypass surgery include leak through staples or sutures, ulcers in the stomach or small intestine, and blood clots in the lungs or legs (it is hence important for all our patients to strictly adhere to the compression stockings and LMWH therapy as advised postoperatively), stretching of the pouch or oesophagus, persistent vomiting, and abdominal pain, inflammation of the gallbladder, and failure to lose weight. 

    Many a patient undergoing bariatric surgery develop gallstones. Gallstones are clumps of cholesterol and other matter that form in the gallbladder. A person’s risk of developing gallstones increases during rapid or substantial weight loss. 

    A few studies have reported up to 30 percent of patients who have weight-loss surgery may develop nutritional deficiencies such as anaemia, osteoporosis, and metabolic bone disease. These deficiencies can be avoided if vitamin and mineral intakes are maintained – a close follow-up with our dietician is thus emphasized. 

    Women of childbearing age should avoid pregnancy for 12-15 months until their weight becomes stable because rapid weight loss and nutritional deficiencies can harm a developing fetus. Though some bariatric procedures can be reversed, patients should carefully consider all of the risks and benefits before electing to have this surgery. 

    Patients with uncontrolled diabetes, retinopathy, neuropathy, and nephropathy are advised a very close monitoring of their blood sugar and other medications with regular follow-up. Patients who have been advised C-PAP/Bi-PAP must strictly adhere to the usage, or else it could even prove fatal.  

    In short bariatric/metabolic surgery is not a magic pill but could work like magic if used and practised judiciously under supervision.

    Post-Surgery Care and Management

    Post-bariatric surgery, there are a few things to keep in mind to make it a success. Here’s what your post-bariatric surgery care must involve. 

    • Your surgeon and healthcare team will be there to watch over you, answer questions, and help avoid any problems. They’ll also track your weight loss to see how you’re doing. 
    • Having good people around you is important. Friends, family, or even a support group can be a big help after surgery. They can offer encouragement and understand what you’re going through. 
    • Food after surgery is a step-by-step process. Right after, for 15 days it’ll be non-aerated, sugar-free liquids like fat-free milk, buttermilk, soy milk, almond milk, strained soups, coconut water, etc. It’s like giving your stomach a little rest for a few weeks to heal up. Then, things will slowly move to soft foods for the next 15 days that are easy to chew and digest. Make sure to get plenty of protein during this time, like lean meats or dairy products. After a month the diet becomes normal, focusing on protein-based foods. 
    • Don’t forget to move your body! So, getting some exercise is a great way to manage the long-term effects of bariatric surgery, feel better overall, and keep the extra kgs away for good. 

    Your Weight Shouldn’t Be the Barrier to the New ‘You’! 

    Bariatric surgery, or weight loss surgery isn’t just about the numbers on the scale. It can be a major win for your overall well-being! 

    Studies show that people who have weight loss surgery not only manage health problems better but also feel a lot better about themselves. They have more energy, and they feel more confident in their own skin. 

    Of course, everyone’s reasons for wanting weight loss surgery are different. The important thing is to talk to your surgeon about all your options and concerns. They can help you decide if weight loss surgery is right for you and provide support before and after surgery. 

    References: 

    1. https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/ 
    1. Bariatric (Weight Loss) Surgery: Types & Requirements (clevelandclinic.org) 
    1. Medanta | Beyond Weight Loss: Understanding Bariatric Surgery and Its Life-changing Benefits 
    1. Bariatric surgery – Mayo Clinic 
    1. Bariatric Surgery: What You Need To Know – Forbes Health 
    1. Best Weight Loss Surgery in Delhi NCR, Weight Loss Treatment in india (atulpeters.com) 
    1. risks-and-complications-of-bariatric-surgery.ashx (clevelandclinic.org) 
    1. Effect of exercise training before and after bariatric surgery: A systematic review and meta?analysis – PMC (nih.gov) 
    1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538485/  
    1. https://www.niddk.nih.gov/health-information/digestive-diseases/dumping-syndrome  
    1. https://www.ncbi.nlm.nih.gov/books/NBK594253/  

    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) 

    Understanding the Causes of Obesity in Children and Adolescents

    Causes of Obesity in Children & Adolescents: Unraveling the Complex Factors

    Recognizing the Growing Epidemic 

    According to the World Health Organization (WHO), children and adolescents from all walks of life, are increasingly facing the health threat of excess body fat, leading to overweight and obesity. 

    However, managing weight isn’t a quick fix; it’s a journey that requires lifelong support. The WHO emphasizes the importance of sustainable lifestyle changes that promote long-term well-being, not crash diets or rapid weight loss.  

    We used to think weight was simply about ‘calories in’ versus ‘calories out’, but science reveals a more complex picture. Genetics, environment, stress levels, emotional well-being, sleep patterns, underlying medical conditions, and even medications can all influence how our bodies store and manage fat.  

    Recognizing this complexity is crucial.  

    By addressing these multifaceted factors – behaviour, environment, and genetics – we can create a more effective and holistic approach to childhood weight management, paving the way for a healthier future for all. 

    Genetic Factors Contributing to Obesity 

    While we inherit a blueprint (genes) that influences weight, obesity isn’t just about our DNA. It’s a complex mix of factors. Genes can make some people more likely to gain weight, but hormones, metabolism, and even our culture and habits can all play a role in fat storage.  

    Even early in life, certain factors can increase a child’s chances of becoming obese. A mother’s weight before pregnancy, how much weight she gains while being pregnant, and even gestational diabetes (pregnancy-related high blood sugar) can all play a role. These factors can sometimes lead to a higher birth weight for the baby, which can independently be a risk factor for obesity, later in life. Additionally, a family history of weight issues, diabetes, high blood pressure, or certain hormonal problems can also increase a child’s risk of being overweight. 

    The good news? …Even with a genetic nudge, healthy choices like diet and exercise can make a big difference.  

    Dietary Habits and Nutrition 

    Childhood obesity may be linked to certain dietary habits. One major contributor is the overconsumption of calorie-dense foods that are low in essential nutrients. This includes things like processed snacks, fast food, and sugary drinks. These types of foods are often heavily marketed to children, making them even more appealing.  While the research is ongoing on the exact impact of other dietary factors like snacking frequency, meal skipping, or one’s eating speed, it’s clear that an overall healthy diet plays a crucial role in weight management for young people. 

    Shedding extra kilos through calorie restriction (dieting) may be an effective strategy in the short term, but it’s important to consider how our bodies respond over time. While dieting offers a jumpstart, our bodies adapt to changes in calorie intake. This adaptation can sometimes involve a slowdown in metabolism, making it trickier to maintain weight loss in the long run. 

    Physical Activity Vs Sedentary Lifestyle 

    Children tend to become less active as they grow older, with a dip seen around age 6 and another around 13. This is especially more true for girls than boys. Children who are overweight or obese tend to move less throughout the day compared to their thinner peers. There’s also a general trend of children spending more time sitting as they get older.  

    Catching those Zzzs is important for more than just feeling well-rested! Studies have established a direct link between sleep habits and weight gain in children. Children or adolescents who don’t get enough quality sleep, whether it’s due to shorter sleep duration, restless sleep, or going to bed too late, seem to be at a higher risk for obesity. This might be because insufficient sleep is associated with being less active, having unhealthy eating habits, and even developing insulin resistance.   

    Screen time could also play a role. Too much screen time can disrupt sleep patterns and potentially mess with hormones that control hunger and fullness. Think of it as a domino effect: less sleep can lead to cravings for unhealthy foods and less energy for exercise, which can contribute to weight gain. 

    Psychosocial and Economical Factors 

    Weight stigma, the societal devaluation of people who are overweight or obese, can be a major psychosocial factor contributing to obesity. Negative stereotypes paint them as lazy and lacking willpower, creating a discouraging environment. This stigma manifests as bullying and social rejection, especially for children, impacting their mental health and self-esteem. The stress and negativity can even lead to disordered eating behaviours, making weight management even harder. Feeling ashamed and less motivated to participate in social activities due to weight stigma can further hinder progress. This cycle of negativity and discouragement creates a significant barrier to healthy lifestyle changes for those struggling with weight. 

    Building on the complex challenges of weight management, obesity also carries a significant cost burden. Not only does it strain healthcare systems financially, but it also has a profound impact on individual and societal well-being. The long-term nature of obesity means managing weight requires sustained commitment and lifestyle changes. This burden, coupled with psychosocial factors like weight stigma, can create a discouraging cycle that makes weight management even more difficult. 

    Environmental and Socioeconomic Influences 

    Our surroundings strongly influence how we live and our health. Modern life has become less active. Cars replaced walking, technology replaced exercise, and quick meals replaced healthy cooking. This makes it easy to fall into unhealthy habits like eating poorly and not getting enough exercise. As a result, we consume more calories than we burn, leading to weight gain. 

    The obesity spike in recent times is largely due to the surrounding environment that promotes weight gain.  
    This can happen at the family level (habits modelled by parents), community level (access to parks, healthy food options, and safe walking areas), or even national policies (government food subsidies or marketing practices). These influences can take advantage of our biological, psychological, social, and economic vulnerabilities. 

    Prevention Strategies and Early Intervention 

    Helping children and adolescents with obesity requires a multi-faceted approach. The goal is to reduce excess body fat, improve health problems related to weight, and prevent the development of chronic diseases in the future. 

    Treatment typically integrates a combination of different components. This may include learning healthy eating habits with the help of a nutritionist, incorporating regular physical activity into the child’s routine, and providing psychological support to address any emotional challenges associated with weight. In some cases, medication might be prescribed to assist with weight management. 

    Metabolic and bariatric surgery offers the best long-term results for weight loss in severely obese adolescents.  
    Studies show significant weight reduction (25-40%) even years after procedures like Roux-en-Y gastric bypass or sleeve gastrectomy.  

    The benefits go beyond weight loss!  

    Individuals often see improvement in health problems linked to obesity, like cardiometabolic risk factors, musculoskeletal pain, and functional mobility. 

    References: 

    1. showPdf (thelancet.com) 
    1. What is obesity? (bomss.org) 
    1. Obesity – American Society for Metabolic and Bariatric Surgery (asmbs.org) 
    1. https://www.atulpeters.com/blog/obesity-children-adolescents/