Tag: best bariatric surgeon in Delhi

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

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/ 

Nutritional Problems after Bariatric surgery

Essential Follow-Up Care: Addressing Nutritional Problems After Bariatric Surgery

Maintaining weight loss after Bariatric surgery requires lifelong commitment and care. Bariatric surgery is the most effective tool to lose weight substantially and for the long term. But there is no guarantee that you will stay fit all your life unless you eat healthy and exercise regularly, and stay off alcohol or drink in moderation. You must follow your Bariatric team every 3 months in the first year and then annually at least to manage any nutritional problems after bariatric surgery.

Why regular follow-up is necessary after Bariatric surgery?

Regular follow-up is necessary after Bariatric surgery. The most important reason is to prevent nutritional deficiencies which are bound to creep up unless monitored. As many of the obese already have low vitamin D and iron levels, the situation gets worse after the surgery due to inadequate diet.

Vitamin B1 or thiamine is a special case in point. This vitamin is essential to keep your nerves and haemoglobin healthy. Thiamine is found in abundance in fresh vegetables and fruits.  As it is, Its stores are small and can be depleted quickly in just a few days if there is persistent vomiting. This problem is more common in people who have been drinking heavily. An acute deficiency can damage nerves and the brain and impair vision permanently. The more acute form is known as Wernick’s encephalopathy which requires prolonged hospitalization and its symptoms may not reverse completely.

The blood tests to check its levels are not commonly available; therefore the treatment is started immediately without waiting for the results. In its mild form, thiamine deficiency is difficult to detect, so one should take it routinely.

We will discuss other nutritional deficiencies in our next blog.

Have more questions related to nutritional problems after bariatric surgery? Consult today with the top bariatric surgeon in Delhi at Smart Cliniqs.

Precautions After Bariatric Surgery During Covid Times

Continued from the previous blog...

Key Precautions After Bariatric Surgery: Staying Safe During the Pandemic

The Covid epidemic is relentlessly spreading; there is still no respite in sight. We are now the epicentre of this dreadful pandemic, but life has to go on. All the vital surgeries are now increasingly being performed, with similar outcomes as during the pre-Covid times. However, once we have undergone bariatric surgery we need to be more vigilant and adhere to all the precautions after bariatric surgery.

Follow these precautions after Bariatric Surgery

Maintain a strict diet schedule

Take plenty of fluids, and keep yourself well hydrated, at least 1.5 liters per day is the minimum necessary.

Ensure Adequate Protein Intake

Take a good amount of proteins, so that you don’t feel weak and don’t lose your muscles instead of your fat. A good protein diet boosts your immunity against infections including Covid. You should take a minimum of 60 grams of proteins every day i.e. at least 1 gram of proteins for every Kg of your ideal body weight.

Vitamins are Essential

Similarly fill up yourself well with plenty of vitamins, as most obese patients are low in vitamin D and B complex and Vitamin C. These vitamins are particularly essential to boost immunity.

Maintain a Regular Exercise Routine

Since you may not be able to exercise outdoors, you must maintain a regular indoor daily exercise routine, it may not be advisable to join a gym, especially during the first 4 weeks after the operation.

Monitor Your Temperature

Keep a watch on your temperature, a mild rise that is 99° F or 100° F can be due to the normal response of the body to surgery. But anything above this range should be immediately brought to the notice of the surgical team.

Follow Up Regularly

Finally do follow up with regular Phone, or video consult unless a physical check-up is indicated. Do keep your surgical team regularly updated with your blood sugar, Spo2, Blood pressure, urine output, temperature, fluid intake, or other parameters if indicated.

Need more tips for precautions after bariatric surgery? Speak with the best bariatric surgeon in Delhi at Smart Cliniqs.

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.