Banded Gastric Bypass Achieve Lasting Weight Loss

Is losing weight becoming a struggle for you?

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

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

Understanding Banded Gastric Bypass

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

This band, in conjunction with the bypass, aims to

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

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

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

How Banded Gastric Bypass Presents a Unique Approach?

Banded gastric bypass offers numerous benefits. Patients often experience:

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

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

Who Should Consider Banded Gastric Bypass?

Banded Bariatric Procedure can be considered an appropriate alternative for:

BMI above 32.5 kg/m2 with obesity-related co-morbidities
BMI above 37.5 kg/m2 without co-morbidities
BMI > 30 kg/m2 with life-threatening obesity-related disorders like uncontrolled diabetes, cardiovascular disease/cardiomyopathy and severe obstructive sleep apnea
Patients motivated to lose weight and committed to long-term follow-up
Patient should have attempted conservative methods of weight loss and failed in the past
Bariatric Surgery to be considered only between the ages of 18 – 65 years
Bariatric surgery may be considered in patients more than 65 years in the presence of severe obesity-related co-morbidities/disability
Bariatric Surgery may be considered in patients < 18 years in special situations after paediatrician endocrinology paediatrician/endocrinology certification, or after attainment of puberty or completion of skeletal maturity

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

Success Stories: Real-life Transformation

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

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

Embracing a Healthier Future

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

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

References:

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:

https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/

Bariatric (Weight Loss) Surgery: Types & Requirements (clevelandclinic.org)

Medanta | Beyond Weight Loss: Understanding Bariatric Surgery and Its Life-changing Benefits

Bariatric surgery – Mayo Clinic

Bariatric Surgery: What You Need To Know – Forbes Health

Best Weight Loss Surgery in Delhi NCR, Weight Loss Treatment in india (atulpeters.com)

risks-and-complications-of-bariatric-surgery.ashx (clevelandclinic.org)

Effect of exercise training before and after bariatric surgery: A systematic review and meta?analysis – PMC (nih.gov)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538485/

https://www.niddk.nih.gov/health-information/digestive-diseases/dumping-syndrome

https://www.ncbi.nlm.nih.gov/books/NBK594253/

Obesity Discrimination and Gastric Bypass Surgery

Understanding Obesity Discrimination: Types, Impact, and Effective Solutions

Definition: Obesity Discrimination

Obesity discrimination can be defined in either of several ways, including:
1. The unjust treatment of an overweight or obese person based on bias, or misconception.
2. Ill-treatment of obese people purely because of their weight as compared to non-obese people.

There are mostly four types of discrimination prominently described: Employment, Health Care, Education, and Relationships

Employment Discrimination:

Several studies have shown that obese people find more difficulty in finding a job, are paid lower wages, are discriminated against in promotions, and have more likelihood of early termination.

Healthcare Discrimination:

It is unfortunate that even, doctors and healthcare workers are not immune from obesity discrimination. It is a place where caring, trust, and unbiased treatment should be guaranteed. The problem is, that most of the doctors do not have a sound knowledge of obesity or its treatment.

Physicians spend less time discussing health with obese patients. They are more biased towards technical issues rather than discussing nutrition to patient’s obesity.

Discrimination at Schools:

At schools, discrimination is a bigger concern. It causes emotional distress, as children who are obese are less likely to succeed. It appeared in various studies that young men had a much lower chance of attaining higher education than their normal-weight counterparts. Obesity was also associated with lower educational attainments than normal-weight students.

Discrimination in relationships:

When it comes to finding a romantic partner, obesity appears to play a big role, especially for women. When studied among people, it was found that boys were less interested in looking for obese women.

Effectively Addressing Obesity Discrimination: Tips For All 4 Types Of Discrimination

The ideal solution is obvious: weight loss treatment.

Finding the medically supervised weight loss treatment program composed of the right diet and exercise is the most appropriate first step.

Research has shown diet and exercise programs supervised by a medical professional to be much more effective than doing it alone.

If your body mass index is over 35 which means that you are morbidly obese and attempts at sufficient weight loss, even under a medically supervised program, have yielded no results, you may be a candidate for weight loss surgery or laparoscopic gastric bypass surgery.

It has been proved time and again that bariatric surgery results in sustained weight loss in morbidly obese people. In other words, Bariatric surgery may improve occupational outcomes in morbidly obese individuals by reducing levels of unemployment and absenteeism. The evidence regarding this is limited and studies are needed before any conclusions could be drawn on this aspect. Similarly, there could also be economic, social, and psychological benefits of bariatric surgery which might help in improving relationships among individuals after weight loss.

It is advisable to visit a well-experienced bariatric surgeon as they usually have more knowledge about caring for obese patients, and they also work with doctors who are empathetic toward the difficulties of being obese.
Similarly, the research suggests that an obese child, especially an obese girl, is more likely to succeed in schools where obesity is more common.
If you find that your weight is getting in the way of your romantic relationships, several options may help:

First and foremost: weight loss treatment
• Consider dating partners who are also overweight or obese
• Choose partners who are willing to get to know you as a person before judging you only by your appearance

Consider Laparoscopic Gastric Bypass Surgery if you are morbidly obese.
There are certain non-surgical options also available like endoscopic intra-gastric balloons which are available these days to lose weight for overweight people.

These methods are temporary but might result in good outcomes for people who are serious and motivated.

Women’s Health and Gastric Bypass Surgery

The Impact of Obesity on Women’s Health and How Gastric Bypass Surgery Can Help

In recent years obesity among Indian women has increased exponentially. According to the National Family Health Survey, obesity rates double every 10 years in India. Over 16% of women in the country and up to 50% of women in Delhi are overweight or obese. With this growing menace more and more women who conceive also happen to be obese.

A multitude of problems is associated with obesity in women particularly those who are in the reproductive age group. Apart from physical problems, others range from difficult intercourse, symptomatic fibroids, dysfunctional uterine bleeding, PCOD, anovulatory cycles, urinary stress incontinence, and infertility. Again birth defects, difficult labor, increased risk of caesarian section delivery, and cancers like ovarian cancer, endometrial cancer, cervical cancer, and breast cancer, are all associated with obesity. There is a very high risk of gestational diabetes mellitus as well as pregnancy-induced hypertension in ladies who are obese.

There are additional risks to babies born to such mothers, such as developmental anomalies, intrauterine deaths, and preterm deliveries. These babies have an increased lifetime risk of developing diabetes and high blood pressure.
Bariatric surgery or Gastric Bypass Surgery has emerged as the most effective treatment option for obesity over the last few decades. Women account for about 83% of bariatric procedures among reproductive age. Laparoscopic sleeve gastrectomy has been the most commonly performed weight loss treatment among women of reproductive age.

In addition to sustained weight loss, there is also resolution or improvement in obesity-related diseases after gastric bypass surgery. Diabetes mellitus, hypertension, OSA, fatty liver disease, and joint pains are just a few among them. There is also improvement in fertility, menstrual cycles, and ovulation so much so that infertile obese ladies have conceived normally after weight loss treatment. They give birth to babies with a lower risk of cardiovascular complications or birth defects.

After gastric bypass surgery, pregnancy is better avoided for a minimum of 12 months. As by that time the mother has resumed her normal diet, and she has been allowed to achieve full weight loss. Most importantly, the baby is not exposed to maternal rapid weight loss environment or maternal malnutrition.

Seeking for gastric bypass surgery in Delhi? Consult us at Smart Cliniqs to get answers to your queries from the top bariatric surgeon in Delhi.