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/

Robotic Sleeve Gastrectomy

Robotic Sleeve Gastrectomy: A Minimally Invasive Approach to Weight Management

Obesity is a complex health condition affecting millions globally, with traditional weight loss methods often proving ineffective for those struggling with severe obesity.

Sleeve gastrectomy, a surgical intervention that reduces the stomach’s size to a tube-like shape, is often considered a safer option. Typically performed using minimally invasive techniques like laparoscopy or robotic surgery, it offers a potential solution for sustainable weight management.

Robotic sleeve gastrectomy has emerged as a promising minimally invasive surgical option. This blog post will delve into the procedure, its benefits, eligibility criteria, recovery process, and long-term success. We’ll also explore the advantages of a minimally invasive approach for achieving optimal weight loss outcomes.

What is a Robotic Sleeve Gastrectomy?

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. 

Robotic sleeve gastrectomy is a minimally invasive surgical procedure that involves using robotic technology to reshape the stomach into a banana-shaped sleeve. This reduces the stomach’s capacity, promoting feelings of fullness sooner and limiting calorie intake.

Benefits of Choosing a Traditional Sleeve Gastrectomy Approach

  • Proven Effectiveness: Traditional or laparoscopic sleeve gastrectomy has a long-standing history of success in helping patients achieve significant weight loss and improve their overall health.
  • Minimal Complications: The procedure is generally considered safe and has a low rate of complications.
  • Long-Term Benefits: Weight loss achieved through sleeve gastrectomy can lead to improvements in various health conditions, including diabetes, high blood pressure, sleep apnea, knee pain, and backache.

Benefits of Choosing a Robotic Approach

  • Enhanced Precision: Robotic technology allows for greater precision and control during the surgical procedure, reducing the risk of complications and improving outcomes.
  • Smaller Incisions: Robotic sleeve gastrectomy involves smaller incisions compared to traditional open surgery, leading to a faster recovery time and less scarring.
  • Improved Patient Experience: The minimally invasive nature of robotic sleeve gastrectomy often results in a more comfortable postoperative experience and reduced pain.

How Does Robotic Sleeve Gastrectomy Work?

Sleeve gastrectomy involves reducing the size of the stomach, which can lead to changes in hormones that regulate appetite and satiety. This hormonal adjustment can help individuals feel fuller sooner and consume fewer calories, promoting weight loss.

Robotic sleeve gastrectomy (RSG) is performed under general anesthesia. The surgeon makes four small incisions in the abdomen, through which robotic surgical instruments and a camera are inserted. The surgeon then controls these instruments from a nearby console within the operating room, guiding the robotic tools to perform the procedure.

While RSG may take an hour longer than a traditional, open surgery, it offers several advantages, including smaller incisions, reduced pain, and a faster recovery time.

Who is a Candidate for 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 
  • Sleeve Gastrectomy is to be considered only between the ages of 18 – 65 years 
  • Sleeve Gastrectomy may be considered in patients more than 65 years in the presence of severe obesity-related co-morbidities/disability 
  • Sleeve Gastrectomy may be considered in patients < 18 years in special situations after pediatrician/endocrinology certification, or after attainment of puberty or completion of skeletal maturity  

Bariatric surgery like Sleeve Gastrectomy, 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.  

If you are considering bariatric surgery in Delhi, you can find qualified surgeons and facilities by searching for “bariatric surgery near me in Delhi.”

Recovery and Long-Term Success

The recovery process after sleeve gastrectomy typically involves a hospital stay of a couple of days, followed by a period of at-home recovery. During this time, you will need to follow a prescribed diet and gradually increase your physical activity.

Long-term success in weight management after sleeve gastrectomy depends on several factors, including:

  • Adherence to Post-Surgery Guidelines: Following your doctor’s recommendations regarding diet, exercise, and follow-up care is essential.
  • Lifestyle Changes: Adopting a healthy lifestyle, including regular exercise and a balanced diet, is crucial for maintaining weight loss.
  • Ongoing Support: Access to a supportive network, including healthcare professionals and support groups, can help you stay motivated and address any challenges that may arise.

For ongoing care and support, consider consulting with a “top bariatric surgeon in Delhi.”

Common Challenges and How to Overcome Them

Nutrient Deficiencies: After sleeve gastrectomy, it is important to monitor your nutrient intake and take supplements as recommended by your doctor.

Vomiting: Some patients may experience vomiting, especially in the early stages of recovery. This can be managed with dietary adjustments and medications.

Psychological Challenges: Weight loss surgery can be emotionally demanding. Seeking support from a therapist or counselor can help you navigate these challenges.

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.

Robotic sleeve gastrectomy is a minimally invasive alternative to traditional sleeve gastrectomy. It often provides smaller incisions, reduced pain, and a faster recovery time, making it a more appealing option for many patients.

If you’re considering bariatric surgery, it’s crucial to consult with a qualified surgeon to discuss your individual needs and goals. 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. With the right approach and support, sleeve gastrectomy can help you achieve sustainable weight loss and improve your overall quality of life.

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/