Tag: weight loss surgery 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

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.

Can Lack of Sleep Cause Obesity?

How Lack of Sleep Contributes to Obesity and Weight Gain

There are many possible ways that lack of sleep could increase the chances of becoming obese. Obesity develops when energy intake is more than depletion. Diet and physical activity play an important role in this, but in addition, inadequate sleep may also be an equally important factor. Unfortunately, many people are not getting enough sleep.

Sleep-deprived people may be too tired to exercise or may take in more calories than those who do, clearly because they are awake longer and have more chance to eat. It’s not that if you sleep, you will lose weight, but if you are not getting enough or good quality sleep, your metabolism will not function properly.

Not getting enough sleep is common, even talked about with pride by some people, but we do pay a price for staying up late and getting up early.

Less sleep makes you more likely to eat more calories at night, your appetite increases and you are less likely to resist eatables and control portions which may lead to weight gain.

Poor food choices combined with lack of physical activity set the stage for obesity and further sleep loss.

Poor sleep completely alters the way the body responds to food.

On the other hand, starting healthy sleep habits can help your body maintain a healthy weight.

Tips for Better Sleep

Here are a few tips to keep in mind to get a good night sleep:

1. Avoid any caffeine late in the evening

2. Exercise also helps improve sleep quality.

3. Turn off all electronics – no screen time before bed

4. Make sure your bedroom is dim and quite

5. Have a bedtime routine – try to go to bed the same time daily, your body gets used to a schedule

6. Avoid big meals before bedtime – can increase the risk of heartburn, which will certainly keep you up all night.

Suffering from obesity? Looking for obesity surgery in Delhi? Schedule your appointment with us at Smart Cliniqs.

Also Read: Understanding the Causes of Obesity in Children and Adolescents

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.

Pre-Op Liver Shrinking Diet

The Liver Shrinking Diet: Essential Pre-Surgery Guidelines for Bariatric Patients

(FOR WEIGHT LOSS SURGERY 800 – 1000 CALORIES A DAY)

Patients need to follow this liver shrinking diet for the 14 days immediately before the surgery. It will reduce the fat and glycogen stored in your liver, make the liver smaller and allow the surgeon to perform the operation safely.

This diet is ONLY recommended before surgery and should NOT be followed at any other time as it is too restrictive.

  • Have three meals a day and use the ‘extra’ fruit or yoghurts as desserts or as snacks.
  • Try to vary the foods as much as possible during the fortnight to help make sure you are getting a good range of nutrients. It may be a good idea to start having the multivitamin and iron supplement (that you are recommended to take after surgery) while you are on this restricted diet.
  • Do not guess weights – use scales to measure portions accurately.
  • No sugar, cooking oils, margarine, butter, low-fat spread, mayonnaise or sauces are allowed.
  • The following drinks and flavourings are allowed freely: Water, tea and coffee (using milk from allowance), low calorie squash.
  • A small amount of the following can be added to food if needed: salt, lemon juice, vinegar, balsamic vinegar, garlic, herbs and spices, pepper, artificial sweeteners
  • Include at least 2 litres (4-5 pints) of fluid a day.

Breakfast

30g non-sugar-coated and nut-free cereal e.g. porridge oats, ready brek, bran flakes, rice crispies, special K, cornflakes, shreddies, sultana bran. OR 1½ weetabix or shredded wheat OR 1 portion of fruit OR 1 diet yoghurt OR 1 small slice of bread or roll.

Lunch and Dinner

1 small slice of bread or small roll or 2 crispbreads or 100g potato (uncooked weight) – jacket, boiled or mashed with milk from allowance, or 30g (uncooked weight) of rice, couscous, pasta or noodles.

With

100g of vegetables OR cereal bowl of salad with 1 teaspoon of low-calorie dressing (no salad cream or mayonnaise)

With

Choose ONE of the following – all are cooked weights:

150g steamed or poached fish (No batter or breadcrumb coatings) OR 50g lean meat (Trim off all fat before cooking) OR 1 large egg eg poached, boiled or scrambled with milk OR 110g Quorn or Tofu OR 25g cheese eg. cheddar, brie, stilton etc. OR 50g low-fat soft cheese eg. Philadelphia light, Laughing Cow light etc. OR 75g chicken or turkey OR 100g tinned tuna/pilchards (not in oil) OR 50g tinned salmon/sardines (not in oil)

Each day also includes:

260ml (½ pint) of skimmed or semi-skimmed milk

2 portions of fruit (one of which could be swapped for a small (150ml) glass of fruit juice)

1 diet/light/virtually fat-free yoghurt or from age frais

A portion of fruit is:

1 large fruit eg. banana, apple, pear, orange, grapefruit OR 2 small fruits eg. kiwi, plum, satsuma

OR 200g strawberries, raspberries, blueberries, blackberries, rhubarb or gooseberries OR

10 grapes or cherries, OR 100g tinned fruit in juice

Preparing for bariatric surgery? Get your liver shrinking diet plan prepared by us at Smart Cliniqs by the top nutrition counselor 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.

Obesity in Metros

Addressing the Growing Concern of Obesity in Metros: Causes and Implications

Obesity is a medical condition when a person carries excessive weight. It increases the risk of various non-communicable diseases like type 2 diabetes, hypertension, etc. For weight maintenance, energy intake should be equal to energy expenditure. Imbalance leads to underweight and obesity.

Adults residing in Metropolitan cities are increasingly becoming obese. Even Childhood obesity is also emerging as a major health concern in metros. The reasons being excess consumption of calorie-dense fast food, processed food, ready-to-eat food, etc. Portion sizes that fast food restaurants offer contribute to excessive energy intake. As most of the fast foods are made of refined cereals, fat, and sugar. There is a drastic decrease in energy expenditure owing to reduced physical activity as people use motorized means of transport and spend most of their awake time sitting glued to Television, mobile phones, and Laptops. The present work culture in the corporate and public sectors is also responsible for obesity in adults. Long working hours, late night shifts, sitting jobs, sleep deprivation, excessive tea and coffee consumption, and unhealthy snacking in offices predispose obesity.

Obesity surgery in India is being performed to facilitate weight loss in children and adults when non-surgical treatment strategies fail.  Although GI surgeons and general surgeons in India are performing obesity surgery specially trained bariatric surgeons are now available. Bariatric surgery is growing as a specialty in itself. as surgery constitutes only a small part in overall management. A fully equipped, and well-staffed department is a must for the dedicated follow up which is so essential for good outcomes. A dedicated high-volume Bariatric surgery unit in a tertiary care hospital is your best bet if you are seeking bariatric surgery.

Are you Seeking obesity surgery in Delhi or want to more about obesity in metros? Consult with us today at Smart Cliniqs!

Can Malnutrition cause obesity?

How Malnutrition Can Cause Obesity: Insights from Top Bariatric Surgeons

Obesity is a multi-factorial disease; it simply means that, no single cause which can be solely attributed to it. It is also well known that scientists do not know exactly what exactly causes weight gain.  Often, we all see people who can eat whatever comes their way and they still remain thin. With the exception of these lucky few, we are programmed to gain weight with age.

According to top bariatric surgeons, it is a matter of the balance between what you eat, and how much you spend. If we consume calorie-dense food regularly and don’t burn those extra calories, we are likely to gain weight. But can malnutrition cause obesity?

 Surprisingly yes.

Obesity Surgeons who treat obese teens know that children who were underweight at birth are prone to gain too much weight in their childhood and adolescence. Children who faced food shortages during famines later on developed abdominal obesity, the classic Indian Subcontinent profile of thin people with paunch, the so-called thin- obese in medical jargon. As we know that the tummy fat or abdominal obesity is the medically worst. This fat is the harmfully active type that leads to diabetes, heart disease, and cholesterol disorders, the so-called metabolic syndrome.

Malnutrition means not eating right; right food at the right time. People who starve for too long to lose weight are initially successful in losing some weight, but complex hormonal reactions result in weight regain, overshooting the earlier weight. This is known Yo-Yo dieting. Secondly, prolonged fasting slows down our metabolism and stops losing further weight, and starts regaining on the same diet. We tend to lose more muscle mass than fat during the starvation phase and fail to regain our muscle back. So with each dieting cycle of malnutrition, we lose more and more muscle mass and gain more fat.

Starvation or fasts followed by eating calorie-rich low protein food ultimately results in further weight gain and obesity. The best bariatric surgeons know well from their experience that protein-deficient diets after bariatric surgery are counterproductive in the long run and patients may end up regaining all their weight.

Malnutrition can really make us obese.

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Behavioural Disorders in Obese: Important to Evaluate before WLS

Addressing Behavioral Disorders in Obese Patients: The Role of Laparoscopic Bariatric Surgery

Laparoscopic Bariatric Surgery and Its Effectiveness

Laparoscopic Bariatric surgery is one of the most effective treatments of morbid obesity, resulting in significant and sustained weight loss as well as improvement of various other related co-morbidities and quality of life.

Prevalence of Psychosocial Disorders in Morbidly Obese Individuals

Along with all other co-morbid conditions like Type 2 Diabetes Mellitus, Hypertension, and PCOD, etc., the prevalence of psychosocial disorders, including suicidal behavior, as well as substance abuse or eating disorders, is quite high among morbidly obese individuals.

Importance of Psychiatric Evaluation Before Bariatric Surgery

That is why, while evaluating for bariatric surgery, a psychiatric evaluation of individuals undergoing bariatric surgery is a must nowadays, since one might miss a pre-existing mental illness leading to inadequate treatment before and after surgery.

Factors Contributing to Suicidal Behavior Post-Surgery

Some of these issues like lack of physical activity before and after surgery, lack of improvement in quality of life, persistence or recurrence of sexual dysfunction, and history of ill-treatment in childhood might contribute to suicidal ideas if not assessed preoperatively.

High Expectations and Potential Disappointments Post-Surgery

These patients might have very high expectations of body appearance post-operatively and might be disappointed by the physical outcomes of the surgery. Sometimes weight regain might also lead to suicidal behaviors.

Increased Alcohol Sensitivity Post-Bariatric Surgery

It has been found that after bariatric surgery, the alcohol sensitivity of certain individuals might rise. Alterations in the GI tract after surgery lead to altered absorption of alcohol. It has been seen on several occasions that certain individuals continue alcohol consumption after surgery. Therefore all candidates of bariatric surgery are counseled and educated about the ill effects of alcohol after bariatric surgery and to minimize the use of it.

Compulsive Eating Disorder and Its Persistence Post-Surgery

When undergoing the dietary pattern of morbidly obese patients, there is a high prevalence of compulsive eating disorder. These problems can also persist after bariatric surgery. Few patients may develop ‘loss of control’ eating, and even self-induced vomiting. These conditions are associated with less weight loss and increased fear of weight regain.

Importance of Comprehensive Follow-Up Programs

According to Dr. Atul NC Peters, one of the pioneers of weight loss treatment in Delhi and among the top 10 obesity surgeons in India, it is important that such follow-up programs are developed, that address these types of problems focusing on psycho-social factors as well as eating disorders for a successful outcome.