Types of Bariatric Procedure which can be done in Girishwari Hospital |
Girishwari Hospital is a centre for obesity control and bariatric surgery. Our speciality
weight loss programme is based on advanced technology and expertise. Dr. Saravanan
is an expert general and laparoscopic surgeon who has performed over 15,000 general
surgeries and 12000 laparoscopic surgeries. He heads this department. |
| Obesity is having too much fat or adipose tissue. It is calculated based on BMI (body mass index) which is based on the weight and height of an individual. |
| General causes of obesity |
- When more calories are consumed than are used the excess is stored as fat.
Constant excess consumption over long periods leads to obesity.
- Genetic of hereditary factors that influence appetite, metabolism, fat storing
ability and natural activity cycles
- Modern lifestyle and fast foods, work environment, lack of physical exercise
- A pre-disposition of the brain that makes individuals resistant to weight gain or
loss.
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| Effects of Morbid Obesity |
| Morbid Obesity adversely affects normal bodily functions at the mechanical, metabolic and physiological levels. These cause sever bodily damages and affect nearly every organ to produce secondary illnesses that may be life threatening. Morbidity interferes with normal productive life and can cut short life. The risk of complications depends on the degree of obesity. The effects of obesity include: |
- Shorter life spans
- Heart disease
- High blood pressure/ blood cholesterol
- Diabetes
- Sleep Apnea
- Respiratory diseases
- Reflux disease and heartburn
- Gallbladder disease
- Stress urinary incontinence
- Spinal diseases
- Degenerative arthritis
- Venous Stasis Disease of the lower extremities
- Emotional/ psychological and social problems
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| Treatment of Morbid Obesity |
| According to research diet, drug therapy and other non-surgical treatments have only limited success in treating morbid obesity. Surgery is the one sure option for reducing weight. When all other systems and treatments fail to control obesity surgery is recommended to avoid obesity’s adverse effects. |
| Surgical treatments offered are Gastric bypass and Adjustable gastric banding. These surgeries can be performed by laparoscopy. |
| Roux-en-Y Gastric Bypass |
| Refashions the stomach into a small pouch and bypasses a part of the small intestine. This results in a feeling of fullness with a small meal and also reduces absorption. This treatment has been tried and tested over the years. The procedure is irreversible and patients are advised to evaluate its risk vs benefits factors before surgery. Patients need to undergo a great deal of adjusting right from the size of their meal to the frequency. |
| Rapid weight loss is experienced for the first 3 to 6 months after surgery with a gradual weight loss upto 12-18 months after surgery. 70-75% of excess weight is lost. |
| Lap-Band Surgery or Adjustable Gastric Banding |
| This is a less extreme alternative. Here a balloon-like device banded around the stomach produces a small upper gastric pouch which causes an early feeling of fullness and satiety after a small meal. It is inserted through a small incision and then inflated to limit the capacity of the stomach. The procedure takes about 1 hour and requires 1 day hospitalization. The band can be tightened or loosened as required later without further surgery. It can also be completely removed to reverse the procedure. |
| Weight loss here is gradual with patients losing upto 55% of their excess weight within 18 months. |
| Multidisciplinary approach |
| Girishwari Hospital offers a multidisciplinary approach to bariatric surgery increasing the rate of success. Suegeon, internist, dietician and psychiatrist work together with the patient to reverse this serious medical condition. The total cooperation of the patient in post operative lifestyle adjustments is vital for the success. We ensure this with complete guidance and constant support. |
Psychiatry
