How To Lose Weight Operation

The word ’bariatric’ is derived from the Greek words “baros” meaning “weight” and “iatrikos” meaning “medicine”. Bariatric surgery is a surgical procedure of the digestive system to promote weight-loss in people with severe obesity.

Weight-loss surgery is recommended to severely obese patients (Body Mass Index [BMI] above 40), when other weight-reduction strategies, such as diet management, exercise etc, have failed. It is also suggested in severely obese patients who have medical conditions like arthritic joint diseases that restrict the physical activity.

Bariatric surgery is a weight loss tool that influences the anatomy and hormones of the stomach and digestive system. These changes reduce hunger, emotional eating, and increase satiety, thus regularize food intake and promote fat burning. Over a period of time, the physiological changes related to energy balance and fat metabolism occur, which in turn helps to achieve a steady, desired body weight.

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Thus, contrary to dietary weight loss which is usually short living and reversible, surgical weight loss offers long-lasting weight loss, improved coexisting diseases, better quality of life, improved self-esteem and psychosocial status.

Before Surgery: The medical team will explain to you about the procedure and also give you instructions about do’s and don’ts before and after the surgery. You will also undergo some pre-operative investigations.

During Surgery: Surgery is carried out under general anaesthesia by a specialized team of anaesthetists, surgeons and other medical staff. Depending on the type of surgery, surgeons perform the surgery in a couple of hours.

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After Surgery: Depending upon your health status, you may need to stay in hospital for a few days. Recovery and rehabilitation varies from person to person. You will receive dietary and exercise guidance from the medical team, which is critical for the success of the surgery.

A dietician will provide a complete diet plan that should be followed after bariatric surgery to ensure nutritional adequacy. After a few hours of surgery, only clear liquid is given. This is followed by pureed food for few weeks and then small, tender and easily chewable pieces. After eight weeks of surgery, firmer food can be started. Normal diet may be followed after about four months of surgery.

The success of the bariatric surgery depends on the medical team as well as the availability of an advanced set-up. Look out for a hospital with specialized team of doctors, nurses, dietitian, counselors, led by a highly experienced bariatric surgeon. Also, the hospital set-up should be advanced with well-equipped tools and techniques for carrying out surgery and management of post-surgery complications, if any.

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Check if the hospital is enrolled with majority of Third-party Administrator (TPA) and insurers. If you have an insurance policy, seek help from the TPA desk at the hospital to determine whether your policy covers the surgery or not.

Disclaimer: “The content of this publication has been developed by a third party content provider who is clinicians and/or medical writers and/or experts. The information contained herein is for educational purpose only and we request you to please consult a Registered Medical Practitioner or Doctor before deciding the appropriate diagnosis and treatment plan.”

We have your details, our team will get in touch with you to confirm the slot. Or please try after 5 minutes.Gastric banding is a surgical treatment for obesity. It is a type of bariatric surgery. It works by constricting the stomach, so that a person feels full after eating less food than usual.

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The American Society for Metabolic and Bariatric Surgery (ASMBS) estimates that around 216, 000 bariatric surgeries were performed in the U.S. in 2016. Of these, 3.4 percent were gastric bands. Gastric sleeve surgery was the most common type, accounting for 58.1 percent of procedures.

Gastric banding is a type of weight loss surgery that involves placing a silicone band around the upper part of the stomach to decrease stomach size and reduce food intake.

The surgeon places the band around the upper portion of the stomach and attaches a tube to the band. The tube is accessible through a port under the skin of the abdomen.

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Adjustments can alter the degree of constriction around the stomach. The band creates a small stomach pouch above it, with the rest of the stomach below.

Having a smaller stomach pouch reduces the amount of food that the stomach can hold at any one time. The result is an increased feeling of fullness after eating a smaller amount of food. This, in turn, reduces hunger and helps lower overall food intake.

A gastric band is fitted under general anesthesia. It is usually done in an outpatient clinic, and the individual usually goes later the same day.

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The procedure is minimally invasive. It is performed through keyhole incisions. The surgeon makes between one and five small surgical cuts in the abdomen. Surgery is carried out using a laparoscope, a long narrow tube with a camera. The procedure often takes 30 to 60 minutes.

The patient should not eat from midnight before the day of the surgery. Most people can resume most normal activities within 2 days, but they may need to take a week’s leave from work.

In the past, guidelines recommended gastric band placement only if a person’s body mass index (BMI) was 35 or above. Some people with a BMI of 30–34.9 had surgery if there were other obesity-related problems, such as diabetes, hypertension, or sleep apnea. This was because of the high risk of complications.

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There is also the option to remove or adjust the band. Adjustability means it can be tightened or loosened, for example, if not enough weight is being lost, or there is vomiting after eating.

However, if a person undergoes the procedure in the hope of sudden weight loss, or if weight loss is their main reason for choosing surgery, they may be disappointed.

In this procedure, the surgeon staples the stomach to make it smaller, then attaches the stomach directly into the small intestine. This reduces food intake and absorption of calories and other nutrients.

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Sleeve gastrectomy: This involves removing a large portion of the stomach and leaving a tube or banana-shaped sleeve that is closed with staples. This reduces the amount of food needed to feel full, but it can also disrupt metabolism. It is not reversible.

Duodenal switch: Surgery involves two procedures. First, the surgeon redirects the food to the small intestine, as in gastric sleeve surgery. Next, the food is further redirected to bypass most of the small intestine. Weight loss is more rapid, but the risks are greater, including surgery-related problems and nutritional deficits.

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Gastric Bypass Surgery

Weight loss surgery (also called bariatric surgery) can help very overweight people who have tried but failed to lose weight and face serious medical problems. But it's not a quick fix. People need to put in a lot of hard work before and after the operation.

Gastric sleeve (also called sleeve gastrectomy) is the most common weight loss procedure. With this operation, the surgeon removes part of the stomach and makes a tube or sleeve out of the rest of the stomach. The new, banana-shaped stomach is much smaller than the original stomach. Part of the stomach that's removed makes hormones that increase appetite and help control insulin. So, a person's appetite decreases and insulin resistance improves after gastric sleeve surgery.

After the operation, a person will eat less, feel full sooner, and be less hungry. The gastric sleeve operation only changes the stomach. The gastric sleeve procedure is not reversible.

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In a gastric bypass (also called Roux-en-Y gastric bypass), a surgeon creates a small pouch at the top of the stomach. This pouch becomes the new stomach. Surgeons then connect the pouch to the middle part of the small intestine, bypassing the upper part of the small intestine.

After the surgery, the stomach pouch holds a lot less food than a normal-sized stomach. A person will eat less, feel full sooner, and be less hungry. And fewer calories and nutrients are absorbed because the small intestine is shorter.

People who get gastric bypass tend to lose more weight than people who get the gastric sleeve, but there can be more problems too. The gastric bypass procedure is not reversible.

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Figuring out if an overweight teen can get weight loss surgery requires a team approach. This includes the teen and his or her family, doctors, dietitians, exercise specialists, and psychologists.

Teens must be committed to making the lifestyle changes needed for success and have the support of their families to help them do so.

Weight loss surgery, like any surgery, does come with

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