The bariatric surgery(obesity treatment) is mainly for people who have a body mass index (BMI) of more than 30. This body mass index is the main criterion on which the eligibility of bariatric surgery is considered such as,
1. Patient has a BMI of 30-35 with serious health issues related to obesity,
2. Patient has a BMI of 35-40 along with serious health issues related to obesity (such as heart disease) and last
3.Patient has a BMI of 40 or more.
The principle of this weight loss surgery is to confine the intake of food and drink and to limit the absorption of the food in the intestine. This reduction of nutrients and calorie absorption enables the patient to lose weight. In this modern medical era, some teens and adults are potential patients for minimally invasive laparoscopic bariatric surgery. This is more advantageous than the other types of weight loss surgery options.
Laparoscopic Bariatric surgery (weight-loss surgery) includes a variety of procedures performed on people who are obese. This weight-loss operation proceeds by reducing the size of the stomach with an implanted medical device (gastric banding) or through the removal of a portion of the stomach (sleeve gastrectomy) or by resecting and re-routing the small intestines to a small stomach pouch (gastric bypass surgery).
In the trial conducted by Swedish prospective, patients with (BMI) 34 or more for men and 38 or more for women underwent various types of bariatric surgery and were followed for an average of 11 years. Surgery patients had a 23.7% reduction in mortality (5.0% vs. 6.3% control).
A study done by the best bariatric surgeons of GEM Hospital on the effects of Sleeve gastrectomy and gastric bypass showed a three-fold improvement in the quality of life of patients following the procedure. Similar trends have been shown by different studies across the continents.
One more recent study done at GEM hospital on the impact of bariatric surgery on female reproductive health showed significant improvement in menstrual abnormalities associated with PCOD and primary infertility. The other benefits that have been noted include improvement in diabetes, hypertension, fatty liver disease, disease, sleep apnea, etc. This was predominantly done by our expert team of best laparoscopic surgeons in Chennai.
The medical practice normally suggests that the teens and adults who have undergone this laparoscopy weight loss surgery have shown improvements in their health by reduction of weight to some level. The patient who has taken this surgery has to be prepared for the changes in their lifestyle that too specifically in food habits. There are some significant benefits for the patients after the surgery that is, reduction of weight, maintaining unhealthy cholesterol levels without crossing the limit, pain reduction in knee and hip, etc, thus resulting the patients to move freely and be physically active to take part in their normal chores of life.
Hence, bariatric surgery using laparoscopy technique from Gem hospital, the best obesity surgery centre in Coimbatore and Chennai not only helps in increasing the overall survival but the overall quality of life of an individual. In addition to providing a world-class obesity treatment in India, they have been performing the best weight loss surgery in Chennai. Bariatric surgery cost has been made affordable to the masses while also ensuring complete recovery with shorter hospital stays with definite results here.
Type 2 diabetes mellitus is an important component of metabolic syndrome which includes obesity, hypertension, and dyslipidemia. The concept takes origin from Bariatric (also called Obesity surgery) which was initially intended to treat Obesity permanently. But it was noticed that most patients with diabetes, this was completely cured over a follow up of 10-15 yrs. Further research and scientific data from our Institute and other pioneer institutes in the world have shown that this was related to certain hormonal changes that bring diabetes under remission permanently. Hence this hormonal concept was further studied and the results have shown promising results in control of diabetes even in patients using large doses of insulin and also inadequate control in-spite of various medication usage. Hence this is ideally suited for those patients who want to get rid of their insulin shots and also not able to achieve diabetes remission in-spite of maximum medical therapy.
Especially with India becoming the diabetic capital and more and more usage of insulin this diabetic surgery is possibly the only solution in this subgroup of patients. A recent Level I evidence that compared Bariatric surgery and medical therapy has clearly shown that surgery for diabetes provides most effective diabetic control in the short and long term compared to medical therapy.
GEM Obesity & Diabetes Surgery Centre holds pride to have performed the largest numbers of such surgeries in Asia and the only centre experienced to perform all kinds of such operations including novel procedures like Laparoscopic Duodenojejunal bypass, Laparoscopic ileal Interposition, etc.
GEM Obesity & Diabetes Surgery Centre is now the proud recipient of South India’s FIRST Bariatric Surgery Centre of Excellence (BSCOE) designation in India.
With the blessings of Dr.C.Palanivelu, a pioneer in the field of laparoscopy and considered to be one of the greatest surgeons of all times, Dr. P. Praveen Raj has taken the department to great heights, not just in par but better than most centres’ around the globe. Praveen Raj is the only surgeon in south India to be branded as the Bariatric Surgeon of Excellence in this part of the globe.
Dr. Praveen Raj and his team are credited with performing over 3500 bariatric surgical procedures with the largest numbers of Single Incision surgeries in the country, which includes all varieties of procedures including laparoscopic cholecystectomy, obesity surgery to even complicated cancer surgeries like cancer rectum, colon, etc. He has also performed the first single incision laparoscopic Roux en Y Gastric Bypass in the country with the credit of having the largest numbers in the country in this surgery. When countries are facing the problems of lack of coordination between surgeons and physicians, his efforts have made him author the “Bariatric Surgery Practice Guide”, A first of its kind book by an Indian author. He’s also the author of “Clinics in Bariatric & Metabolic Surgery” published by JAYPEE recently.
He’s also the most celebrated surgeon having performed bariatric surgeries on many Indian celebrities and politicians. He’s also trained over 250 surgeons in the field of bariatric surgery, being the most sought after training centre for bariatric surgery.
He recently convened the ASIA PACIFIC SUMMIT on clinical care pathways with the aim to standardise the patient care pathways in bariatric surgery held at Chennai recently.
Purely Restrictive
● Intragastric balloon
● Endoscopic Sleeve gastroplasty
● Gastric adjustable banding
● Sleeve Gastrectomy
● Single-incision Sleeve gastrectomy
Restrictive > Malabsorptive
● Roux-en-Y Gastric Bypass
● DuodenoJejunal Bypass with Sleeve
● Mini Gastric Bypass
Malabsorptive > Restrictive
● BPD with duodenal switch
● SADIS
Bariatric surgery remains the proven best when compared to the other types of surgery as it aids definite results and quicker recovery. The principle of this weight loss surgery is to confine the intake of food and drink and to limit the absorption of the food in the intestine and thus aid weight loss.
Obesity Surgery – Weight loss operations proceeds by reducing the size of the stomach by removing a part of it or by resecting and re-routing the small intestine to a smaller pouch. They don’t essentially reduce fat, but restrict the net intake which would aid the same.
Obesity Surgery – Bariatric procedures are done for aiding weight loss by removing or redirecting a part of the stomach pouch. It is different from tummy tuck procedures which involves an abdominal wall surgery or liposuction operations.
Through the advancements of laparoscopic methods, bariatric surgery is now being carried out through minimally invasive methods. It thus remains the safest option among the other weight loss options
Post op care must be given prominent importance after the procedure. The net food intake reduces drastically and hence the patients must be conscious for a brief period before resuming their normal food behaviour.
Just like any other surgery, weight loss procedures also have their own associated health risks. The short-term risk factors include excessive bleeding, inflammations and infections. Through advanced laparoscopic techniques, these complications can be eliminated.
The patients with BMI beyond 37 are prone to a lot of ailments associated with obesity like diabetes, heart diseases, hypertension etc., These patients can opt for a bariatric surgery and can achieve weight loss within a short period of time.
Bariatric procedure has been proven effective to aid permanent weight loss without much complications like other procedures. It can also potentially aid shorter hospital stays and quicker recovery
The size of the stomach is reduced in this procedure through surgical resection. Thus the net food intake and nutrient absorption is reduced permanently aiding faster weight loss compared to other procedures.
A part of the stomach pouch has been permanently removed from the digestive tract and hence it restricts the net food intake. Hence, gaining weight back does not happen after the procedure