Bariatric or Weight Loss Surgery in Bangalore
A category of medical procedures known as bariatric surgery, often known as weight loss surgery, is intended to help obese patients in losing weight. If alternative weight loss techniques haven’t worked and obesity seems to represent a larger risk to your health than surgery, your doctor may advise you to have bariatric surgery. Your digestive tract, mostly your stomach but sometimes also your small intestine, is altered during bariatric surgery procedures to limit the number of calories you can intake and absorb.
The most typical kind of bariatric surgery is gastric bypass, which is preferred by most doctors because it typically has fewer risks and great results compared to other weight-loss procedures. The patient must permanently alter their diet and set aside time for a set exercise routine to ensure the long-term success of bariatric surgery.
Different Types of Bariatric Surgery Performed at Apollo Hospitals, Karnataka
- Gastric Sleeve – The gastric sleeve, also known as sleeve gastrectomy, is the most often performed bariatric surgery. Gastrectomy essentially eliminates a big portion of your stomach (approximately 80%), leaving behind a tiny, tubular portion similar to a sleeve.
- Gastric Bypass – Gastric bypass surgery is a bit complex yet more preferred surgical approach compared to sleeve gastrectomy. It entails generating a tiny pouch from the stomach and attaching it straight to the small intestine.
- Biliopancreatic Diversion with Duodenal Switch (BPD-DS) – It is a less prevalent form of weight loss surgery. Similar to a sleeve gastrectomy, your surgeon will undertake this procedure to create a gastric sleeve by removing a piece of the stomach. The sleeve is then connected to a section of the small intestine.
Preoperative Preparations of Surgery
Bariatric surgery requires more comprehensive planning, which might start a month or two before the actual day of the procedure. The following are some significant preoperative steps:
- Medication – Patients who are obese often develop ailments, including heart disease, metabolic syndrome, diabetes, and hypertension. They could take medications for the same condition. According to the surgeon’s judgement, their dose may be changed. Additionally, certain medications could be withdrawn.
- Food Habits – A month before surgery, the patient has been subject to a number of limitations. Foods that are heavy in calories, sugar, or junk are forbidden. Consumption of salads, fruits, and naturally preserved foods is suggested.
- Evaluation of the Patient’s Physical Condition – The surgeon will want to make sure you are physically and mentally prepared for the procedure before scheduling your bariatric surgery. A thorough physical checkup is performed before the procedure. To look for indications of abnormal cardiac functioning, the cardiovascular system is evaluated. Psychological counselling, in addition to other therapeutic approaches, will be required for depression, anxiety, and eating problems that contribute to the development of obesity.
It is often best to check into the hospital the day before surgery. After the patient is hospitalised, a comprehensive physical examination is performed once more.
What happens during Bariatric Surgery?
Under general anaesthesia, the procedure will be carried out. The little incision that your surgeon makes will be used to insert instruments. An adjustable band will be wrapped over the top of your stomach by the surgeon, who will then tighten it to create a tiny pouch. This makes a little opening for the food to flow through in order to migrate from the top small pouch to the lower, bigger portion of the stomach. The incision area will be closed after the procedure is finished. The entire procedure can take 1-2 hours.
The patient is transferred to the recovery room right after the surgery. After the anaesthetic agent’s effects start to fade, consciousness returns quickly. A two to three-day hospital stay is required, during which the patient is kept under close monitoring. Depending on how they recuperate, they could be released earlier or later than this period. It typically takes 3–4 weeks to fully recuperate from surgery. In order to reduce the desired amount of weight and keep it off after bariatric surgery, the patient and doctor must work together.
The patient is not allowed to eat anything for 1-2 days following the operation. Dietary requirements are met by intravenous administration. The dietician suggests a specific diet consisting of soft, light foods that are simple to digest over the following three to four months. Regular exercise is also a crucial component of weight loss prevention. Avoiding smoking and drinking alcohol as much as you can throughout your life is advised. The patient is also encouraged to visit the bariatric surgeon for routine checkups. These might be carried out once or twice every month. As time goes on, evaluations become less frequent.
Risk & Complications
Operations that are longer and more difficult could entail more surgical complications, including:
- Blood clots.
- Small bowel obstruction.
- Anastomotic leaks.
The usual digestive process undergoes significant alteration after bariatric surgery. Food does not go through the intestines the way it usually does. This could alter how well critical nutrients are absorbed. Malnutrition, constipation, nausea, and vomiting are just a few potential problems. Gallstones are known to develop in those who lose a significant amount of weight quickly. If they are identified in a patient following bariatric surgery, they will get the proper treatment, like medications or corrective surgery, separately.
What makes you ineligible for Bariatric Surgery?
When discussing weight loss solutions with a medical practitioner, your health is always the primary priority. In certain circumstances, bariatric surgery might result in long-term health problems that are not worth the risk. Some of the most significant risk factors that may restrict you from having bariatric surgery are:
- Being above the age of 75 or under the age of 16.
- Having an alcohol or drug addiction.
- A family history of heart disease.
- Severe lung or heart problems.
- Blood disorders
- Some autoimmune disorders.
After speaking with the medical expert, you will have a better understanding of the risks and advantages.
The Apollo Hospitals in Karnataka is one of the major healthcare centres in India for bariatric surgery, doing all types of weight loss procedures, including revision operations, with success rates that are on par with international norms.
We have the top teams with experts in obesity and weight loss. Apollo Hospitals, Karnataka, is one of the finest hospitals because of our excellent clinical results, cutting-edge technology, level of medical skill, and high success rates.