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Bariatric Surgery

Obesity is a disease.

Bariatric Surgery or Bariatrics is the branch of medicine dealing with the study of obesity, the causes, prevention and treatment of obesity. The Greek word Baro means heavy or large. Diet, exercise, anti-obesity drugs, behavioural therapy are first line treatments of obesity, but success is limited in people with severe obesity. Bariatric Surgery or Weight Loss Surgery is considered in people struggling with severe obesity.

Obesity is a medical condition. Obesity occurs due to excess body fat accumulated in the body and is considered a serious medical condition due to the adverse health effect obesity has on the body. Obesity has many detrimental health effects on the body. Medical issues include cardiovascular dieseases, diabetes mellitus, OSA or obstructive sleep apnea, asthma, etc..

Diet and excercise, behaviour therapy, and anti-obesity drugs are the first-line treatments for obesity and overweight. But for severe obesity this has limited success and long term success is very poor. Weight loss surgery or bariatric surgery results in greater weight loss than these conventional treatments. Weight loss surgery aids in improving the quality of life and brings improvement in obesity related diseases such as diabetes mellitus, hypertension, etc.

Bariatric Surgery – Different Types

  •  Laparoscopic Sleeve Gastrectomy (LSG)
  •  Roux-en-Y Gastric Bypass
  •  Mini Gastric Bypass (MGB)

Non-Surgical Weight Loss Procedure:

 Intragastric Balloon Placement (IGB)

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Laparoscopic Sleeve Gastrectomy

Bariatric Surgery Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy is a surgical procedure for weight loss. Sleeve gastrectomy is also known as a vertical sleeve gastrectomy or gastric sleeve procedure. In this procedure, the outer margin of the stomach is removed to restrict the amount of intake of food leaving the size of the stomach to about 15% of the original size of the stomach.

Gastric Bypass – Roux-en-Y

Bariatric Surgery - Bypass Procedure for Weight Loss

Gastric Bypass is a surgical weight loss procedure for treatment of morbid obesity. In this procedure the stomach is divided into a small upper pouch and a large lower pouch. The small intestine is then reattached to the pouch that creates a bypass for food, which results in absorption of less calories and nutrients.

Intragastric Balloon Non-surgical Procedure for Weight Loss.

Intragastric Balloon for Weight Loss

This procedure involves using an endoscope to place a deflated balloon in the stomach. The balloon is then inflated to decrease the amount of intragastric space. The balloon is then left in the stomach for a period upto 6 months. Due to the restricted amount of food intake there is an average weight loss of 10-15 kg. This is highly effective in overweight people not classified as obese.

Bariatric Surgery may help in lowering the risk of Stroke and Heart attack

Bariatric Surgery helps in lowering the risk of stroke and mycardial infarction (heart attack) in patients suffering with type 2 diabetes and severe obesity according to a study published in the Journal of the American Medical Association (JAMA).

The study was conducted to investigate the relationship between bariatric surgery and incident macrovascular (coronary artery disease and cerebrovascular diseases) events in patients with severe obesity and type 2 diabetes. This observational study concluded that patients with type 2 diabetes and severe obesity who underwent bariatric surgery, compared to those who did not undergo surgery, bariatric surgery was associated with a lower risk of macrovascular outcomes.

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Contact Details

Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL)
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity Surgery or Bariatric Surgery, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Thammanam Road, Plarivattom, Kochi, Kerala, India
VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
Chairman - Association of Surgeons of India, Kerala Chapter

Address

Keyhole Clinic - Center for Obesity and Laparoscopy

Palarivattom, Kochi, Kerala

VPS Lakeshore Hospital

Maradu, Kochi, Kerala


Mobile: +919447230370, +919846320370
Email: drrpadmakumar@gmail.com

Website:
www.drrpadmakumar.com

Chairman, Association of Surgeons of India - Kerala Chapter
National President - Indian Hernia Society (2016)
GC Member, Association of Surgeons of India (2013 - 2018)
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons (2016)
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal