Dr. R. Padmakumar
Laparoscopic & Obesity Surgeon

Bariatric Surgery | 3 Types of Bariatric Surgery

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, behavioral 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.

Diet and exercise, behavior 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.

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. People with BMI (Body Mass Index) exceeding the normal range has much greater risk of medical issues. Medical issues include cardiovascular diseases, diabetes mellitus, OSA or obstructive sleep apnea, asthma, etc..

Bariatric Surgery

Weight loss surgeries have proved effective and long term studies show that these procedures cause long term weight reduction, resolution of diabetes, improvement in cardiovascular risk factors and obstructive sleep apnea, etc.

According to a medical guideline published by the American College of Physicians, Weight Loss Surgery should be considered as an option for treatment in patients with BMI of 40 kg/m2 or above, who instituted an adequate exercise and diet regimen, but failed, and also in patients presenting with obesity-related comorbid conditions.

Obesity increases the risk of many diseases and health conditions. These include: Type 2 diabetes (Diabetes Mellitus), Coronary heart disease, Hypertension (High blood pressure), Cancers (endometrial, breast, and colon), Dyslipidemia (for example, high cholesterol), Stroke, Liver and Gallbladder disease, Obstructive Sleep Apnea and respiratory problems, Osteoarthritis, Infertility, Asthma

Types of Weight loss Surgeries include:

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

Non-Surgical Weight Loss Procedure:

 Intragastric Balloon Placement (IGB)

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.

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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.

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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.

Read More Click here to calculate your Body Mass Index (BMI)

Bariatric Surgery may help in lowering the risk of Stroke and Heart attack. Bariatric Surgery helps in lowering the risk of stroke and myocardial 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.

Hi I am Mareena and I am very happy and satisfied patient of Dr Padmakumar as he have helped me to change myself the exact way I really wanted. I was weighing 105 kg when I did my surgery, and now I am 79kg. I was suffering from diabetic ,hypertension, back pain, pcod etc… Now l am free from all these things and not taking medicines for anything .only some iron , calcium, and vitamins that’s it. More than that I used to suffer from very bad migraines since childhood. Now I am 99 percent free from that. I have undergone 4 surgeries before for some other health issues . But my friends let me say you this was the most comfortable and relaxed surgery I had till now and soon recovery and not much rest needed at all. Now you don’t know how much energetic I am in my life .More than that I have become more young than before as I was at the time of my marriage. Now I am 40 yrs. Being like this I feel more confident. Thanks to Dr Padmakumar and his entire team👏👏👏👏👍. Another best quality about this doctor is that the very good friendly relationship between the doctor and patient. We feel very comfortable with him when we share our problems. The exact way how a child is comfortable with his or her father. He is very down to earth person. If we are in need of any emergency we can call him at anytime, he picks him phone and answer us patiently even if he is busy other than the surgery time. I suggest to my friends who are very obese like me before and suffering from diabetic etc can do gastric sleeve without hesitating .people may force you not doing. It is you are the one who have to decide and no one else. At the beginning my husband and family members was not happy to do the surgery. But I decided doing it .Now seeing my change all are happy. Sorry I have written a lot to read. This was because I really wanted to share my happiness and relief to others

Mareena

Related Links

Dr. R. Padmakumar is one of the Best Hernia Surgeon in India. He has been changing lives through Keyhole Surgery. He has got more than 30 years of hands-on experience in laparoscopic Surgery in major hospitals across India and has completed more than 7000 cases of Laparoscopic Hernia Surgeries. Dr. Padmakumar has trained more than 300 surgeons from all over the world the art of laparoscopic surgery especially Laparoscopic Hernia Surgery. Dr. Padmakumar is also hailed as one of the Best Bariatric Surgeon in India & UAE. He is renowned for new and improved treatment techniques and the first in the World to perform Scarless Bariatric Surgery with Tummy Tuck / Abdominoplasty. He is also one of the very few thyroid surgeons in India doing Endoscopic Thyroidectomy (scarless thyroid surgery).

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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)
CMD - Keyhole Clinic, Metro Pillar no. 448, Edappally, Kochi, Kerala, India
HOD - VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
(Specialist in Laparoscopy, Hernia, Cancer, Obesity Surgery or Bariatric Surgery, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)
www.drrpadmakumar.com
Mobile: +919447230370, +919846320370
Email: drrpadmakumar@gmail.com

Past Chairman, Association of Surgeons of India - Kerala Chapter, 2019 - 2020
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

Keyhole Clinic - Center for Obesity and Laparoscopy
Keyhole Clinic - Center for Obesity and Laparoscopy

Metro Pillar No. 448, Edappally, Kochi
Tel: 9847296357 / +919645222401

www.keyholeclinic.in