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Bariatric/Weightloss Surgery

Weight-loss surgery is only recommended if the patient has had unsuccessful attempts at weight loss and sustenance and keep it off by dieting, changing your overall lifestyle and exercising alone. Doctors often use the body mass index (BMI) and health conditions such as type 2 diabetes and high blood pressure to determine which patients are most likely to benefit from weight-loss surgery. Patients who qualify are those with BMI above 32.5 kg/m2, with associated co-morbidities like diabetes etc or patients with BMI above 37.5 kg/m2, with or without associated co-morbidities.The right candidates are the ones who:
1) Have a BMI>32.5 and associated diseases like diabetes, hypertension, osteoarthritis, obstructive sleep apnea.
2) Have a BMI>37.5, with or without associated illnesses
3) Did not benefit from the weight loss management techniques
4) Are uncomfortable in performing routine activities due to excess weight 
The common procedures we perform are:
Gastric Bypass
• Sleeve Gastrectomy
• Minigastric bypass 
The procedure is recommended by the bariatric surgeon after considering various factors like BMI, associated co-morbid conditions, past medical history etc. 
During your counselling and evaluation, the doctor will explain the risks pertaining to each individual.
It is 1.5 hours procedure and requires three to four days hospitalization.
The Pros:
• Eliminates the portion of the stomach that produces the hunger stimulating hormone (Gherlin).
• Dumping Syndrome is not observed.
The Cons:
• A gastric sleeve is irreversible.
• There are chances of weight regain in case the patient does not adhere to a healthy lifestyle.   

The Pros:

• Weight loss is quick and sustained (long term).
• Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly.

The Cons:
• The surgery may result in dumping syndrome, which occurs when food moves too quickly through the stomach and intestines. Dumping syndrome can cause sweating, dizziness, nausea, and severe diarrhoea. Dumping syndrome happens in response to carbohydrate rich diet. However this can be easily avoided if you follow small dietary modifications suggested by the nutritionist.
• Staple line leak. 

One loses approximately 60 to 80 % of excess body weight at a pace of 6 kilograms weight loss every month. The weight loss is long term and sustained. 
Generally, hospital stay can be between three to four nights, unless there are situations demanding longer stay due to co-morbid conditions/high risk patients and adverse events. 
It will depend on the type of surgery and the type of your work. You must plan to take out 7-10 days from work if recovery is uneventful. 
Yes, regular exercise is necessary for maintaining weight loss. 
• Eat small meals
• Eat nutritious and balanced diet (high in protein and low in carbohydrates and fats).
• Exercise regularly.
• Regular follow up with your surgeon. 
 
Yes, you will require a lifetime of vitamin supplementation. 
The cost will depend on the type of the procedure and the room category you opt for. 
No. You can opt for many healthy alternatives like foods and drinks at social functions with the help of your nutritionist.
Of the people diagnosed with type-2 diabetes, about 60 percent are also diagnosed as obese. This fact provides an interesting clue to the link between diabetes and obesity. Understanding what causes the disease will hopefully allow us to prevent diabetes in the future.
Being overweight places extra stress on your body in a variety of ways, including your body’s ability to maintain proper blood glucose levels. In fact, being overweight can cause your body to become resistant to insulin. If you already have diabetes, this means you will need to take even more insulin to get sugar into your cells. And if you don’t have diabetes, the prolonged effects of the insulin resistance can eventually cause you to develop the disease.
The good news is type 2 diabetes is largely preventable. Research studies have found that lifestyle changes and small amounts of weight loss in the range of 5-10% can prevent or delay the development of type 2 diabetes among high-risk adults. Lifestyle interventions including diet and moderate-intensity physical activity (such as walking for 150 minutes per week) were used in these research studies to produce small amounts of weight loss. The development of diabetes was reduced 40% to 60% during these studies that lasted 3 to 6 years. Preventing weight gain, increasing activity levels and working toward small amounts of weight loss if you are overweight can have a big impact on the likelihood that you will develop diabetes in the future. Managing your weight is the best thing you can do to prevent the development of diabetes. 
Not always observed and not true for everyone. However, since there are fat cells between your hair follicles, you can expect some hair loss which can be managed with a zinc rich diet and supplementation. Better quality hair will come back once the weight stabilizes. 
Weight loss surgery improves fertility especially in women suffering with PCOD (Polycystic Ovarian Syndrome) and the ones who are having difficulty in conceiving. In fact, several women who are trying to conceive are advised to lose weight to increase the chance of conception and a healthy pregnancy. 
Twice to thrice in the first year and then once in every year for atleast 5 years.
It entirely depends on the type of procedure. Roux-en-Y Gastric bypass is reversible; however, sleeve gastrectomy is irreversible.

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