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Metabolic & Bariatric Surgery

Dr Saleem Naik

Morbid obesity is a serious health condition that can interfere with basic physical functions such as breathing or walking. Those who are morbidly obese are at greater risk for illnesses including diabetes, high blood pressure, sleep apnea, gastroesophageal reflux disease (GERD), gallstones, osteoarthritis, heart disease, and cancer.

Morbid obesity is diagnosed by determining Body Mass Index (BMI). BMI is defined by the ratio of an individual’s height to his or her weight. Normal BMI ranges from 20-25. An individual is considered morbidly obese if he or she is 100 pounds over his/her ideal body weight, has a BMI of 40 or more, or 35 or more and experiencing obesity-related health conditions, such as high blood pressure or diabetes.

Common Obesity Related Conditions

Obesity-related health conditions reduce life expectancy. Here are some of the more common conditions.

What is bariatric surgery?

The basic principle of bariatric surgery is to restrict food intake and decrease the absorption of food in the stomach and intestines. Bariatric surgery is designed to alter or interrupt this digestion process so that food is not broken down and absorbed in the usual way. A reduction in the amount of nutrients and calories absorbed enables patients to lose weight and decrease their risk for obesity-related health risks or disorders.

Do I qualify for weight loss surgery?

Efforts to lose weight with diet and exercise have been unsuccessful. Your body mass index (BMI) is 40 or higher (extreme obesity) Your BMI is 35 to 39.9 (obesity) and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea.

What are the different types of weight loss surgery?

Four common types of weight-loss surgery are:

What is the gastric sleeve surgery?

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube like structure.

How long does it take to recover from gastric sleeve?

Surgery takes approximately 1 hour to perform. On average, our patients leave the hospital one to two days after gastric sleeve surgery. Return to work varies fromone to three weeks depending on the type of work. No heavy lifting (more than 10lbs) is allowed for four to six weeks after surgery.

How does the gastric bypass work?

After surgery, the stomach holds about one cup of food. A normal stomach holds 4 to 6 cups. … Gastric bypass, technically referred to as Roux-en-Y Gastric Bypass, is both a restrictive and malabsorptive procedure, because it reduces the size of the stomach and decreases the absorption of calories in the small intestine.

What is the recovery time for gastric bypass surgery?

Gastric bypass surgery is done laparoscopically, which means the surgeon makes small cuts. That makes for shorter recovery time. Most people stay in the hospital 2 to 3 days, and get back to normal activities in 3 to 5 weeks.

Mini gastric bypass surgery is a short and relatively simple procedure that has been shown by the available research to have low risk and result in good short and long-term weight loss.

What are the advantages of Mini Gastric Bypass ?

Mini gastric bypass surgery is quicker because it is a single stage procedure. There is some preliminary evidence to show that the early complication rate of mini bypass is lower, but operative mortality is the same. Moreover short-term weight loss is virtually the same for both procedures; around 70% of excess weight*.

Which is the best weight loss surgery?

Here are some of the things a patient should consider when deciding which surgery is right for them. In general, gastric bypass (MGB/RYGB) patients will lose around 70 percent of their excess weight, sleeve gastrectomy patients will lose around 60 percent, and gastric banding patients will lose around 50 percent.

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