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Bariatric Surgery
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Bariatric Surgery In Bangalore

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MBBS, MS - General Surgery

23 years experience overall

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25 years experience overall

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MBBS, MS - General Surgery, MRCS (UK), DNB - Surgical Gastroenterology

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MBBS, MS - General Surgery

15 years experience overall

Allopath

Bariatric Surgeon

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MBBS, MS - General Surgery

10 years experience overall

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General Surgeon

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Gastric Balloon

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Bariatric Surgery
Bariatric surgery is a surgical procedure which helps in weight loss by reducing the size of the stomach. With this, it leads to restricting or decreasing the amount of food intake at a time and causes malabsorption of nutrients. Sometimes bariatric surgery may also lead to hormonal changes.
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Bariatric Surgery in Bangalore

Frequently asked questions


What is Bariatric Surgery?

Bariatric surgery is a type of operation in which the size of the stomach is reduced. This will restrict your diet intake and helps in reducing your weight.


How much does Bariatric Surgery cost?

The following might be the factors which contribute to the variation of cost for Bariatric Surgery :

  1. Medical Condition
  2. Type of Facility(Hospital) & Room that you opt for
  3. Post Surgical Complications
  4. Time to recovery
  5. The method used for Bariatric Surgery

In Bangalore, we may see an approximation as below :

Minimum charges in Bangalore starts from Rs.2, 28,000

Average Price in Bangalore is approximately Rs.3,03,750

Maximum cost in Bangalore is up to Rs.3,50,000

The charges are provided to serve as an indicator.


Cost may also vary based on the method/approach chosen to execute Bariatric Surgery:

Laparoscopic adjustable gastric band.

Gastric bypassSleeve gastrectomy (gastric sleeve)

Biliopancreatic diversion with duodenal switch


Right specialists type for Bariatric Surgery?

Any doctor who is a qualified Gastroenterologist who has experience or training in bariatric surgery is allowed to perform this procedure.


Is Bariatric Surgery safe?

Any medical surgery has complications and risks associated with it. So, bariatric surgery also has few complications and risks when compared to other types of methods for weight loss. Hence, it is well suggested by many of the doctors to reduce body weight.


Is bariatric surgery covered by insurance?

Your insurance may cover bariatric surgery and depends on what plan you take and from which company you are insured.


What are the possible benefits of Bariatric Surgery?

Obesity is the major risk factor for many of the medical conditions and diseases such as diabetes, heart diseases, joint pains, excessive cholesterol in the blood, and blood pressure, etc. So, if you are an obese person and the treatments or physical exercise along with a proper diet does not improve your condition then bariatric surgery may be the best option and it helps in:

  1. Reducing body weight.
  2. Decreases or eliminates blood pressure.
  3. Improves erectile dysfunction.
  4. Decreases the chances of developing heart disease.


Is bariatric surgery right for me?

If you think you are excess weight or obese, then consult your doctor for the best options to reduce obesity.

However, if your body mass index [BMI] is 35 and facing health-related issues such as diabetes, joint pains, high blood pressure, and risk of developing a heart disease then bariatric surgery may be the right option.


Is bariatric surgery reversible?

Bariatric surgery is a gastric bypass surgery and it works by reducing the amount of food taken by the patient and decreases the absorption of nutrients in order to decrease obesity or overweight. So, typically this surgery is not reversible.


What are bariatric surgery complications?

Bariatric surgery complications include:

  1. Blood clots.
  2. Lung or breathing problem.
  3. Infection.
  4. Excessive bleeding.
  5. Leakage in your intestinal system.
  6. Rarely reactions to anesthesia.

Sometimes you may have risks which are long term and few of them are the following:

  1. Gallstones.
  2. Hernias.
  3. Bowel obstruction.
  4. Hypoglycemia (low levels of glucose).
  5. Ulcers.
  6. Malnutrition.
  7. Perforation of the stomach.
  8. Dumping syndrome.


Can bariatric surgery be done twice?

Bariatric surgery may be repeated only if your doctor thinks there is a need to redo or repair the gastric bypass. This mainly depends on the anatomy of the stomach and small intestine. 


Can bariatric surgery cure diabetes?

Bariatric surgery cannot cure diabetes but definitely helps in controlling it. Since obesity is the major problem for diabetic patients, with the help of bariatric surgery the body weight can be reduced which will help in controlling diabetes.


Can bariatric surgery cause cancer?

No. Bariatric surgery does not cause cancer.


Can bariatric surgery help PCOS?

Weight gain is the major problem in the PCOS and bariatric surgery helps in reducing the weight gain. 


Can bariatric surgery cause liver problems?

Bariatric surgery is performed to reduce body weight in obese patients and is effective in long term results. There are some studies, which state that rapid weight loss can cause liver damage and other liver diseases.


Can bariatric surgery cause high blood pressure?

No. Bariatric surgery does not cause or increase blood pressure. It indeed helps in reducing the blood pressure as the patient's body weight decrease after the surgery. So, as patient reduced body weight may help improve blood pressure.


Can bariatric surgery cure erectile dysfunction?

Obesity is one of the major risk factors for erectile dysfunction. So, after bariatric surgery patient loses over body weight and leads to an improvement or decreases the erectile dysfunction.


How bariatric surgery is done?

Bariatric surgery is performed by reducing the size of the stomach by any one of the following ways.

  1. By using a gastric band.
  2. By removing a portion of the stomach.
  3. By restricting and re-routing the small intestine to a small pouch of a stomach.


You may also want to know


Bariatric Surgery: Overview

Bariatric surgery is a surgical procedure which helps in weight loss by reducing the size of the stomach. By reducing the size of the stomach, it leads to restricting or decreasing the amount of food intake at a time and causes malabsorption of nutrients. Sometimes bariatric surgery may also lead to hormonal changes.


Bariatric surgery is considered when you have severe obesity, BMI of more than 40, BMI of 35 with conditions such as diabetes, hypertension, joint pains, abnormal cholesterol levels in the blood, sleep apnea, and risk of developing a heart disease etc. Individuals who are unable to lose weight by medications or keep gaining weight even after medication treatment, changes in the diet intake, and modifications in lifestyle can prefer bariatric surgery.


There are four types of methods involved in bariatric surgery to reduce the size of the stomach to decrease the body weight and they are the following:

  1. Laparoscopic adjustable gastric band.
  2. Gastric bypass.
  3. Sleeve gastrectomy (gastric sleeve).
  4. Biliopancreatic diversion with duodenal switch


Laparoscopic adjustable gastric band: This is performed as laparoscopic surgery. In this procedure, a small stomach pouch is made by using an adjustable band which makes you feel full after eating a small amount of food and helps in weight loss.


Gastric bypass
: This is also known as Roux-en-Y gastric bypass. In this size of the stomach is reduced that leads to consuming a small amount of food or the small intestine is attached to the lower part of the small intestine which may lead to absorb fewer calories and helps in reducing the body weight.


Sleeve gastrectomy (gastric sleeve): This method is also called sleeve gastrectomy in most of the stomach is stapled inside leaving a banana-shaped section and restricts the intake of food.


Biliopancreatic diversion with duodenal switch: Thi process is more complex than other methods and reduces the body weight faster than other methods.


Bariatric Surgery Indications

Indications for bariatric surgery are the following conditions:

  1. Heavy body weight or obesity
  2. Obesity with a BMI of more than 40.
  3. When other weight loss methods fail in reducing body weight.


Eligibility candidates for Bariatric Surgery

Individuals who are having any of the following are eligible for bariatric surgery.

  1. Body mass index more than 40 with co-morbidities conditions like diabetes, heart disease, hypertension, lipid abnormalities etc.
  2. Weighing more than 400 pounds 0r 200 kilograms.
  3. Above 18 years old suffering from obesity.


Ineligibility candidates for Bariatric Surgery

  1. Individuals whose BMI is below 35 and do not have any co-morbidities such as diabetes, hypertension, or abnormal lipid profile, etc.
  2. Patients who are having eating disorders that are not manageable.
  3. Individuals who suffer from obesity and do not have a commitment to change.
  4. Patients who are addicted to drugs and alcohol.
  5. Individuals suffering from mental illness.


Right specialists type for Bariatric Surgery

Any doctor who is a qualified Gastroenterologist who has experience or training in bariatric surgery is allowed to perform this method. Before choosing the right doctor for your bariatric surgery, consider the experience of the doctor in performing bariatric surgery along with his/her success rate.


How to prepare for Bariatric Surgery

  1. Follow all the instructions given by your doctor or surgeon.
  2. Take food and drinks as instructed by your doctor.
  3. In case you are using any medications, inform your doctor about it and take them as directed.
  4. Meet your Anesthesiologist after scheduling your surgery date. Your Anesthesiologist may ask you to undergo a few tests before your surgery.
  5.  Be ready with those test reports prior to the day of surgery.


Steps of Bariatric Surgery

There are four types of surgical procedures in bariatric surgery:

  1. Laparoscopic adjustable gastric band.
  2. Gastric bypass.
  3. Sleeve gastrectomy (gastric sleeve).
  4. Duodenal switch.

Laparoscopic adjustable gastric band:

  1. In this process, a ring with an inner inflatable band is placed around the top of the stomach by your surgeon to create a small pouch.
  2. This will help in diet restriction as you will feel full after eating a small quantity of food.
  3. The surgeon may change the size of the pouch by injecting or removing the solution with the help of a small device called a port. This will be placed below your skin.


Gastric bypass:

This process is also called as Roux-en-Y gastric bypass. There are two steps involved in this procedure:

              Step-1: 

  1. In this, your stomach is stapled by your surgeon, which may look like a little pouch in the top region.
  2. This will make your stomach smaller in size and allows lesser intake of food.

             Step-2:

  1. In this, the small intestine is cut and attached to the lower part of the pouch. Thus food is bypassed through the stomach and the higher portion of the small intestine. This will allow the body to absorb fewer calories.
  2. The bypassed section is connected far away down to the below part of the small intestine. This procedure will change the gut hormones, gut bacteria, appetite, and metabolism. This process is difficult to reverse.


Sleeve gastrectomy (gastric sleeve):

  1. This process is also called vertical sleeve gastrectomy. In this procedure, most of your stomach is stapled leaving a banana-shaped section inside.
  2. This surgery reduces the intake of food by making you feel fuller. This will also affect gut hormones, gut bacteria, appetite, and metabolism. This process is irreversible. 


Duodenal switch: It is also known as Biliopancreatic diversion.

  1. This process is more complex than other types. This has two separate surgeries involved.
  2. The first surgery process is similar to gastric sleeve process.
  3. The second surgery involves redirecting food to bypass through your small intestine.
  4. Then the bypassed section is reattached to the last part of the small intestine. This will help in allowing the digestive juices to mix with your food. This procedure will help to lose weight more when compared with the other three methods.


Post-procedure care/ recovery after Bariatric Surgery

  1. You are restricted to eat for one or two days after the surgery.
  2. You should follow the specific diet as instructed by your doctor for at least 12 weeks.
  3. Start taking liquids first and then progress to soft food and then slowly to regular food.
  4.  Follow all the restrictions on how much to eat and what to eat and drink.
  5. There should be follow-up visits to your doctor after this surgery to adjust the size of the opening of the band or if there any problems caused by the band or if this procedure is not helping you to lose weight. There may be changes seen in the first three to six months of surgery. These changes may be body aches, tiredness, flu-like symptoms, dryness of the skin, feeling cold, hair loss or hair thinning, or mood changes.


Risks/ complications associated with Bariatric Surgery

Any medical surgery has risks and complications along with benefits. Some of the risks and complications associated with bariatric surgery are the following:

  1. Dumping syndrome
  2. Malnutrition
  3. Ulcers
  4. Perforation of the stomach.
  5. Bowel obstruction
  6. Infection
  7. Blood clots
  8. Lung or breathing problem
  9. Excessive bleeding
  10. Leakage in your intestinal system
  11. Reactions to anesthesia
  12. Gallstones
  13. Hernias
  14. Hypoglycemia (low levels of glucose)



Advantages of Bariatric Surgery

  1. Weight loss after the surgery is higher than the other methods.
  2. Health conditions like diabetes, blood pressure, the risk of heart diseases, abnormal lipid parameters, depression, and bone pains, etc. may improve after the surgery in long-term effects.
  3. Helps in rapid weight loss

Long term outcome/results of Bariatric 

Long term outcomes or results of bariatric surgery are the following:

  1. Improves blood pressure, erectile dysfunction, sleep apnea, joint pains, and lipid abnormal parameters etc.
  2. Some times it may cause severe malabsorption and leads to anemia.
  3. Bariatric surgery may lead to dumping syndrome where contents of the stomach are emptied rapidly.
  4. It also helps in maintaining weight loss in 60% of patients who undergo bariatric surgery.
  5. In a few cases, patients may regain their weight


The success rate of Bariatric Surgery

Patients who undergo gastric bypass surgery shows  65% weight loss after two (2) years and 56% of weight loss who undergo sleeve gastrectomy and 49% of weight loss with gastric banding. So, overall bariatric surgery provides a 50-70% success rate.


Options if Bariatric Surgery is not successful

  1. If the patient notices an increase in the body weight even after undergoing bariatric surgery, then consult your doctor immediately.
  2. Follow all the instructions given by your doctor to reduce the weight gain after the surgery.
  3. Restrict the consumption of food items which are high in cholesterol.
  4. Take all the medications prescribed by your doctor.
  5. Consult your doctor for regular check-ups to check whether the surgery is a success or failure.


Alternatives to Bariatric Surgery

Some alternatives to the bariatric surgery for weight loss are the following:

  1. Modifications or changes in daily food intake.
  2. Doing physical activities daily for about 30-60 minutes.
  3. Taking weight loss pills as directed by your doctor.

Bariatric Surgery In Bangalore

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