Frequently asked questions
What is Bariatric Surgery?
Bariatric Surgery assists in weight loss by reducing the size of the stomach which restricts or decreases the food intake.
What are the uses of Bariatric Surgery?
Following are the uses of Bariatric Surgery:
- Decreases the chances of developing heart disease
- Decreases or eliminates blood pressure
- Reducing body weight
- Improves erectile dysfunction
In what conditions Bariatric Surgery is indicated?
Indications of Bariatric Surgery are the following:
- Individuals with a risk of developing heart disease due to severe obesity, BMI of more than 35-40
- Conditions such as diabetes, hypertension, joint pains, abnormal cholesterol levels in the blood, sleep apnea, etc.
- Individuals who are unable to lose weight by medications
- Weight gain even after medication treatment
How a patient should prepare for Bariatric Surgery?
- The patient should undergo a few lab tests suggested by the doctor.
- Inform the doctor about the past and present medications and medical history.
- Follow all the instructions given by your doctor or surgeon.
- Should discuss all the risks, complications, and benefits of Bariatric Surgery with the doctor.
- Discuss all the risks and complications along with the benefits of Bariatric Surgery with the doctor.
- Take food and drinks as instructed by your doctor.
How Bariatric Surgery is performed?
Bariatric Surgery is performed by following the below steps:
Gastric bypass or Roux-en-Y gastric bypass.
Two steps are involved in this surgey:
In this, the stomach is stapled by the surgeon, which may look like a little pouch in the top region to make the stomach smaller in size and allows the patient to consume lesser food.
- Later, the small intestine is cut and attached to the lower part of the stomach pouch and the food is bypassed through the stomach and the small intestine to allow the body to absorb fewer calories.
- 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.
Laparoscopic adjustable gastric band:
- 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.
- 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. This will help restricting diet as you will feel full after eating a small quantity of food.
Sleeve gastrectomy (gastric sleeve):
- This process is also called vertical sleeve gastrectomy. In this procedure, most of your stomach is stapled leaving a banana-shaped section inside.
- 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 or Biliopancreatic diversion:
- It has two separate surgeries involved.
- The first surgery process is similar to gastric sleeve process.
- The second surgery involves redirecting food to bypass through your small intestine.
- 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.
What can be done after Bariatric Surgery?
- You should follow the specific diet as instructed by your doctor for at least 12 weeks.
- Start taking liquids first and then progress to soft food and then slowly to regular food.
- 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.
- Follow all the restrictions on how much to eat and what to eat and drink.
- Changes can be 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.
Who can perform Bariatric Surgery?
Bariatric Surgery can be performed by a qualified Gastroenterologist or a surgeon who is well experienced in performing Bariatric Surgery.
What is the price of Bariatric Surgery in Gurgaon?
Price of Bariatric Surgery in Gurgaon may vary due to the following factors:
- Medical condition
- Type of facility (hospital) & room that you opt for
- Post-surgical complications
- Time to recovery
- The method used for Bariatric Surgery
Minimum amount to be paid in Gurgaon starts from Rs.2,28,000
Average expenses in Gurgaon is approximately Rs.3,03,750
Maximum charges in Gurgaon rises up to Rs.3,50,000
Whether Bariatric Surgery a major surgery or minor surgery?
Bariatric Surgery is a major/minor surgery as it involves in reducing the size of the stomach to accommodate less food thus effectively reducing the bodyweight of the individual.
Who are eligible to undergo Bariatric Surgery?
Eligible candidates for Bariatric Surgery are:
- Body mass index more than 40 with co-morbidities conditions like diabetes, heart disease, hypertension, lipid abnormalities, etc.
- Weighing more than 400 pounds 0r 200 kilograms.
- Above 18 years old suffering from obesity.
Who are ineligible to undergo Bariatric Surgery?
Ineligible candidates for Bariatric Surgery are:
- Individuals whose BMI is below 35 and do not have any co-morbidities such as diabetes, hypertension, or abnormal lipid profile, etc.
- Patients who are having eating disorders that are not manageable.
- Individuals who suffer from obesity and do not have a commitment to change.
- Patients who are addicted to drugs and alcohol.
- Individuals suffering from mental illness.
What can be the complications and risks associated with Bariatric Surgery?
Complications and risks associated with Bariatric Surgery are:
- Lung or breathing problem
- Excessive bleeding, blood clots
- Leakage in your intestinal system, Infection
- Reactions to anesthesia
- Gallstones, hernias, bowel obstruction, ulcers, etc.
- Hypoglycemia (low levels of glucose)
- Dumping syndrome
How much time does a patient take to recover from Bariatric Surgery?
It takes 7 to 15 days to recover from Bariatric Surgery depending on the health condition and type of surgery.
What is the success rate of Bariatric Surgery?
The success rate of Bariatric Surgery is determined by factors such as:
- Patient age
- Health condition
- Type of surgery performed
However, The overall success rate of bariatric surgery is 50-70%.
Does Bariatric Surgery cause pain?
Bariatric Surgery does not cause any pain during surgery. However, after the surgery, there may be mild to moderate pain.
What can be the long-term effects of Bariatric Surgery?
Long term outcomes or results of bariatric surgery are the following:
- Improves blood pressure, erectile dysfunction, sleep apnea, joint pains, and abnormal lipid parameters, etc.
- Some times it may cause severe malabsorption and leads to anemia.
- Bariatric surgery may lead to dumping syndrome where contents of the stomach are emptied rapidly.
- It also helps in maintaining weight loss in 60% of patients who undergo bariatric surgery.
- In a few cases, patients may regain their weight
What can be done after the failure of Bariatric Surgery?
If Bariatric Surgery fails, then the doctor may provide a few suggestions like
- If the patient notices an increase in the bodyweight even after undergoing bariatric surgery, then consult your doctor immediately.
- Restrict the consumption of food items that are high in cholesterol.
- Take all the medications prescribed by your doctor.
- Consult your doctor for regular check-ups to check whether the surgery is a success or failure.
What are other options for Bariatric Surgery?
Alternative treatment options apart from Bariatric Surgery are the following:
- Doing physical activities daily for about 30-60 minutes.
- Taking weight loss pills as directed by your doctor.
- Modifications or changes in daily food intake.