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Bariatric Surgery

Bariatric Surgery- Procedure & Benefits at Curific Health Care

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    What is Bariatric Surgery or Weight Loss Surgery?

    Bariatric surgery is a medical procedure designed to help individuals lose excess body weight and manage obesity-related health issues. This type of surgery is often considered when other weight-loss methods, such as diet and exercise, have been ineffective or when obesity poses significant health risks.

    In some cases, individuals may opt for bariatric surgery on their own. However, it is commonly recommended by healthcare providers or surgeons to address obesity-related complications such as type 2 diabetes, high blood pressure, sleep apnea, and other health conditions linked to being overweight.

    For individuals who are morbidly obese, bariatric surgery may be advised as a critical intervention to promote significant weight loss and improve overall health outcomes. It is essential to consult with a healthcare provider to determine if this procedure is suitable and to understand its potential benefits and risks.

    Best Treatment Center for Bariatric Weight Loss Surgery

    Being obese can have severe impacts on an individual’s health. For many, losing weight without assistance can be challenging. This is why bariatric surgery is often recommended to help individuals shed excess weight effectively.

    Curific Health Care offers advanced weight loss treatment using laparoscopic bariatric surgery techniques. These minimally invasive procedures ensure optimal results in terms of weight loss and recovery. Depending on the patient’s profile, techniques such as sleeve gastrectomy (bariatric sleeve surgery), gastric bypass, and adjustable gastric band are utilized.

    With clinics in multiple cities across India and partnerships with modern hospitals equipped with the latest infrastructure, Curific Health Care ensures top-notch treatment. Our in-house team of skilled general and laparoscopic surgeons has extensive experience, performing various bariatric surgeries with over a 90% success rate. You can schedule a free consultation with our experts to plan your weight loss journey.

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      Bariatric Surgery at Curific Health Care

      What Happens in Weight Loss Treatment?

      Diagnosis

      Before undergoing weight loss surgery, you will need to consult several healthcare professionals:

      • Internist: Reviews your medical history, conducts a physical examination, and orders necessary blood tests.
      • Dietitian: Analyzes your eating habits and provides a detailed dietary plan for pre- and post-surgery.
      • Psychiatrist/Psychologist: Evaluates your mental health to determine your ability to handle the challenges of weight-loss surgery.
      • Bariatric Surgeon: Advises on losing weight through diet and exercise to lower blood glucose levels and reduce surgical risks.

      Tests

      The following tests are typically conducted to ensure your overall health:

      • Blood Tests: Evaluate blood sugar levels, white blood cell count, and other parameters.
      • Abdominal Ultrasound: Checks the health of organs like the liver, stomach, pancreas, gallbladder, and kidneys.
      • CT Scan: Identifies the safest approach for the surgery.
      • EKG (Electrocardiogram): Analyzes heart health.

      Bariatric Surgery Procedure

      Before the surgery, a nurse will insert a urinary catheter and an IV line. In the operation theater (OT), equipment will monitor vital signs such as temperature, blood pressure, and oxygen levels.

      The surgical process involves:

      1. Preparation: The abdomen will be cleaned with a chemical solution to minimize infection risks. A surgical drape will cover your body, leaving the abdomen exposed.
      2. Incisions:
        • Open Surgery: A large incision is made to access the stomach and intestine.
        • Laparoscopic Surgery: Four to six small incisions (1-2 inches each) are made in the abdomen and mesothelium.
      3. Surgical Steps: Depending on the type of bariatric surgery, the procedure may involve:
        • Placing a balloon inside the stomach.
        • Dividing and suturing a large part of the stomach.
        • Placing a band around the stomach.
        • Repositioning the small intestine to connect it to a higher point in the stomach.
      4. Closure: The incisions are closed and covered with bandages. A temporary drain may be placed in the stomach.

      After the procedure, anesthesia will be stopped, and the breathing tube will be removed. The anesthesia team will ensure you are stable before transferring you to the recovery room.

      How to prepare for bariatric surgery?

      The surgeon will give you some instructions that you’ll have to follow strictly. It will include the following- 

      • Stop smoking at least 6 weeks before the surgery. 
      • Only take the medicines approved by the doctor. 
      • Wear comfortable and loose clothes that can be removed easily. 
      • Abstain from eating and drinking at least 6-8 hours before the surgery. 
      • Ask someone to accompany you to the hospital and stay with you for the upcoming days. 

      After you are admitted to the hospital, you will have to sign a consent form before the medical team starts the preparations for the surgery. 

      Risks and Bariatric Surgery Complications

      During the Bariatric Surgery

      Some complications that can arise during the surgery include:

      • Excessive bleeding
      • Infection
      • Adverse reaction to anesthesia
      • Blood clots
      • Breathing problems
      • Leakage in the gastrointestinal system

      Experienced surgeons can often identify and minimize most of these risks before the procedure.

      After the Bariatric Surgery

      Some potential complications after the surgery are:

      • Bleeding or perforation in the stomach or intestine: A hole in the gut can lead to life-threatening conditions.
      • Bowel obstruction: Occurs when the intestine gets stuck in the opening created during surgery, which can happen weeks or months later, severely affecting bowel movements.
      • Malnutrition, dumping syndrome, and adrenal failure: These issues often arise after significant weight loss but usually improve over time.
      • Permanent nutrient deficiency: To prevent this, doctors typically recommend nutrient supplementation, as malnutrition and unhealthy weight loss are common after surgery.
      • Gastrointestinal issues: Problems such as GERD, gallstones, and pancreatitis may develop due to disrupted enzyme production and release.

      What to Expect After Bariatric Surgery

      After the surgery, you may feel slightly disoriented. In the initial hours, you will be taken to a recovery area where machines will monitor your blood pressure, pulse, oxygen saturation, and respiratory rate. Nurses will also check the surgical wound and administer pain medications if needed.

      The urinary catheter will be removed, and the medical staff will ensure that you can urinate and pass stools normally.

      You will likely need to stay in the hospital for several days. During this time, doctors and nurses will closely monitor your health to ensure a smooth recovery.

      Types of Bariatric Surgery

      Each type of bariatric surgery has its own advantages and disadvantages. The surgeon evaluates the patient’s health and then chooses the most suitable technique.

      Sleeve Gastrectomy
      Also known as “sleeve,” this procedure involves removing approximately 80% of the stomach, leaving a smaller, tube-shaped stomach similar in size and shape to a banana.

      This surgery works by limiting the amount of food and liquid the stomach can hold, significantly reducing calorie consumption. Additionally, the part of the stomach that produces the majority of the hunger hormone is removed, reducing hunger and promoting weight loss.

      The procedure is highly effective for patients at high risk of obesity-related conditions and helps maintain healthy weight and blood sugar levels. However, it is a non-reversible surgery.

      Roux-en-Y Gastric Bypass (RYGB)
      Commonly referred to as “gastric bypass,” this procedure has been performed for over 50 years and is now safer and more effective thanks to laparoscopic techniques.

      The surgery involves dividing the stomach into a small upper portion, or pouch, and bypassing a large part of the stomach. The small intestine is then divided, and a portion of it is connected to the new stomach pouch. Approximately 18 inches of the small intestine are bypassed, reducing both calorie intake and nutrient absorption.

      The surgery’s name comes from the Y-shaped bowel connection formed during the procedure. This technique allows patients to consume fewer calories while reducing the absorption of nutrients. It is one of the most reliable and long-lasting weight-loss surgeries but is more complex than other methods.

      Adjustable Gastric Band (AGB)
      In this procedure, a silicone band is placed around the upper stomach, creating a smaller pouch above the band, while the larger portion of the stomach remains below.

      The purpose of the band is to limit food intake by adjusting the size of the stomach opening. This procedure does not involve any division of the stomach or intestine, resulting in fewer complications. The band can be adjusted or removed if necessary.

      Although AGB has the lowest rate of complications, weight loss is slower compared to other bariatric surgeries because the process requires multiple adjustments after the initial procedure.

      Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
      Often referred to as BPD-DS, this procedure involves creating a smaller, sleeve-shaped stomach. Additionally, the first part of the small intestine is detached and bypassed.

      The surgeon connects the middle portion of the small intestine to the stomach, ensuring food directly enters the intestine’s midsection. This minimizes calorie absorption and results in significant weight loss.

      While BPD-DS provides the best results in terms of weight loss, it has higher rates of complications and increases the risk of vitamin and nutrient deficiencies due to extensive bypassing of the small intestine.

      By understanding the unique benefits and risks of each type of bariatric surgery, patients and their healthcare providers can make informed decisions about the best course of action to achieve safe and effective weight loss.

      Other Options for Weight Loss

      Here are some common non-surgical weight loss procedures that are performed in specific cases:

      1: ORBERA Gastric Balloon
      ORBERA is a medical-grade silicone balloon inserted into the stomach using an endoscope. Initially deflated, the balloon is inserted through the mouth. Once positioned in the stomach, it is filled with sterile saline water and remains in place for six months.

      The balloon reduces the stomach’s available space, helping you feel fuller between meals and limiting food intake, promoting safe and steady weight loss.

      However, individuals with prior gastric bypass surgery, hiatal hernia, or acid reflux are not suitable candidates for this procedure.

      2: Endoscopic Sleeve Gastroplasty (ESG)
      Also called the Accordion Procedure, ESG is a minimally invasive weight loss technique. Using an endoscopic suturing device, doctors insert it through the mouth to create a smaller stomach sleeve. Approximately 10 to 12 sutures are used to pleat the stomach, restricting food intake without requiring abdominal incisions.

      This procedure reduces the levels of the hunger hormone ghrelin, helping patients feel full faster.

      3: Lipotropic Injections
      Lipotropic injections are fat-loss supplements that support individuals already following a weight-loss regimen, including a low-calorie diet and exercise. These injections typically contain vitamin B12 along with other nutrients like vitamin B-6, B-complex, L-carnitine, phentermine, branched-chain amino acids (BCAAs), and MIC (methionine, inositol, and choline).

      The injections are administered directly into subcutaneous fat tissue once or twice a week, continuing until the weight-loss goal is achieved.

      4: AspireAssist
      AspireAssist is a non-surgical weight loss method involving the temporary placement of a small tube in the stomach. After eating, a significant portion of the consumed food is aspirated through the tube before it can be absorbed.

      While the placement of the tube is performed surgically, the aspiration process is managed by the patient after meals. This procedure is not suitable for individuals with hypertension, eating disorders, inflammatory bowel disease, or stomach ulcers.

      These non-surgical options can be effective alternatives for those seeking weight loss but unable or unwilling to undergo bariatric surgery.

      Recovery & Results After Bariatric Surgery

      The recovery after bariatric surgery is a gradual process that requires both physical and mental adaptation. The average recovery time is typically around 2 to 3 months, though it may vary depending on the individual.

      During the recovery period, significant lifestyle changes are expected, and the patient must adjust to new habits. This includes following a new diet, incorporating physical activity, and managing emotional well-being as the body heals.

      Throughout recovery, multiple follow-up visits will be necessary. In the first month, the surgeon will remove drains and stitches, inspect the surgical wound, and check for any signs of infection. If everything is healing well, the wound dressing will also be changed.

      To ensure proper recovery and optimal results, it is essential to work closely with your medical team. They will help guide you through the process and assist in making the necessary adjustments for a successful long-term outcome.

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