Transforming Lives: The Art of Bariatric Surgery for Lasting Health

Have you long been struggling to get rid of those additional weight gain? Attempted a selection of diet regimens and also exercises, but all in vain? Well, if you prepare to go with the resection to get rid of that excess body weight, bariatric surgical procedure will be a viable choice for you. This is not an alternative for individuals who are a little obese, but is a terrific choice for those who are morbidly obese.

What Is Bariatric Surgery?

Bariatric surgical is likewise called ‘weight loss surgery’, ‘weight problems surgical procedure’, ‘metabolic surgery’. It is essentially an invasive medical approach intended for people with chronic obesity. The main objective of this process is to lower the total body weight of an overweight person completely to a huge level by following any of the 3 means:

1.    Using a stomach band for making the tummy much less voluminous or smaller.
2.    Removing a small part of the stomach completely.
3.    Creating a small ‘pouch’ inside the belly and also rerouting the small intestinal tract to it after carrying out a ‘small bowel resection’.
It is a risk-free, safe and secure and highly reliable method of treatment with lasting outcomes.

Different Kinds of Bariatric Surgery:

You have actually already seen that bariatric surgical procedure does not follow any certain technique. There are 3 different means to perform the surgery as well as depending after them, the procedure could be split right into four unique classifications. We have actually discussed these four techniques listed below:

1. Roux-en-Y Gastric Bypass (RYGB):

The surgeon sutures the stomach, leaving a small part of it (25-30 cm3). The organ then connects directly to the small intestine, bypassing most of the intestine. As a result, the stomach shrinks, food passes through a shorter path and nutrients are absorbed faster. The operation is performed in an open or minimally invasive way using a laparoscope. 
Gastric bypass is the "gold standard" among weight loss surgeries, it is well-studied and shows the highest efficacy in the treatment of obesity.

2. Sleeve Gastrectomy:

As a result of the procedure, 70% -80% of the stomach is removed. Surgeons create a “sleeve” from the remaining part with a diameter of 1 cm. This helps patients get enough of less food.

The operation is performed under laparoscopy through small incisions in the abdomen. With its help, he manipulates the organ, and then sews up the incisions. In leading foreign clinics, 3D laparoscopy is available, when the doctor has a complete overview of the patient's insides.

3. Laparoscopic Adjustable Gastric Banding (LAGB):

To reduce the volume of the stomach, the surgeon fixes a special ring in its upper part. The bandage limits the lumen through which the operation enters the stomach. The operation is restrictive and does not require the removal of organ parts. The aperture diameter can be adjusted.

The bandage divides the stomach into two parts. A small reservoir of 10-15 ml in size is formed on top. In this place are receptors responsible for saturation. Due to this distinction, the food will fill the upper, small part of the stomach first. Therefore, in order to be satisfied, a person needs less food.

4. Stomach Reduction Duodenal Change (GRDS):

GRDS or duodenal switch is an advanced variation of gastric bypass surgery.

Basic Principles:

Even though the strategies of the bariatric surgical procedure can be different in different instances, they all are based on the same principle. Following are 3 basic working principles of the procedure:

1. Altering the consuming practice in addition to managing the amount of food intake of a patient by minimizing the quantity (the capacity of holding foods at a particular time) of the stomach strategically.

2. Making it tough for the individual to absorb complete nutrients from the consumed foods by putting a check to the food assimilation ability of his or her gastrointestinal system.

3.Carrying out a high-end surgery by combining both of the aforementioned techniques.

Who Should Go For It? 

Bariatric is an integral part of abdominal surgery. Therefore, all operations are performed strictly according to indications.

According to the clinical guidelines of the Ministry of Health, bariatric surgery is performed on patients who are not helped by conservative methods of treatment (diet, pharmacology, psychotherapy), provided that the following factors are present:

•    Age from 17 to 75 years.
•    BMI (body mass index) 40 and above.
•    BMI 30-40 in the presence of serious concomitant health problems (metabolic syndrome, diabetes mellitus).
•    BMI less than 30 with a sharp increase in weight and a history of a previous life diagnosis of obesity.

What Are The Expected Results?

When it involves undergoing invasive procedures like the bariatric surgery, taking a well-informed choice is always a sensible concept. It is suggested that you find out more in advance regarding what you could specifically anticipate from the procedure. We have actually note down the significant consequences of the surgical procedure:

You can eliminate as much as 61% of your extra body weight through this process. It is definitely a substantial positive end result, which will bring a radical modification to your whole body profile.

Not just your body weight will certainly decrease, but a variety of deadly conditions connected with it will also disappear. Otherwise, you will at the very least become capable of combating them in a more reliable manner.
You cannot continue your pre-surgical food routines anymore. The digestive system in addition to assimilative qualities of your body will be changed to an excellent degree. Hence, it will be incredibly hard for you to soak up specific vitamins (B12, D, folate, etc.) and minerals (iron, calcium, etc.).

It is necessary to exercise on a regular basis for finest outcomes. Leading a healthy way of life is also essential for this purpose.

What Is The Recovery Time?

A bariatric surgery individual should remain in the medical facility at least for 2 to 3 days. Afterwards, she or he will certainly be released. It is difficult to obtain back to the routine exercise regular or everyday activities right away after the surgical treatment. One might need to wait anywhere between 3 and also 5 weeks prior to going back to his or her typical schedule.

Benefits of Bariatric Surgery:

1.    It offers exceptional results by reducing the excess body weight of obese people to a terrific extent.
2.    The effects of the surgical procedure last for a lengthy time unless and till you quit working out or start leading an unhealthy lifestyle.
3.    It keeps countless life-threatening metabolic syndromes that include heart diseases, hypertension, high cholesterol, diabetes mellitus (type-II), rheumatoid arthritis, obstructive sleep apnea, and also numerous more.
4.    As your whole body profile is changed, you restore your self-confidence. The overall high quality of your life goes considerably high.

Contraindications to bariatric surgery: 

Most contraindications are temporary, in other words, they can be eliminated. You can learn more about this from our administrators or at the consultation of a bariatric surgeon.

Contraindications for surgical treatment of obesity are:  Exacerbation of peptic ulcer of the stomach and duodenum. The operation can be performed after a course of anti-ulcer therapy and confirmation of the healing of erosions / ulcers after the treatment; pregnancy; oncological diseases, the duration of remission of which after treatment is less than 5 years; mental disorders: severe depression, psychoses (including chronic ones), abuse of psychoactive substances (alcohol, narcotic and other psychotropic), some types of personality disorders (psychopathies); diseases that threaten life in the near future, severe irreversible changes in vital organs.

Relative contraindications for bariatric/metabolic surgery: lack of attempts at conservative treatment of obesity before surgery; lack of proper patient discipline and the possibility of participating in long-term postoperative follow-up (compliance).

The cost of bariatric surgery:

The cost of bariatric surgery can vary. It depends on the complexity of the particular case, the required amount of consumables, the need for special preparation or additional treatment of the patient. 
The average cost of bariatric surgery in the world is USD 15,000-20,000 . In India, the average cost of surgery is approximately Rs. 2 lakhs – 5 lakhs.

However, the cost may differ from one country to another.
A large part of the price is the cost of disposable consumables, a complex anaesthetic aid used for obese patients. Disposable consumables, stitching cassettes - many use 5-6 times. 

Main factors that affect the cost of bariatric surgery:

The following are the main factors that affect the cost of bariatric surgery or weight reduction in India:
Type of Weight-Loss Surgery: Gastric bypass, gastric balloon, flexible gastric banding, mini-gastric bypass, and sleeve Gastrectomy are the five most popular weight-loss procedures. Although each of these operations is a malabsorption treatment, their costs differ. Currently, the most popular and reasonably priced kinds of bariatric surgery are the gastric bypass and mini-gastric bypass.

Techniques used: Open and laparoscopic procedures are the two methods used in weight-loss surgery. Both methods produce good results, but open surgery is slightly more expensive than laparoscopic surgery in terms of outcomes.

Patient's overall health: Not every obese patient is a good prospect for bariatric surgery. The price of treatment will rise if the patient has an underlying medical disease that could raise the risks and complications.
Surgeon's charge: One of the key elements that significantly affects surgery costs is the surgeon's charge. Each surgeon levies a set fee to complete the operation. 

City/Location- The cost of living and access to healthcare varies greatly among Indian cities. As a result, the price of the procedure will depend on the location where the patient is having surgery.

Choice of hospitals - Medical treatment is more reasonably priced in government hospitals than in private ones. However, the more expensive private facilities offer treatment that is unquestionably of a higher calibre.
Hospitalization costs: such as admittance, discharge, ICU, OT, room, care, meals, medical supplies, etc., must be covered by the patient. These costs include some fixed costs like admission and discharge payments. The length of the hospital stay will, however, affect other costs, including meals, nursing costs, etc.

Post-surgery Follow-ups: Although bariatric surgery is a one-time operation, weight loss typically occurs over the course of one to five years. The patient must frequently visit the doctor during this time to have their health monitored. Each of these talks carries a fee and could raise the price.
The total cost of bariatric surgery is calculated after taking all of these variables into account. It is advised to speak with the insurance company because the surgery is covered by health insurance.

Conclusion: 

One of the best methods to assist with obesity is bariatric surgery. It is typically used when other weight-loss strategies, such as lifestyle changes and medication, have failed and a person has acquired risks or complications from being overweight. A surgeon will pick the best bariatric treatment for a patient based on that person's specific requirements from among the various available options.

Bariatric surgery has long-term health benefits, but in order to keep those advantages, you must make long-term behavioral changes.
It's a good idea to figure out which surgery is best for you and discuss your choices with your doctor. The prices and estimations above can also change based on your location, so it’s a good idea to ask your doctor for further clarification of the associated costs of bariatric surgery.

Stay Fit, Stay Healthy. 

Contributed By Dr Rakesh Kumavat (MBBS)

Team - Proceed.Fit

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