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Weight_Loss_Surgery

OVERVIEW

Welcome to the Obesity Service at Aesthetic Medispa. We appreciate that seeking a surgical solution to managing your weight problem represents a major step forward. Many of you will have tried diets and pills, and may have lost significant amounts of weight only to find that those lost pounds go back on so easily. We understand how difficult maintaining weight loss and obesity is.Weight Loss And Obesity

Our aim is to ensure you lose weight safely and benefit from the improvements to your health that comes with this. This booklet has been designed to provide you with an understanding of weight loss surgery and explain what it involves.

Weight loss surgery is a partnership. We will do our part by offering surgery and providing you with help and support before, during and after surgery. We know that patients who get the very best results from surgery are able to make changes to their lifestyle, especially through changes to their diet and by taking daily exercise.

Bariatric (Obesity) surgery is an option in severely obese patients, where lifestyle modification, exercise regimes or medications have been tried but found not to be effective.

Bariatric surgical procedures work by reducing intake or absorption of calories. There are various procedures, all of which have been effective depending on patients profile. Bariatric surgery should always be performed in a specialist centre, and long-term follow-up of patients is necessary.

 

Why people become obese?

Here's a very simple explanation of how you you put on weight and will lose weight with surgery. Your body needs energy to function and your energy source is the food that you eat. A normal weight person successfully balances their energy intake (food eaten) with their energy requirements (daily activity). In other words, they burn up all the energy provided by the food they eat, and stay slim. However, you began to get fatter when you started to eat more food than you needed for your energy requirements. Over a long period of time the excess has been stored as fat around your body. In theory, just hundred calories eaten more than you need each day would lead to a weight gain of five kgs per year. Do that for ten years and you could gain hundred lbs or forty five kgs!.Bariatric Surgery Pune

A person who is roughly thirty kgs (sixty five lbs) or more above their ideal weight is considered to be severely obese. However, obesity is a complex condition and not simply caused by overeating. In fact, many people eat more calories than they need, but not everyone stores the excess as fat. There seems to be some sort of in–built mechanism that causes excessive fat storage in some people, and scientists are working to try and understand more about it. Severe obesity tends to run in families so there is likely to be a genetic component as well

Weight loss and obesity will only happen when your body has to burn up the stored fat to provide your energy. In other words, when your body's energy needs are greater than that provided by the food you eat. The changes brought about by weight loss surgery are a 'tool' to restrict your energy intake so that you will burn up your fat stores. Weight loss surgery helps you lose weight, but like all good tools, it works best in the hands of a worker (you) who is well trained!

 

What is Obesity or Bariatric surgery?

Bariatric surgery, also known as weight loss and obesity surgery, refers to the operations designed to reduce weight (Bariatric come from the Greek meaning pressure or weight). Operations may restrict the amount you are able to eat (restrictive operations such as the gastric band sleeve Gastrectomy) or reduce the amount of food you can absorb or both restrict the amount you can eat and reduce the amount you can absorb (gastric bypass or duodenal switch). The term does not include procedures for surgical removal of body fat such as liposuction or Abdominoplasty (tummy tuck).

 

Why treat obesity?

The costs linked with treating obesity and its related health conditions are enormous. Putting the costs aside, the main concern regarding obesity is the impact it has on health. Almost all body systems are affected by obesity. Being overweight can also shorten your life. On average obese people are likely to die ten years earlier than those who are not overweight, preventing many from reaching retirement age. The heavier you are and the longer you have been overweight the greater the risk.

 
The common health problems related to obesity are

  • High blood pressure
  • Heart disease
  • Type 2 Diabetes
  • Arthritis
  • Certain cancers e.g. breast cancer, colon cancer, endometrial cancer
  • Sleep apnoea

There can therefore be many benefits to health with weight loss, particularly after obesity surgery. Scientific research demonstrated that obesity surgery can reduce health problems considerably, as shown in the table below:

Health improvements after Gastric bypass
Health Problem Gastric bypass
Cured of diabetes (Off all medication) 84%
Diabetes improved 93%
High cholesterol improved 95%
High blood pressure (Off all medication) 68%
High blood pressure- improved 87%
Sleep Apnoea- improved 94%

One study, conducted in Sweden, demonstrated quite clearly the differences in health between a group of obese patients who underwent surgery and those that did not.

Health implication in surgery vs. no surgery
Weight Surgery Reduction No Surgery
Arthritis 5% 12%
Cancer 2% 8%
Deaths 1% 6%
Diabetes and endocrine disease 9% 27%
Heart disease 5% 27%
Infectious diseases 9% 37%
Lung disease 3% 11%
Number of days in Hospital during a 5 year period 21 days 36 days
 

Types of Bariatric surgery

We at aesthetic medispa offer wide range of surgical procedures such as gastric banding, Roux-en-Y bypass (gastric bypass) and sleeve gastrectomy. All operations are performed laparoscopically (keyhole surgery), which will help you to get up and around and back to normal as soon as possible after surgery. One of the mainstays of our service is the multidisciplinary team. Each team member has his or her own role and all together we ensure you are fully informed about weight loss surgery and that your operation is performed in the safest possible environment. Your safety is our first priority.

 

How surgery works

The human body lays down fat stores if the calories in the food you eat exceed the energy you burn up. There are a number of complex processes which the medical profession are only just starting to understand that seem to contribute to increasing obesity - the appetite mechanisms go wrong and you continue to eat even though you do not need the calories. And of course, once your body is carrying the extra weight, it becomes harder to be physically active which would help to regulate your weight. Obesity surgery works by helping to reduce the number of calories that are available in your body.

There are two ways this can be achieved surgically

Restriction - by reducing the size of the stomach, only small meals can be eaten and the appetite is satisfied.

Malabsorption - by bypassing part of the small intestine, less calories from food are absorbed by the body.

The operations that work by restriction are:

  • Gastric band
  • Sleeve gastrectomy

The operations that work by a combination of restriction and malabsorption are:

  • Gastric Bypass
  • BPD- duodenal switch



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