Bariatric Surgery

It’s abnormal deposition of fat which leads to increase in weight higher than the ideal weight in that age and height.

It’s calculated by BMI Body Mass Index or Waist Circumference.

BMI is a simple calculation using a person's height and weight. The formula is BMI = kg/m2 where kg is a person's weight in kilograms and m2 is their height in metres squared.

According to BMI calculation:
 20-24.9 normal weight

• 25-29.9 over weight = orange zone
• 30-34.9 grade 1 obesity = red zone
• 35-39.9 grade 2 obesity = red zone
• 40-49.9 grade 3 obesity = red zone
• 50 or above - super obese = red zone

Calculate your BMI and know how obese you are.

According to Waist Circumference:


• Male-90cm or above.
• 
Female-80cm or above.

DIET: High calories diet, junk food, excessive diet.. Use of beverages, alcohol, high sugar juices , irregular meals.

LIFE STYLE: sedentary life style, lack of exercise

DISEASES: certain diseases like hypothyroidism, pituitary tumors might be associated with obesity.

HEREDITARY: certain families have obesity in their genes.

To know the reason for your obesity ,consult our multidisciplinary team in Tour for Cure and bariatric surgery department.

Obesity is a disease which is associated with many other diseases:

• Type 2 diabetes (40 times higher risk of dm 2 in obese as compare to normal weight individual).

• Hypertension.

• Ischemic heart disease and heart failure.

• Stroke and paralysis.

• Dementia and depression.

• Fatty liver,NASH (non alcoholic steato hepatitis).

• Joint pains, gout.

• Sleep apnea, snoring, obesity hypoventilation syndrome.

• Dyslipidemia.

• Dvt and venous stasis.

• Infertility and menstrual irregularities.

• Urinary incontinence.

• 13 types of cancers are more in obese than normal individual.

• Physical and psychological problems.

DIET: Our expert dietician will help you to prepare a diet chart to get rid of your obesity.

EXERCISE: Our physiotherapist will help you to prepare an exercise plan to burn more calories without injuring your body.

SURGERIES: if you are not able to loose weight with your conservative trials, our expert bariatric surgeon will help you to cure your obesity and related disorders.

These are surgeries being performed on your stomach and intestines to restrict your diet and to bypass your calories to loose weight and get rid of metabolic syndromes like diabetes, dyslipidemia, hypertension etc

To know more about types and details of surgeries, kindly visit our bariatric and metabolic surgery department.

Yes. They are safe. They are done with laparoscopy so less painful, early recovery and early discharge from the hospital. Patient can mobile on the day of surgery and can resume work/office in a week.

The anti-diabetic effect of bariatric surgery is long lasting. Long-term control of glycemic and normal levels of HbA1c after surgery have been documented in large series. There is now enough evidence to state that bariatric surgery may reduce mortality in patients with diabetes. Bariatric surgery results in significant weight loss and remission of diabetes in patients. After surgery, glycemic control is restored by a combination of enforced caloric restriction, enhanced insulin sensitivity, and increased insulin secretion.

Gastric bypass and other weight-loss surgeries, known collectively as bariatric surgery, involve making changes to your digestive system to help you lose weight. Bariatric surgery is done when diet and exercise haven’t worked or when you have serious health problems because of your weight. Some procedures limit how much you can eat. Other procedures work by reducing the body’s ability to absorb nutrients. Some procedures do both. You may need to have various lab tests and exams before surgery. You may have restrictions on eating and drinking and which medications you can take. You may be required to start a physical activity program.

• BMI 40 or more with or without comorbidities.

• BMI 35 or more with comorbidites.

• BMI 32 or more with comorbidities like dm,ht.

• BMI 27.5 or more with uncontrolled dm (hba1c more than 7).

• BMI 30 or more with waist circumference more than 80 in females and more than 90cm in males.

Diet and exercise together can help you loose 10-15% of your excess body weight. And you have to maintain the schedule to have sustained effects. Weight regains are the main problems associated with these methods. These methods are useful for over weight persons rather than obese persons.

Bariatric surgeries will help you to loose 60-80% of your excess body weight depends on types of surgeries being done.

Bariatric surgeries will ensure you sustained weight reduction for 10-15 years .

Along with weight surgeries will help you to cure/control your comorbidites like Type 2 dm, hypertension, dyslipidemia etc.

Studies have proven that these surgeries may cure diabetes, helps to control it properly, reduces doses of insulin, helps to get rid of insulins, reduce numbers of medication required to control diabetes.

If you have a question that Is Liposuction Same As Bariatric Surgery? A big NO!

Liposuction is a procedure where fat beneath the skin is sucked out with a special technique. A maximum of 5 -8 kg of fat can be removed. It’s purely a cosmetic procedure. There is no improvement in comorbidities in liposuction.

On the other hand, Bariatric procedure is a keyhole procedure that stimulates the body’s metabolism to lose weight. Here no fat is removed. The body inherently burns all the excess fat over a period of a few months and person gets rid of many other associated health problems.

The factors traditionally associated with unsuccessful weight loss are behavioral problems, social and demographic factors and even genetic polymorphisms. Age is one of the most consistent predictor factors.

Patients with higher initial BMIs are also less likely to reach normal weights and a BMI > 50 kg has been reported as a risk factor for failure after bariatric surgery. However, Patients with severe obesity or those with BMI > 35 kg and other comorbidities, bariatric surgery is the most effective therapeutic option to achieve long-term significant weight loss and to improve control or even achieve remission of the associated comorbidities.

Pregnancy after Bariatric surgery can be safe and healthy. In fact Bariatric surgery can produce a sudden positive change in your fertility. Obesity can increase the risk of fertility and pregnancy complications. With the support of an expert team, patients have healthy pregnancies after bariatric surgery.

A sleeve gastrectomy is a simpler operation that gives patients a lower-risk way to lose weight. If needed, once they've lost weight and their health has improved, usually after 12 to 18 months, they can have a second surgery, such as gastric bypass.

Among the three types of surgery included gastric bypass, sleeve gastrectomy and adjustable gastric banding (also known as lap band). The study found that gastric bypass surgery boasted the greatest weight loss, both short, and long-term.

Duodenal switch surgery is not reversible, and some people may have complications after the surgery. One of the complications of duodenal switch surgery includes protein, vitamin and mineral deficiencies.

Duodenal switch patients had lost more weight: about 50 pounds more, on average. People shed a substantial amount of weight with either type of surgery. Gastric bypass patients cut an average of 111 pounds, while duodenal switch patients dropped about 162.

If you've had gastric bypass surgery, you will have lost about 30% to 40% of excess body weight. With gastric banding surgery, you lose 1 to 2 pounds a week، so by six months, you'll have lost 25 to 50 pounds. Nine Months Post-Surgery.

The duodenal switch, a combination of the gastric sleeve and a bypass of the intestines, however, has demonstrated the best weight loss. Now, when sleeve patients require more weight loss, we can complete the duodenal switch.