Understanding Bariatric Surgery

Obesity is a chronic condition that increases the risk of diabetes, heart disease, hypertension, sleep apnea, and joint problems. When diet, exercise, and medications fail, bariatric surgery offers an effective and lasting solution for weight loss and improved health.

Types of Bariatric Surgery

1. Laparoscopic Sleeve Gastrectomy (LSG)

• About 80% of the stomach is removed, reducing food intake.
  
  
• Decreases hunger hormone (ghrelin) production, leading to reduced appetite.
  
  
• Minimally invasive, faster recovery, and long-term weight loss.
  
  

2. Gastric Bypass (Roux-en-Y)

• Creates a small stomach pouch, bypassing a portion of the small intestine.
  
  
• Reduces calorie and nutrient absorption, leading to faster weight loss.
  
  
• Highly effective for Type 2 diabetes remission and obesity-related conditions.
  
  

3. Mini Gastric Bypass (MGB)

• Similar to gastric bypass but simpler and quicker.
  
  
• Reduces stomach size and alters digestion to aid in weight loss.
  
  
• Lower risk of complications and excellent long-term results.
  
  

4. Gastric Banding (Adjustable Gastric Band – AGB)

• A silicone band is placed around the upper stomach, restricting food intake.
  
  
• Reversible and adjustable but requires ongoing follow-ups.
  
  
• Less commonly performed today due to lower success rates.
  
  

5. Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

• A combination of sleeve gastrectomy and intestinal bypass.
  
  
• Leads to maximum weight loss but requires careful nutrition management.
  
  
• Recommended for severely obese patients (BMI >50).
  
  

Who Needs Bariatric Surgery?

Bariatric surgery is recommended for individuals who:

• Have a BMI (Body Mass Index) ≥ 40 (severe obesity).
  
  
• Have a BMI ≥ 35 with obesity-related conditions like diabetes, hypertension, or sleep apnea.
  
  
• Have failed to lose weight through diet, exercise, and medical treatments.
  
  
• Experience reduced quality of life due to obesity-related health problems.
  
  

Health Benefits of Bariatric Surgery

• Significant and sustained weight loss (60-80% excess weight reduction).
  
  
• Remission of Type 2 Diabetes in over 80% of patients.
  
  
• Lowered blood pressure and cholesterol levels.
  
  
• Improved heart health and reduced risk of stroke.
  
  
• Relief from joint pain and improved mobility.
  
  
• Better sleep quality and treatment for obstructive sleep apnea.
  
  
• Increased life expectancy and enhanced quality of life.
  
  

Pre-Surgery Preparation

• Complete medical evaluation to assess overall health.
  
  
• Nutritional counseling for diet adjustments before and after surgery.
  
  
• Psychological assessment to ensure readiness for lifestyle changes.
  
  
• Fasting and medication adjustments before the procedure.
  
  

Bariatric Surgery Recovery and Aftercare

• Hospital stay of 1-3 days, depending on the procedure.
  
  
• Liquid diet for the first few weeks, gradually transitioning to solid foods.
  
  
• Regular exercise and lifelong healthy eating habits required.
  
  
• Follow-up visits to monitor weight loss and nutritional intake.
  
  
• Possible need for vitamin and mineral supplements.
  
  

Common Risks and Side Effects

Like any surgical procedure, bariatric surgery carries some risks:

• Nutritional deficiencies due to reduced food absorption.
  
  
• Gastrointestinal issues (bloating, nausea, diarrhea).
  
  
• Gallstones (common after rapid weight loss).
  
  
• Dumping syndrome (when food moves too quickly into the intestines).
  
  
• Surgical risks (infection, leakage, or blood clots).
  
  

However, with proper post-surgery care and follow-ups, most risks are preventable and manageable.

Is Bariatric Surgery Right for You?

Bariatric surgery is a life-changing procedure that requires commitment to long-term lifestyle changes. It is not a quick fix, but rather a powerful tool to improve health and well-being.

Consulting an experienced bariatric surgeon will help determine the best surgical option based on individual health conditions and weight loss goals.

Get expert bariatric surgery in Agra with

Dr. Shwetank Prakash, a specialist in gastric bypass, sleeve gastrectomy, and minimally invasive weight loss surgery.

Achieve long-term weight loss and a healthier life. Book a consultation today!