Obesity Surgery
Dr. Ashish Vashistha
MBBS, MS, FNBE (MAS), Head Department of Surgery Senior Consultant Laparoscopic & Bariatic (Obesity) Surgeon
20 Years Experience
Dr. Vashistha is a renowned senior Bariatric and advanced Laparoscopic surgeon in India with over 20 years....
Dr. Dr. Karan Rawat
MBBS MS FMAS DMAS FICRS FIAGES
Ex Attending Consultant Nayati Hospital - Mathura UP Ex Attending Consultant Max Healthcare Patparganj - Delhi Ex Attending Professor Sharda Hospital Noida Safe Surgery Center Civil Lines Surgery - Agra Years Experience
Advanced Laproscopic/ Robotic/ Bariatric/General Surgeon Safe Surgery Center Civil Lines Agra
Dr. Dr Ankit Potdar
MBBS, MS (Surgery), FMAS, FALS,FMAS(AMASI) DIPLOMA IN THORASIC SURGERY , DIPLOMA IN OESOPHEGEAL SURGERY From NUTH, TAIWAN. FELOWSHIP IN SINGLE PORT SURGERY. Department of Surgery, GLOBAL Hospital, parel, Mumbai
Junior consulatant in Global hospital, mumbai. Fellow in National taiwan university hospital, taiwan. Ex Assistant professor in MGM medical college , Navi Mumbai. Consualtant Laparoscopic surgeon in various nursing hospital in Mumbai. Years Experience
Special Interests - Single port surgery, Advanced laproscopic GI surgery, Thorasic and Oesophageal surgery. Intern (Rotatory posting in all departments) - Bhatia Hospital, Tardeo, Mumbai Resident - Medical officer in Holy family hospital, Bandra, Mumbai. ICU incharge in Siddharth hospital, Goregaon,....
Obesity is a complex disorder involving an excessive amount of body fat.
Obesity isn't just a cosmetic concern. It increases your risk of
diseases and health problems, such as heart disease, diabetes and high
blood pressure.
Being extremely obese means you are especially likely to have health problems related to your weight.
What is metabolic syndrome?
The metabolic syndrome is constellation of risk factors in an individual which predisposes the person to greater risk of developing T2DM and CVD.
Presence of 3 or more of the following variables make you qualify into metabolic syndrome.
| Variable | Definition |
|---|---|
| Central Obesity | Men: waist circumference > 102 cm Women: waist circumference > 88 cm |
| Hyperlipidemia | LDL – C > 150 mg /dl and /or HDL – C < 40mg/dl in men; < 50 mg/dl for women |
| Hypertension and hyperglycaemia | Blood Pressure > 130/85 mm Hg and fasting blood sugar > 110 mg/dl |
| Hyperinsulinemia | Fasting insulin compared with GTT |
What is the concern with being Overweight or Obese?
Being obese is a health hazard with mental, psychological, social physical and economic co- morbidities. If not treated properly, it might become a cause of premature death. Morbid obesity or clinically severe obesity is associated with co- morbidities like adult onset of diabetes and high blood pressure, which can contribute to heart attack, heart failure and stroke. Health concerns such as asthma, sleep apnea, severe acid reflux, lower back pain, urinary stress incontinence are also by – products of increased weight.
How do we measure Obesity?
BMI or Body Mass Index is used to calculate a person’s excess weight. It is calculated by following formula.
BMI = Weight (kilogram) / Height (Meter2)
| BMI Table | ||
|---|---|---|
| Asia – Pacific guidelines | Obesity Grade | |
| Normal built | 18 - 22.5 | Normal |
| Over weight | 22.5 – 27.5 | Overweight |
| Obese | 27.5 – 32.5 | Obese |
| Morbidly Obese | 32.5 – 37.5 | Severe Obesity |
| Above 37.5 | Morbid Obesity | |
What is Bariatric or weight loss surgery procedure?
Weight Loss surgery is a treatment option for patients with severe obesity. It can cause significant weight reduction by altering your body’s food digestion and absorption pattern. The choice of procedure should be decided after a discussion with your Bariatric surgeon. Bariatric surgery is now performed laparoscopically (‘key hole surgery’) which leads to early recovery as it minimizes trauma of surgical access.
Who needs Bariatric or weight loss surgery?
- BMI is >37.5 without co-morbidities.
- BMI is between 32.5 - 37.5 with serious weight related problems such as type 2 Diabetes, High blood pressure, Arthritis or Sleep apnea.
- In some special cases, you may qualify for certain types of weight loss surgeries if BMI is 30 and above and you have serious co-morbid health problems.
- All other methods of weight loss (exercise, dietary, medicines etc.) have failed to deliver a lasting solution.
- Unable to do routine activities due to severe obesity.
- Patients who have understood the surgical procedures for weight loss, the risks and after-effects of surgery and have consented for the same.