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Bariatric (Weight Loss Surgery) in Delhi
Bariatric surgery, often considered a life-changing option for individuals struggling with severe obesity, offers hope for improved health and quality of life. Let’s explore the different types of bariatric procedures and the complications they can effectively treat, offering valuable insights into the transformative world of weight loss surgery.
If you're considering bariatric surgery, reach out to us, or book a direct appointment with our general surgeon. At the CK Birla Hospital, we are dedicated to ensuring that your bariatric surgery is as safe, comfortable, and effective as possible. We're here to guide you every step of the way towards a successful recovery.
Understanding Bariatric Surgery
What are the Risks if Bariatric Surgery is not done Timely and Properly?
Delaying or improperly performed bariatric surgery can lead to several risks:
- Prolonged obesity increases the risk of various health issues, including heart disease, diabetes, high blood pressure, and sleep apnea.
- Delayed surgery exacerbates physical and psychological health problems associated with obesity.
- Improper surgical techniques can result in complications such as infections, bleeding, and organ damage.
- Inadequate preoperative evaluation may lead to surgical complications or suboptimal outcomes.
- Delayed or improper surgery may reduce the effectiveness of weight loss and hinder lifestyle changes.
Consulting with a healthcare professional is crucial to assess the timing and suitability of bariatric surgery, minimising these risks.
What are the Types of Bariatric Surgery?
When considering bariatric surgery (Weight Loss Surgery), the choice of the most suitable type depends on individual factors and recommendations from a doctor. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) identifies several common types:
Gastric Bypass:
- Reduces stomach size.
- May result in significant weight loss.
- A complex procedure involving stomach stapling, intestine division, and relocation.
Sleeve Gastrectomy (VSG):
- Decreases stomach size.
- Reduces food intake.
- Permanent results due to a portion of the stomach being removed.
- May influence hunger hormones like GLP1.
Gastric Band:
- Transforms the top of the stomach into a pouch.
- Adjustable for varying food capacity.
- Less invasive but less effective for weight loss.
- Potential complications require removal.
Duodenal Switch:
- Involves two surgeries: gastric sleeve and intestine division.
- Aims for rapid weight loss.
- Increased risk of nutritional deficiencies post-surgery.
Each type has its advantages and risks, so consultation with a healthcare professional is crucial for a personalised recommendation.
What is the Average Cost of Bariatric Surgery?
Generally, the average cost of bariatric surgery (Weight Loss Surgery) in Delhi is approximately Rs. 3.6 lakh, depending upon numerous factors, such as the surgeon’s experience, location, length of the treatment, and the hospital’s price structure.
However, the cost of bariatric surgery varies as per the specific type advised by the healthcare provider, such as:
- Gastric bypass
- Sleeve gastrectomy (VSG)
- Gastric band
- Duodenal switch
To get an explicit estimate for the cost of bariatric surgery at the CK Birla Hospital, contact the hospital directly. Additionally, you can consult with our board-certified general surgeon to discuss your specific needs and receive a personalized quote for the procedure.
Benefits of Laparoscopic/Robotic vs. Open Bariatric Surgery
The advantages of laparoscopic/robotic bariatric surgery over traditional open bariatric surgery are summarised below:
Feature | Laparoscopic/Robotic Surgery | Open Surgery |
Incision size | Small, keyhole incisions | Larger, single incision |
Recovery time | Generally shorter | Longer |
Postoperative pain | Typically less | Typically more |
Hospital stay | Shorter (often same-day discharge) | Longer |
Cosmetic result | Minimal scarring | More noticeable scar |
Return to normal activities | Quicker | Slower |
However, the choice between laparoscopic/robotic and open surgery depends on individual patient factors and surgeon expertise. Each method has its own set of advantages and should be considered in the context of the patient’s overall health and specific circumstances.
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What is the Diagnosis Before a Bariatric Surgery?
Before bariatric surgery, a comprehensive diagnosis process is undertaken:- Medical History Review: Detailed review of the patient's medical history.
- Physical Examination: Thorough physical assessment to evaluate the patient's current health status.
- Medical Tests: Blood tests, imaging studies, and other diagnostic tests are conducted.
- Psychological Assessment: Evaluation of mental and emotional health to assess readiness for surgery.
- Suitability Evaluation: Determining the patient's suitability for surgery based on health and risk factors.
- Counselling and Education: Providing information about the procedure, its risks, benefits, and post-operative lifestyle changes.
- Healthcare Team Decision: The final diagnosis and choice of surgical approach are made by the healthcare team after considering all evaluations and individual patient factors.
This comprehensive assessment ensures that the patient is well-prepared and medically suitable for bariatric surgery.
What are the Pre-treatment Instructions for Bariatric Surgery?
Pre-treatment and surgery instructions for bariatric surgery involve a combination of dietary, lifestyle, and medical preparations:Preoperative Diet:
- Follow a strict preoperative diet to reduce liver size, facilitating safer surgery.
- Before the procedure, you must fast for a predetermined amount of time.
Medications and Habits:
- Discontinue certain medications as advised by the medical team.
- Avoid smoking and alcohol consumption before surgery.
Consultations:
- Attend pre-surgery consultations with the surgical team and nutritionist to discuss individualised plans.
Post-operative Guidelines:
- Learn about postoperative dietary changes, including portion control and dietary restrictions.
- Embrace regular exercise and healthy lifestyle choices.
Follow-up Care:
- Schedule and attend follow-up appointments for monitoring and support.
- Adherence to recommendations is crucial for long-term weight loss success and overall health.
What are the Post-surgery Instructions for Bariatric Surgery?
After bariatric surgery, follow these crucial post-surgery instructions:- Diet: Gradually progress from clear liquids to soft foods, following your surgeon's guidance. Chew thoroughly and eat slowly.
- Hydration: Stay well-hydrated, but avoid drinking with meals to prevent overeating.
- Medications: Take prescribed medications as directed, including vitamins and supplements.
- Activity: Begin light walking and gradually increase activity. Avoid strenuous exercise initially.
- Follow-up: Attend all scheduled follow-up appointments with your surgeon and nutritionist.
- Support: Join a support group or seek counselling for emotional and psychological support.
- Avoid Alcohol and Smoking: Monitor for complications like infection, bleeding, or leaks. Adhere to dietary and lifestyle changes for long-term success in weight loss and overall health.
How do You Recover after a Bariatric Surgery?
The initial recovery phase includes rest and gradual physical activity. A liquid diet is often started before transitioning to solid foods. Transition off the liquid diet after about a week under the doctor's guidance.Soft and Puréed Foods
- Consume soft fruits (e.g., applesauce, bananas) and blended vegetables (spinach, carrots).
- Include soft protein sources like yoghurt, eggs, cottage cheese, and puréed meats.
- Maintain a puréed diet until doctor's clearance.
Introducing Solid Foods
- Gradually reintroduce solid foods, including eggs, ground meats, and steamed fish.
- Monitor your body's response to new foods and portion sizes.
- Return to a regular diet in 3-4 months.
Long-term Care
- Find a sustainable diet.
- Consider daily multivitamins.
- Manage fat, sugar, and protein intake.
- Exercise daily for weight maintenance.
- Limit alcohol and manage stress for gastrointestinal health.
Returning to Work
- Typically resume work in 1-2 weeks.
- Follow the doctor's advice for a healthy post-surgery lifestyle.
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FAQs around Bariatric Surgery
What is Bariatric Surgery?
Bariatric surgery is a medical procedure that reduces the size of the stomach to aid weight loss in severely obese individuals.
How do you Qualify for Bariatric Surgery?
Qualification for bariatric surgery typically requires a BMI (body mass index) of 40 or higher, or a BMI of 35 with obesity-related health issues. Medical evaluation is essential.
What are the Different Types of Bariatric Surgery?
Common types include gastric bypass, gastric sleeve, adjustable gastric banding, and biliopancreatic diversion with duodenal switch, each with varying mechanisms and outcomes.
What are the Side Effects of Bariatric Surgery?
Common side effects may include nausea, vomiting, dumping syndrome, nutrient deficiencies, gallstones, and possible complications like infection, bleeding, or leakage.
Is Bariatric Surgery Safe?
Bariatric surgery is generally safe when performed by experienced surgeons in appropriate candidates, but it carries potential risks and complications.