Bariatric surgery is a proven and effective treatment for obesity and its associated metabolic complications. It is mostly recommended when diet and exercise have been unsuccessful or when weight-related health problems become severe. Some procedures limit food intake, while others reduce the body's capacity to absorb fat and calories.
Although bariatric surgery offers numerous advantages, it is a procedure that comes with potential risks and side effects. Long-term success requires a commitment to permanent dietary changes and regular physical activity.
In India, the cost of bariatric surgery is in the range of Rs. 2,80,000 to Rs. 6,00,000. However, the cost is not specific and depends on several factors, like the underlying health conditions of the patient, the healthcare center, the fees of the surgeon, the healthcare professionals involved, and others.

Indications for Bariatric Surgery:

  • It is recommended for individuals with a body mass index (BMI) of 40 or higher, classified as extreme obesity.
  • It may also be suitable for those with a BMI between 35 and 39.9 who suffer from serious weight-related health conditions like type 2 diabetes, high blood pressure, or severe sleep apnea.
  • In certain cases, individuals with a BMI between 30 and 34 and significant weight-related health issues may qualify for specific types of weight-loss procedures.

Benefits:

The primary goal of this surgery is to help you lose excess weight and lower the risk of potentially life-threatening conditions related to obesity, such as:

  • Type 2 diabetes
  • Obstructive Sleep apnea
  • High blood pressure
  • Elevated cholesterol levels
  • Heart disease and stroke
  • High blood pressure
  • Elevated cholesterol levels
  • Certain cancers, including breast, endometrial, and prostate cancers
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

Expected Results:

The extent of weight loss depends on the type of surgery performed and the adoption of healthy lifestyle changes. Many individuals achieve a reduction of 75% or more of their excess weight within one year.

Additionally, bariatric surgery, particularly gastric bypass, can improve or even resolve conditions associated with obesity, such as:

  • Type 2 diabetes
  • Sleep apnea (obstructive)
  • High blood pressure
  • Elevated cholesterol levels
  • NAFLD or NASH
  • Gastroesophageal reflux disease (GERD)
  • Joint pain due to osteoarthritis
  • Skin conditions like psoriasis and acanthosis nigricans
  • Heart disease

Eligibility and Considerations:

Bariatric surgery is not suitable for everyone with severe obesity. Candidates must meet specific medical criteria to qualify for the procedure. A thorough screening process is conducted to determine eligibility.
Post-surgery, patients are required to adhere to long-term follow-up plans that involve monitoring nutrition, lifestyle habits, behavior, and any associated medical conditions.

Risks:

Some bariatric surgery risks include:

  • Anesthesia-related risks
  • Chronic nausea and vomiting
  • Inability to eat certain foods
  • Infection
  • Obstruction of stomach
  • Weight gain or failure to lose weight

The surgery also carries some long-term risks for patients, including:

  • Low blood sugar
  • Malnutrition
  • Vomiting
  • Ulcers
  • Bowel obstruction
  • Dumping syndrome
  • Internal hernias
  • Internal bleeding or profuse bleeding of the
  • surgical wound
  • Leakage
  • Perforation of the stomach or intestines
  • Pouch/anastomotic obstruction or bowel obstruction
  • Protein or calorie malnutrition
  • Pulmonary and/or cardiac problems
  • Skin loosening
  • Spleen or other organ injury
  • Stomach or intestine ulceration
  • Stricture
  • Vitamin or iron deficiency

To learn more about the benefits and potential risks of bariatric surgery, consult with our expert doctors at Aakash Healthcare. Take the first step towards a healthier, transformed life!

with Dr. Nikhil Agnihotri

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