Bariatric surgery, also known as weight loss surgery, serves as an effective solution for individuals grappling with severe obesity and struggling to shed excess weight through alternative approaches. This surgical intervention offers a methodical and controlled avenue for weight reduction, coupled with the management of one’s body mass index post-procedure.
Modern weight loss surgeries employ minimally invasive techniques, conducted via laparoscopic surgery. These bariatric surgical methods achieve weight loss by both limiting the stomach’s food capacity and inducing malabsorption, effectively combining gastric restriction and malabsorption mechanisms. Additionally, bariatric surgeries frequently trigger hormonal alterations that facilitate weight loss. The most prevalent procedures include gastric bypass, sleeve gastrectomy, adjustable gastric banding, and biliopancreatic diversion with a duodenal switch.
Obesity is widely recognized as a significant contemporary health threat. Failing to adopt preventative measures can heighten the risk of future weight-related issues. Numerous indicators and symptoms can help identify obesity.
Primarily, excess weight or obesity is often linked to the measurement known as the body mass index (BMI). BMI, an acronym for “body mass index,” gauges body weight relative to height, offering a valuable tool for classifying individuals as underweight, within a healthy range, or overweight. As per the National Institutes of Health guidelines, a BMI falling between 18.5 and 25 signifies normal weight, while a range of 25 to 30 indicates overweight, and a BMI of 30 or above signifies obesity.
Patients with a BMI of 35 or higher, showing an upward trend, along with the presence of obesity-related diseases or conditions, are candidates for weight loss through bariatric surgery. Obesity-induced changes in metabolic processes in these individuals lead to the excessive production of ketone bodies, accompanied by symptoms such as acidosis and hyperglycemia. Surgical intervention becomes imperative in such cases, as it serves to reverse the metabolic dysregulation stemming from obesity.
Candidates for bariatric surgery should fall within the age range of 20 to 40 years. Their Body Mass Index (BMI) should ideally fall between 35 and 40. Additionally, they should present an obesity-related condition such as diabetes mellitus, cardiovascular disease, or hypertension. Bariatric surgery can also be considered for individuals who are within 5 pounds of their target weight.
Prospective bariatric surgery candidates should demonstrate a willingness to engage in a minimum of ninety minutes of weekly exercise. They should also exhibit prior short-term success in earnest weight loss endeavors. Other crucial factors include a history of overweight status exceeding five years, the ability to commit to lifestyle and dietary modifications, and the absence of autoimmune diseases.
Restrictive Technique: Lap Gastric Band
This form of surgery entails the placement of a band in the upper section of the stomach. This action establishes a narrow outlet, restricting the quantity of food ingested per meal, resulting in a sensation of fullness with smaller portions. The aim is to curtail daily calorie consumption while avoiding significant weight fluctuations.
Gastric band surgery offers several advantages, such as a lasting restoration of the stomach’s regular size, a notably shorter recovery timeframe compared to alternative options, the absence of any surgical cutting or stapling in the body, and the surgeon’s ability to manage the size of the outlet.
Roux-en-Y Gastric Bypass is a gastrointestinal procedure exclusively employed for weight loss. This surgery is conducted through minor incisions in the skin, enabling the reduction in stomach size and reshaping. A Roux limb, approximately 15 cm (about 5.91 in) in length, is fashioned and connected to the jejunum, a portion of the intestine situated beyond the stomach. This configuration ensures that most ingested food bypasses the stomach, consequently diminishing calorie absorption
Roux-en-Y Gastric Bypass surgery serves as a weight loss procedure that transforms a severely obese individual’s large stomach into two smaller ones. This involves the removal of a portion of the large stomach, which is then connected to the initial segment of the small intestine before being reattached. This connection redirects food through a shortened small intestine, promoting weight loss by regulating appetite and discouraging overeating.
Vertical gastrectomy, a surgical technique, permanently reduces stomach size by excising most of it. This approach leads to weight loss without impacting appetite. The procedure is minimally invasive, conducted through laparoscopy, involving just five small incisions. The achieved weight loss typically surpasses that attained through gastric band surgery and sleeve gastrectomy.
Gastric banding offers a notable advantage in that it allows precise control over the pouch outlet size. This permits adjustments to be made easily, altering the passage size for food leaving the stomach. Furthermore, this method eliminates the need for an external drain, a feature some patients find aesthetically displeasing and uncomfortable.
The surgical procedure, while effective in achieving weight loss, doesn’t ensure success for everyone. Sustaining long-term body weight necessitates a commitment to a healthy lifestyle. For instance, experiencing early satiety, which involves feeling full after consuming small food portions, facilitates adherence to a low-calorie diet by curbing calorie intake. This prolonged sense of fullness acts as a deterrent against overeating and contributes to minimizing weight regain
In India, bariatric surgery stands out as the safest and most efficient approach for addressing weight loss and obesity concerns. This procedure goes by various names, such as Gastric Sleeve surgery, sleeve gastrectomy, or vertical Gastric Sleeve Procedure. The typical price range for bariatric surgery in India spans from USD 2700 to USD 7200, equivalent to INR 2,10,000 up to INR 5,60,000.
Price in ($)
Price in (₹)
Gastric Balloon Surgery
Gastric Band Surgery
Gastric Bypass Surgery
The cost of gastric sleeve surgery in India varies on many factors such as the number of days required for treatment, the number of people traveling, kind of hospital selected and more. The estimated cost lies between 6000-7000 USD.
Yes, all the bariatric surgeries pave the way for a healthy lifestyle which helps the patient achieve good health and fitness through dieting and exercise which they were not able to follow earlier. These are important long-term effects of bariatric surgery and hence it is important that the patients take them as a gift and follow a healthy diet and exercise routine for life.
Since this surgery is a major one, the risks increase with it. Hence, every patient that goes for this surgery must be well prepared to face all the challenges. Diabetes is a major risk factor in any kind of surgery whether it is minor or major and hence it puts risk to such surgeries. However, if you are suffering from diabetes, then you must consider this surgery and your doctor will guide about it further.
After a gastric bypass surgery, the nutritional requirement of your body will change. You will not be able to absorb nutrients from food anymore and so you will need to take supplements containing vitamins and minerals. The doctors can also provide these in form of supplements but you might need to involve with them every year for a checkup as well.
The answer is yes. You will be able to get pregnant after this surgery because the loss of excess weight after the surgery, an increase in the metabolic activities aid your ability to get pregnant.
You can return to work within 3-5 weeks but with some restrictions. For example, you may not be able to lift heavy things or stand for a long time at work. In 3-4 months, you should start feeling well adjusted to the changes in your body and diet.