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Weight Loss Surgery

Weight Loss Surgery

Obesity is nowadays a major health hazard. About 300 million people worldwide are affected by obesity and its related problems. In India alone there has been an increase of about 300% in the obese population between 2008 to 2011. There might be a genetic factor behind this as well as some environmental factors. With research, we have realised that obesity is difficult to treat and it might require long term changes in lifestyle as well as diet.

In a report published by WHO, obesity is most prevalent in gulf countries. Among the top ten countries with obese people are gulf countries namely Kuwait, Bahrain, Saudi Arabia and UAE. 42.8 percent of population in Kuwait is suffering from obesity, similarly Saudi Arabia and Qatar have about 35% of population suffering from obesity.

Obesity tends to run in families, suggesting there may be a genetic contribution. However, family members also tend to share the same diet and lifestyle habits. Environment also plays a role in obesity. Environmental factors include what and how often a person eats, a person's level of activity and behavioral factors. We have come to realize that obesity is a chronic condition and a lifelong battle that requires long-term lifestyle changes.

The treatment of obesity can be difficult, especially when the patient does not have a correctable endocrine problem, such as a thyroid disorder. Low-calorie, low-fat diets along with exercise - usually are recommended to treat obesity. "Crash" diets and appetite suppressants generally are appropriate only under very specific conditions and under strict supervision.

Definitions of obesity according to BMI and excess body weight
BMI (Body Mass Index) =
Body Weight (in kg) Height2 (in m)

Ideal BMI (Asian)

Normal 18 - 22.4
Over-weight 22.5 - 27.4
Obese 27.5 - 37.4
Morbidly Obese > 37.5
BMI

Results of surgical weight loss

After gastric bypass procedure, most of the patients are expected to lose about 60-80% of their excess body weight. This weight loss occurs within 9-12 months post-surgery, although some weight regain is normal after 2-5 years.

Apart from weight loss, bariatric surgery is found to have beneficial effects on a large number of associated medical problems such as type II diabetes, high blood pressure, acid reflux, Obstructive sleep apnea, polycystic ovarian disease, joint pains, stress incontinence. There are improvements in psychosocial and depressive disorders following bariatric surgery. Best of the bariatric surgical centers like Cleveland clinic have time and again shown about 80 % of remission from diabetes after bariatric surgery.

Patients are able to perform their routine activities and duties easily and happily as there is considerable mood elevation. Daily activities like getting in and out of a car, walking in the garden, shopping for clothes which they were not able to do previously can be done with much ease after bariatric surgery.

Medical conditions which resolve or improve after bariatric surgery are

Ms. Usha Diwan
Mr. Raj Bakshi
Pinky Singh
Sunil Singhal
Mrs  Larai mohammad
Mahesh Bhutani

Benefits of weight loss surgery

Severe obesity affects almost every organ of our body and there are several problems due to this which have been mentioned below. Weight loss achieved with gastric bypass surgery is sustained and can be maintained for several years following surgery.Most of these problems are resolved or improved following weight loss surgery. Those people who have lost weight by dieting alone might not experience improvement in these problems because weight loss from diet does not often last long.

Phase I Clear Liquid Diet
  • Only clear liquids allowed
  • Avoid sweetened beverages
  • Sip very slowly
  • No straws
  • Avoid caffeinated, carbonated and alcoholic beverages
  • STOP drinking if you feel fullness, pain or discomfort
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