1st in Chennai: Gastric Bypass
1st in Chennai: Biliopancreatic Diversion
Only center with full SCARLESS capabilities
1hr : 30min
- Making the stomach pouch smaller
- Re-configuring the digestive tract
This leads to several changes in the body, including:
- Reduction in calorie intake
- Mal-absorption of what is eaten
- Change in digestive hormones
- Change in satiation signals
- Change in gut flora
Through these multiple paths, bariatric surgery helps obese individuals to lose weight. Bariatric surgery is the only scientifically reliable way to reverse obesity in a sustainable fashion.
How is Bariatric Sugery Performed
There are many types of bariatric surgery. The surgeon would pick and choose the most appropriate one
Sleeve Gastrectomy (SG)
This procedure is suitable for the people who are on the lower end of obesity spectrum. This is also popular as it is the simplest of the bariatric surgeries to perform. In this, the surgeon makes a sleeve out of the stomach and cuts away the excess portion. It results in marginal calorie restriction and marginal changes of hormonal profile. At LIMA, we recommend this procedure very rarely.
Roux-en-Y Gastric Bypass (RnY)
This is gold standard of weight loss bariatric surgery. In this, the surgeon makes a small pouch of the stomach and routes the digestive tract to bypass the beginning of the small intestine. Since start of the small intestine is responsible for absorbing certain vitamins and minerals, patients who undergo this procedure must supplement these micronutrients through their life. On the plus side, this surgery produces remarkable weight reduction and reversal of comorbidities, if any.
Mini Gastric Bypass (MGB)
This procedure is almost like RnY, but for the two minor changes: (a) The stomach is made into a sleeve, instead of a pouch and (b) the small intestine is connected at a later part. Consequently, individiduals who undergo this procedure can eat more than the ones who take up RnY. Hence, this procedure is gaining popularity.
BilioPancreatic Diversion (BPD)
This proceudre is much like RnY, except that it bypasses huge portion small intestine. Since protein is absorbed in the small intestine, individuals who take up this procedure must consume plenty of protein. For this reason, BPD is suggested only when other procedures have failed. BPD is usually reserved for the super obese.
LIMA can handle any of these surgeries as a scarless procedure. With a scarless procedure, the laparoscopic surgical instruments are inserted through a small incision made at the navel. Since the navel is a natural scar, scar made for the surgery eventually blends into it.
The ravages of obesity creeps very slowly. But here are some of the well known disease that are a result of obesity:
- High blood pressure
- High cholesterol
- High triglyceride
- Heart disease
- Infertility (in some women)
- Sleep apnea
- Elevated cancer risk
- Gall bladder stone
- Fatty liver
Care After Weight Loss Bariatric Surgery
Obesity is a tricky “disease”. Weight loss bariatric surgery can give you a big boost in your fight against obesity. In order to lose weight and maintain your loss, even after the surgery, you will still need to strictly adhere to certain lifestyle modifications. Only, after the surgery, these modifications will have real effect on your body.
Here is what your post-surgery life going to look:
Eat what your nutritional councellor tell you to, in quantities you are advised to
Ensure that you take the nutritional supplements that your doctor prescribed you
Take up regular exercises to strengthen your muscles and tone your body. Muscles in obese bodies are likely to have gone through artificial starvation as the fat smuggles all the nutrition on to itself. Obese individuals have much weaker muscles. Post surgery, you must work on strengthening it.
Visit your doctor periodically, as suggested by your doctor, go through regular evaluation and get your diet, nutrition and exercise programs titrated
Every day, visualize yourself to be the person you want to become.
Join the suppot group organized by LIMA for post-bariatric individuals. Learn some new tricks on creating a new you, while helping others to emerge from their crysalis.
Remember, your fight starts only now
Without the surgery, any efforts you may have been putting would not have produced much results. After the surgery, it will be much different. You can see that the efforts you put in actually produces results. You can, for the first time in your life, take your life into your own hands!
Video: bariatric surgery
Bariatric Surgery FAQ
- All patients with a 32.5BMI or larger
- BMI of 30 or larger if the patient has comorbidities like diabetes, high blood pressure, high cholesterol, high triglycerides, etc.
- If your BMI is on the lower end of obesity scale, and you have no other co-existing conditions, then you will do well with Sleeve Gastrectomy (SG)
- If you want to have less restrictions on what you can eat after the surgery, then you should probably choose Mine Gastric Bypass (MGB)
- If you eat protein-rich food, or you have already undergone a RnY surgery, you must consider Biliopancriatic Diversion (BPD)
- Everyone else will most probably do well with Roux-en-Y Gastric Bypass (RnY)
Bariatric Surgery Specialists
Dr. J. S. Rajkumar
M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)
Dr. Anirudh Rajkumar
Bariatric and Laparoscopic Surgeon
M.B.B.S., Dip.N.B. (GENERAL SURGERY).