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What’s hiding behind Obesity

There are many problems that overweight or obese individuals face in their daily lives. But, what most of us seem to miss, are the health hazards that pose an even greater risk. Obesity becomes morbid obesity when an adult is 45kgs or more over ideal body weight, has a BMI of 40 or more, or has a BMI of 35 or more in combination with a health-related condition such as obstructive sleep apnea or heart disease.

Obesity enhances the risk of:

  1. High blood pressure
  2. High levels of triglycerides (a type of blood fat)
  3. Type 2 diabetes
  4. Heart disease and stroke
  5. Arthritis
  6. Gallbladder disease
  7. Obstructive sleep apnea/Respiratory Problems
  8. Gastroesophageal Reflux/Heartburn
  9. Fatty Liver or Hepatic Lipidosis (Steatosis)
  10. Gynaecological issues (Menstrual irregularities, Infertility, Pregnancy complications)
  11. Cancer (breast, colon, rectum, endometrial, kidney)
  12. Others (e,g, Urinary incontinence, Depression, Mental health, etc.)

Treating Obesity

Obesity treatment is a two step process :

  1. Assessment – Determination of degree of obesity and overall health status.
  2. Management – Involves not only weight loss and maintenance of body weight but also measures to control other risk factors.

World Class Facilites

Weight loss management is best achieved by combination of lifestyle changes, dietary management, physical activity and behavioural modifications. We specialise in :

  • Dietary Therapy
  • Physical activity led Obesity management
  • Behavioural management of Obesity
  • Medical management of Obesity
  • Surgical management of Obesity
    • The comprehensive bariatric surgery programme at Q Medical Center helps obese patients to lose weight through either restrictive procedures or malabsorptive procedures or combination of both. All the surgery options such as gastric banding or sleeve gastrectomy or gastric bypass surgery are performed laparoscopically.

Bariatric Surgery

Compared with other weight loss methods, such as dieting, surgery provides the longest period of sustained weight-loss in patients for whom all other therapies have failed. It has also been shown to improve many obesity related health conditions, such as Type 2 Diabetes and High Blood Pressure. Many patients who have had bariatric surgery report improvements in their quality of life, social interactions, psychological well-being, employment opportunities, and economic condition.

Different Bariatric Procedures

Gastric banding is a restrictive procedure because it limits the amount of food you can eat at one time. During this procedure, the gastric band is placed around the stomach, dividing it into two parts: a small upper pouch and a lower stomach. The upper pouch holds about 4 ounces (1/2 cup) of food. This helps a person feel full sooner and longer than usual.

How it works to help you lose weight

By creating a smaller stomach pouch, the gastric band limits the amount of food that can be eaten at one time, so you feel full sooner and stay full longer. As you eat less food, your body will stop storing excess calories and start using its fat energy supply.

Advantages

  1. Limits the amount of food that can be eaten at a meal
  2. The surgery can be reversed
  3. No part of the stomach or digestive system is stapled, cut, or removed; food passes through the digestive tract in the usual order, allowing it to be fully absorbed into the body
  4. Shown to help resolve other conditions, such as type 2 diabetes, high cholesterol (LDL), and obstructive sleep apnea

Gastric bypass, which combines restrictive and malabsorptive surgery techniques, is the most frequently performed bariatric procedure in the United States. In this procedure, stapling creates a small (15 to 20 cc) stomach pouch. The remainder of the stomach is not removed, but is completely stapled shut and divided from the lower stomach pouch. The outlet from this newly formed pouch empties directly into the lower portion of the jejunum, thus bypassing calorie absorption and the duodenum. To achieve this, the small intestine is divided just beyond the duodenum and a connection with the new, smaller stomach pouch is constructed. The length of either segment of the intestine can be increased to produce lower or higher levels of malabsorption.

How it works to help you lose weight

By creating a smaller stomach pouch, a gastric bypass limits the amount of food that can be eaten at one time, so you feel full sooner and stay full longer. By bypassing a portion of the small intestine, it also causes your body to absorb fewer calories. As you eat less food, and absorb fewer calories, your body will stop storing excess calories and start using its fat supply for energy.

Advantages

  1. Limits the amount of food that can be eaten at a meal and reduces the desire to eat
  2. Average excess weight loss is generally higher than with gastric banding or sleeve gastrectomy
  3. No postoperative adjustments are required
  4. Shown to help resolve type 2 diabetes, high blood pressure, and obstructive sleep apnea, and to help improve high cholesterol

It is a restrictive procedure that limits the amount of food you can eat by reducing the size of your stomach. During this procedure a thin vertical sleeve of stomach is created using a stapling device. This sleeve will typically hold between 50 to 150 mL, and is about the size of a banana. The excised portion of the stomach is removed.

How it works to help you lose weight

As you eat less food, your body will stop storing excess calories and start using its fat supply for energy.

Advantages

  1. Limits the amount of food that can be eaten at a meal
  2. Food passes through the digestive tract in the usual order, allowing vitamins and nutrients to be fully absorbed into the body
  3. No postoperative adjustments are required
  4. Shown to help resolve high blood pressure and obstructive sleep apnea, and to help improve type 2 diabetes and hyperlipidemia

Living a healthy life, after Bariatric Surgery

Bariatric Surgery is an effective weight-loss treatment but you have to do your part too. Understanding and actively engaging in a lifestyle that supports achieving and maintaining a healthier weight is vital for success. Staying connected with your bariatric team is just as important.

Work closely with our medical team of experts to understand what changes you will need to make in your daily routine to help ensure the success of your surgery. You should understand and agree with your postoperative dietary requirements, exercise needs and any other changes you will be making before you receive surgery. It is a good idea to implement these changes as well as any other behaviour modifications preoperatively to help you transition more easily into your new postoperative lifestyle.

What is diabetic surgery? Is it different from Bariatric surgery?

Diabetes surgery is done as a metabolic surgery for even low BMI diabetics. A Gastric Bypass is the best procedure for high BMI morbidly obese diabetics but for low BMI, low weight diabetics, there are three options:

  • Lap Duodenal Jejunal Bypass with Sleeve Gstrectomy
  • Lap Ileal Transposition with Sleeve Gastrectomy
  • Lap Roux-en-Y Gastric Bypass
  • Lap Bilopancreatic Bypass with Ds

All the above procedures are directed at treating diabetes without excessive weight loss in low BMI diabetics. These procedures give long term permanent solution to diabetics.

CALCULATE YOUR “BMI”

Your BMI is

Powered by BMI Calculator

Doctors often use a formula based on your height and weight — called the body mass index (BMI) — to determine if you are obese.

BMI WEIGHT
Below 18.5 Underweight
18.5 — 24.9 Normal
25.0 — 29.9 Overweight
30.0 and higher Obese
40.0 and higher Extreme Obesity

  OUR SPECIALITIES

  PATIENT AWARENESS

  • Obesity and metabolic care

Can there be weight loss only by dieting and exercise?

Obesity means having too much body fat. It is different from being overweight, which means weighing too much.

MEET OUR DOCTORS

Q Medical Center is a comprehensive network of primary and specialty care physicians, recognized nationally and internationally.

DR. SHABEER AHMED
DR. SHABEER AHMEDBariatric Surgeon
Dr. Shabeer Ahmed is one of the leading surgeons in Bangalore. He currently consults as a Minimal Access Surgeon in Fortis Hospital | Read More…
DR. AKSHAY P BAVIKATTE
DR. AKSHAY P BAVIKATTEBariatric Surgeon
Dr. Akshay P Bavikatte is experienced and trained in modern technology and practices of General and Gastrointestinal Surgery. | Read More…
DR. AYESHA FIRDOS
DR. AYESHA FIRDOSConsultant Endocrinologist

OUR PATIENTS SAY

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PENNY DANIELS
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MARGERET TINSDALE
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ROSE JAMERSON

Make An Appointment

Please use the form below or
Call us on +91 80 4206 2404 | +91 90081 27861
Write to us: info@qmedicalcenter.in

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