Just like gastric bypass surgery, Biliopancreatic diversion also creates a smaller stomach. In this, ingested food is not fully absorbed in the intestine. This surgery is specifically for people who are more than severely obese. Super obesity means that BMI (body mass index) is 50 or higher.
After surgery, the patient will feel full more quickly than when the stomach was its original size. This reduces the amount of food the patient will want to eat. Bypassing part of the intestine also means that fewer calories are absorbed. This leads to weight loss. Most surgeons will not perform perform the surgery except in super obesity.
This surgery is an easily recovering short procedure. Around the stomach’s upper part, an inflatable band is used that divides the stomach into two unequal parts. The stomach’s upper part is treated as a new stomach and the food intake is restricted and promotes the weight loss.
A laparoscopic adjustable gastric band, commonly called a lap-band, is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to slow consumption of food and thus reduce the amount of food consumed.
SILS (Single Incision Laparpscopic Surgery)
SILS is the next generation of laparoscopy, where the access is only through a single port instead of multiple ports. This utilizes new specialized port and roticulator instruments thus making the procedure literally scarless as it will be buried inside the belly button. This procedure though consumes more time, gives early post-operative recovery with less pain than in conventional laparoscopy thus making it a treatment of choice for patients.
Endoscopic Bariatric Surgery
There are numerous endoscopic treatment for obese patients. Endoluminal bariatric weight loss surgery is gaining popularity as well, with up to 40% reduction in excess weight loss and around 60 % resolution of co-morbidities. Few of the available procedures include intragastric balloon, primary gastroplasty, and outlet reduction for failed gastric bypass, pouch creation, and endo-barrier bypass sleeve.
Restrictive Procedure – The Lap Gastric Band
The surgery is primarily performed for decreasing the amount of food consumption at a time. The purpose is to create restriction so that a person feels satisfied with little amounts of food. Due to smaller outlet, the food remains in the stomach for a long time. The idea is to decrease daily calorie intake without a feeling of deprivation.
The benefits of gastric band include:
The stomach returns to its original form even if the band is removed.
The recovery period is also slightly shorter.
No cutting, removal or stapling of the stomach tissue is done.
The surgeon can easily control the size of the pouch outlet as the band is adjustable.
Malabsorptive procedures-Roux -En- Y Gastric Bypass
This procedure helps in altering the digestion. The length of the intestine is reduced by using Malabsorptive techniques. When the food comes in contact with the intestine, fewer calories are absorbed. Roux-en-Y is regarded as the gold standard procedure for weight loss surgery.
The benefits of Roux-En-Y include
Medical conditions like High cholesterol, high blood pressure, sleep apnea and acid reflux are some of the medical conditions associated with obesity. These are either improved or removed after the surgery.
About 70-80% of the excess body weight is reduced.
The surgery increases the insulin sensitivity and alters the metabolism of carbohydrates. The surgery sometimes eliminates the need for diabetes medications.
The average weight loss is much greater than the average achieved through gastric band surgery and sleeve gastrectomy.
Aftercare for Bariatric Surgery
To maintain weight loss after the surgery, you have to continue to eat less, change your dietary habits and increase physical activity. Weight reduction surgery helps you in changing your food behavior by giving early satiety after a small meal and providing prolonged feeling of fullness so that you can adhere to the dietary control.
India is known worldwide for its cost-effective Bariatric surgery. Bariatric surgery in India offers the best treatments for weight loss. Specialized medical and diet plans are prescribed for long term effective results. The cost of the surgery also depends upon the type of surgery required. Top hospitals, latest technology and comfortable hospitality are some of finer points of Bariatric surgery in India.