Am I Fat? – Bariatric Surgery – Weight Loss Surgery FAQ’s

Answer of all your questions about Weight Loss Surgery in India. We Asian Bariatrics brings you the most popular Frequently Asked Questions about Bariatric Surgery in India or Obesity Surgery in India.

  1. Am I Fat?
    Fat is called obese in Menstrual terminology .If a patient looks fat he or she is fat. This is known as eyeball test. Doctors calculate BMI (body mass index) to know how much excess weight person have in relation to their height. 

    Know your BMI
    25-30     Overweight
    30-35     Obesity Class I
    35-40     Obesity Class II
    40-45     Obesity Class III
    >45         Super Obese

  2. How does being fat harm?
    Obesity shorten the life span as well as leads to a poor quality of life by causing disease like Diabetes , Hypertension , Dyslipidemia, breathlessness , sleep apnea , joint pain and backache, liver diseases like fatty degeneration and ACDT Hiatus hernia, odema feet and deep vein thrombosis. It can also lead to cancers of endometrium of uterus, Breast and Kidney. Prostate in women. It can cause menstrual irregularities , and Infertility.
  3. Which is better option, Tummy tuck or Bariatric surgery?
    Liposuction or Tummy tuck is cosmetic surgery and only indicated when BMI is less than 30. These do not contain obesity related disease. Weight loss surgeries are undoubtedly the best deal as far as morbid obesity is concerned.
  4. How does bariatric surgery help to reduce weight?
    Surgery can be restrictive. It reduces the capacity of stomach and hence food intake. Mal absorptive it decreases the absorption of food by bypassing a portion of small intestine or it can hunger hence the person gets satisfied in small quantity of food.
  5. How rapidly will I lose weight after surgery?
    Depending on the type of surgery 75-90% of excess body weight will be lost in 6 months to two years. Majority of weight is lost in the first 6 month after surgery. The weight loss will taper and continue for the subsequent years. Some patients do achieve 100% loss of their excessive weight.
  6. What is the expected hospital stay for surgery and when can I get back to work?
    As this surgery is done laparoscopically, it requires a very short hospital stay of 2-3 days after the surgery. If they do not have any complaints and are tolerating the liquid diet one can resume routine activity within a week of surgery as it does not have any major stitches.
  7. What diet is recommended after weight loss surgery?
    Regular small and 4-5 meals per day with plenty of fluids in between more proteins moderate carbohydrate and less fat are advised after weight loss surgery.
  8. What is the life after Weight Loss Surgery?
    Over the years it has been observed that patients who have undergone surgery are satisfied with their decision of surgery and happy with the improved quality of life. The freedom from diseases like diabetes high blood pressure, cholesterol and joint pain can be refreshing. One would be more energetic and active. Also you would be having a new look 10 yrs younger.
  9. When can I have children after bariatric surgery? or Pregnancy after Weight Loss Surgery?
    Female patients are advised to wait till their weight stabilizer which would take around 2 yrs.
  10. Will the complication due to my obesity go away after the surgery?
    Yes obesity associated diseases show complete cure or significant improvement after surgery. Surgery cure diabetes II in 85-90% of patients and is now considered the best treatment of diabetes associated with obesity. High cholesterol and blood pressure improves in 75-80%. Marked improvement is also seen in joint pain, breathlessness and sleep apnea, menstrual irregularity.

Women’s & Obesity – Dr Sanjay Patolia – Bariatric Surgeon Ahmedabad

Obesity results from excessive accumulation of fat that exceeds the body’s skeletal and physical standards for age, sex and height. A BMI > 25 is over  weight and > 30 is obese.

Though excessive calorie intake is important factor for the development of obesity, certain hormones regulated by genes are equally important for obesity. Certain hormones regulated by genes are equally important factor for obesity . Excess calorie intake in relation to physical requirement causes obesity. 17% more women are obese , compared to men, having greater health and socio economically implications. Excess fat women’s health by creating the imbalance in sex steroid hormones especially estrogen and androgen. Women suffer from obesity and co-morbid diseases more in comparison with men. Every age group of women has age specific  diseases due to obesity.

Childhood and Puberty (15-20 Yrs)
Obesity affects the ovarian function with an imbalance in estrogen and androgen , causing polycystic ovarian diseases (PCOS) . It manifests with menstrual irregularities and hair growth in male pattern, called hirsutism, obese teens have low self  esteem and poor self confidence, affecting their performance in school and studies.

Child Bearing Age Group ( 21-30 Yrs)
This age group obesity causes major problem of infertility and bad obstetrics history. 15% of infertility problem are linked with obesity . Obesity causes irregular ovulation and poor quality of ovum. Obese women are less likely to respond to infertility days and need hyper doses and prolonged treatment. Even after conception an obese women faces increased risk o f repeated abortions and a pregnancy complicated with diabetes, hypertension , thrombo embolic  events , respiratory disorders like asthama and sleep apnea and vascular infections. Also obesity complicates both the vaginal and caesarean section  deliveries by shoulder dystopia, post partum hemorrhage , uterine rupture and increased risk of anesthesia.

Obesity related adverse outcomes on the fetus include neural tube defects which increases by 7% with every unit increases in BMI . There is a 3 fold in risk of ante partum still birth in morbidly obese women. Also higher incidence of macrosomia , preterm birth and IUGR in PIH are seen. Not only has this but an obese woman passed on the abnormal metabolic molecule to the fetus leading to obesity in her children with early onset metabolic diseases. This affecting the future generation.

Premenopausal Age Group ( >40 Years)
Obesity in this age group leads to poor quality of life, complicated with diabetes , high blood pressure and cholesterol, breathing problems, and sleep apnea, digestive disorders like acid reflux and gall stones. Increased weight leads to osteoarthritis of weight bearing joints like up knee and spine. Breast, uterine and ovarian cancers have higher incidence in obese women. Obesity not only decreases the life span but leads to a very poor quality of life for affected ladies. Their social life is restricted and health compromised.

With rapid rise in obesity in all age groups it is set to become a global epidemic. Life style changes are the need of hence to combat this killer disease. Healthy diet and exercise can help in reversing it.

For those who have advanced beyond, bariatric surgery offers the last ray of hope not only to reduce weight but get rid of associated diseases and a better reproductive outcome.

Article Source – http://asianbariatrics.blogspot.in/2017/09/women-and-obesity.html

Author: Dr. Sanjay Patolia is one of the most experienced and eminent obesity surgeon of India – the recipient of Surgeon of Excellence Award from SRC USA. He is also the co-founder and promoter of Asian Bariatrics, Asia’s largest Bariatrics center.

The Effects of Obesity on Female Reproductive Function – Asian Bariatrics

Reproduction-the enigma and mystery of human race bears the burden of weight like all other system but this is more significant for us as it directly has directly adverse effect on the future generations.

Obesity which has reached epidemic proportions is observed to be higher among women than men. Obesity affects all stages of women life.

The impact of obesity on reproductive function can be attributed primarily to endocrine mechanism. Let us understand how obesity changes the endocrine milieu making it unfavorable for reproduction. Abdominal obesity is associated with high level of insulin. Chronic hyperinsulinemia causes increased ovarian androgen production, increased LH secretion from pituitary and decreased sex hormones biding globulin (SHBG) production leading to increase in free circulating androgen. Fat aromatizes, these androgen to estrogen leading to chronic to chronic hyperestrogenic environment. Increased leptin and other inflammatory factors from adipocytes inhibit follicular development.

The imbalance in the estrogen and androgens cause irregular ovulation or an ovulation. Obesity accounts for 15-20% of all infertile patients. Poor quality of ova even in presence of ovulation leads to sub fertility . Obesity patients require higher doses of drugs and prolonged treatment and still do not respond to fertility treatment satisfactorily.

Even if the obese woman manages to get pregnant, she has a higher chance of abortion due to poor quality of ova. Abnormal hormonal milieu in form of increased insulin, estrogen, triglycerides , uric acid etc results in the increased incidence of congenital anomalies in fetus of obese mother , especially neural tube defects.Other associated medical problems like hypertension, diabetes, breathlessness, thrombosis can also complicate the pregnancy further leading to prematurity , IUGR, macrosomia and even still birth.

Even if she completes her pregnancy uneventfully, maternal obesity causes the infant to have increased degree of adipocytes predisposing the baby for childhood obesity. The abnormal milieu to which the child was exposed to in utero, leads to metabolic disease in children born to obese mothers.Various studies have shown the associated of childhood obesity and earlier onset of diabetes and cardiovascular diseases to maternal obesity.

Stringent anti obesity measures need to be implemented in women, due to detrimental effects of obesity on pregnancy and trans generational out comes. The prevention or treatment of obesity needs to be done before conception.

Even a 5 % decrease in weight, improves fertility in obese PCOS. British fertility society recommends that women who have BMI of 30 or above and less than 35 years of age should defer their infertility treatment. They should first be encouraged to lose weight to achieve a BMI <30 and then be given treatment for fertility to optimize the out come.

Nutritional education and behavioral modification can be tried for weight reduction, In women where these measures have failed bariatric surgery should be considered for women having BMI>35 without co-morbid disease or BMI >33 with disease. It is the only scientific method available today for surgical weight loss and long term management of weight loss.

ACOG (American college of obstetrician and gynecologist) has also endorsed that after bariatric surgery, there is a decrease in the risk preterm delivery along with the reduced risk of labour and delivery complications.

Thus we see that obesity has a profound negative influence on conception pregnancy, labor and even affects the unborn child.Timely correction obesity with conservative means or a bariatric surgery is hence advised before planning a pregnancy for a optional outcome.

Source – http://asianbariatrics.blogspot.in/2017/09/the-effects-of-obesity-on-female.html
Author:
Dr Sanjay Patolia is one of the most experienced and eminent obesity surgeon of India – the receipient of Surgeon of Excellence Award from SRC USA. He is also the co-founder and promoter of Asian Bariatrics, Asia’s largest Bariatrics and Metabolic Surgery Center.

World Obesity Day 2017 – Weight Loss Surgery India – Asian Bariatrics

Eleventh October is observed as the world obesity day every year to raise awareness and address issues related to the epidemic of obesity which is rising at an alarming rate world over. This year the theme is ACT NOW TO AVOID THE CONSEQUENCES LATER.

India has a growing obesity problem with rising middle class income, availability and easy access to processed food and sedentary lifestyle. Today with 20.7% of its females and 18.6% of its male population SUFFERING FROM OBESITY AND OVERWEIGHT, it ranks third in the world only after the US and China in obesity. Obesity as we know is not only about appearance but is responsible for numerous disease including diabetes, high blood pressure, abnormal cholesterol, heart disease, liver malfunction, stoke and paralysis, sleep apnea, hormonal imbalance infertility and pregnancy complications and even certain cancers like the breast, uterus and colon. The genetic predisposition of Indians towards abdominal obesity, diabetes and heart diseases puts them at a higher risk for obesity complications. Treating it timely helps cure or control these complications. Thus treating obesity timely, the slogan ACT NOW, is very important for us.

For a rapidly developing economy like ours which is battling with paradoxical issues of under-nutrition and obesity, preventing the conditions are much more cost-effective than treating their complications. Preventing obesity today would require the following:

(1). Public awareness about obesity and its consequences across all age groups especially among growing children and young adults. The awareness and insistence on healthy choices should be addressed at the school level.
(2). Improve the food environment to ensure that healthier food options become more easily available to public. Increase their awareness about unhealthy food choices, their contents and consequences.
(3). Improve the layout of local living spaces and public places like gardens etc making them support physical activities.
(4). A healthy lifestyle should be marketed, advocated and endorsed by public figures to raise public awareness.

When unable to prevent obesity, its timely treatment becomes essential. So in order to follow this year’s theme of ACT NOW we would require to do the following:

(1). Recognize that obesity is a disease and not just a cosmetic issue. In fact it happens to be the root cause of numerous diseases.
(2). Educate the public about the treatment options available, like conservative means through lifestyle modifications and surgical therapy.
(3). Dedicated centers with multidisciplinary teams to treat people affected with obesity.
(4). Comprehensive follow up services for people on weight loss regime and those who have lost the excess weight to help them maintain the weight loss.
(5). Insurance coverage for obesity treatments. A few companies in India and the CGHS now recognize obesity as a disease and have started covering it in our country but a lot needs to be done.

Obesity is measured by body mass index (BMI). World over, a BMI of over 25kg/m2 is considered overweight but the ministry for health and family welfare along with the Indian Council for Medical Research has lowered it for Indians to 23kg/m2 considering our predisposition to obesity and its complications. As we are a more vulnerable population the theme of the world obesity day to ACT NOW  is a warning bell for us. Healthier choices are available, we need to be wiser. For the treatment part we have numerous qualified professionals for diet and exercise training to help us. India is considered one of the best destination for weight loss surgery with accredited and standardized dedicated centers for obesity surgery here and we have numerous patients coming from all over the world for it. Let us then decide to ACT NOW, prevent it or treat it but get rid of it timely before its too late. Let us all  for once be on time….

Content Source: http://asianbariatrics.blogspot.in/2017/10/world-obesity-day.html

Author:
Dr Sanjay Patolia is one of the most experienced and eminent obesity surgeon of India – the recipient of Surgeon of Excellence Award from SRC USA. He is also the co-founder and promoter of Asian Bariatrics, Asia’s largest dedicated center for Bariatrics & Metabolic Surgery.

Is Your Weight Making You Diabetic?

Most people are overweight or obese when they are diagnosed with type 2 diabetes. Obesity increases the risk for developing type 2 diabetes, and if someone who already has type 2 diabetes gains weight, it will be even harder to control blood sugar levels.

Obese people may develop a condition called “insulin resistance” due to excessive fat cells in their body. They are actually able to make insulin but their body can not use it properly to utilize glucose. Therefore, the amount of glucose level in the blood rises up.

Henceforth, the pancreas begins to release more insulin and try to overcome this problem. Eventually, the pancreas wear out because of working overtime and fails to produce enough insulin to keep blood glucose levels within a normal range.

Weight loss, healthy dietary practice, and getting enough exercise can actually reverse insulin resistance. For people with type 2 diabetes, doing so makes it easier to reach target blood sugar levels and, in some cases, the body’s ability to control blood sugar may even return to normal. Surgery to treat diabetes through simple laparoscopic procedures for both normal weight as well as overweight individual is in boom.

pregnancy-after-weight-loss-surgery

Experts Advice on Pregnancy After Bariatric Surgery

Bariatric surgery in India has become very common in the recent past. The number of people getting this surgery done has almost increased five-fold in the last decade. Obese people who have been trying to get rid of their excessive weight by making lifestyle changes which includes either controlling their diet or extensive workout but failed to get optimum results generally prefer bariatric surgery. This bariatric surgery in India has proved to be a boon for such people as it gives them permanent solution to all their problems.

There are many women who face problems in pregnancy just because of their obesity. They face fertility issues like anovulation, which means their body is unable to produce ripened egg every month. Bariatric surgery helps such women to reverse this problem by bringing their menstrual cycle to normal.  As a result of this, a woman has more chances of conceiving and delivering a healthy baby which otherwise was not possible for an obese female. Bariatric surgery has also shown proven results in improving other reasons for infertility in women that includes polycystic ovarian syndrome and normalisation of sex hormones.

Your surgeon plays a major role in changing your life as the surgery performed by him can bring positive changes in your pregnancy. It is important that the health care provider you choose for yourself is experienced and qualified enough to handle your pregnancy after bariatric surgery. In majority of the cases, it is seen that weight loss surgery has helped pregnant woman and her baby to escape obesity related problems occurring during pregnancy like gestational diabetes and preeclampsia. Therefore, proper consultation is necessary with your doctor before planning for a baby. At times, it is also recommended to talk to your dietitian and with bariatric surgeon to obtain guidance on proper nutrition and weight gain that is required during pregnancy after weight loss surgery.

Experts suggest that if a woman has had bariatric surgery then she should wait for at least 1-1.5 years to start planning for pregnancy because during this time period a person’s weight is stabilised. However, you may even be told to wait for a longer duration and this all depends on your physical health. In the period following your bariatric surgery, your body tends to keep losing weight and in case you plan your pregnancy in this time then there are chances that your baby may not get the required nutrients leading to very low weight at the time of birth of baby. You may be prescribed some nutritional supplements like vitamins, minerals and folic acid during pregnancy.

One may need to consult with surgeon during your pregnancy also just to make sure that your body has adapted the changes post surgery and there are no problems related to it. Therefore, pregnancy after undergone obesity surgery is not a big deal, just take proper care of yourself and consult a good doctor. Ensure to maintain an active lifestyle along with healthy diet so that your body has the capability to fight against all the odds during your pregnancy. You can opt for walking, swimming or light activities to keep yourself fit and healthy in this time. Always remember “A healthy mother lays a strong foundation for her baby during the pregnancy and even after that”.

Medical-Tourism-india

Things to Consider When Planning Medical Tourism for Bariatric Surgery in India

Medical Tourism in India is a diversified enterprise managed professionally by a large number of segments including a panel of expert surgeons, travel & tourism services and cost-effective health care. It is one of the fastest growing sectors in the country with annual growth rate of 30%. Its reliability can be easily noticed as a large number of hospitals and medical care centers are connected to it. Foreigners come here and get the best treatment facilities along with the vivacious holidays. People from different regions of world prefer India to get their treatment done with the peace of mind. World class hospitals and specialized doctors show their expertise in various surgeries such as Dental care, heart surgeries, eye surgeries, knee replacement etc. Apart from these machine surgeries, traditional Ayurvedic treatments are also gaining popularity. That is why people across the world consider Medical Tourism in India as the best option.

World Health Organization (WHO) gave the data from recent survey done worldwide that around 300 million people across the globe are suffering from obesity. One who suffers from obesity has high probability of having chronic diseases which includes hypertension, cholesterol, diabetes etc. Medical tourism for Bariatric surgery in India is the prime option to find the best Obesity Centre in India. There are many reasons of obesity including high calorie intake, less energy utilization or both. It is crucial to know which obesity centre is opt for the treatment. The primary step is to calculate the Body Mass Index and then accordingly it is analyzed which treatment is required. BMI calculation is followed by identification of cause of obesity.

Medical tourism for Bariatric surgery in India offers several packages which include highly specialized surgeons and it is quite necessary for the patient to know about the surgeon so that there is no lack of communication and all the pre surgery and post surgery circumstances could be discussed for best surgery results. Another important thing to be kept in mind while going for Bariatric surgery in India is to check out the facilities and infrastructure of hospitals that is given in the medical package. Once the surgery is done successfully, follow up care should never be left unfocused. Bariatric surgery hospital in India has got integrated medical support staff which is highly focused in taking care of patients who have gone through Bariatric surgery in India. They keep in mind to prevent complications post surgeries that may be weight regain, diseases related to obesity or nutritional deficiencies. For better post results, patient can fix appointments with the dietitian and respective surgeons who are extremely supportive.

Weight loss surgery in India has high success rate and thus people are more inclined towards it for the treatment. Sometimes after the complete treatment, patients are not bothered to collect documents and reports but it is very necessary to gather all the medical reports from Bariatric surgery hospital where surgery was conducted so that it could help in future consultation. Apart from all these things which should be taken into consideration is to get mentally prepared for the surgery. Through the physiological assessment that is conducted for weight loss surgery in India, the emotional and behavioral factors of patient are considered. Depending on this interview, it is decided if surgery should be done or not because it decides the successful rate of treatment. Therefore, one should be prepared well in order to get the best desired results.

Worldwide medical tourism is growing at the rate of 20-25% annually and India is a developing country which is showing the hard to believe growth rate in medical tourism. Here the same level of medications and treatments that are given in international hospitals at a highly expensive rate which common people cannot even afford is available at much lower rates. One can save a good amount of money if he goes for the medical treatment in India. Even according to data analysis if someone opts for the Bariatric surgical treatment over here he or she can save up to 65-90% which is the highest among the rest of the countries worldwide and a big achievement in itself. Many people who took the decision of visiting India for their respective therapies, surgeries or treatment got completely cured and now are living a much improved life.

Obesity & Type 2 Diabetes

obese-womanObesity can ruin your health.  Obesity is the root cause of some of the serious diseases.

Obesity increases the chances of developing the type 2 diabetes. In this disease, the body makes enough insulin but the cells in the body have become resistant to the salutary action of insulin.

People with obesity develop a resistance to the insulin that regulates blood sugar levels.  Over a period of time, high blood sugar levels can cause serious damage to various organs in the body.

There are many other risk factors for type 2 diabetes but  the single best predictor of type 2 diabetes is overweight or obesity. Almost 90% of people living with type 2 diabetes are overweight or have obesity. People who are overweight or have obesity have added pressure on their body’s ability to use insulin to properly control blood sugar levels, and are therefore more likely to develop diabetes.

Loose Weight …… Stay Happy……. Stay Healthy