Endoscopic Sleeve Gastroplasty: Risks and Side-Effects
Obesity is a pandemic condition affecting 700 million people all over the world....
The department of Bariatric Surgery at Manipal Hospitals provides end to end treatment and facilities for patients affected by conditions that require bariatric surgery.
The team of bariatric surgeons at Manipal Hospitals work with specialists from multiple disciplines to give patients comprehensive care. The surgical team is equipped with the latest real-time imaging technology and advanced surgical equipment, giving them the capacity to perform all bariatric procedures effectively. Minimally invasive surgery is very common in bariatric surgery
Adjustable gastric banding is a type of bariatric surgery and the first kind to use robots to perform the procedure. For the procedure, the patient is anaesthetized and made to sleep on the back with the arms and legs wide open (low lithotomic position) because the procedure is performed between the patient’s legs.
The mini-gastric bypass also called as one anastomosis gastric bypass. In this procedure is a combination of gastric sleeve and a standard gastric bypass.
A laparoscopic sleeve gastrectomy is a surgical approach to weight-loss. Sleeve gastrectomy uses laparoscopy/Robotic to make multiple tiny incisions on your abdomen.
Obesity is a global pandemic, and approximately 5% of India's population is affected by obesity. It is predicted that between the period 2010 to 2040, the obesity in the Indian population, with age between 20-69 years, will increase three-fold.
Bariatric surgery is recommended in patients who are unable to lose weight with conventional methods including diet restrictions, exercise, and lifestyle modifications.
With a mission to improve the quality of life of obese patients, the Manipal Hospital, Dwarka has a dedicated bariatric surgery department.
Manipal hospital is the best bariatric surgery hospital in Dwarka Delhi, accredited with Obesity and Metabolic Surgery Society of India (OSSI), having best bariatric surgeons in Dwarka, Delhi providing weight loss surgery, gastric bypass, biliopancreatic diversion with duodenal switch, sleeve gastrectomy, and adjustable gastric band.
We are equipped with advanced surgical procedures, experienced and trained multidisciplinary weight loss surgeons at Dwarka, Delhi. We are world-class post-surgical care and one of the most sought-after centres for bariatric surgery. The majority of the weight loss surgery treatment at Manipal Hospital Dwarka, Delhi is performed through Minimally Invasive Surgery. Manipal hospital, Dwarka is equipped with highly sophisticated infrastructures for Robotic Surgeries, Single-incision surgeries, and endoscopic surgeries. Facilities available at our hospital include:
Obesity treatment with patient-focused diagnosis and management
Post-surgical rehabilitation and psychological support
Minimally invasive surgery to reduce healing time.
Equipment and operation theatre tables specifically designed for the comfort of obese patients
Availability of all types of bariatric surgery
Following are the different types of Laparoscopic and Robotic Bariatric & Metabolic Surgeries and Non-Surgical Endoscopic Treatments performed at Manipal Hospital, Dwarka.
Robotic Bariatric & Metabolic Surgeries
Laparoscopic Adjustable Gastric Banding: In this procedure, the surgeon places the adjustable silicone ring around the stomach. This procedure is reversible, and the intestine is not affected by this procedure.
Laparoscopic sleeve gastrectomy: This procedure involves the removal of a significant portion of the stomach. After this procedure, the size of the stomach is reduced to only 15%, and the stomach looks like a tube or sleeve. The open ends of the stomach are attached through sutures or surgical staples.
Laparoscopic Roux-en-Y Gastric Bypass: During this procedure, a small pouch of the stomach is formed through a stapler. This pouch is then connected directly with the small intestine, thereby bypassing the remaining part of the stomach.
Laparoscopic Mini Gastric Bypass: This procedure is also known as a one-anastomosis gastric bypass (SAGB). This procedure involves the formation of a long gastric tube, which is connected to small bowel, through the single anastomosis.
Biliopancreatic diversion with duodenal switch: This procedure is done in two steps. In the first step, sleeve gastrectomy is performed resulting in the removal of approximately 80% of the stomach. In the next step, a significant portion of the intestine is bypassed by connecting the stomach with the end of the intestine.
Revision Bariatric Surgery: This surgery is done to correct or repair the problems that have been associated with the previous bariatric surgery.
Non-Surgical Endoscopic Treatments
Endoscopic Balloon: A temporary placement of a balloon in the stomach in the patient and reducing the volume of the stomach.
Endoscopic Sleeve Gastroplasty: The size of the stomach is reduced with the help of an endoscopic suturing device.
Obese patient achieves significant weight loss through bariatric surgery. The extent of weight loss depends upon the type of surgery performed and the requirement for individual patients. As compared to non-invasive procedures, surgical procedures of weight loss have provided better results. The majority of bariatric surgery patients maintain a healthy weight for the long term more than 50% excess weight loss occurs after 10 years and more.
Does Bariatric Surgery Have an Insurance Cover?
Recently, in 2019, bariatric surgery has been included under insurance cover by the Insurance Regulatory and Development Authority of India. However, there are various riders associated with this inclusion. The guidelines issued by the IRDAI states that the bariatric surgery would not be covered if the surgery is not recommended by the doctor or if the surgery is not done as per the protocols.
Lifestyle Changes After Surgery
Patients should incorporate the following lifestyle changes after Bariatric Surgery:
Exercises such as jogging, swimming, climbing stairs and walking
Eating smaller portions of food and less frequent snacking
Eating healthy home-cooked food
Drinking enough water
A few treatments available for bariatrics are: Gastric bypass - This is a procedure that reduces the size of the stomach surgically by dividing the stomach pouch into two. The small intestine is then divided, and the lower end of the divided small intestine is connected to the first part of the stomach pouch. The 2nd part of the stomach and the upper portion of the small intestine are still connected, so lower down the small intestine, gastric juices produced in the 2nd part of the pouch will eventually mix with the food. The smaller stomach pouch means that the patient's appetite as well as ability to eat is significantly reduced. The bypass can lead to dramatic changes in weight loss. A gastric bypass allows people with chronic weight gain problems to lose weight which would otherwise endanger their lives. The procedure also requires certain dietary restrictions to be followed by the patient post-surgery since some digestive functions will not function as they used to.
Obese individuals are at far greater risk of dying from obesity-related diseases, including coronary artery disease, hypertension (high blood pressure), type 2 diabetes and certain cancers. A healthy weight for most people is defined as a body mass index (BMI) between 18.5 and 24.9.
Calculating BMI is one of the most common methods to determine whether you are overweight or obese. If your BMI is between 25 to 29.9 and your weight is between 179 and 214 pounds, then you are overweight. If your weight is above 215 pounds with a BMI of 30 or above, you are obese.
In bariatric surgery, the capacity of the stomach is reduced, which results in decreasing appetite-stimulating hormones in the stomach or reducing the time required to absorb food from the intestine.
Your doctor will calculate the Body Mass Index or BMI based on height and weight. BMI above 25 is considered as overweight, and that above 30 is considered as obesity. Obesity can also be defined as a waist size of over 90 cm in males and 80 cm in females.
Some common disorders associated with obesity are:
Type 2 diabetes
Liver and kidney disorders
Gastroesophageal reflux disease
Depression and anxiety disorders
Obesity or bariatric surgery or metabolic surgery involves a range of procedures that help you deal with obesity. Some common surgeries include:
Removal of a portion of the stomach (sleeve gastrectomy)
Resecting and re-routing the small intestines to the stomach pouch (gastric bypass surgery)
The main benefits include:
A 3D HD view of the inside of your body
Low rate of complications
Enhanced vision, control, and precision
Smaller incision and thus less scar
No wound infection
Get in touch with the expert Liver Specialists in Delhi at Manipal hospitals to avail comprehensive medical care.
Your surgeon will decide which bariatric surgery will best suit your needs. The surgeon will consider various factors such as your overall health, your BMI, your expectations, and your age to advise you on the best suitable surgery option.
Most of the bariatric surgeries take about 60-90 minutes. The hospital stay is about 2-3 days. Patients can return to normal activities within 7 days.
You may expect a rapid weight loss 3-6 months post-surgery. The rate of weight loss reduces between 18 months after the surgery. The extent of weight loss also depends upon your adherence to the advice given by your surgeon.
It is a Center of Excellence accredited with Obesity and Metabolic Surgery Society of India (OSSI). We have an experienced team with excellent outcomes.
Book an appointment with one of our specialists today and live a pain-free and healthy life