Bariatric treatment in Sarjapur Road

For people who are obese, exercise and diet alone cannot help with reducing weight. Bariatric surgery is performed on such individuals to help them lose excess weight effectively and reliably, especially when the excess weight causes major health concerns and issues. The surgical intervention can improve the overall health of individuals with excess weight, can help them deal with various health concerns related to excess weight and may even lower the death rate for those with severe obesity. 

How does bariatric surgery work? 

The principle behind bariatric treatment in Sarjapur Road is food intake restriction and the subsequent decrease in food absorption by the stomach and intestines. The digestion of food starts in the mouth as the food is chewed and broken down physically and through the enzyme action of the saliva. Food then enters the stomach, where it is further broken down and emulsified by stomach acids. It is mixed with bile and pancreatic juice further in the duodenum before entering the small intestine for absorption. 

Bariatric surgery is meant to interrupt this process of digestion to ensure that all the food is not broken down or absorbed in the normal way. As a result, the body absorbs fewer calories from the food and loses weight after the surgical procedure, as it helps individuals manage and break down fats in the body.

What is the body mass index (BMI)? 

The body mass index (BMI) gives a measure of the person's height with respect to weight. The scale is used to measure obesity levels and determine if bariatric intervention is required. People who have a BMI exceeding 40 kg/m2 or 35 kg/m2, along with severe health problems, are defined as having clinically severe obesity. 

Types of bariatric surgery

With bariatric surgery, either the stomach or small intestine is modified to change how the food is absorbed in the body and decrease the urge to eat in patients and increase the feeling of fullness. There are four main types of surgical procedures offered,

  • Vertical sleeve gastrectomy (VAS): Often called the "sleeve", the procedure is performed by removing about 80% of the stomach, thus reducing its volume. The surgery works by holding less food and fluids, which makes people feel fuller after eating only a small amount of food. The section of the stomach which produces the hunger hormone is also removed, which has a direct impact on the metabolism. 

  • Roux-en-Y gastric bypass (RYGB): Also commonly referred to as gastric bypass surgery, the RYGB has been performed for five decades to treat obesity. The surgical procedure works in several ways to reduce obesity. First, it reduces the volume of the stomach, so people are tempted to eat smaller portions. The modification to the small intestine also ensures lesser absorption of food and curbing of hunger. 

  • Adjustable gastric band (AGB): As the name suggests, the procedure involves placing a silicone band-like device on the top portion of the stomach. The band works by limiting the amount of food eaten by the person by increasing the feeling of fullness. The band tightness can be increased by a control mechanism placed under the skin. 

  • Biliopancreatic Diversion with Duodenal Switch (BPD/DS): The procedure involves creating a sleeve stomach to reduce the intake of food. Then the first segment of the intestine is separated from the stomach. A different part of the intestine down the line is then connected to the stomach to limit the movement of food through 75% of the intestine's length. 

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