The best way to lead the most healthiest lifestyle
Bariatric surgery (best weight loss surgery) is the only scientifically proven method for long term and effective weight loss. Bariatric Surgery means modification or alteration of the gastrointestinal tract to induce weight loss. It includes a range of procedures from simple restrictive to combined restrictive and malabsorptive. Majority of the obese individuals fail to reduce weight by diet restriction and regular exercise. Even if they lose initially, weight is regained due to the effect of fat set point.
Depending upon the age, BMI, food habits, social habits, dietary pattern, co-morbidity status and patient compliance, an appropriate weight loss procedure is chosen by the bariatric surgeon after thorough psychological evaluation of the patient.
All bariatric and metabolic procedures are done laparoscopically. It is a painless, minimally invasive, stitch less procedure with the patient being in the hospital for 3 days.
In addition to weight loss, bariatric surgery results in resolution of medical problems like type 2 diabetes, hypertension, obstructive sleep apnea, hyperlipidemias in significant number of patients.
This resolution is more after sleeve gastrectomy and diversion procedures compared to purely restrictive operations. Reason behind this resolution is due to the alteration of gut hormones like GLP 1, that control insulin production and action, ghrelin, anti incretins in addition to weight loss and calorie restriction. Due to these positive effects laparoscopic metabolic surgery is developed to cure type 2 diabetes. Loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG) and Sleeve gastrectomy with jejuno-ileal interposition (SG-JII) are the most effective surgeries to cure Type 2 diabetes. These operations result in resolution of type 2 diabetes in majority of the patients regardless of their weight.