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Many obese individuals have made serious attempts to lose weight through diet, exercise and medically supervised weight loss programs but have failed. In these cases, bariatric surgery is performed as a last resort treatment option. Bariatric surgery is rapidly gaining popularity as a safe and effective way to reduce weight in the severely obese.
For women of childbearing years there are special benefits and considerations for bariatric surgery. For many women, obesity plays a significant role in infertility. Bariatric operations not only increase the general health of these patients but have shown to improve their chances of getting pregnant.
  • People who are obese do not live for as long as those who are not obese and the earlier a person become obese; the more years of life are lost.
  • Severely obese persons are approximately 6 times as likely to develop heart disease as those who are of normal weight.
  • Hypertension is much more common in obese persons and leads to development of heart disease, and damage to the blood vessels throughout the body, causing susceptibility to strokes, kidney damage, and hardening of the arteries.
  • Overweight persons are 40 times as likely to develop Type 2, Adult-onset diabetes. Once diabetes occurs, it becomes even harder to lose weight, because of hormone changes which causes higher fat accumulation in the body.
  • Sleep Apnea – the stoppage of breathing during sleep – is commonly caused in the obese, by compression of the neck, closing the air passage to the lungs.
  • Respiratory Insufficiency, Heartburn - Reflux Disease and Reflux Nocturnal Aspiration, Asthma and Bronchitis are also associated with Obesity.
  • Gall bladder Disease -Gallbladder disease occurs more frequently in the obese, in part due to repeated efforts at dieting, which predispose one to this problem.
  • Stress Urinary Incontinence.
  • Overweight persons are likely to suffer more with Degenerative Disease of Lumbo-Sacral Spine (Backbone), Degenerative Arthritis of weight bearing joints like knee and hip, Venous Stasis Disease in the lower extremities are common
  • Extremely overweight persons face constant challenges to their emotions: repeated failure with dieting, disapproval from family and friends, and remarks from strangers. They often experience discrimination at work. Stereotypes of obese people – such as that they are lazy – may result in lower self-esteem and poor body image.
  • Severely obese persons suffer inability to qualify for many types of employment and there tends to be a higher rate of unemployment among them. There is a general societal belief that obesity is a consequence of a lack of self-discipline, or moral weakness.

Bariatric Surgery for Obesity

Over the last decade, weight loss or Bariatric surgery has been continually refined to improve results and minimize risks. Today, bariatric surgeons have access to a substantial body of clinical data that supports the use of surgery as a safe and effective weight loss treatment when other methods have failed.
Compared to other weight loss methods, such as dieting, surgery provides the longest period of sustained weight loss in patients for whom all other therapies have failed. It has also been shown to improve many obesity related health conditions, such as type 2 diabetes and high blood pressure.
Many patients who have had bariatric surgery report improvements in their quality of life, social interactions, psychological well-being, employment opportunities, and economic conditions.
The morbidly obese have to seriously consider surgery for reducing weight to avoid its ill effects. Surgery for Morbid Obesity is for the following situations:
  • The person's BMI is over 40, or is 35 or higher and a serious medical problem (hypertension, diabetes, heart disease, joint problems, reflux) that is made worse by obesity is present
  • If it has not been possible to reduce or maintain weight under a medically supervised program
  • If the person has been obese for at least 5 years

Surgical Treatment options available at BR Life:

 

Laparoscopic Gastric Sleeve Resection:

  • Sleeve gastrectomy (also called gastric sleeve) is usually performed on extremely obese patients, with a body mass index of 40 or more, where the risk of performing a gastric bypass or duodenal switch procedure may be too large.
  • Laparoscopic Gastric Sleeve Resection (VBG) is safer than other procedures.
  • In this procedure, 80% of the stomach is stapled and removed which induces weight loss by restriction in food intake and early satiety, due to loss of hunger producing hormones.
  • Digestion and absorption is normal.
  • By eating less the body draws the required energy from its own fat stores and thus you lose weight.

Laparoscopic Gastric Bypass:

  • Gastric Bypass Procedures (GBP) divides the stomach into a small upper pouch and a much larger lower "remnant" pouch and then re-arranges the small intestine to connect to both.
  • GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.
  • The operation is prescribed to treat morbid obesity (defined as a body mass index greater than 40), type 2 diabetes, hypertension, sleep apnoea, and other comorbid conditions.
  • Digestion and absorption is normal.
  • By eating less the body draws the required energy from its own fat stores and thus you lose weight.
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