Obesity today is recognized as a health problem of epidemic proportions. Obesity refers to a spectrum of problems of excess weight ranging from mild overweight to the morbidly obese. Patients with morbid obesity do not respond to medical means of weight loss. Efforts to treat morbid obesity through controlled diets, behavior modification and exercise programs are only temporarily successful with the patient invariably regaining even more weight than the amount lost. Obesity surgery is the only method by which long-term weight loss can be achieved in these patients. Seven to nine percent (7-9%) people in India are overweight, of which 20 - 25% are morbidly obese which amounts to a staggering 2 - 2.5 million people. Incidence of child hood obesity is on the rise due to changing lifestyles. These people are more likely to develop obesity related complications at an earlier age.
If not addressed today this problem is likely to compound imposing heavily on medical resources.
Symptoms that indicate obesity in a person:
Type II Diabetes
High Blood pressure / heart disease
Osteoarthritis of weight bearing joints
Sleep apnea / respiratory problems
Gastro esophageal reflux / Heartburn
Infertility / menstrual irregularities
Swollen legs / skin ulcers
Urinary stress incontinence
Extremity Venous stasis
Dyslipidemia (lipid metabolism abnormalities)
The treatment surgical options available are as follows.
45 kg. or more above ideal body weight or a BMI OF 40 or greater
BMI of 35 or greater with one or more obesity related health conditions.
Advantages of a bariatric or obesity surgery:
Following are the prime advantages of a bariatric or obesity surgery:
High Blood Pressure can often be alleviated or eliminated by weight loss surgery.
High Blood Cholesterol in 80% of patients can be alleviated or eliminated and in as little as 2-3 months post-operatively.
Heart Disease in obese individuals is certainly more likely to be experienced when compared to persons who are of average weight and adhere to a strict diet and exercise regimen. There is no hard and fast statistical data to definitively prove that weight loss surgery reduces the risk of cardiovascular disease, however, common sense would dictate that if we can significantly reduce many of the co-morbidities that we experienced as someone that is obese, we can likewise that our health may be much improved if not totally restored.
Diabetes Mellitus can usually helped and based upon numerous studies of diabetes and the control of its complications, it is likely that the problems associated with diabetes will be arrested in their progression, when blood sugar is maintained at normal values.
Abnormal Glucose Tolerance, or Borderline Diabetes is even more likely reversed by gastric bypass. Since this condition becomes diabetes in many cases, the operation can frequently prevent diabetes, as well.
Asthma sufferers may find that they have fewer and less severe attacks, or sometimes none at all. When asthma is associated with gastroesophageal reflux disease, it is particularly benefited by gastric bypass.
Sleep Apnea Syndrome sufferers can receive dramatic effects and many within a year or so of surgery find their symptoms were completely gone, and they had even stopped snoring completely!
Gastroesophageal Reflux Disease can be greatly relieved of all symptoms within as little as a few days of surgery.
Gallbladder Disease can be surgically handled at the time of the weight loss surgery if your doctor has cause to believe that gallstones are present.
Stress Urinary Incontinence responds dramatically to weight loss, usually by becoming completely controlled. A person who is still troubled by incontinence can choose to have specific corrective surgery later, with much greater chance of a successful outcome, with a reduced body weight.
Low Back Pain and Degenerative Disk Disease, and Degenerative Joint Disease can be considerably relieved with weight loss, and greater comfort may experienced even after as few as 25 lost pounds.
Gastric bypass operations combine the creation of a small
stomach pouch to restrict food intake and construction of bypasses
of the duodenum and other segments of the small intestine to
cause malabsorption (decreased ability to absorb nutrients from