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Bariatric Surgery in India - Weight Loss Treatment

Bariatric Surgery In India - Weight Loss Treatment

You will need Bariatric Surgery to develop dumping syndromes. It involves partial or complete removal of the stomach to cause weight reduction. Dumping syndrome can also develop in people with an esophageal surgery experience.

Such people usually have an obese inclination. Its leading symptoms include abdominal cramps and diarrhea that come up within half an hour post-meal. However, in the initial phase, symptoms may develop between one and three hours after having lunch and dinner.

Symptoms

Early symptoms of dumping syndrome include nausea, vomiting, abdominal cramping, and diarrhea. Usually, these generate after 10 to 30 minutes after a full-belly meal.

Other primitive signs include:

  • Bloating or feeling completion after consuming a little amount of food.
  • Face flushing.
  • Profuse perspiration.
  • Dizziness.
  • The heartbeat becomes faster.

Advanced dumping syndrome symptoms occur usually after one to three hours; these appear if an obese patient consumes a sugar-rich diet.

Signs leading to a Bariatric Surgery retain for long. This occurs when our body releases a high amount of insulin to absorb the sugar contents in our diet. You become prone to a low-level blood sugar afterward. These signs include:

  • Body shaking.
  • Fatigue.
  • Confusion.
  • Obtrusive hunger.
  • Dizziness followed by lightheadedness.
  • Flushing or high perspiration.
  • Weakness.
  • Rapid pulse rate.

Time to see your doctor

You should consult your doctor if got any of those symptoms:

  • If your symptoms remain after a dietary change.
  • Unexpected weight loss.
  • If the signs/symptoms resemble dumping syndrome.

Causes

There are two types of reasons. In the first-level consulting, doctors target the early-stage disease. They treat other signs during the subsequent processes.

  • You gain a primitive dumping syndrome when sudden food entry into the intestine. It removes a huge amount of fluid from the bloodstream to the intestine. Such excess fluid causes bloating and diarrhea.
  • Intestine release substances that enhance pulse rate; it also decreases blood pressure. These occurrences lead to faster heartbeat and dizziness.
  • Late signs begin when our blood has an extra amount of starch. It increases blood sugar levels in our bodies. To combat this, our pancreas releases an excess amount of insulin. It removes overloaded sugar content from the blood. Such an extra rise in insulin sometimes drops the blood sugar too.

Treatment

Doctors conduct Bariatric Surgery under different principles. However, the operation specifics depend on the patient’s overall medical condition. Your preference is seriously considered while fixing the treatment policy.   

Three types of surgical procedures exist. Surgeons prefer to have the laparoscopic processes for its two-fold benefits. These include:

  • Small incisions that take much less time to heal.
  • Your recovery time is low too.

Each of the types has its relative merits and drawbacks.

Roux-en-Y gastric bypass

This non-reversible procedure is the commonest Bariatric Surgery type. Your surgeon aims to decrease the patient’s food consumption in a single sitting. The process effectively reduces the number of consumable nutrients.

H/she cuts across the stomach-top, and seals it off from the rest of the food canal. The resultant walnut-shaped pouch consumes too little food.

Then, your surgeon cuts the intestine; then h/she stitches part of it onto the developed pouch directly. Food bypasses the main organ and is transferred into the small stomach pouch, finally into the small intestine. You consume that very amount of food needed to continue the physiological activities.

Sleeve gastrectomy

In this process, most of the stomach is removed leaving a long and tubing pouch. Surgeons aim to make you consume lesser food.

This procedure has two-fold benefits. First, the patient undergoes remarkable weight loss; no intestine rerouting follows it. Secondly, the recovery period is much shorter than other procedures.

Biliopancreatic diversion with duodenal switch

It’s a two-part surgical process.

  • The first one involves the removal of the stomach.
  • During the other part, your surgeon connects the intestine ends to the duodenum.

Exercise and/or diet often fail to offer effective cure treatment for obese people. Doctors recommend Bariatric Surgery for such people; the procedure can produce effective weight reduction. Studies have even revealed that the process has lessened down the death rates for acute obese people.

Doctors suggest an effective and nourishing diet for the patients. They also recommend accommodating lifestyle changes in post-operative procedures too.

Surgery Principles

Doctors perform the operation to control your food intake so that organs like the stomach and intestines are not strained from much foodie suppression.

Our digestion process begins in the mouth as soon as we complete the chewing process. These are then transferred to our stomach after making mix-up reactions with saliva and various other enzyme-enriched secretions.

In this region, it combines with digestive juices; then these are broken down to release nutrients and energy calories into our bodies. The process excels as it moves into your duodenum. At the duodenum, it combines with bile and various other ingredients like pancreatic juices.

Bariatric surgery aims at interrupting the patient’s digestion process. It hinders the breaking of food into nutrient and energy constituents. These are then absorbed into our body system.

Reduction in the available nutrient and calorie quantum makes effective losing in weight. Losing weight for overweight people brings up healing.

Risks

Bariatric surgery is a major surgery process held under general anesthesia. Like other similar procedures, it carries several potential health-related risks. A potential candidate may have both short-term and continual health risks.

Common risks associated with such a process include:

  • Profuse bleeding
  • Infection that could be fatal.
  • Adverse reactions to the anesthetic medicines.
  • Blood coagulation.
  • Breathing problems like shortness of breath.
  • Other breathing organ issues.
  • Leaks in the gastrointestinal system.
  • Death.

Bariatric weight-loss surgery carries several long-term risks followed by complications too. The nature and extent of such potent vary according to surgery types and characteristics. Potential risks include:

  • Gallstones.
  • Problems in bowel movement.
  • Bowel obstruction.
  • Hernia.
  • Ulcer.
  • Malnutrition.
  • Acid reflux.
  • Hypoglycemia, i.e. low blood sugar.
  • Dumping syndromes; may finally lead to diarrhea, flushing, lightheadedness, nausea, or vomiting.
  • You may have to undergo a revised procedure for some innate difficulties.
  • Patient’s demise.

Again, jeopardizes associated with bariatric procedures vary by its type too. For instance, processes like the gastric bypass and gastric sleeve have many common risks; yet, huge uncommon factors lie between these two.

You can adopt measures to lessen such risks. You can do it by:

  • Decreasing the Body Mass Index.
  • Do much more exercise.
  • Controlling evil addictive habits like smoking and drinking.

Diagnostic Process

Following tests are required to make the patient fully optimized about the process. Entire test cubicles should be over within six months before the surgery process. Properly done case finding would facilitate the potential to have the best available care to you.

Your doctor will recommend the following tests. The primary care physician can help you in completing most of these:

  • Blood Work

It combines the following tests:

  • Fe Panel.
  • HgbA1C
  • Homocysteine, C-reactive protein, lipoprotein a – it helps assess cardiac risk factors.
  • Lipid Panel.
  • B12
  • A complete metabolic panel including calcium and liver function tests.
  • Thyroid function tests.
  • Folate, combined with thiamine determination tests.
  • EKG
  • CXR
  • Cardiac echo; Combines HX of phen-fen or long-standing sleep apnea; there could be a cardiac risk screen too.
  • You will have instructions to stop smoking immediately. Illusory addictions like the use of steroids and taking immune suppressants should also help up with immediate effects.

Stress Test

It includes abnormal cardiac echo, family HX, IDDM, and HTN. A 20-pack year medical history is needed for people above 50 years of age. The doctors put stress upon factors like elevated lipids, CRP, lipoprotein a, homocysteine.

Greenfield Filter

The test is recommended if your medical history includes blood freezing in the leg and lungs. Other hues may comprise severe sleep apnea in some less-weight people.

Such clotting could be fatal and the Greenfield filter resists that. These filters are removed after 2-4 weeks after your surgery is over.

My verdict

Bariatric Surgery processes could produce extremely effective output in limiting your food consumption. Avoiding unnecessary dietary absorption has effectively helped obese people to avoid malnutrition and vitamin deficiencies.

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