Centre For Obesity & Metabolic Surgery

Obesity And Metabolic Surgery

The Centre for Obesity and Metabolic Surgery (COMS) at BLK-Max Super speciality Hospital is recognised as a Centre of Excellence by the International Excellence Federation for Bariatric & Metabolic Surgery. The Centre is especially sought for its excellent results, unique personalised experience, and guidance not only during the surgery but also throughout the entire weight loss journey and beyond.

A comprehensive team of surgeons, endocrinologists, interventional endoscopists, bariatric and metabolic endoscopists, weight loss specialists, anaesthetists, intensivists, physiotherapists, dieticians and support staff including counsellors and physiologists strive to deliver quality care and provide constant support with empathy and passion. With a vast experience of Bariatric Surgery operations, the team has a very comprehensive program of data capturing, follow-up and research. Thereby, making significant contributions in the science of obesity and metabolic diseases. The Centre aims to provide the predictable, seamless, and safe experience throughout the weight loss and Bariatric Surgery procedure.

Various Bariatric Surgery Procedures Offered At The Centre Include: Bariatric Surgery can be a minimally invasive or non-invasive surgery that is performed using advanced laparoscopic, endoscopic and robotic techniques. The major types of Obesity & Metabolic Surgery that we perform at the centre include:

Sleeve Gastrectomy

Also known as vertical sleeve gastrectomy, it is a weight loss procedure in which a stomach reduces about 15% of its original size, resulting into a sleeve or tube like structure. Thereby, restricting the amount of food one can eat on a daily basis.

How Is Sleeve Gastrectomy Performed?

It is laparoscopic surgery that involves the removal of most of the stomach by resizing it. A surgeon makes a few small incisions in the upper abdomen and perform the surgery using a laparoscope and small instruments that are inserted into the body through these incisions. The surgeon then vertically creates a narrow section in the upper part of the stomach which is in the shape of a sleeve and is called a gastric sleeve, by removing the larger, curved part of the stomach. The surgery restricts the amount of food one can eat and also curb the hunger hormone, ghrelin.

What Are The Advantages Of Sleeve Gastrectomy?

Stomach reduced without loss of function
Ideal for morbidly obese personality
70-80% expected weight loss
A lower risk of the infection
Less pain
Smaller scars
Quicker recovery
Shorter hospital stay

Gastric Bypass

It is one of the most common weight loss procedure that alters the functioning of the stomach and small intestine. After the surgery, the stomach will become small and a patient will eat a small amount of food, thereby, absorbing fewer calories.

How Is Gastric Bypass Performed?
Also known as "Roux-en-Y" gastric bypass or RYGB is a minimally invasive surgery that is performed in two parts

Part 1: The surgeon staples your stomach, creating a small pouch of the stomach. This staple makes the stomach smaller, thereby making less space food which makes you feel full sooner.
Part 2: The surgeon cuts the small intestine and attaches the lower part of it directly to the small stomach pouch. The food a person eats goes directly to the small intestine bypassing the stomach, so the body absorbs very few calories.The surgery is performed using a laparoscope. A surgeon makes small incisions and inserts a thin laparoscope with a camera on its top, inside the body to perform surgery.

What Are The Advantages Of Gastric Bypass?

A patient loses around 70-80% of their excess weight within 2 years
Resolving comorbidities such as diabetes, sleep apnoea, hypertension, heart disease, and dyslipidaemia
A lower risk of the infection
Less pain
Smaller scars
Quicker recovery
Shorter hospital stay

Endoscopic Sleeve Gastroplasty (ESG)

It is a newer type of weight-loss procedure which shrinks the size of the stomach using an endoscopic suturing device without the need of the surgery.
How Is Endoscopic Sleeve Gastroplasty Performed?
Endoscopic Sleeve Gastroplasty (ESG) is a non-invasive, advanced day-care endoscopic procedure that involves the use of a thin, flexible endoscope with a camera and an endoscopic suturing device attached to its tip. The doctor inserts the endoscope orally down the patient’s throat into the stomach and operates inside the stomach without making an incision in the abdomen.With the help of the camera attached to an endoscope, the doctor looks inside the patient’s stomach on the monitor and performs the surgery by placing approximately 12 sutures in the stomach. Thereby, changing the shape of the stomach, which after surgery, looks like a tube (as the gastric volume of the stomach reduces by 50 – 60%). This helps in restricting the number of calories a patient intake.

What Are The Advantages Of Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Gastroplasty (ESG) is one the advanced procedure that helps in losing weight without surgery. It is a life-altering weight loss transformation that offers many advantages, such as:

The safe, incisionless procedure with no external scar
The day-care procedure with same-day discharge
Significant weight loss of up to 20% of the total body weight
Reduced risk and rapid recovery
No removal of body parts

The Bariatric Surgery procedures offered at the centre not only results in impressive weight reduction but also for the remarkable control of blood sugar levels in Diabetes Mellitus and curing snoring due to life-threatening Obstructive Sleep Apnoea has been extensively studied in the Centre and papers presented in national and international journals and conferences.

What Are The Various Indicators Of Obesity & Metabolic Surgery?

A person has to undergo Obesity & Metabolic Surgery if he encounters conditions such as:

If you have a body mass index (BMI) is equal to or greater than 40 (extreme obesity)
If your body mass index (BMI) is in between 35 to 39.9 (obesity) and you are a candidate for potentially life-threatening weight-related health problems, such as:
- Gastroesophageal Reflux Disease
- Heart Disease
- High Blood Pressure
- Severe Sleep Apnoea
- Type 2 Diabetes
- Stroke

In rare cases, a patient might be prescribed to undergo weight-loss surgery if his/her BMI is 30 to 34 and is suffering from serious weight-related health problems.

Are You A Candidate For Obesity & Metabolic Surgery?

A doctor might evaluate the patient’s current medical condition to know whether he/she is a candidate for Obesity & Metabolic Surgery. You may advise undergoing general, gastric bypass and other weight-loss surgeries if you have:

Severe obesity -BMI equals to or greater than 40 or a patient weighing more than 100 pounds over ideal body weight
Severe obesity with significant obesity-related conditions -BMI >40, BMI 35-40 with significant obesity-related conditions (type 2 diabetes, high blood pressure, sleep apnea or high cholesterol)

A patient is considered for surgery if he/she shows:

Acceptable operative risk
Understands surgery and risks
Absence of drug or alcohol problem
No endocrine causes of obesity
No uncontrolled psychological conditions
Failed attempts at medical weight-loss (diets, other weight-loss options)

What Are The Precautions One Must Take After Obesity & Metabolic Surgery?

The patient must follow the following precautions after the Liver Transplant:

Avoiding drinking alcohol
Take prescribed medicine on time
Go on regular check-up with the doctor.
Eating less fatty foods, including red meat, eggs and cheese
While you eat, be slow and chew small bites of food
Exercise daily as suggested by your doctor
Maintain a healthy weight.
Control of metabolic risk factors like:
- High blood pressure
- Diabetes
- Cholesterol
Cutting down the intake of sugar salt in the diet
Avoid eating wild mushrooms

Are There Any Complications Involved?

Obesity & Metabolic Surgery also called bariatric surgery, is one of the safest and most effective treatment options for people affected by severe obesity. It is surgery of the stomach and/or intestines to help the patient lose weight by making a change in the digestive system. However, the surgery might offer mild complications, such as:
Risks associated with the surgical procedure can include: