At Moolchand Bariatric Centre, an expert multi-disciplinary team works towards solving a patient’s weight problems. This entails a comprehensive workup including tests and investigations, psychological and emotional support before and after surgery for the best chances of weight loss success. The surgery itself is not the whole answer. A multidisciplinary team of surgeon, dietician and psychiatrist is needed to help the patient lose and keep weight off. The goal is not only weight loss, but also the reversal of serious medical conditions.

Given the cost advantage of medical treatment in India, we cater to patients from around the globe for weight loss surgery. We are the preferred hospital of choice for many foreign governments, corporates and dignitaries. Our dedicated International Helpdesk assists international patients for all their medical, and travel and accommodation needs.

Bariatric surgery is generally referred to as weight loss surgery. When other fat reduction methods such as diet management and physical exercise, are not effective; bariatric surgery is the best alternative to lose and manage weight in a planned manner.

Obesity is determined according to one’s BMI. BMI measures weight for height of a person. It is a measure for obesity in numbers.

                         Weight (in Kgs)
BMI =   --------------------------------------------------------
           Height (in meters) X Height (in meters)

One can consider bariatric surgery as an effective weight loss option if a person has any of the following conditions:

• BMI > 32 with co-morbid disease (hypertension, diabetes, heart disease, joint problems, reflux)
• BMI > 34 without co-morbid disease
• BMI > 30 and have tried several weight loss methods over a period of one year
• Unable to reduce weight under a medically supervised program
• Do not suffer from depression
• No history of alcohol abuse
  
  

Weight-loss surgery involves limiting the amount of food consumed by a person. Such surgeries can be of 3 types - restrictive, malabsorptive or a combination of the two.

Restrictive: Involves reducing the size of the stomach so that satiety is reached with eating very small meals

Malabsorptive: Involves bypassing the part of the small intestine so that there is less opportunity for the calories from food eaten to be absorbed

At Moolchand, depending on patient condition and requirement, we may recommend any of the 3 types of bariatric surgeries:

Laparoscopic Sleeve Gastrectomy In sleeve gastrectomy approximately 60% of the stomach is removed through a laparoscopic procedure. The portion of the stomach that produces the hunger stimulating hormones is removed. Here stomach takes the shape of a tube or “sleeve” whose capacity is around 50-70cc. Though, the stomach volume is reduced but it tends to function normally and consumes food items in small amounts. This is an ideal procedure for morbidly obese people. Patients can expect loss of 70-80% of excess body weight over a period of 2-3 years.

Laparoscopic Roux en Y Gastric Bypass Gastric bypass surgery involves weight-loss by making the stomach smaller. In this surgery, a part of the stomach is stapled to create a small pouch and is connected to the distal small intestine. TThe upper part of the small intestine is then re-attached in a Y-shaped configuration connecting two parts of the intestine together. Bypassing a part of the intestine results in fewer calories being absorbed and elimination of hunger hormone (Gherlin). Thus, the amount of food consumed is reduced resulting in weight loss.

Laparoscopic Adjustable Gastric Band In this surgery, a band is placed through small incisions in the stomach and is placed around the upper part of the stomach. This creates a “new stomach” that accepts a small fraction of food amount. The surgery restricts the amount of food consumed and significantly reduces the appetite for gradual weight loss. The lap band is an adjustable and reversible procedure. This surgery helps the person achieve permanent weight loss and helps reduce health risks associated with obesity.

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Certain co-morbidities are known to improve with weight loss. These include:

• High blood pressure
• High cholesterol
• Diabetes
• Asthma
• Respiratory insufficiency
• Sleep apnea syndrome
• Gastro-oesophageal reflux disease
• Gall bladder disease
• Stress urinary incontinence
• Lower back pain, degenerative disk and joints disease
  
  

To maintain weight loss after the surgery, you have to continue to eat less, change your dietary habits and increase physical activity. Weight reduction surgery helps you in changing your food behaviour by giving early satiety after a small meal and providing prolonged feeling of fullness so that you can adhere to the dietary control.

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