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Obesity is the most rapidly growing health problem in the world and more than sixty million are affected. Moreover, there is a risk of heart disease and cholesterol for obese people. The search for the ideal weight-loss operation began more than 50 years ago because exercise and diet alone are ineffective in treating people with extreme and excessive obesity. Bariatric surgical procedures cause weight loss by limiting the number of foods the abdomen will hold, inflicting assimilation of nutrients, or by a mix of each stomachic restriction and assimilation. Bariatric is comes from the Greek words bars which indicate weight and strikes which means medicine. At least two percent of bariatric surgeries are done for medical tourism. Most countries like Mexico, Lebanon, and Romania provides the surgeries, and people from countries like the USA, UK, and Germany are taking up the surgeries. The rise of bariatric surgery is partly thanks to the epidemic of obesity within the US. As a result of this epidemic, the number of bariatric surgeries in 2003 was close to 103,000. Bariatric procedures additionally typically cause secretion changes. Most weight-loss surgeries nowadays are performed exploitation of minimally invasive techniques. The most common bariatric surgery procedures are stomachic bypass, sleeve surgical process, adjustable stomachic band, and biliopancreatic diversion with small intestine switch. Bariatric surgery is done due to the excess weight and reduces the risk of potentially life-threatening weight problems like heart disease and stroke, high blood pressure, and diabetes. There are two elements to the procedure. First, a little abdomen pouch, close to one ounce or thirty milliliters in volume, is made by dividing the highest of the abdomen from the remainder of the abdomen. Next, the primary portion of the tiny bowel is split, and therefore the bottom finish of the divided gut is noted and connected to the freshly created little abdomen pouch. The procedure is completed by connecting the highest portion of the divided to the tiny intestine more down so the abdomen acids and biological process enzymes from the bypassed abdomen and the initial portion of the gut can eventually combine with the food. The stomachal bypass works by many mechanisms. First, the same as most bariatric procedures, the freshly created abdomen pouch is significantly smaller and facilitates considerably smaller meals, which interprets into fewer calories consumed. Besides, as a result of there’s less digestion of food by the smaller abdomen pouch, and there’s a section of the bowel that might commonly absorb calories yet as nutrients that now not have food browsing it, there’s in all probability to some extent less absorption of calories and nutrients. Types of bariatric surgeries 1. biliopancreatic diversion with duodenal switch 2. Gastric bypass 3. Sleeve gastrectomy 4. Intragastric balloon. Biliopancreatic diversion with a duodenal switch is typically done only after the person tried to lose weight by improving diet and exercise habits. This surgery isn’t for everyone who is severely overweight. They likely will have an extensive screening process to see if the person qualifies. The person must be willing to make permanent changes to lead a healthier lifestyle both before and after surgery. This may embody long-run follow-up plans that involve observation of the nutrition, lifestyle and behavior, and medical conditions. Gastric bypass is also called roux-en-Y is a type of weight-loss surgery. when gastric bypass, swallowed food can enter this little pouch of the abdomen and then directly into the small intestine, thereby bypassing most of your abdomen and also the 1st section of your intestine. gastric bypass is one of the foremost normally performed kinds of bariatric surgery. gastric bypass is finished once diet and exercise haven’t worked or after you have serious health issues attributable to your weight. Sleeve gastrectomy also known as a vertical sleeve gastrectomy could be a surgical weight-loss procedure. This procedure is often performed laparoscopically, which involves inserting small instruments through multiple small incisions within the upper abdomen. throughout the sleeve surgical process, concerning eightieth of the abdomen is removed, deed a cylindrical abdomen concerning the scale and form of a banana. Limiting the scale of your stomach restricts the number of foods you’re able to consume. additionally, the procedure prompts secretion changes that assist with weight loss. These same secretion changes additionally facilitate relief conditions related to being overweight, like high pressure or cardiopathy. An intragastric balloon is a saline-filled balloon made with silicon attached to the stomach. It helps the person to lose weight as the amount of food eaten is less and even a small amount of food is enough to fill the person’s stomach. Before the procedure, there is various lab test to be done before the surgery. If you are taking any previous medication like blood-thinning medication, you have to inform the doctor about the medication so that they will change the routine of the medication. If people with diabetes, it is mandatory to inform the doctor and they will instruct the insulin and other medications. Before the weeks of the surgery, the person should be required to give up physical activity programs and need to prevent any tobacco use. Right before your procedure, there will be restrictions on consumption and drinking and the medications the person takes. The diet plan of pre-surgery should eliminate high-sugar foods or drinks. The person should consume a diet that has more protein content and also high carbohydrate foods are avoided. After the procedure, the person is allowed to eat for one to two days because to heal the stomach and digestive systems. For a few days, only liquid diets will be allowed. After that, some pureed diet will be given like seedless fruit like bananas, pears and so. After two months of surgery, solid diets are introduced to the diet. The person should not begin physical activities just after the surgery. Low-impact exercises should be done like walking and deep breathing exercise. The results of bariatric surgery are to provide long-term weight loss. The amount of weight you lose depends on your form of surgery and your change in lifestyle habits. it should be attainable to lose 0.5, or maybe a lot more or 70% to 80% weight loss, of the excess weight within 2 years. Can also improve your ability to perform routine daily activities, which could help improve your quality of life. The risk in Bariatric Surgery is dumping syndrome. It may cause nausea, vomiting, and dizziness due to this syndrome. Another is low blood sugar. After 2 to 3 years of the surgery, the person will experience unconsciousness and seizures. It may also lead to some irritation due to obstruction or holes in the stomach which is common in bariatric surgery. When does the bariatric doesn’t work, when the person doesn’t follow the recommended lifestyle such as not doing the regular physical fitness works or eating unhealthy foods? Who needs bariatric surgery, the person who is unable to lose weight through a standard diet or exercise setup. and also, the surgery was suggested by surgeons to people that have a body mass index of forty or more. Even people with serious weight-related diseases like sleep disorders, and high blood pressure is also appropriate people for these procedures. The treatment cost is expensive and costs around 2.5 to 5 Lakhs. In other countries like Mexico will charge you 8000 USD to 18000 USD. It may include costs like surgeon operation costs, operation equipment costs, Anaesthesia, and other follow-up treatments. Some of the risks involved in bariatric surgery are developing a kidney stone, the inability to eat some type of food. Some persons will be infectious to certain follow-up treatments. For example, if the person is a smoker, he has to quit smoking to get the desired result which he can’t quite suddenly. This surgery is done at a time when the body mass index is 40 or more than that and the person is between 35 to 40 years. One-third of the people are suffering from pain and nausea once after the procedure. However, these symptoms are just for a couple of days and may be resolved through medication. Replacement for the intragastrical balloon and their removal is quite rare. there’s a chance that the balloon may deflate which could become a risk. And this causes a blockage which might need another surgery. Some rare possibilities like ulcers or perforation of the abdominal would possibly occur. In Conclusion, Bariatric Surgery will help the person with obesity and people with deal with diabetes. There is also a huge setback for the surgery as the person needs to follow all the post-follow-up treatments carefully and the lifestyle of the individual will be changed. People have to do frequent physical fitness activities and should avoid most unhealthy foods even if they prefer to eat. Laparo Obeso Centre Pune Artemis Hospital, Gurgaon Fortis Memorial Research Institute Gurgaon Apollo Spectra Hospital New Delhi Max Super Speciality Hospital Wockhardt Hospital Mumbai Indraprastha Apollo Hospital, New Delhi Asian Bariatrics — Obesity Centre Medanta Multi Super Speciality Hospital Gurgaon Saifee Hospital Mumbai Gleneagles Global Hospitals Explore low-cost Bariatric surgery in India, starting from 2000-6000 USD. A comprehensive guide on bariatric surgery cost with different countries.
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