• Shantiomni Hospital is a multi-speciality medical centre established in April 1991

BARIATRICS

BARIATRICS

  • Launched on 17th Jan 2010 by Sreejoy Patnaik for the first time in Odisha & one of its kind in Eastern India. The department has a long list of consultants dedicatedly involved in counseling & guiding morbid obese patients & a physiotherapist to guide them & nutritionist for dietary planning.
  • Free awareness programme along with BMI counseling is being carried
    out in Cuttack & Bhubaneswar.
  • Obesity support group meetings are conducted every month.

BARIATRIC SURGERY

(Surgery for permanent weight loss)
“An effective treatment for combating obesity”

KONW MORE ABOUT BARIATRIC SURGERY

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Does Bariatric Surgery means Liposuction?

No. Liposuction is a cosmetic surgery / body sculpting surgery, where excess amount of localized fat is sucked out giving a proper shape to that part. Whereas bariatric surgery is a surgery done on intestinal system to reduce calorie consumption and metabolism.

Who is eligible for bariatric Surgery?

  • Patient’s BMI > 35 with 2 nos Co-Morbidities (Hypertension & Diabetes)
  • BMI > 40 with or without Co-morbidities
  • Patients having BMI > 40 or weighing 30 kg more than the normal weight
  • Patients who have failed medically managed weight-loss programmes
  • Age between 16-80 years
  • Persistently morbidly obese for at least 3-5 years
  • Capability to tolerate surgery
  • Absence of alcoholism

What are the types of surgery?

Basically two types of procedure

Restrictive Procedure (Aimed to reduce the food intake by reducing the size of the stomach)

  • Adjustable gastric band
  • Lap Sleeve Gastrectomy

Malabsorptive / Combination (Aimed to prevent absorption of the food along with reduction of the size of the stomach)

  • Roux-en-Y Gastric Bypass

LAP ADJUSTABLE GASTRIC BANDING

  • An adjustable silicon band is placed around the upper part of stomach which induces weight loss by restricting food intake.
  • Surgery can be reversed.
  • Digestion and obsorption is normal.
  • Pt looses 50% excess body wt. in 1st year. Maintains a wt. loss of 60% of excess body wt. even after 5 yrs.
    Lower morbidity rate.
LAP-ADJUSTABLE-GASTRIC-BANDING

LAP SLEEVE RESECTION

  • Its safer that other surgeries.
  • 80% of stomach is stapled which induces weight loss by restricting food intake and early satiety due to loss of hunger hormones.
  • Digestion and absorption is normal.
  • 50% of excess weight loss in first year and 70 – 80% at the end of two years.
LAP-SLEEVE-RESECTION

LAP ROUX-EN-Y GASTRIC BYPASS

  • Stapling is used to create as small, upper stomach pouch which restricts the amount of food to be consumed.
  • A portion of small bowel is bypassed that delays food from mixing with digestive juices.
  • Average of 77% of excess body weight loss a year after surgery.
LAP-ROUX-EN-Y-GASTRIC-BYPASS

ADVANTAGES OF SURGERY ON CO-MORBIDITIES

  • Quality of the life gets improves in 95% of patients.
  • Mortality reduced by 90% in a 5 years period.
  • Hypertension – reduced by 70%
  • Diabetes – reduced by 82% to 98% (No insulin or medicines required after 6 months).
  • Hypercholesterolemia – reduced by 65%
  • Osteo-arthritis reduced by 40%
  • Depression – reduced by 50%

CAN THE SURGERY BE DONE LAPAROSCOPICALLY

Yes. They are done laparoscopically, giving the advantages of

  • Short hospital stay i.e., 2 days
  • Less pain
  • Early return to work
  • Good cosmesis

Risk

  • All major surgery involves a certain level of risk.
  • Risks involved with weight loss surgery very according to procedure performed.

Complications

  • Re-operation rate 1%
  • Anastomotic leak 2%
  • Anastomotic stricture 3%
  • Wound infection 1%
  • Intestinal Obstruction 5%
  • Deep vein thrombosis 1%

Side Effects

  • Restriction of eating small meal indefinitely
  • Occasional Vomiting / Regurgitation
  • Minor hair loss
  • Constipation
  • Loose / Boggy skin (Later Body contouring)