Obesity results from the excessive accumulation of fat that exceeds the body’s skeletal and physical standards. According to the United States National Institute of Health (NIH), an increase in 20% or more above your ideal body weight is the point at which excess weight becomes a health risk.
For every 10 extra kilograms above the stipulated body weight (measured according to height), life expectancy of a person reduces by three years.
What is morbid or clinically severe obesity?
Obesity becomes morbid when it reaches the point of significantly increasing the risk of one or more obesityrelated
health conditions (also known as co-morbidities). This results either in significant physical disability
or even death. Morbid obesity is a serious and chronic disease, and its symptoms build slowly over an
extended period of time.
What are the risks of obesity?
Obesity is a risk factor for life-threatening diseases, including:
- High Blood Pressure (hypertension)
- Heart Disease
- Obstructive Sleep Apnoea
- Heartburn or Acid Reflux Disease (GERD)
- Cancer (in women: endometrial, gallbladder, cervical and uterine;
in men: colorectal and prostate)
Are you a suitable candidate for this surgery?
If you are someone for whom non-surgical procedures have failed to provide sustained weight loss, you can be
evaluated for, and if appropriate, undergo life-saving weight loss surgery. This surgery is known as Bariatric
Surgery (also known as metabolic surgery). Bariatric surgery is a major operation, and if you’re considering it,
you must make a serious, lifelong commitment to lifestyle changes.
Our program follows WHO guidelines for the selection of Asian patients. These guidelines have also been
endorsed by the Ministry of Health, Government of India. If you have a BMI (Body Mass Index) of 37.5 kg/m2 or
more, or a BMI of 32 kg/m2 or more, with illness related to excess weight, and have not been able to sustain
weight loss through diet and exercise, you probably are a candidate for weight-loss surgery.
If you do not meet these guidelines, or we find that you are not eligible for surgery for health reasons, don’t
despair. Through our intensive non-surgical weight management program, we can help you lose weight by
helping you change your eating habits, modifying your behaviour and increasing your physical activity.
What are the types of surgeries?
IA variety of bariatric procedures have been described, all of which can be carried out laparoscopically or
robotically. All of these involve the patient being under general anaesthesia, making 4-6 small cuts on the abdomen
ranging from 5-12 mm in size, and lasting for about 1-3 hours.
Bariatric surgical procedures work on the principles of restriction, malabsorption or both. Restrictive procedures
limit the intake of food, and malabsorptive procedures affect the absorption of food through the alimentary tract.
In addition, these procedures cause a variety of hormonal changes in the body, thus reversing diseases like
Type II Diabetes Mellitus, Hypertension, raised cholesterol, PCOS and infertility.
Studies show that the risk of death from these conditions drops significantly after weight loss.