General Surgery & Laparoscopic Surgery

Bariatric surgery, also known as gastric bypass, is a procedure aimed at managing obesity and related health conditions. It is typically recommended for individuals classified as morbidly obese when traditional methods like diet and exercise are ineffective, and their excess weight causes significant health issues such as diabetes or high blood pressure. Advances in modern medical techniques now allow these surgeries to be performed using minimally invasive methods, such as laparoscopic and robotic surgery, resulting in reduced pain, fewer complications, and shorter hospital stays.

Types of Bariatric or Metabolic Surgeries:

Bariatric surgery is performed under general anesthesia, and the specific type chosen depends on several factors, including the patient’s health condition, body mass index, eating habits, any previous surgeries, personal preferences, and the risks associated with each procedure.

Gastric Bypass (Roux-en-Y): This procedure involves creating a small stomach pouch by sealing off the upper portion of the stomach, which is then connected to the small intestine. This limits food intake and reduces calorie absorption, as only a small amount of food passes through the new stomach pouch and intestine.
Sleeve Gastrectomy: In this procedure, approximately 80% of the stomach is removed, which reduces its size and the production of the hunger hormone. The smaller stomach holds less food, helping control appetite and maintain a healthier body weight.
Biliopancreatic Diversion With Duodenal Switch (BPD/DS): This two-step surgery starts with a sleeve gastrectomy. The second step involves bypassing a portion of the small intestine, limiting the absorption of nutrients and calories, while reducing hunger.
Single-Anastomosis Duodenal-Ileal Bypass With Sleeve Gastrectomy (SADI-S): Similar to BPD/DS, SADI-S includes a sleeve gastrectomy in the first step. In the second step, a portion of the small intestine is bypassed, which restricts the absorption of fat and calories but allows for more nutrient absorption compared to BPD/DS.

Preparing for Surgery

Before the surgery, a comprehensive evaluation is conducted to ensure the patient is mentally and physically prepared. Screening tests are performed to confirm that surgery is a safe option. A pre-bariatric diet is recommended to reduce abdominal fat, and patients are advised to avoid tobacco and alcohol.

Benefits of Bariatric Surgery

Significant Weight Loss: Most patients experience long-term weight loss, typically around 50% of excess weight, which is maintained over time.
Decreased Hunger Hormones & Enhanced Metabolism: The surgery helps reset the body’s metabolic system, reducing the chances of weight regain.
Improved Health Conditions: Bariatric surgery can improve or resolve various health conditions, such as heart disease, high blood pressure, type 2 diabetes, sleep apnea, and joint pain.
Better Quality of Life: Patients often find an improved ability to engage in daily activities, leading to greater independence and overall well-being.

Risks of Bariatric Surgery:

While bariatric surgery is generally safe, certain risks and side effects must be considered:

Surgical Complications: These can include bleeding, infection, anesthesia reactions, breathing problems, and gastrointestinal leaks.
Digestive Issues: Post-surgery complications like dumping syndrome, malnutrition, bile reflux, and gallstones can arise.

After-Surgery Care:

Patients are restricted from eating for the first two days following surgery to allow healing. Over the following months, they progress from liquid to soft food and eventually regular food. Regular follow-ups with the healthcare team are essential to monitor weight loss and address any complications.

Recovery Timeline:

Typically, patients spend 2–3 days in the hospital post-surgery, followed by several weeks of rest at home. Strenuous activities should be avoided for at least six weeks to ensure proper recovery. Mahaveer Hospital offers advanced bariatric surgery with comprehensive care and support to help individuals achieve long-term weight loss and improve their overall health.

Conditions Treated:

Hernias
Gallbladder disease
Appendicitis

Gastrointestinal disorders
Hemorrhoids

Our Team of Doctors:

Our team of General Surgery & Laparoscopic Surgery experts at Mahaveer Hospital consists of skilled and experienced professionals dedicated to delivering precise and advanced surgical care. Our surgeons are committed to providing personalized treatment, ensuring the best outcomes for each patient.