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Obesity Surgery

Obesity poses a serious health risk. In Obesity disease patient has excess body fat that is enough to cause harm to your health. A person with body mass index (BMI) greater than 35-39.9 is generally considered as obese and morbidly obese when it is greater than or equal to 40. If in time proper measures are not taken then things may get serious. A large number of disorders which are known as co-morbidities accompany severe obesity. On both health and quality of life these obesity related co-morbidities have adverse impact. The life expectancy of a person may also be shortened due to Severe obesity.

Body Mass Index (BMI)

The ratio between a person’s body weight and height is expressed by Body Mass Index.

BMI= Weight in Kilograms/(Height in metres)2

  • Classification
  • Overweight = 25-29.9 BMI
  • Obesity 1 = 30-34.9 BMI
  • Obesity2 = 35-39.9 BMI
  • Morbidly Obese > 40 BMI

Since its symptoms develop gradually Obesity is a chronic disease. Joint pain, back aches, breathlessness and skin problems may also be caused by Obesity. Morbid obesity may also lead to life threatening conditions in severe conditions such as type 2 diabetes, high blood pressure, high cholesterol levels ,sleep apnoea and cancer.

Treatment Options

  • 1) Psychological support
  • 2) Diet and Behavioural Therapy
  • 3) Pharmacotherapy
  • 4) Obesity Surgery

A multi-disciplinary approach is needed in Obesity Treatment. Obesity surgery may be an option to be considered with behavioural modification if conservative methods do not prove fruitful. For long term weight loss Obesity surgery is a proven method.

Obesity Surgeon-Indications

  • 1) BMI is 40 and above
  • 2) BMI is 35 or above with co-morbidities (obesity related health conditions)

Obesity Surgery Options

1)Laparoscopic Gastric Banding

A soft band is placed around the stomach in a laparoscopic gastric banding procedure. This makes person feel full sooner and for a longer time by reducing the amount of food intake at one time. Hence body weight is reduced due to less food intake.

2) Laparoscopic Gastric Bypass Surgery

The size of the stomach is reduced and the digestion process is altered in a laparoscopic gastric bypass surgery. Roux-en-Y gastric bypass is the current gold standard procedure for modern weight loss surgery According to the American Society for Bariatric Surgery (ASBS) and the United States National Institutes of Health (NIH).

3) Laparoscopic Sleeve Gastrectomy

The hunger is significantly reduced as the stomach is reduced to a narrow sleeve. This makes person feel full sooner and for a longer time.

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