Laparoscopic Bariatric Surgery
A Novel Approach to a Serious Problem
Bariatric surgery, also known as weight loss surgery, is a significant medical advancement for individuals struggling with obesity. Performed by the best bariatric surgeon in Mumbai, such as Dr. Anuj Naresh Singhi at Apollo Endoscopy & Robotic Obesity Centre, Mumbai, this procedure helps patients lose a substantial amount of weight over a period of 1 to 1.5 years. In addition to aiding weight loss, bariatric surgery helps in controlling or curing type II diabetes and other obesity-related health conditions (comorbidities).
Laparoscopic Approach to Weight Loss Surgery
In laparoscopic surgery, a small video camera is inserted into the abdomen, enabling the best weight loss surgeon in Mumbai to perform the procedure while viewing it on a video monitor. The camera and surgical instruments are introduced through small cuts (incisions) in the abdominal wall. This minimally invasive approach, offered by Dr. Anuj Naresh Singhi, uses the same principles as open surgery, achieving similar results in terms of excess weight loss.
Benefits of Laparoscopic Surgery
- Less post-operative pain
- Fewer wound infections
- Reduced risk of incisional hernias
- Faster recovery and return to daily activities
- Long-term maintenance of excess weight loss
A) Laparoscopic Gastric Banding
The adjustable gastric band is a hollow silicone band placed around the upper third of the stomach to create a small stomach pouch that initially holds 2 ounces of food and eventually holds 4 to 6 ounces. Creating this restricted stomach space leads to a long-lasting feeling of fullness because the nerves that signal the brain are located in the upper stomach.
Performed by the best obesity surgeon in Mumbai, this restrictive procedure results in excess weight loss of 60% to 70% within 1.5 to 2 years.
Significant Weight Loss
Patients in a 3-year U.S. clinical trial lost an average of 60% of their excess weight in the first year and 70% in three years.
Improved Health
Clinical trials show that gastric banding can resolve or improve common health issues associated with obesity.
| Health Problem | % of Gastric Band Patients |
|---|---|
| Type 2 Diabetes Resolved | 47.8% |
| High Blood Pressure Resolved | 43.2% |
| High Cholesterol Improved | 78.3% |
| Obstructive Sleep Apnea Resolved | 94.6% |
| Acid Reflux/GERD Resolved | 32.3% |
Additionally, patients experienced a 22% increase in good cholesterol (HDL) 36 months after surgery.
Quality of Life Improvements
Studies show that patients who underwent laparoscopic bariatric surgery with the best bariatric surgeon in Mumbai felt better, spent more time engaged in physical and recreational activities, experienced enhanced productivity, and reported greater self-confidence.
Reversibility
Since adjustable gastric banding does not permanently change the anatomy of the stomach or intestines, the gastric band can be removed if necessary. However, reversal surgery is complex, and patients often experience weight gain if they do not continue a healthy eating regimen after removal.
B) Laparoscopic Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy, performed at Apollo Endoscopy & Robotic Obesity Centre, Mumbai, is a safe and effective weight loss procedure where about 85% of the stomach is removed, leaving it shaped like a banana or sleeve. This is a restrictive procedure, resulting in 60% to 70% excess weight loss within 1.5 to 2 years.
Significant Weight Loss
Patients typically lose an average of 55% of their excess weight.
Improved Health
A clinical study on sleeve gastrectomy, performed by Dr. Anuj Naresh Singhi, showed the following health benefits:
| Health Problem (Comorbidity) | Result After Sleeve Gastrectomy |
|---|---|
| Type 2 Diabetes | 56% resolved; 37% improved |
| High Blood Pressure | 49% resolved |
| High Cholesterol | 43% resolved; 38% improved |
| Obstructive Sleep Apnea | 60% resolved |
| Acid Reflux/GERD | 57% resolved; 43% improved |
Reduced Healthcare Costs
Studies have shown that bariatric surgery can pay for itself in about 2 years. This is largely because it helps improve or resolve obesity-related conditions, such as type 2 diabetes and high cholesterol, thereby reducing the need for medications, doctor visits, and hospitalizations.
Quality of Life Improvements
As with other bariatric surgeries, sleeve gastrectomy patients reported feeling better, being more active, and benefiting from enhanced productivity and self-confidence.
C) Laparoscopic Gastric Bypass
Gastric bypass, performed by the best weight loss surgeon in Mumbai, is the most common bariatric surgery. It involves creating a small stomach pouch with staples, which restricts food intake. A Y-shaped section of the small intestine is then attached to the pouch, bypassing the first and second segments of the small intestine. This reduces the body's ability to absorb nutrients and calories. Patients can typically go home on the 3rd or 4th day post-surgery.
Significant Weight Loss
Patients lose approximately 61.6% of their excess weight in the first year, and at least two-thirds maintain a 50% reduction in excess weight for 10 years or longer.
Improved Health
A study showed a 96% reduction in the total number of serious health problems, such as type 2 diabetes, high blood pressure, and high cholesterol.
| Health Problem | % of Gastric Bypass Patients |
|---|---|
| Type 2 Diabetes Resolved | 83.7% |
| High Blood Pressure Resolved | 67.5% |
| High Cholesterol Improved | 94.9% |
| Obstructive Sleep Apnea Resolved | 80.4% |
Reduced Healthcare Costs
As with other bariatric surgeries, gastric bypass helps patients save money on medications and medical visits by improving or resolving obesity-related conditions.
Quality of Life Improvements
Patients feel better, engage in more recreational and physical activities, and experience improved productivity and self-confidence after surgery.
D) Laparoscopic Mini Gastric Bypass
This procedure, offered by Dr. Anuj Naresh Singhi, combines elements of both sleeve gastrectomy and gastric bypass. A long sleeve is created, and a portion of the small bowel is bypassed. This procedure results in 80% to 90% excess weight loss over three years.
Improved Health
Studies show that 98% of associated comorbidities, such as type II diabetes, hypertension, and sleep apnea, are resolved or significantly improved.
E) Intragastric Balloon
The intragastric balloon is a non-surgical treatment for obesity. A soft, expandable silicone balloon is inserted into the stomach via endoscopy, where it is filled with saline. The balloon occupies most of the stomach, creating a sensation of fullness, which helps patients eat less. This non-invasive option is offered at Apollo Endoscopy & Robotic Obesity Centre, Mumbai.
Benefits of the Intragastric Balloon
- A highly effective therapy for obesity without the need for surgery or pharmaceuticals.
- Patients typically lose 12 to 15 kg in 6 months.
- The balloon is removed after 6 months.
- Normal digestion and absorption are maintained.
- By eating less, the body uses stored fat for energy.
Advantages
- Less post-operative pain
- Fewer wound infections
- Reduced risk of incisional hernias
- Faster recovery and return to normal activities
Conclusion
Bariatric surgery, including laparoscopic weight loss surgery performed by the best obesity surgeon in Mumbai, offers a transformative solution for people struggling with obesity and related health conditions. Whether it's gastric banding, sleeve gastrectomy, or gastric bypass, each procedure offers unique benefits in terms of significant weight loss, improved health, and enhanced quality of life. With advancements in laparoscopic techniques, patients now experience quicker recovery times and fewer complications, making bariatric surgery a viable and effective option for long-term weight loss. For the best weight loss surgeon in Mumbai, consult Dr. Anuj Naresh Singhi at Apollo Endoscopy & Robotic Obesity Centre, Mumbai.
Frequently Asked Questions (FAQs)
- 1. What is the recovery time after bariatric surgery?
Recovery time varies depending on the type of bariatric surgery you undergo. Most patients can resume normal daily activities within 1 to 2 weeks. - 2. Who is a good candidate for bariatric surgery?
Candidates for bariatric surgery typically have a Body Mass Index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. - 3. How much weight can I expect to lose after bariatric surgery?
The amount of weight you can lose depends on the type of surgery and your commitment to post-surgery lifestyle changes. On average, patients lose 60% to 80% of their excess weight within 1 to 2 years after surgery. - 4. Will I need to follow a special diet after bariatric surgery?
Yes, after surgery, you will need to follow a specific diet to allow your stomach to heal and to maximize weight loss. The best weight loss surgeon in Mumbai will provide you with detailed dietary guidelines that typically involve starting with liquids, moving to pureed foods, and then progressing to solid foods. - 5. What are the risks associated with bariatric surgery?
While bariatric surgery is generally safe, as with any surgery, there are risks involved. Potential risks include infection, bleeding, blood clots, and vitamin deficiencies. Choosing the best obesity surgeon in Mumbai, like Dr. Anuj Naresh Singhi, can help minimize these risks. - 6. How long will I need to stay in the hospital after bariatric surgery?
Hospital stays typically range from 1 to 4 days, depending on the type of surgery and your overall health. Dr. Anuj Naresh Singhi and his team at Apollo Endoscopy & Robotic Obesity Centre, Mumbai, will closely monitor your recovery during your hospital stay. - 7. Will bariatric surgery help improve obesity-related health problems?
Yes, bariatric surgery has been shown to improve or resolve many health conditions related to obesity, such as type 2 diabetes, high blood pressure, high cholesterol, and sleep apnea. Patients undergoing surgery with Dr. Anuj Naresh Singhi report significant improvements in their overall health. - 8. Can bariatric surgery be reversed?
Some types of bariatric surgeries, such as gastric banding, can be reversed if necessary. However, procedures like gastric bypass and sleeve gastrectomy are generally permanent. Consultation with the best bariatric surgeon in Mumbai can help you understand the options and outcomes. - 9. What lifestyle changes will I need to make after surgery?
After bariatric surgery, you will need to make long-term lifestyle changes, including maintaining a balanced diet, regular exercise, and attending follow-up appointments. These changes are essential to achieving and maintaining weight loss success. - 10. Is bariatric surgery covered by insurance?
Many insurance companies offer coverage for bariatric surgery, but this can vary. It's important to check with your insurance provider for details. Apollo Endoscopy & Robotic Obesity Centre, Mumbai, can also assist in understanding your insurance coverage.
