Obesity can make life miserable. From unhealthy eating habits to unhealthy lifestyles and medical conditions, obesity can be an amalgamation of many factors. Obese people are a greater risk of suffering from many serious health complications like type-2 diabetes, mood swings, and depression, cardiac problems, high blood pressure and high cholesterol, to name a few. It does not stop there. More alarming is the fact that obese people are an increased risk of suffering from different types of cancer.

Bariatric surgery comes as a saviour for highly obese people (with a BMI over 40), who have tried every possible treatment under the sun to lose weight without any success. Bariatric surgery has helped many severely obese people attain a healthy weight. Bariatric surgery can be of three types;

Gastric bypass surgery (Roux-en-Y): This is one of the most common types of weight-loss surgery practised worldwide. The procedure involves rearranging (dividing) the stomach into a smaller upper pouch and a larger lower part. The smaller pouch is then connected to the small intestine. The food consumed will pass into the small intestine through the pouch. The idea is to rearrange the stomach in such a way that a person consumes a lesser quantity of food.
Gastric banding (Laparoscopic Adjustable Gastric Band): In this procedure, the surgeon creates a small pouch at the upper part of the stomach by placing a band (lap band or A-band) around it. The pouch, true to its name, is used to hold the food consumed. The purpose of placing a band around the stomach (upper part) is to reduce the intake of food.
Sleeve Gastrectomy (Gastric Sleeve surgery): In Sleeve Gastrectomy, surgeons remove a large portion of the stomach, leaving behind only a small sleeve-like pouch (hence the name). Like the other two surgeries, sleeve gastrectomy also aids in limiting the consumption of food.
Duodenal switch: The fourth type of bariatric surgery, Duodenal switch with biliopancreatic diversion, is not very commonly used. Bariatric surgery has several health benefits. In addition to the weight loss, it plays a pivotal role in lowering the incidences of Type-2 Diabetes, depression, anxiety, coronary artery problems, sleep apnea cardiovascular diseases.
Research also suggest that bariatric surgery has been instrumental in reducing the chances of cancer (especially colon and breast cancer) by as much as 60%. The correlation between weight loss and reduced cancer instances is still a debatable topic. Some researchers and oncologists believe that the weight loss (bariatric surgery) brings about a hormonal modification which prevents the growth of tumour cells. Another study links obesity with an increased inflammation. In many cases, inflammation acts as a catalyst, accelerating the growth of cancer cells. Research is still going on to understand this correlation (obesity and reduced cancer rates) better.

Bariatric surgery has its share of risks and demerits. Consult your physician and get yourself thoroughly examined before opting for the surgery.

Does Bariatric Surgery Reduces The Risk Of Cancer?

Ever heard of that phrase  I can taste bile at the back of my mouth ? It is generally used to express disgust. However, in medical parlance,  bile , the English synonym for disgust, plays an important role in the digestive system. It helps in the digestion of fats (breaks the fats down to smaller particles) and contains the waste products of the blood. Bile is secreted from the gallbladder which is a small organ (sac-shaped) present below the liver.

Gallbladder surgery is carried out to treat gallbladder related problems such as gallbladder stones. Presence of gallstones in the gallbladder can hamper bile production. The symptoms that you may experience include feeling unwell and fatigued, the color of the skin turning yellow and an intense tummy ache. The first method of treatment for gallstones is to dissolve them with the help of natural means. However, if this does not work, then gallbladder surgery is done.

Pre-surgery
A pre-surgery assessment is carried out by the doctor a few weeks prior to the surgery. A general health check and blood tests are carried out to determine the procedure of the surgery. Your concerns regarding the surgery are addressed by the doctor; he/she also advises you on how to prepare for your surgery.
Procedure

Gallbladder surgery can be performed in two ways; an open surgery or a laparoscopic surgery. The type of surgery you will undergo will depend on your tests.

Laparoscopic surgery: In this procedure, an incision is made on the belly button (naval region). Following this, two or three other incisions are made on the right side of the stomach. Carbon dioxide is then pumped into the stomach to make the abdomen inflated and a laparoscope is then inserted to see the insides of the abdomen. Through the other incisions, surgical instruments are inserted to remove the gallbladder. Once the removal procedure is completed, the carbon dioxide is pumped out and the incisions are closed.
Open surgery: In an open surgery, a larger incision (as compared to laparoscopic surgery) is made in the abdomen, right below the ribs. The gallbladder is removed using surgical instruments and then the incision is closed.
Post-surgery: In case of laparoscopic surgery, the recovery period is shorter; around two weeks. An open surgery, on the other hand, requires a longer recovery period of 6-8 weeks. You can live a normal life without the gallbladder, as the bile will then directly travel to the digestive system. Mild symptoms of diarrhea and bloating may be experienced. However, they should be temporary and subside within a few days.

Gall Bladder Problems - Which Surgical Procedure Can Help?

Are you overweight and thinking about undergoing a weight loss surgery? If yes, then you can opt for a gastric bypass surgery in which certain changes are made to your digestive system. Due to these changes, the amount of food you consume gets limited and the absorption of nutrients also gets reduced. Hence, weight is lost due to a reduced appetite or stomach capacity. This surgery is undertaken by people who face severe health difficulties because of being overweight. Gastric bypass surgery is a very common form of weight loss surgery associated with fewer complications.

Why is it carried out?
A gastric bypass surgery is carried out to help you lose excess weight. This reduces the risk of several weight related health problems such as heart diseases, hypertension, severe sleep apnea, strokes, type 2 diabetes and gastroesophageal reflux disease. This surgery is undertaken when a person fails to lose weight after following several other methods.

Who is it for?
You can undergo a gastric bypass surgery only when your body mass index or BMI is 40 or higher, or when your BMI is between 35 to 39.9 and you also have a severe condition such as type 2 diabetes or high blood pressure. This surgery is not for all people who are overweight and several criteria have to be fulfilled before deciding on getting a gastric bypass surgery.

Procedure
This surgery has to be carried out at a hospital and the patient is given general anesthesia. The surgery depends on the individual situation of the patient and on the surgeon who will perform the surgery. Most bariatric or gastric bypass surgeries are carried out laparoscopically. A laparoscope, which is a small, tubular device with a camera attached to it, is inserted into the abdomen via small incisions. The camera allows the surgeon to see the inside your abdomen and perform the procedure. A laparoscopic surgery is efficient and the patient recovers faster than other modes of surgery. The surgery takes several hours to be successfully completed. The patient may have to stay at the hospital for five days.

Results
Gastric bypass surgery or bariatric surgery provides long-term weight loss. The amount of weight that will be lost depends on the surgical procedure and the patient s new lifestyle and habits. It is possible to lose more than 50% of the pre-surgery body weight within a span of two years. Along with weight loss, the surgery also improves and resolves various conditions related to obesity.

A gastric bypass surgery also improves a patient s ability to undertake regular activities. This improves the quality of life and the patient gains confidence and self-esteem. A successful gastric bypass surgery can change your life.

Gastric Bypass Surgery - Who Can Go For It?

We have for ages seen our parents and our grandparents reach out for a piece of jaggery at the end of every meal. Jaggery is healthier compared to refined sugar because of its deposition of phytochemicals and other important minerals. While many people do not choose jaggery because of its no-so-good-appearance, it is perhaps more sensible to consume it considering the host of health benefits it offers.

Here is a list of benefits that can be extracted from the consumption of jaggery.

Skin benefits: Jaggery nourishes the skin in the true sense of the word. Owing to the numerous amount of mineral and vitamin, it can eliminate common skin problems such as pimples and acne. It can negate dark spots, wrinkles delay the common signs of aging.
Digestive benefits: Jaggery plays a huge role in ensuring smooth digestion. It stimulates secretion of digestive enzyme. It, therefore, makes it easy for the body to quicken the process of digestion. It can also help to stabilize the bowl movement by keeping common digestion related disorders such as constipation, intestinal worms, indigestion at bay.
Blood: Jaggery does a great job in purifying the blood. It acts as a cleansing agent by filtering the blood from the toxic agents. It also keeps the hemoglobin count normal and help the body refrain from blood-related disorders such as anemia. Since the quantity of iron content in jaggery is plentiful, it successfully helps the body to stay healthy and negate deadly diseases. Furthermore, jaggery can help women to stay away from complicated menstrual related disorders, beat weakness and fatigue.
Weight loss: Jaggery s rich potassium content helps the body balance the electrolyte, build muscles and improve the metabolism of the body. Potassium also helps in managing water retention in the body. Both the factors coupled together helps in weight loss and beat fatigue, obese etc.
Blood pressure: The sodium and potassium content of jaggery helps the body maintain an effective adequate acidic level. This ensures that the blood pressure remains in the balance and the body refrains from undue blood pressure related disorders.
Antioxidants: Jaggery contains selenium, the latter is a rich source of antioxidants which can help the body to fight the free radicals and keep it at bay. The antioxidants also help the body to stay away from other ailments.
Respiratory health: Jaggery is a great source of food that can effectively fight various respiratory problems of the body. It can fight diseases such as bronchitis and asthma.
Body temperature: Jaggery helps to keep a normal body temperature. This is extremely beneficial for patients suffering from asthma since maintaining a steady body temperature is sacrosanct for patients suffering from this disease.

Jaggery (Gur) - 8 Amazing Reasons Why You Must Eat It!

7 anti-beauty habits that kill your looks the most!

You might be spending a lot to add to your beauty. But there are many bad habits which affect your beauty. Here is the list of the most common terrible habits which might be damaging your skin and health.

1. Squeezing pimples: when you pop a pimple, clogged pore is burst open releasing bacteria. These bacteria come in contact with your rest of the skin and increase the acne. Moreover, habit of squeezing pimples may also leave scars and pock marks. The best way to get rid of pimples is to use medicated/ antibacterial soap and let it heal itself.

2. Licking/ chewing your lips: chewing your lips make them even drier and chapped. It makes you to lick and chew your lips more often. Excessive lip biting also results into bleeding and infection. To avoid this, get yourself a good lip balm and apply regularly to moisturize and protect your lips.

3. Nail biting: nail biting result in ugly hands, fingers and nails due to cuticle biting. It can also result in infections of nails, mouth, finger and dental problems affecting your smile too. Work upon triggers to prevent these issues by yoga, manicure etc.

4. Smoking: smoking affects your skin making it dry and rough. It decreases the blood flow to the skin and damages your collagen and elastic which result into saggy and loose skin. Quit smoking.

5. Sleeping with makeup on: make up clog your skin pores and oil glands, making it difficult to breathe and prone to acne. To avoid this, spare sometime before going to sleep to cleanse your makeup and moisturize the skin well.

6. Ignoring the sunscreen: ignoring sunscreen in summer is exposing your skin to uv rays. Uv rays cause wrinkles and dry your skin giving you the older look. To protect your skin from uv rays, use sunscreen before half n hour of going out.

7. Inadequate sleep: inadequate sleep releases the stress hormone in the body. It also ages your skin by decreasing collagen from skin. Hence try getting enough sleep.

If you would like to consult with me privately, please click on'consult.


7 Anti-Beauty Habits That Kill Your Looks the Most!

What are Different Types of Bariatric Surgeries? 

Bariatric Surgery is one of the most popular options for obese people looking for a way to control their weight. To get bariatric surgery, one has to qualify for certain criteria like BMI (Body Mass Index), associated comorbidities like Diabetes, Hypertension, sleep apnea, infertility, hypercholesterolemia etc. There are many kinds of bariatric surgeries or weight loss surgeries, different surgeries work differently in order to give the desired effect, which is why it is important to understand these surgeries thoroughly. 

Weight loss surgeries are divided into different categories like - 

  Restrictive surgeries: Some bariatric surgeries are focused on limiting the amount of food that can be stored in the stomach. This allows a person to eat less than they used to, because of the limited capacity of the stomach. Sleeve gastrectomy, Adjustable gastric banding, Gastric imbrication, Gastric balloon surgery are examples of restrictive procedures. In sleeve gastrectomy, the stomach is divided into two halves first, then one half of the stomach is completely removed. The remaining part of the stomach is formed into a tube-like structure. This tube-like structure cannot hold enough food and restricts excessive food intake. It also limits the secretion of an appetite hormone called Ghrelin which limits the desire of a person to eat. 

  Malabsorptive procedures: In this procedure, a large segment of the small intestine is bypassed i.e the food is not allowed to enter a large segment of the small intestine and hence malabsorption will be there. Duodenal switch is a malabsorbtive surgery. 

To Summarize: The weight loss procedures that suit our Indian population are the Roux en Y gastric bypass and the sleeve gastrectomy. We do not come across any sign of malnutrition in patients who have undergone these procedures. For successful outcomes, vitamin, calcium and protein supplements are required. 

There are certain myths about bariatric surgery --- life will never be normal after the surgery, pregnancy is a problem after this surgery, one will never be able to eat after this surgery, marriage is a problem after this surgery etc. All these are incorrect as one live a better life after the surgery as one has shed the extra kilos, one is cured of existing problems like diabetes, high cholesterol, hypertension, obesity induced infertility and sleep apnea extra. IN FACT, the quality of life is phenomenal after this surgery. CHOICE of surgery depends on the existing BMI, existing associated problems and results of the investigations that are done prior to the surgery. Your surgeon is the best to decide the right procedure for you. As the procedure which your friend has undergone might not be good for you. Choice of procedure and proper follow up are the key points for a successful surgical outcome. 

  Combination of restrictive and Malabsorptive surgeries: In these procedures, the surgery is done on the stomach as well as the small intestine. It involves creating a small stomach pouch which is attached to the small intestine, thus bypassing a small segment of the small intestine to get the desired effect if the person has diabetes associated. The rest of the stomach produces important digestive juices and is also connected to the intestine so that it can transfer these digestive juices in it. As a part of the stomach and few centimetres of the small intestine are bypassed i.e food does not enter this part, the surgery is called the gastric bypass. The Roux en Y gastric bypass and the Mini Gastric bypass surgeries are examples of these combination procedures.

Bariatric Surgeries - Know Forms Of Them!

Don't wait any longer, manage your General Surgeon online with a Lybrate doctor today

Consult for General Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES