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Obesity - Know The Reasons And Available Treatment

Written and reviewed by
MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery, FBMS
General Surgeon, Pune  •  20years experience
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I am Dr. Satish Pattanshetti, General Surgeon. I am practising for the last 15 years. We do all general surgery, laparoscopic surgery, advanced surgeries and also bariatric surgery. Bariatric surgery is also known as surgery for obesity through laparoscopy. Obesity is a multi-factorial disease. Even WHO has said that obesity is the mother of all diseases. Because it leads to diabetes, hypertension, knee osteoarthritis, back pain, obstructive sleep apnea and host of other diseases. Obesity is more common in our urban population because of our faulty lifestyle. In young females, obesity is more common because of PCOS. Obesity increases because of faulty food during pregnancy. Post pregnancy also obesity increases because the mother is not able to take care of herself nicely. Even post menopause, obesity goes on increasing. So, it is more common in female because they do not know how is it happening and how to take care of the same. Obesity is increasing in men because of increased parties, increased alcohol intake, increased junk food.

Even kids are becoming obese because eating out or eating on every Saturdays and Sundays. So, how to control obesity? So, every patient treatment should be tailor-made because every patient is different. The first option is to always diet control. So, we have our dietitian & nutritionist who gives the patient a proper diet plan. So they give low calorie and high protein diet to chart. And it is customized according to the patient physic and nature. Because whatever is cooked into the patient's kitchen is entirely different from the others.

Every patient's taste buds are also different. With this diet plan, the patient tends to lose 5-10% of the weight. Then we have an exercise specialist and physiotherapist who takes care of the patient and starts the exercise. So, along with the diet and exercise, the patient is able to lose weight steadily and gradually every month. Even after following diet and exercises, few of the patients are not able to lose weight. So, we have 3 options for these patients to go towards medical therapy. There are a few of the tablets which helps you in losing weight and injection which is given once in a week. It reduces the appetite of the patient and promotes weight loss in the patient. Every month we follow the patient that how is the progress. Few patients are still there who do not get satisfactory results even after all these 3 therapies. So, what are the options for these patients? So, there are 2 options for these patients. One is endoscopy through which we put a gastric balloon in the patient.

It is a silicon-made balloon. We place this into the stomach. It covers half of the patient's stomach. And that is how the portion size of the patient gets reduced. The patient loses around 25-50 kgs. This balloon can be kept for 6 months or for 1 year. It depends on the patient's choice. It is a day care procedure. It is diet and exercise control plan and the patient loses weight. If still, they are not getting the solution, so, the last solution is bariatric surgery. There are 3 types of bariatric surgery. It is popular because it is done laparoscopically. Through just 5 holes that too less than 1 cm. Surgery is done in the morning and the patient is walking in the evening and within 3 days the patient is discharged and the patient goes home walking. This is done for the patient who wants weight loss more than 25 kgs, suffering from diabetes, hypertension, a patient who have knee arthritis or any other knee problem because of obesity.

Females who are not able to conceive and suffering from infertility because of obesity. Bariatric surgery is very much helpful for them. Bariatric surgery is of 3 types. First is sleeve gastrectomy. It is a procedure where we reduce the size of the stomach. It helps in decreasing the volume size of eating. the portion size of the patients gets decreased. The patient is able to achieve ideal weight what exactly they want in 6 months to 1 year of time. But there are some patients, who do not eat much but still, they are obese. It is because of decreased metabolism rate. So, for such kind of patients, gastric bypass surgery is very much indicated. Ismein jo patient calories leta hai, uska absorption nahi hota hai.

So, it is very important and beneficial surgery for those patient suffering from type 2 diabetes and eating less. 3rd procedure is known as mini gastric bypass. This is for those who like to eat but still want to lose weight. Many patients are there who says ki paet bharta hai lekin dil nahi bharta. Because they used to over-eating. So, all these surgeries gives good weight loss. Gives a resolution to many of your problems. They get your diabetes back to normal and their sugar comes to normal next day. Why? Because hormones secreted in the body which acts on pancreas to secret more insulin. That is why bariatric surgery is also known as metabolic surgery. And then patient says, that why this surgery was not recommended before. Next day they are off from insulin, sugar medications. So, it is a miracle or big boon for those patients who have diabetes, uncontrolled diabetes and after the surgery, they get a complete reversal of diabetes. so, I would like to recommend or suggest that patients who are over-weight by more than 25 kgs of their expected weight or ideal weight should undergo this surgery asap. because the earlier you do surgery, the results are much better and you can live a longer and healthier life.

Thank You!

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