Obesity Facts

Obesity Associated Problems

  • Fat storing cells(increased)
  • Fat storing cells(increased)
  • Changes fat and sugar metabolism
  • Increased risk of number of health conditions
  • Decreased quality of life
  • Increase blood pressure
  • Increase amount of fat in blood
  • Cardiovascular diseases (heart disease and stroke)
  • Affects body’s metabolism
  • Increased insulin resistance
  • Sugar accumulation
  • Increased blood sugar levelType 2 Diabetes
  • Increased stress on the joints
  • Degeneration of cartilage and bone
  • Excessive pain and restricts mobility
  • Arthritis
  • Constricts the airways
  • Breathing becomes more difficult during sleep
  • Sleep apnea
  • Overweight women
  • Difficulty in conceiving
  • Greater chance of developing complications during pregnancy
  • Increased risk of polycystic ovarian syndrome (PCOS)
  • Infertility

Benefits of Weight Loss

What are the benefits of weight lossing excess weight?
Losing excess weight can help you feel better, more confident and revitalized. Also, it may help to protect you against other conditions.
  • Migraine 57% resolved
  • Depression 55% reduced
  • Pseudotumor cerebri 96% resolved
  • Obstructive sleep apnea 74% resolved
  • Asthma 69% resolved
  • High cholestral 63% resolved
  • High blood pressure 69% resolved
  • Metabolic syndrome 80% resolved
  • GERD 72% resolved
  • Type2 Diabetes 83% resolved
  • Polycystic Ovarian syndrome 32, 79% resolution of hirsutism, 100% resolution of menstrual dysfunction
  • Urinary stress incontinence 44% resolved
  • Osteoarthritis/ joint disease 41-76% resolved
  • Venous stasis disease 95% resolved
  • Gout 72% resolved
  • Also improves,
  • Quality of life in 95% patients
  • Excess weight by 33% in 3 months
  • Excess weight by 59% in 2 years
  • Reduces mortality by 89% in 5 year period
  • Surgical intervention in suitably selected patients can be an effective treatment for obesity and helps to resolve many weight-related health conditions.

Weight Loss Option

There are a number of ways you can lose weight,
  • Diet
  • Exercise
  • Meditation
  • Endoscopy
  • Surgery
What is Bariatric Surgery?
It is abroad term used to describe a number of procedures that help people to lose weight. It works by reducing the amount of food you can eat or reducing the nutrients you can absorb.
Disease of obesity:
Obesity is no longer considered a cosmetic issue that is caused by overeating and a lack of self control. The World Health Organization (WHO), along with National and International medical and scientific societies, now recognizes obesity as a chronic progressive disease resulting from multiple environmental and genetic factors.

Why Diet’s fail?

95% of people, who try to lose weight, regain it within 2-5 years. What is the “SET POINT” Theory?
In the set point theory, scientists that our body decides how much we should weigh and fixes this weight as a “SET POINT”
  • Metabolically active tissues, such as the stomach, send messages to the brain.
  • The brain decides the amount of fat the body should store, called the “SET POINT”.
  • The brain signals the rest of the body to store fat to reach the “SET POINT”.
Diet: When we diet, the body thinks it is starving.
Fight: The body releases hormones to save energy and causes hunger.
Regain: Weight returns as the body tries to get back to the 1st point.
Why do i Regain Weight? :Even though changing your set point is hard, there are ways to help you achieve sustainable weight loss.

What is Bariatric Surgery

Bariatric surgery is a key hole / laparoscopic procedure to increase body’s metabolism by stimulating gut hormones. The stomach size is reduced and the passage of food in intestine is altered to achieve the desired result.
No fat is removed in this procedure. It’s not same as liposuction where in fat below skin is sucked out using special technique.
Bariatric Surgeries are restrictive, malabsorptive or a combination of both.
Restrictive Surgeries make the stomach smaller, helping the person consume less food and feel full sooner.
Malabsorptive Surgeries bypass part of the digestive system so fewer calories are absorbed from food.
What are the most common types of Bariatric Surgeries?
Sleeve gastrectomy
The stomach is stapled to form a thin sleeve and the rest of the stomach is removed, reducing the size of the stomach. Decreasing the stomach size makes you feel fuller sooner. However, food passes through the digestive tract in the usual order.
Gastric bypass
A small pouch is created from the stomach and is connected to the small intestine, bypassing part of the system. The remainder of the stomach is not removed. The surgery fulfills two goals i.e. making you feel full sooner as well as reducing the absorption of calories and nutrients in the body.
Mini Gastric bypass
The stomach is reduced by separating a tube-like pouch of stomach from the rest of the stomach. This tubular gastric pouch is connected (anastomosed) to the intestine, by passing up to 200cm of the upper part of the intestine. It is simple and reversible form of laparoscopic gastric bypass surgery.

Life after bariatric surgeries

Nutritional tips and lifestyle changes after bariatric surgeries, Small meal is always good divide your meal into breakfast, lunch, snacks and dinner each in small portion.
Be proactive:
Prepare a meal plan of full week in advance and buy food accordingly.avoid high fat,high sugar and junk food.
Be regular:
Have your meal at regular intervals every day
Fruit (1-3 servings daily):
Any fruits or 100% fruit juice
Starch (3-6 servings daily)
Such as wheat, rice, oats, cornmeal, barley, bread, pasta, oatmeal and breakfast cereals
Vegetables (3-6 servings daily)
Vegetable or 100% vegetable juice
Protein (approximately 226.80g to 255.15g per day)
Such as meat, poultry, seafood, beans and peas, eggs, processed soy products, nuts and seeds
Fat (4-5 servings daily)
Such as nuts (almonds, cashews, peanuts, pecans), vegetable oils (oilve oil, canola oil, peanut oil),peanut butter and almond and avocado.
Unsweetened beverage or water:
To be consumed ½ hour before or after, not with the meal

Myths and facts

What are some of the myths about bariatric surgery?
Is bariatric surgery very risky?
No ...though obesity surgery is a laparoscopic procedure. it is very safe with excellent results. The risk is comparable to the commonly done gallbladder and appendix surgeries
Bariatric surgery causes a lot of problems later
No .on the other hand, it helps to get rid of many obesity associated problems. Combined with healthy lifestyle, bariatric surgery can greatly improve your overall health and well-being.
Bariatric surgery completely destroys normal digestion
No... malabsorptive surgeries modify normal digestion so fewer nutrients are absorbed. After surgery, you may need to take vitamin and mineral supplements. So, it’s important to follow your surgeon’s advice to ensure you receive all the nutrients you need
I won’t be able to eat anything i like after surgery
No...You can eat almost everything, but in smaller quantities. It’s important to follow your dietician’s advice about what to eat and how to stick to your dietary habits I will have big scar on my body after surgery
No bariatric surgery is performed by making small cuts that leave very little scars.