Obesity Surgery Clinic
22,Grafficon Arcade,Sassoon Road,Opp.Jahangir Nursing Home,Pune 411 001.Tel.+91 20 603861.,+91 20 6683710/6683798.
OBESITY SURGERY CLINIC
22, Graffikon Arkade (first floor), Opp. Jehangir Nursing Home, Sasson road, Pune 411 001, India
Tel: 91-212-603861, 683710
Email: shrihari@giaspn01.vsnl.net.in
Contact: Secretary to, Dr Shrihari Dhorepatil M.S., F.A.I.S.;F.I.C.S.
This page introduces you to surgery for severe obesity and our specialist clinic. Morbid obesity is a disease, of excess energy store in the form of fat. Clinically it correlates with over weight of 40kg or BMI > 40 kg/m2. This is not about cosmetic surgery or liposuction but is about major surgery performed only when all other methods of weight loss have failed in those whose health is threatened by their obesity.
HOW DOES SURGERY
PROMOTE WEIGHT LOSS?
WHAT ARE THE SURGICAL OPTIONS?
IS THE SURGERY FOR YOU?
We now use techniques that produce weight loss primarily by limiting how much the stomach can hold.
These restrictive procedures are often combined with modified gastric bypass procedures that somewhat limit calorie and nutrient absorption and may lead to altered food choices.
Weight loss usually reaches a maximum between 6 and 12 months postoperatively. The weight loss is about 70% to 80% of the extra weight.
Restrictive Operations are the surgeries most often used for producing weight loss. Food intake is restricted by creating a small pouch at the top of the stomach where the food enters from the esophagus.
The pouch initially holds one ounce of food and expands to 2-3 ounces with time. The pouch’s lower outlet usually has a diameter of about ˝ inch. The small outlet delays the emptying of food from the pouch and causes a feeling of fullness.
After an operation, the person usually can eat only half to a whole cup of food without discomfort or nausea. Also, food has to be well chewed. For most people the ability to eat a large amount of food at one time, is lost, but some patients do return to eating modest amounts of food without feeling hungry.
Vertical banded gastroplasty (VBG) is the procedure most frequently used as restrictive operation for weight control. As the figure illustrates, staples are used to create a small pouch. Restrictive operations lead to weight loss in almost all patients.
If you are overweight (weight is 50% more than ideal) particularly if most of your fat is located around your waist and abdomen (the so-called "apple-shaped" figure) chances are very high that you have high cholesterol, dyslipidemia or high blood pressure – three of the risk factors for heart attack or stroke.
Weight loss and prevention of weight regain are an essential part of treatment. For patients who remain severely obese after nonsurgical approaches to weight loss have failed, or for patients who have an obesity-related disease, surgery may be the best next step.
Answers to the following questions may help in your decision to undergo surgery for weight loss.
Are you:
Unlikely to lose weight with (further) nonsurgical measures?
Well informed about the surgical procedure and the effects of treatment?
Determined to lose weight and improve your health?
Aware of how your life may change after the operation (adjustments to the side effects of the surgery, including need to chew well and inability to eat large meals)?
Do you:
Have a BMI of 40 kg/m2 or are you 40 kg more than your ideal weight?
Have an obesity-related physical problem (such as body size that interferes with employment, walking or family function)?
Have high-risk obesity-related health problems (such as severe sleep apnea or obesity-related heart disease)?
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