Obesity surgery
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Obesity is now well recognised as an increasing medical problem in most developed countries. It is generally caused by an excessive intake of calories in the form of an unhealthy and high fat diet together with an increasingly sedentary lifestyle with little or no physical exercise.
Along with this increased weight there has also been an increasing trend to try different diets which either do not work or are started only half heartedly. Failure is therefore common. However, the mainstay of treatment for being overweight is usually decreased intake of calories, an increase in physical activity followed by maintenance of a healthier lifestyle. For those who have tried and failed to lose weight in this way and for those who are either grossly overweight or who have specific health risks associated with their weight, surgery for obesity can be an option.
Obesity surgery can also be known as Bariatric Surgery, Lap Banding, Gastric Banding or Gastric Bypass Surgery. The exact type of procedure patients have depends on the general health of the patient, the extent of their obesity and on the surgical expertise available. Of course, for a surgical option to be considered, patients must be fit enough for anaesthesia.
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We have listed a selection of treatment programmes for you to consider. These programmes are indicative and are designed per patient and so prices can vary according to patients condition and medical history.
Pricing for Obesity surgery
Price Range for Obesity surgery in India ($): 8100 - 9900
Estimated UK Price for comparison ($): $21600
Percentage Saving India to UK: 58%
Description of Obesity surgery
Gastrectomy is the surgical removal of all or part of your stomach.
If part of your stomach is removed the procedure is known as a partial gastrectomy, if your whole stomach is removed it is known as a total gastrectomy.
Sleeve gastrectomy is usually performed on extremely obese patients, with a body mass index of 60 or more. and unable to reduce their ood intake . Sleeve gastrectomy aims to force one to lose weight by restricting the amount of food the stomach can hold.
Gastrectomy is performed under a general anaesthetic. Your stomach must be empty for the surgery, so you will not be allowed food or water for 6-8 hours before your surgery. A nasogastric tube (a tube passed through your nose down to your stomach) will be inserted to keep your stomach empty and prevent complications such as vomiting.
There are different surgical techniques for gastrectomy. In the most common, the surgeon makes an incision in the r upper abdomen and then removes all or part of the stomach. some surgeons use a technique called laparoscopy (similar to 'keyhole' surgery) where a small incisionis made and a a laproscope is inserted. A laproscope is a tiny video camera that allows the surgeon to see inside the abdomen on a video monitor. The surgeon will then make two or three additional small incisions, insert special surgical instruments through them and operate on the stomach through the incisions.
After removing all or part of the stomach, the surgeon reconstructs the digestive tract so that the patient is able to digest food as normal
So a two stage procedure would be performed in which the first is a sleeve gastrectomy, and the second a conversion into a gastric bypass or duodenal switch. Patients usually lose a large quantity of their excess weight after the first sleeve gastrectomy procedure alone, but if weight loss ceases the second step is performed.
In this procedure weight loss is generated soley through gastric restriction (reduced stomach volume). The stomach is divided vertically and more than 85% of it is removed. This part of the procedure is not reversible. The stomach that remains is shaped like a banana (or a sleeve) and measures from 2-5 ounces (60-150cc) depending on the discretion of the surgeon. The nerves to the stomach and the outlet valve (pylorus) remain intact. This is to preserve the functions of the stomach while the volume is reduced. . There is no intestinal bypass with this procedure, only stomach reduction.
Most patients can lose 70 to 80% of their excess body weight over 6-12 months with sleeve gastrectomy alone.
Advantage
The new stomach continues to function normally so there are far fewer restrictions on the foods which patients can consume after surgery.The only restriction is the quantity of food eaten will be considerably reduced. This is one of the great advantages of the vertical gastrectomy.
Another advantage is that the removal of the majority of the stomach also results in the virtual elimination of hunger stimulating hormones produced within the stomach.
The greatest advantage of the vertical sleeve gastrectomy lies in the fact that it does not involve any bypass of the intestinal tract and patients do not therefore suffer the complications of intestinal bypass such as intestinal obstruction, anemia, osteoporosis, vitamin deficiency and protein deficiency.
It also makes it a suitable form of surgery for patients who are already suffering from anemia, Crohn's disease and a variety of other conditions that would place them at high risk for surgery involving intestinal bypass.
Finally, it is one of the few forms of weight loss surgery which can be performed laparoscopically in patients who are extremely overweight.
Disdvantage
The main disadvantage of the vertical sleeve gastrectomy is that it does not always produce the weight loss which people would wish for and, in the longer term, can result in weight regain. This is true of any form of purely restrictive weight loss surgery, but is perhaps especially true in the case of the vertical gastrectomy.
Medical Facts
Vitamin deficiencies are rare with this procedure because there is no intestinal bypass. However, the procedure is very restrictive so most surgeons recommend that patients take a multivitamin, calcium and possibly a B12 vitamin after surgery.
All patients undergoing weight loss surgery are at risk for weight regain. Those patients who maintain good dietary habits and exercise patterns are more likely to keep the weight off than those who do not exercise and who snack frequently.
The diet will progress over the first year. It usually starts with 2-4 weeks of liquid protein drinks and water. Patients gradually progress to thicker food items and by two months are able to eat seafood, eggs, cheese and other regular foods. The diet generally recommended is low calorie (500 per day), high protein (70gm per day), low fat (30 gm per day) and low carbohydrates (40 gm per day). The calorie intake increases over the first year and by 12 months many patients have achieved their goal weight and consume between 900 and 1500 calories per day. This final calorie intake depends on level of activity, age and gender(men can usually consume more calories and maintain their weight).
Stomach mucus irritation and swelling due to vomiting or antiinflammatory drug use - Wound infection - Blood loss after surgery may sometimes result.
How You Will Feel:
As with all surgery, the immediate period after can be emotional and uncomfortable. Although the incision and surgical site is small, recovering from surgery is both a physical and emotional task
How Long Will you stay in Hospital after your Obesity surgery?
5 Days as inpatient
What to do next:
We specialise in providing medical care and surgery abroad. We only work with medical institutions that we have inspected and checked. We offer Obesity surgery
in both North and South India as well as facilitation on all the other elements in your journey such as flights, accommodation and activities. Our team in India operate as your personal agents while you are in country and is tasked with supporting you in any way you need.
We work with hospitals across the world including France, UK, Canada, India, Pakistan, Malta and Hungary to provide our patients with the most appropriate levels of care and treatment
Click here for our estimated prices for most common surgical procedures around the world. .
We have teams in the UK, India and Pakistan who manage your stay and provide you with support whenever you need it. Please contact us to find out how we can help you. Contact us even if you are at the early stages of considering the possibility of treatment abroad.
Related Resources about Obesity surgery
Why Travel for Obesity surgery .
Travelling abroad for Obesity surgery can give you access to top quality health care quickly and cheaply. Our mission is to make your journey absolutely successful - in terms of treatment, in terms of outcomes and in terms of experience. We offer treatment in a wide range of locations including Europe, India and Singapore.
Make an Enquiry to Globe for Obesity surgery
Please feel free to post an enquiry to us at Globe if you are interested in having more details of how this all works and how we might be able to help you. Your information is treated as strictly confidential by us. We ask that you fill in the fields with the red stripes if possible. You can also contact us directly with details from our contact us page.
If you want to speed up the process or have a complex history that is specifically relevant to any further steps: please use our detailed medical questionnaire which includes a range of questions to capture details of your medical history and present condition. Please note that we share these details anonymously with clinical specialists for the purposes of considering your case and advising on a treatment plan. This means that we do not pass on your name or address details until you choose to proceed further with us.
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