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Laparoscopic Gastric Banding
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Obesity Clinic
FAQ (Frequently Asked Questions)
Q. What is Obesity (Bariatric) Surgery?
 

This is surgery offered to Obese/Morbidly Obese patients i.e. with BMI (Body Mass Index) of 33 kg/m2 and more.

Q. How do you Classify Obesity?
 

According to Union health ministry of India (Dec 2008 Guidelines):

 

Normal Weight: Body Mass Index (BMI) of 18.5 – 22.9 Kg/m2
Overweight: Body Mass Index (BMI) of 23 – 24.9 Kg/m2
Obese: Body Mass Index (BMI) of 25 or more

An Indian needs drug therapy if BMI is 25 kg/m2 or more.
An Indian qualifies for bariatric surgery if BMI is 32.5 kg/m2 as opposed to the international standard of 35 kg/m2

According to World health Organization/International Standard:

Normal Weight: Body Mass Index (BMI) of 18.5 – 24.9
Overweight: Body Mass Index (BMI) of 25 – 29.9 Kg/m2
Obese: of 30 or more
Morbid Obese: BMI of 40 or more (roughly, 45 kg more than your ideal weight)

Q. Causes of Obesity?
 

Obesity could be a combination of the following:

 
The genes you inherited from your parents
How well your body turns food into energy
Your eating and exercising habits
Your surroundings
Psychological factor
Q. What are the Major health risks of Obesity?
 
Shorter Life Expectancy
Compared to people of normal weight, obese people have a 50% to 100%  increased risk of dying prematurely
Obese people have more risk for:
  - Diabetes (type 2)
- Joint problems (e.g., arthritis)
- High blood pressure
- Heart disease
- Gallbladder problems
- Certain types of cancer (breast, uterine, colon)
- Digestive disorders (e.g., gastroesophageal reflux disease, or GORD)
- Breathing difficulties (e.g., sleep apnea, asthma)
- Psychological problems such as depression
- Problems with fertility and pregnancy
- Urinary Incontinence
Q. What are the Risks to social well-being due to Obesity?
 
Negative self-image
Social isolation
Discrimination
Q. What are the Difficulties with day-to-day living due to Obesity?
 
Normal tasks become harder when you are obese, as movement is more difficult
You tend to tire more quickly and you find yourself short of breath
Public transport seats, telephone booths, and cars may be too small for you
You may find it difficult to maintain personal hygiene
Q. Why Select Obesity Surgery over Diet, exercise or medicines?
 

After extensive research it has been concluded that, Surgical Treatment is the only proven method of achieving long term weight control for the morbidly obese, when all other therapies have failed. Only 5 Obese maintain weight loss with diet and exercise out of 100.

Q. What is difference between Plastic surgical procedures (Liposuction, Abdominoplasty) and Bariatric (Obesity) Surgery?
 

Plastic surgery can effectively reduce weight to very less extent with no guaranty of maintained weight loss. There is no reduction in the status of co-morbities. Bariatric Surgery gives a Guaranteed and maintained weight loss with resolution of various co-morbities like Diabetes, Hypertension, Arthritis etc

Q. Can Bariatric Surgery be performed laparoscopically?
 

Bariatric Surgery is possible as both open as well as with Laparoscopic Approach. The Laparoscopic approach has given excellent results.

Bariatric Surgery can be classified into

RESTRICTIVE

BIB
Laparoscopic Adjustable Gastric Banding
Vertical Banded Gastroplasty
Sleeve Gastrectomy

MALABSORPTIVE

Duodenal switch
Bilio-Pancreatic Diversion.

RESTRICTIVE AND MALABSORPTIVE

Laparoscopic Roux-en-Y Gastric Bypass.
 
 
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