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Obesity

Obesity is a complicated condition characterized by an excess of body fat. Obesity isn’t just a cosmetic problem. It’s a medical condition that puts you at risk for various diseases and health problems like heart disease, diabetes, high blood pressure, and some cancers. It is typically caused by a mix of genetic, physiological, and environmental factors, as well as nutritional, physical activity, and exercise choices. The good news is that even minor weight loss can assist or prevent obesity-related health issues. A healthier diet, more physical exercise, and behavioral adjustments can all help you lose weight. Prescription medications and weight-loss treatments can also be used to treat obesity.

Symptoms of Obesity

Diabetes

High Blood Pressure

High Body Mass Index

infertility and Hormonal Imbalances

Joint Pain

Sleep Apnea

BMI Calculator

Weight (in KG):

Height (in Feet):

Treatment of Obesity

Bariatric surgery refers to a group of surgical procedures designed to help individuals achieve significant weight loss by altering the anatomy of the digestive system. The primary objective of bariatric surgery extends beyond mere weight reduction; it aims to improve overall health and mitigate obesity-related health conditions.

Kickstart with a nutritious eating plan, cut down on calories!
Incorporate regular exercise to burn those calories and stay fit.

Begin with small changes – a solid eating plan, commitment, regular workouts, and ample sleep.
Embrace positive habits for a sustainable and healthy lifestyle.

Anticipate setbacks – they're part of the journey.
Refocus after indulging, avoid trigger areas, and track your progress with online tools.

Define specific goals to stay on track.
Instead of vague objectives, set clear targets like a 15-30 minute walk on specific days.

Opt for structured programs with personalized strategies.
Work with specialists for a lower-calorie diet, increased activity, and tools for behavior adjustment.

If lifestyle changes aren't sufficient, your doctor might prescribe weight-loss medications.
Stay committed to a healthy diet and regular physical activity while on medication.

For severe obesity, when traditional methods fall short
Consider if major health issues persist, like type 2 diabetes or sleep apnea
Bariatric surgery can be a life-changing option for lasting improvements.

Debunk Myths

Click each box to bust
each myth.

Myth

Men are more obese than women

Fact

In India, around 40% of women and 10% of men have abdominal obesity, suggesting women may be equally or more impacted than men.

Myth

Bariatric surgery is only for cosmetic reasons

Fact

Bariatric surgery is essential for treating severe obesity and related conditions such as type 2 diabetes, beyond mere cosmetic concerns

Myth

Obesity is only a problem in Western societies and high income countries

Fact

Obesity is a problem not just in affluent regions but also in impoverished areas, where lack of food is still an issue, creating a risk of both obesity & malnutrition.

Myth

Obesity is caused by a lack of willpower

Fact

Obesity is influenced by genetics, environment, and bodily functions such as digestion, forming a complex puzzle of factors.

Bariatric Surgery

Bariatric Surgery, also known as weight loss or metabolic surgery, is a transformative procedure designed to combat obesity and induce weight loss through surgical intervention. By resizing the stomach and intestinal tract, the surgery restricts food intake and nutrient absorption. Beyond weight loss, it proves instrumental in managing diabetes, high cholesterol, high blood pressure, and related health issues when coupled with a healthy lifestyle and physical activity.

BMI Criteria:

Ideal Candidates for Bariatric Surgery: A Path to Wellness!

Who is a Good Candidate for Bariatric Surgery?

BMI > 27.5 with uncontrolled type 2 diabetes

If you have a BMI of 27.5 or more, and are struggling with uncontrolled type 2 diabetes despite trying different medications, Bariatric/metabolic surgery could be an option.

BMI > 30 with Obesity related Co-morbidities:

If your BMI is 30 or more and you have two or more obesity-related health problems like sleep apnea, hypertension, type 2 diabetes, Bariatric/Metabolic surgery might be considered

BMI > 35

If your BMI is 35 or higher Bariatric surgery could be an option

Central Obesity/Abdominal Obesity

If you have excess weight around your belly (waist circumference ≥ 80cm for females, ≥ 90cm for males) along with type 2 diabetes and other weight-related issues, weight loss surgery may be considered as a treatment option.

Age

Bariatric/Metabolic surgery may be an option for eligible patients with the specified BMI criteria who are 18 years or older.

For patients under 18, it could be considered in special cases, with approval from a team of experts including a paediatrician, endocrinologist, dietitian, psychologist, and bariatric surgeon. Puberty and skeletal maturity should be considered for younger patients.

The surgery is generally advised for patients up to 65 years old. For those above 65, it might still be an option if they are medically fit, and the benefits outweigh the risks

If you have a BMI of 27.5 or more, and are struggling with uncontrolled type 2 diabetes despite trying different medications, Bariatric/metabolic surgery could be an option.

If your BMI is 30 or more and you have two or more obesity-related health problems like sleep apnea, hypertension, type 2 diabetes, Bariatric/Metabolic surgery might be considered

If your BMI is 35 or higher Bariatric surgery could be an option

Bariatric/Metabolic surgery may be an option for eligible patients with the specified BMI criteria who are 18 years or older.

The surgery is generally advised for patients up to 65 years old. For those above 65, it might still be an option if they are medically fit, and the benefits outweigh the risks

Types Of Bariatric Surgery

Ideal Candidates for Bariatric Surgery: A Path to Wellness!

Who is a Good Candidate for Bariatric Surgery?

Intra gastric ballon

A gastric balloon is a soft and durable balloon made of silicone rubber. It's designed to go into your stomach to make you feel full with less food.

During the procedure, a deflated balloon is placed in your stomach through your mouth using a thin tube called an endoscope.

There are new ballons available that can be swallowed orally, but it still needs to be taken out using an endoscope.

Once in your stomach, the balloon is filled with saltwater. This takes up space in your stomach, making it harder to eat large amounts of food.

The goal is to make you feel full more quickly after eating smaller meals and to help that feeling last longer, so you're not as hungry between meals.

The intra gastric ballon lasts for a period of 6 months in the stomach, to remove the balloon, you will have another endoscopic procedure.

Adjustable gastric banding

The Adjustable Gastric Band is a silicone device placed around the top part of the stomach to control food intake. Its use has decreased over the years because it's not as effective for weight loss and obesity-related issues as other procedures. The band is placed around the upper part of the stomach, creating a small pouch above it.

How it works:

The sense of fullness depends on the size of the opening between the pouch and the rest of the stomach.
The opening size can be adjusted by injecting fluid through a port under the skin Food goes through the stomach as usual but is limited by the smaller opening created by the band.
It's not as effective for managing type 2 diabetes and has modest effects on metabolism.

Sleeve Gastrectomy

The Laparoscopic Sleeve Gastrectomy, also known as the "sleeve," is a weight loss surgery where about 80% of the stomach is removed, leaving behind a smaller, banana-shaped stomach.

How it helps:

The reduced stomach size means you can eat and drink less, helping to cut down on calories.
By removing the part of the stomach that produces a lot of the "hunger hormone," the surgery decreases hunger, increases the feeling of fullness, and helps control weight and blood sugar.

ROUX EN Y Gastric bypass

The Roux-en-Y Gastric Bypass, commonly known as the "gastric bypass," has been successfully performed for over 50 years. This surgery is widely used to effectively treat obesity and related health issues.

How it works:

The smaller stomach pouch holds less food, reducing calorie intake.
By bypassing part of the small intestine, there's decreased absorption of food.
The modified food route through the digestive tract reduces hunger, increases fullness, and helps maintain a healthy weight.
It has a positive impact on hormones and metabolic health, improving adult-onset diabetes even before weight loss.
The surgery often improves reflux (heartburn) symptoms.
Patients need to make appropriate food choices and avoid tobacco and certain medications.
In simple terms, gastric bypass helps you eat less, absorb fewer calories, and supports your body in reaching a healthier weight while improving other health issues like diabetes and reflux.

Biliopancreatic diversion with duodenal switch (BPD/DS)

The Biliopancreatic Diversion with Duodenal Switch, or BPD-DS, is a weight loss surgery that starts by creating a tube-shaped stomach pouch, similar to the sleeve gastrectomy. It's somewhat like the gastric bypass, but with a difference in how the small intestine is used.

How it works:

The smaller stomach shape (like a banana) helps you eat less.
About 75% of the small intestine is bypassed, reducing the absorption of calories and nutrients significantly.
After the surgery, you need to take vitamins and mineral supplements.
BPD-DS affects intestinal hormones more than gastric bypass and sleeve gastrectomy, reducing hunger, increasing fullness, and improving blood sugar control.
It's considered the most effective approved surgery for treating type 2 diabetes.

Single Anastomosis Duodeno-Ileal Bypass (SADI-S)

The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, or SADI-S, is a newer weight loss surgery endorsed by the American Society for Metabolic and Bariatric Surgery. It's similar to another procedure (BPD-DS) but simpler, taking less time because it involves only one intestinal connection.

How it works:

When you eat, food goes through the small stomach pouch and directly into the latter part of the small intestine.
The food mixes with digestive juices from the first part of the small intestine, allowing enough absorption of vitamins and minerals for healthy nutrition.
This surgery provides effective weight loss, reduces hunger, increases fullness, and helps control blood sugar, leading to improvements in diabetes.

A gastric balloon is a soft and durable balloon made of silicone rubber. It's designed to go into your stomach to make you feel full with less food.

During the procedure, a deflated balloon is placed in your stomach through your mouth using a thin tube called an endoscope.

There are new ballons available that can be swallowed orally, but it still needs to be taken out using an endoscope.

Once in your stomach, the balloon is filled with saltwater. This takes up space in your stomach, making it harder to eat large amounts of food.

The goal is to make you feel full more quickly after eating smaller meals and to help that feeling last longer, so you're not as hungry between meals.

The intra gastric ballon lasts for a period of 6 months in the stomach, to remove the balloon, you will have another endoscopic procedure.

How it works:

The sense of fullness depends on the size of the opening between the pouch and the rest of the stomach.
The opening size can be adjusted by injecting fluid through a port under the skin Food goes through the stomach as usual but is limited by the smaller opening created by the band.
It's not as effective for managing type 2 diabetes and has modest effects on metabolism.

The Laparoscopic Sleeve Gastrectomy, also known as the "sleeve," is a weight loss surgery where about 80% of the stomach is removed, leaving behind a smaller, banana-shaped stomach.

How it helps:

The reduced stomach size means you can eat and drink less, helping to cut down on calories.
By removing the part of the stomach that produces a lot of the "hunger hormone," the surgery decreases hunger, increases the feeling of fullness, and helps control weight and blood sugar.

How it works:

The smaller stomach pouch holds less food, reducing calorie intake.
By bypassing part of the small intestine, there's decreased absorption of food.
The modified food route through the digestive tract reduces hunger, increases fullness, and helps maintain a healthy weight.
It has a positive impact on hormones and metabolic health, improving adult-onset diabetes even before weight loss.
The surgery often improves reflux (heartburn) symptoms.
Patients need to make appropriate food choices and avoid tobacco and certain medications.
In simple terms, gastric bypass helps you eat less, absorb fewer calories, and supports your body in reaching a healthier weight while improving other health issues like diabetes and reflux.

How it works:

The smaller stomach shape (like a banana) helps you eat less.
About 75% of the small intestine is bypassed, reducing the absorption of calories and nutrients significantly.
After the surgery, you need to take vitamins and mineral supplements.
BPD-DS affects intestinal hormones more than gastric bypass and sleeve gastrectomy, reducing hunger, increasing fullness, and improving blood sugar control.
It's considered the most effective approved surgery for treating type 2 diabetes.

How it works:

When you eat, food goes through the small stomach pouch and directly into the latter part of the small intestine.
The food mixes with digestive juices from the first part of the small intestine, allowing enough absorption of vitamins and minerals for healthy nutrition.
This surgery provides effective weight loss, reduces hunger, increases fullness, and helps control blood sugar, leading to improvements in diabetes.

Doctors Speak