Best Bariatric Surgeon in Ahmedabad Get Rid of Obesity permanently With the Help of Expert Doctors!

Bariatric surgery is an operation that helps you lose weight by making changes to your digestive system. Some types of bariatric surgeries make your stomach smaller, allowing you to eat and drink less at one time and making you feel full sooner.

Bariatric weight loss Surgery is a PERMANENT and EFFECTIVE solution for morbid obesity. Unlike fad diets and other quick fixes, weight loss/bariatric surgery will make sure you maintain a healthy lifestyle for a long. It not only gets rid of your excess weight but also reduces the risk of potentially life-threatening problems like Diabetes, High Blood Pressure, Cancers, Sleep Apnea etc.

Send an email. All fields with are required.

CALL NOW & GET DISCOUNT: 8329060384

Free Consultation, Best Treatment, Lowest Cost, Easy Finance Available, 100% Result

Types of Bariatric Surgeries In Ahmedabad, surgeons use three types of operations most often: laparoscopic adjustable gastric band, gastric sleeve surgery also called sleeve gastrectomy, gastric bypass. Surgeons use a fourth operation, biliopancreatic diversion with duodenal switch, less often.

Gastric Band

In a Gastric Band, the Surgeon places an inflatable band around the top part of the stomach, creating a small pouch with an adjustable opening.

Pros

  • Can be adjusted and reversed.
  • Short hospital stay and low risk of surgery-related problems.
  • No changes to intestines.
  • The lowest chance of vitamin shortage.

Cons

  • Less weight loss than other types of bariatric surgery.
  • Frequent follow-up visits to adjust band; some people may not adapt to band.
  • Possible future surgery to remove or replace a part or all of the band system.

Gastric Sleeve

In Gastric Sleeve, the Surgeon removes about 80 percent of the stomach, creating a long, banana-shaped pouch.

Pros

  • Greater weight loss than gastric band.
  • No changes to intestines.
  • No objects placed in body.
  • Short hospital stay.

Cons

  • Cannot be reversed.
  • Chance of vitamin shortage.
  • Higher chance of surgery-related problems than gastric band.
  • Chance of acid reflux.

Gastric Bypass

The surgeon staples the top part of the stomach, creating a small pouch and attaching it to the middle part of the small intestine.

Pros

  • Greater weight loss than gastric band.
  • No objects placed in the body.

Cons

  • Difficult to reverse.
  • Higher chance of vitamin shortage than the gastric band or gastric sleeve.
  • Higher chance of surgery-related problems than gastric band.
  • May increase the risk of alcohol use disorder.

Bariatric Surgery Among the Safest Surgical Procedures

While any surgical procedure has risks, bariatric surgery has been found to be one of the safest surgeries to undergo. It is considered as safe or more safe when compared to other elective surgeries.

Call us now : 8329060384

What is the expected post-surgery weight loss and its timeline?

Various factors influence weight-loss after surgery. However, the average weight-loss* generally observed are:

  • LAGB: 15-20%after six months
  • Gastric Balloon:25-33% after six months
  • Gastric Bypass: 70-75% in the first year
  • Gastric Sleeve: 60-65% in two years

At six months, you'll have lost a lot of weight. If you've had gastric bypass surgery, you will have lost about 30% to 40% of excess body weight. With gastric banding surgery, you lose 0.5 to 1 Kg a week - so by six months, you'll have lost 10 to 20 Kg.

Bariatric Surgery Cost in Ahmedabad Know the Cost of Bariatric Surgery, Deals & Offers in Ahmedabad

The cost of bariatric surgery depends on Various factors. Type of the hospital, mode of payment, Insurance, Technology Used, Bariatric Surgery Type, Type of Anesthesia or Sedation, Qualification / Expertise of the specialist, Extent of the surgery needed, Patient’s diagnosis, Patient’s general health, Room Category selected by the patient and Other treatment required by the patient in conjunction.

Please fill the form for the exact costing of Surgery in your condition.

Send an email. All fields with are required.

Contact Us

We are located all over India, Our clinics are at Delhi, Mumbai, Bangalore, Chennai, Hyderabad, Pune, Ahmedabad, Indore, Nagpur, Lucknow, Raipur, Jaipur and we are coming to more cities.

Please call:+91 8329060384 or use our Contact Form!

Send an email. All fields with are required.

Disclaimer:

“The content of this publication has been developed by a third party content provider who is clinicians and/or medical writers and/or experts. The information contained herein is for educational purpose only and we request you to please consult a Registered Medical Practitioner or Doctor before deciding the appropriate diagnosis and treatment plan.”

Bariatric surgery and its cost in Ahmedabad

Latest technology, operation techniques and management protocols are offered nowadays in Bariatric surgery for morbid obesity and weight related ailments because it has now become a highly specialized department offering these new techs. To help severely obese people a range of surgical procedures are designed for Bariatric surgery in order to lose weight. Over the last two decades, the number of bariatric procedures has risen exponentially along with millions of people suffering from severe obesity. By reducing intake or absorption of calories, Bariatric surgical procedures are an option for treating severe obesity. All the various procedures present there havepotential complications. Long-term follow-up of patients is necessary after the bariatric surgeryand it should always be performed in a specialist centre. According to the modes of action of all these procedures, they can be categorized. In order for the patients to feel sated sooner than they did before surgery, some procedures limit the intake of food generally by decreasing the size of the stomach. Including calories, other procedures restrict the body’s ability to absorb some components of food. The aspects of both methods are incorporated in a third category. All these procedures are available at our clinic in Ahmedabad. The lowest cost of bariatric surgery in Ahmedabad is around ₹2,50,000 while the average cost is around ₹3,50,000.

 

Causes of obesity:

  • Metabolism and digestion of food is affected by genetics.
  • Low physical activity is lead by Sedentary lifestyle.
  • You feel hungrier due to hormonal changes which is lead by uneven sleep cycle.
  • Obesity is eventually lead due to pregnancy weight which can be difficult to lose.
  • Weight gain is aided due to imbalance of female reproductive hormones which is caused by Polycystic ovary syndrome.

 

Advantages of Bariatric Surgery:

  • Greater than other methods is the overall loss of weight.
  • Initial weight loss is faster.
  • Because of the discomfort caused by eating sugars, fats and carbs people have an increased consumption of healthier food choices.
  • Type 2 diabetes, joint pain, obstructive sleep apnea are all the obesity related problems which gets resolved due to this surgery.
  • Cardiovascular health gets improved.

 

Description of the surgery

Sleeve Gastrectomy: The weight loss is triggered solelythrough gastric restriction, in the Vertical Sleeve Gastrectomy procedure. 1/3rd of the stomach is left behind after stapling off 2/3rd of the stomach approximately in VSG which is roughly the size and shapes of a Banana or Sleeve. Any “rerouting” or reconnecting of the intestines are not involved in this operation. Hence, gastric bypass is more complex operation than this.

Gastric Bypass Roux-en-y: The amount of food consumption is restricted by creating a small pouch in the upper stomach. The mixing of food with digestive juices is delayed through bypassinga portion of the small intestine with the help of stapling. Thus, it restricts caloric absorption. After the surgery, 77 % of excess body weight reductionis promised in the first year. Patients maintain 60 % of excess body weight loss after 10 to 14 years of the surgery according to a study. In most cases, an early sense of fullness is reported by patients even after consuming small portion of food. Thus, it helps to lose weight by reducing thedesire to have more food.

Intragastric Air Balloon: Through the endoscopic route, an air balloon is inserted in the stomach in this procedure. This is a minimally invasive and nonsurgical procedure. In order to create short term and rapid weight loss, Intragastric Air Balloon is filled inside the stomach. After having a small portion of meal, the sensation of fullness is promoted by this procedure. After six months to 1 year, this balloon has to get extracted as it is temporary.

Results of the surgery: Within a span of 8 months to 1 year, about 70 to 80 % of a patient’s overweight gets lost.

 

Volume I

Bariatric surgery has been increasingly considered as a viable therapeutic option for obesity and obesity related comorbidities, with emerging evidence supporting its variable roles within the different types of surgical options available today.

Proposed mechanisms explaining the improvements in metabolic effects from bariatric surgery are not completely understood and may not be fully explained by weight loss alone.

This chapter highlights differences in the types of surgeries commonly performed today and the evidence supporting the roles of these procedures in improving cardio-metabolic and other health outcomes.

Diabetes remission has also been reported to occur at different rates following the different types of surgical procedures, and there are multiple studies suggesting possible mechanisms to explain this phenomenon.

There are potential short- and long-term complications that may occur with various types of bariatric surgery.

Bariatric surgery should be considered in obese patients with comorbidities who are surgically appropriate candidates, and the different types of surgical procedures should be explored with each patient and tailored according to the individual’s risks and potential benefits from these procedures.

Bariatric Surgery

Jonathan A. Schoen MD, in GI/Liver Secrets (Fourth Edition), 2010

18 What are the weight loss expectations after each procedure?

Success following bariatric surgery is determined by both weight lost and improvement in obesity-related comorbidities. Most surgical studies report outcome as percent excess weight loss (excess weight = [preoperative weight − ideal weight]). The lap band typically produces 40% to 60% evaporation weight loss (EWL) over 2 to 3 years but has a 20% failure rate. The gastric bypass has long-term data showing a 50% loss of excess body weight maintained after 14 years. Most current laparoscopic literature shows up to 5-year excess weight loss in the 60% to 80% range. There is typically some recidivism after 2 years and it has a 10% failure rate. The biliopancreatic diversion is the most effective weight loss procedure and results in the loss of 80% excess weight maintained over the long term. The sleeve gastrectomy is currently being studied for long-term success and so far comes close to the gastric bypass in terms of weight loss efficacy.

Bariatric Surgery

KEY FACTS

Terminology

Types of bariatric surgery: Gastric banding (vertical banded gastroplasty vs. laparoscopic adjustable gastric banding), laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, biliopancreatic diversion

Clinical Issues

Incidence of morbid obesity in USA: 2-5%

Incidence of complications of bariatric surgery: Up to 20% depending on procedure; average 6-10%

Risk factors for complications: Male sex, older age, higher preoperative BMI, diabetes mellitus, pulmonary hypertension, low hospital case load, prolonged operation time, open surgery

Overall mortality: ∼ 0.05-5%

Common causes of death: Pulmonary embolism, sepsis, arrhythmia, hemorrhage

Early complications

Deep vein thrombosis, pulmonary embolism, gastrointestinal ulcers/hemorrhage/ischemia, small bowel obstruction, adhesions, fistulas, strictures, arrhythmia

Sepsis due to wound infection, anastomotic leak/dehiscence, intraabdominal abscess

Hemorrhagic shock due to iatrogenic vascular injury, pseudoaneurysms

Complications related to band

Macroscopic Pathology

Evaluate upper gastrointestinal tract in situ for fistulas and anastomotic leaks

Note location and status of band, if present

Remove esophagus, stomach, and small bowel (if part of anastomosis) en bloc, then open

This residual sleeve of stomach shows mucosal necrosis along the staple line

with associated dehiscence and leak, status post laparoscopic sleeve gastrectomy. (Courtesy R. Irvine, MD.)

Peritonitis characterized by a greenish exudate

covering the peritoneal and abdominal organ serosal surfaces was due to a leak status post laparoscopic sleeve gastrectomy.

Bariatric Surgery

1 My patient weighs 250 pounds (114 kg). Is he or she morbidly obese?

Maybe. The most widely used definition of morbid obesity uses the concept of body mass index (BMI), which is weight (kg) divided by the height squared (m). This is simply a description of how heavy a patient is for his or her height. A BMI of 40 is considered morbidly obese. A patient who weighs 250 pounds and is 5′6′ tall is morbidly obese (BMI = 40), but a patient who weighs 250 pounds and is 6′6′ tall is simply overweight (BMI = 29).

2 Is morbid obesity alone really all that morbid?

Yes. Even without overt comorbidities (such as diabetes and hypertension), individuals who are morbidly obese are at substantial risk. Many critical organ systems are affected. For example, in the cardiopulmonary system, obstructive sleep apnea, chronic hypoventilation, and pulmonary hypertension are a common finding. This translates into a higher likelihood of poor outcome after medical or surgical treatment of a wide variety of conditions. Patients who are morbidly obese have a measurably shorter life span. In many ways, it is a potentially lethal condition.

3 What is “metabolic syndrome”?

Metabolic syndrome describes a set of changes in physiology that are associated with high cardiovascular risk. Obesity is a central feature, along with resistance, elevated triglycerides, elevated low-density lipoprotein (LDL) cholesterol, and hypertension.

4 My patient has a BMI of 40. Because he or she appears so well fed, is it safe to assume his or her nutritional status and wound healing are normal?

No. Although their total caloric intake is high, it is not uncommon for patients who are morbidly obese to have poor protein intake, poor protein stores, and vitamin deficiencies. Furthermore, concomitant diabetes may contribute to impaired wound healing.

5 So, if patients who are morbidly obese are sick and do not heal well, why would an otherwise rational surgeon choose to do weight loss operations?

Because it works so well. There are few behavioral, pharmacologic, or combined approaches to the treatment of morbid obesity that are proven to promote even short-term weight loss. More pills, programs, and press have not resulted in a thinner population. Further, these nonsurgical approaches do not even approximate the amount, or durability of weight loss seen in patients who undergo bariatric surgery. The weight loss after bariatric surgery is substantial and appears to be maintained for at least 15 years.

6 Do patients who undergo bariatric surgery actually get healthier as they get thinner?

Yes. The majority of patients with diabetes, hypertension, urinary incontinence, and obstructive sleep apnea are essentially cured of these ills as they lose weight. Ask an internist when they last cured (not palliated…) any of these conditions.

7 If patients who are morbidly obese have decreased life expectancy, do patients who get bariatric surgery actually live longer?

It appears so. Two large studies have shown improved survival in patients undergoing surgery to promote weight loss.

8 Some bariatric operations (like jejunoileal bypass) were abandoned because of metabolic complications. Are there some operations that actually work and are considered safe?

Yes. The Roux-en-Y gastric bypass (RYGB) has the best long-term safety and efficacy data. Other options include the vertical banded gastroplasty, the sleeve gastrectomy, the laparoscopic adjustable gastric band (lap band), and the duodenal switch.

9 A Roux-en-Y gastric bypass sounds complicated. What does it entail?

It is not complicated. The proximal stomach is completely divided to produce a proximal pouch about 50 ml in size. The remainder of the stomach is simply left in place. The proximal small intestine (the roux limb, or alimentary limb) is then divided and attached to the pouch. The small bowel is then reconnected downstream.

10 Why do patients lose weight after gastric bypass?

There are three basic reasons. First, the patients cannot eat much at one time. Stop. Reflect for a second … 50 ml is 10 teaspoons. This is how much the patients can initially eat (or drink) at a time. It actually becomes work to get enough protein, calories, and fluids in. Second, the patients cannot (at first), tolerate concentrated sweets. The alimentary limb is made of small intestine that will react to high osmolar loads with dumping syndrome… an unpleasant combination of abdominal pain, nausea, sweating, and diarrhea. Thus there is a significant disincentive to “cheating” after gastric bypass. Third, because food in the alimentary limb does not get mixed with bile and pancreatic juice until it meets the other (aptly named biliopancreatic) limb, 75 cm or more downstream, it is not efficiently absorbed.

11 How much do patients usually lose after gastric bypass?

Initially, about 70% of their excess weight. This takes place over the first 12 to 24 months. Patients (and doctors) need to understand that it is quite unusual to get all the way down to ideal weight. These operations are not intended to produce fitness models—rather—healthier patients with improved quality of life and improved longevity.

12 Who are the best candidates for bariatric surgery?

Most bariatric surgeons use Centers for Disease Control and Prevention (CDC) guidelines, which include BMI (>40, or >35 with weight-related comorbidities), and the ability to understand and comply with the perioperative routine. The latter is extremely important because the patient must relearn how to eat with his or her new anatomy. This operation is not without risk and has significant health and social consequences—imagine going out to dinner when you can eat only 10 teaspoons.

13 What are the most serious complications of gastric bypass?

Leak of the gastrojejunal anastamosis is the most feared complication, though it is second to pulmonary embolism as a cause of death in most series. The mortality rate is <1%, but not 0%. Wound complications (hernia, infection) are seen in about 10% of patients undergoing open surgery, and only about 1% in patients undergoing laparoscopic surgery.

14 What is the most reliable sign of gastrojejunal leak?

Tachycardia. A heart rate >110 should prompt concern for a leak. Some surgeons order routine contrast studies in all patients.

Key Points

1

Morbid obesity is a serious medical condition that shortens life span.

2

Surgical weight loss promotes improved health and probably lengthens life span.

3 Although there are a number of possible surgical options, gastric bypass is the most tested.
4 Bariatric surgery requires an informed, compliant patient who understands there are significant risks.

Thiamine (Vitamin B1) After Weight Loss Bariatric Surgery

Abstract

Bariatric surgery is a major tool for treating medically complicated obesity. Commonly utilized bariatric procedures can restrict dietary intake alone or in combination with the development of an element of malabsorption. There is growing evidence that subclinical thiamine deficiency is common in obese individuals, while thiamine stores can be depleted in as little as 2–3 weeks. Thiamine deficiency has been reported both after restrictive bariatric procedures as well as after malabsorptive bariatric procedures; thus, individuals are at risk after vertical sleeve gastrectomy. The most common clinical subtypes of thiamine deficiency after Roux-en-Y gastric bypass are cardiovascular and neuropsychiatric (neuro-psych) manifestations. Small intestinal bacterial overgrowth appears to be a major mechanism for development of symptomatic thiamine deficiency after bariatric surgery. Treatment of bacterial overgrowth with an oral antibiotic can improve oral absorption of thiamine after bariatric surgery. Wernicke’s disease is a potentially devastating complication of thiamine deficiency that should be managed with immediate intravenous infusions of high doses of thiamine.

Bariatric Surgery in Adolescents

Bariatric Surgery

Bariatric surgery should be viewed as a surgical discipline and not just a technical procedure. Bariatric patients are a distinct and often problematic cohort with serious and often multiple concurrent comorbidities. They have unique postoperative needs and in the event of postoperative complications conventional diagnostic approaches often do not work. They require close long-term follow-up making the transition of the adolescent who undergoes bariatric surgery to adult care an essential component of the clinical care plan.

The majority of bariatric surgery is now performed laparoscopically. Minimally invasive bariatric surgery has significant advantages over open surgery but is one of the most technically difficult operations to perform.119 The learning curve is steep.8 Schauer suggests the curve levels off at 100 operations.120 Laparoscopic skills employed in foregut surgery are not directly transferable to bariatric surgery, and proficiency in minimally invasive surgery may not confer the same level of proficiency in minimally invasive bariatric surgery. Several societies and associations have developed credentialing criteria and guidelines for bariatric surgery, and most recently the American Society for Bariatric Surgery has introduced criteria for Centers of Excellence in Bariatric Surgery. Pediatric surgeons pursuing bariatric surgery should at a minimum take a course in bariatric surgery and have their early experience proctored by an experienced laparoscopic bariatric surgeon. Additionally, they must be cognizant of and take into account, during patient selection, patient characteristics that are recognized as risk factors for perioperative complications and mortality.121–125 Recent data demonstrate the mean BMI of patients undergoing gastric bypass at our institution is 60.2 kg/m2.20 Adult studies of patients with BMI greater than 60 kg/m2, coined the super-super obese, have shown longer procedure times and longer hospital stay.126 The pediatric bariatric surgeon must also be prepared for these more difficult patients early in their learning curve given current referral patterns.

Management of Nonalcoholic Fatty Liver Disease and Metabolic Syndrome

Bariatric Surgery

Bariatric surgery is a weight loss treatment option for morbidly obese individuals in whom conservative measures have failed. Weight loss from bariatric surgery has been shown to decrease the incidence of DM,44 the incidence of cardiovascular disease, and overall mortality.45 In addition to sustained weight loss, bariatric surgery was noted to decrease hepatic steatosis, inflammation, and fibrosis by 80% in patients with NAFLD.46 These findings were confirmed by a recent prospective study confirming resolution of NASH in 85% of the patient population 1 year after bariatric surgery. Reduction of fibrosis was mainly confined to those with mild fibrosis before surgery, and patients with advanced fibrosis (stage 3-4) showed minimal reduction47 Other studies showed various degrees of reduction of NAFLD with bariatric surgery, and the conclusions from a systematic review and meta-analysis were that bariatric surgery reduced or completely resolved hepatic steatosis and steatohepatitis in most patients.48 Of note, a 2010 Cochrane database review concluded that the benefits associated with bariatric surgery for the treatment of NASH were limited because of the lack of RCTs and unbiased data.49 Similarly, the 2012 guidelines of the American Gastroenterological Association, the American Association for the Study of Liver Diseases, and the American College of Gastroenterology caution against the use of bariatric surgery as a first-line treatment for NAFLD given the invasive nature of the intervention and the significant cost and risk of complications.50 Current consensus limits bariatric surgery referral to obese NASH patients with comorbid conditions that would also benefit from the surgery.

Thiamine (Vitamin B1) and Beri-Beri

Bariatric Surgery

Bariatric surgery, which has greatly increased in popularity over the past decade, may be complicated by thiamine deficiency. A clinical picture resembling Wernicke's encephalopathy may develop in the first few weeks to months following bariatric surgery, in contrast to B12 deficiency-related complications, which typically take much longer to develop (months to years). A relatively acute thiamine deficiency-related polyradiculopathy, resembling Guillain–Barré syndrome, may develop in the same time frame as encephalopathy. Thiamine deficiency should be considered as a potential cause of early neurological complications following bariatric surgery.

Thiamine toxicity has not been reported as a well-defined clinical entity.

Treatment of Obesity with Bariatric Surgery

Conclusions

Bariatric surgery is the most effective treatment in producing sustainable WL and improvements in obesity-related comorbidities. The positive effects obtained regarding ameliorations in T2D after bariatric surgery, have expanded the eligibility criteria for metabolic surgery. However, operated patients do not respond in the same way, with a subset of subjects showing WR, failure of sustained WL and even T2D recidivism. Although it is true that some potential responsible factors have already been described, additional studies are needed to examine plausible undiscovered effects in an effort to enhance patients’ benefits. On the other hand, bariatric procedures are not without risk with nutritional deficiencies being the most important long-term complication after bariatric surgery leading sometimes to metabolic and neurological disorders, which are not always reversible. Given the uncertainties between risks and benefits of bariatric surgery, the decision to undergo surgery should be based on a high quality multidisciplinary team in order to optimize patient selection criteria and outcomes.

Long-Term Cardiovascular Risks in Bariatric Surgery

Bariatric surgery is at the moment the most effective method for weight loss and weight maintenance in patients with morbid obesity. This chapter reviews the effects that bariatric surgery have on cardiovascular risk, progression of atherosclerosis, and incidence of new cardiovascular events. Weight loss induced by modern bariatric procedures is associated with a stable and clinically significant improvement of cardiovascular risk, an improvement in structural and functional markers of atherosclerosis, and a reduction in the incidence of new cardiovascular events. The observed reduction in risk and events is more important in obese patients who have the worst cardiovascular profile and higher event probability before surgery.