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

Bariatric surgery in Nashik

Bariatric surgery is a collective name given for gastric bypass and other weight-loss surgeries, which helps you lose weight by changing your digestive system. Bariatric surgery gets done when your weight causes serious health problems, and it doesn’t even get reduced by any exercise and diet. Some procedures can limit your food consumption. In other procedures, the body’s ability to absorb nutrients get reduced. Both of the jobs get done in some procedures. Although almost all of these procedures are available in Nashik. Several clinics at Canada Corner and  Tidke Colony in Nashik are available for bariatric surgery.

Cost of bariatric surgery in Nashik

When compared to any other states in India, the cost of bariatric surgery in Nashik is much less. The price of Bariatric Surgery in Nashik can be determined by various deciding factors.

Hospital Factors:

• reputation and brand value of the hospital.
• Accreditation of the facility
• Type of the hospital (Government/Trust/Private).

Medical Team Factors:

• Extent of the surgery needed
• Qualification / Expertise of the specialist
• Type of Anesthesia or Sedation
• Technology / Approach Used
• Surgery Type

Patient Factors:

• Room Category selected by the patient
• Patient’s diagnosis
• Patient’s general health

Types of procedures:

There are three types of procedures for bariatric surgery in Nashik:

• Gastric Bypass

Considered the ‘gold standard of weight loss surgery, gastric bypass is often called The Roux-en-Y Gastric Bypass. The procedure consists of two components. First, by dividing the top of the stomach from the rest of the stomach a small stomach pouch, approximately one ounce or 30 millilitres in volume, is created. Next, the first portion of the small intestine is divide into the newly created small stomach pouch the bottom end of the divided small intestine is brought up and connected. The procedure is completed when the stomach acids and digestive enzymes from the bypassed stomach and first portion of the small intestine will eventually mix with the food by connecting the small intestine by the top portion of the divided small intestine. Several mechanisms make gastric bypass work. First, fewer calories are consumed by the newly created stomach pouch which is considerably smaller and facilitates significantly smaller meals similar to most bariatric procedures. Additionally, there is probably to some degree less absorption of calories and nutrients because there is a segment of the small intestine that would normally absorb calories as well as nutrients that no longer has food going through it and there is less digestion of food by the smaller stomach pouch. Most importantly, obesity induces type 2 diabetes because the rerouting of the food stream produces changes in gut hormones that aid satiety, subdue hunger, and alter one of the primary mechanisms.

• Sleeve Gastrectomy

By removing approximately 80 per cent of the stomach sleeve gastrectomy is performed which is also known as the laparoscopic sleeve gastrectomy. Banana is resembled by the remaining stomach which is a tubular pouch. Several mechanisms make this procedure work. First, the amount of food that can be consumed gets reduced significantly because of the help of a new stomach pouch which holds a considerably smaller volume than the normal stomach. Several factors including hunger, satiety, and blood sugar control are impacted by the effect of surgery on gut hormones. In terms of weight loss and improvement or remission of diabetes, the sleeve is as effective as the roux-en-Y gastric bypass according to short term studies. Independent of the weight loss, there is evidence that suggests the sleeve, similar to the gastric bypass being effective in improving type 2 diabetes. Between those of the adjustable gastric band and the roux-en-y gastric bypass the complication rates of the sleeve fall.

• Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Gastric Bypass

BPD/DS is a procedure with two components which is also referred to as the biliopancreatic diversion with duodenal switch. Very similar to the sleeve gastrectomy, a smaller, tubular stomach pouch is created by removing a portion of the stomach at first. The small intestine’s large portion is bypassed next. Just past the outlet of the stomach, the duodenum, or the first portion of the small intestine, is divided. Then, for the patient to eat the food which further goes through a newly created tubular stomach pouch and empties directly into the last segment of the small intestine, a segment of the distal small intestine is brought up and connected to the outlet of the newly created stomach. By the food stream, roughly three-fourths of the small intestine is bypassed. For the small intestine to eventually mix with the food stream, the bypassed small intestine is reconnected to the last portion of it. This bypassed small intestine carries the bile and pancreatic enzymes that are necessary for the breakdown and absorption of protein and fat. The BPD/DS initially helps to reduce the amount of food that is consumed similar to the other surgeries described above. However, patients can eventually consume near “normal” amounts of food after this effect lessens over time. A significant amount of small bowel is bypassed by the food stream in this procedure, unlike the others. Additionally, until the food goes very far down the small intestine it does not mix with the bile and pancreatic enzymes. Dependent on fat for absorption, this results in a significant decrease in the absorption of nutrients and vitamins as well as calories and nutrients. Lastly, gut hormones are affected in a manner that impacts blood sugar control as well as hunger and satiety because the BPD/DS is similar to the gastric bypass and sleeve gastrectomy. Among all the surgeries described here, BPD/DS is considered to be the most effective for the treatment of diabetes.

You are eligible for bariatric surgery if your body mass index (BMI) is:

• 40 or higher.
•  Between 35 and 40, and you have diabetes, high blood pressure, high cholesterol, fatty liver disease or sleep apnea.
• Between 30 and 35, and you have uncontrolled diabetes.

But finding the right procedure requires a discussion between you and your bariatric surgeon. “We consider the patient’s history, conditions and expectations.

Today, doctors perform almost all bariatric surgical procedures using minimally invasive techniques. That means smaller incisions (usually five or six in the abdomen) and faster recoveries. Most patients go home the day after surgery and recover in two to three weeks.

Gastric bypass surgery

The basics: Roux-en-Y gastric bypass surgery is an operation that shrinks your stomach, along with the amount of calories and fat your body absorbs.

“We disconnect the stomach on the top part and make a small pouch there. We then bring a loop of a small intestine up and connect it to that pouch, rerouting the GI (gastrointestinal) tract,”. “When the patient eats food, it enters the small intestine directly. We bypass 90 to 95% of the stomach.”

The benefits: “Gastric bypass is a more powerful tool than sleeve gastrectomy. Patients usually lose 10 to 20 pounds more with it. Rerouting the GI tract leads to some favorable hormonal changes, so the chance for diabetes improvement is higher as well.”

Who it’s good for:

• People with severe reflux disease: Acid reflux often improves after gastric bypass surgery.
• People with high BMIs: People lose more weight with gastric bypass.
• People with diabetes: While gastric bypass is generally better for these patients, Dr. notes: “In patients with severe diabetes, it doesn’t matter whether we do a bypass or a sleeve. Both procedures are similarly effective.”

Sleeve gastrectomy surgery

The basics: Also known as the gastric sleeve, sleeve gastrectomy surgery involves operating only on the stomach. Surgeons remove around 80 to 85% of it, leaving a smaller “sleeve” in its place.

The benefits: Dr. says the sleeve is a bit safer than gastric bypass: The risk of all complications is 3% after sleeve vs. 5% with Roux-en-Y gastric bypass.

Who it’s good for:

• People who have had multiple abdominal surgeries: “Rerouting the GI tract and operating on the small intestine would be impossible when there is severe scar tissue around it,” notes Dr. “In sleeve gastrectomy, we only operate on the upper part of the abdomen, which is usually less affected by the scar tissues.”
• High-risk surgical patients: Sleeve gastrectomy is easier on patients than gastric bypass: The anesthesia time is shorter, and the recovery is faster. High-risk patients include people with severe heart disease or lung problems, plus transplant candidates or recipients.
• People who weigh more than 450 to 500 pounds: Too much fat can limit the amount of space inside the abdomen. Surgeons need room to reroute the GI tract. “Without space, gastric bypass isn’t possible.”
• People on multiple medications to treat psychiatric illness: Gastric bypass can affect how your body absorbs — and responds to — medications. “If a patient with severe depression or anxiety is stable on multiple psych medications, we don’t want to give them a procedure that may alter their medication’s absorption and effectiveness.”

Duodenal switch

The basics: Duodenal switch surgery is what would happen if sleeve gastrectomy and gastric bypass had a baby. During this procedure, bariatric surgeons remove part of the stomach to create the trademark sleeve. Then they do a more extensive version of gastric bypass surgery. The result? The potential for even more weight loss and greater metabolic effects.

It may seem like the best of both worlds until you consider there’s a higher risk for surgical complications because surgeons are doing more to alter your anatomy.  That’s why only 1 to 2% of bariatric surgeries done in the U.S. are duodenal switches. If you want to go this route, it’s critical to find an experienced surgeon and center.

The benefits: Patients tend to lose even more weight than with Roux-en-Y gastric bypass surgery. It can conquer diabetes, too.

Who it’s good for:

• People with severe obesity: Patients can lose a significant amount of weight.
• People with severe metabolic disease: The duodenal switch procedure impacts hormonal balance in the GI tract. It’s very effective for improving related metabolic conditions like diabetes and high blood pressure.
• People who are very good at following their doctor’s orders: “It’s usually selected for patients who are very compliant to the vitamins, supplements and post-op follow up. It’s not safe for everyone. Even in patients who follow postop recommendations, there is small risk of malnutrition,” Dr. says.