Guide to types of weight loss surgery in ludhiana

Weight loss (bariatric) surgery helps you lose weight and reduces the risk of medical problems associated with obesity. Bariatric surgery can help to lose weight in two main ways:

• The surgery is used to physically limit the amount of food the stomach can hold, thus limiting the number of calories that can be consumed.
• The surgery is used to bypass a part of the small intestine, which helps in reducing the amount of calories and nutrients the body absorbs.

Some common types of weight-loss surgery are:

• Roux-en-Y gastric bypass surgery
• Laparoscopic gastric sleeve

Roux-en-Y gastric bypass surgery

In Roux-en-Y gastric bypass, the surgeon creates a small sac in the upper part of the stomach. The sac is the only part of the stomach that receives food. This significantly limits how much you can safely eat and drink at one time.

It then cuts the small intestine a short distance below the main part of the stomach and connects it to the new sac. Food flows directly from the sac to this part of the intestine. The portion of the intestine that is still attached to the main stomach is reattached further down. Thus, digestive juices enter the small intestine. Because the food bypasses a portion of the small intestine, fewer nutrients and calories are absorbed. 

Laparoscopic gastric sleeve

In a laparoscopic gastric sleeve procedure, part of the stomach is separated and removed from the body. With the remaining section of the stomach, a tube-like structure is formed. This smaller stomach does not hold as much food. It also produces less of the appetite-regulating hormone ghrelin, which could reduce your desire to eat. However, the laparoscopic gastric sleeve does not affect the absorption of calories and nutrients in the intestines.

How is the surgery done?

Weight loss surgery is most often done laparoscopically, requiring only small cuts, under general anesthesia. Laparoscopic surgery has less risks than open surgery and might cause less pain and scarring. Also, recovery may be faster with laparoscopic surgery.

Open surgery, which involves a single large incision in the abdomen, may be a better option than laparoscopic surgery for certain people. The patient may need open surgery if they are severely obese, have had previous stomach surgery, or have other complex medical problems.

What should the patient expect before surgery?

Prior to surgery, the patient will meet with various health professionals, such as an internist, dietitian, psychiatrist or psychologist, and bariatric surgeon.

• The internist will ask about your medical history, do a complete physical exam, and order blood tests. If the patient smokes, she might benefit from quitting at least 6 weeks before her surgery.
• The dietitian will explain what and how much you will be able to eat and drink after surgery and will help you prepare for the changes in your life after surgery.
• Your psychiatrist or psychologist may evaluate you to see if you’re ready to handle the challenges of weight-loss surgery.
• Your surgeon will give you more information about the surgery, including how to prepare for it and what kind of follow-up you’ll need.

Losing weight and having blood glucose levels, also known as blood sugar, as close to normal before surgery may reduce the chance of having surgery-related problems.

Some weight-loss surgery programs have groups, patient can attend before and after surgery that help answer questions about the surgery and offer support.

What should the patient expect after surgery?

After surgery, the patient will need to rest and recover. You should start slowly and follow your health professionals’ recommendations about the type of physical activity you can do safely. As the patient becomes more comfortable, he should add more physical activity.

After surgery, you will probably start on a liquid diet. Over the course of several weeks, you will move to a bland diet that includes foods such as cottage cheese , yogurt, or soup. Over time, you will begin to eat solid foods again. Your health care professional will tell you what foods and drinks you can have and what you should avoid. You will need to eat small portions and chew your food well. You will need to take dietary supplements prescribed by your healthcare professional to make sure you are getting enough vitamins and minerals.

What complications or adverse effects can Bariatric Surgery cause?

It is possible that in the adaptation period after surgery you have reflux, nausea and vomiting. You may also present a vitamin and mineral deficiency due to intestinal malabsorption, for which specific supplements will be prescribed. Other complications may be acute gastric dilatation or dumping syndrome.

Conclusion

Currently, bariatric surgery can be considered the treatment of choice and most effective in the long term for patients with morbid obesity who have been carefully selected. With these techniques, a great improvement is achieved in anthropometric parameters, in cardiovascular risk factors and in the quality of life of these patients. However, these methods are not exempt from complications, some of them very important. It is necessary to know the anatomical and functional changes that occur in the gastrointestinal tract in order to understand and prevent the nutritional complications associated with these techniques.

We must always bear in mind that in order to minimize or avoid these nutritional deficiencies, it is necessary to supplement with vitamins and trace elements, strict control and medical-nutritional monitoring, as well as acceptance and commitment by the patient to follow the rules set by the multidisciplinary team.

We at Ckosmic Surgical Center ensures patient safety on priority and give best results for your weight loss surgery, so if you are looking for sustainable  weight loss and good result then get in touch with Dr. Amit Sood who provides best weight loos surgery in ludhiana.