Department of Bariatric & Metabolic surgery

(Laparoscopic surgery for Obesity & Diabetes)

The department of Bariatric & Metabolic surgery of Peerless Hospital is one of the most well equipped department in Eastern India. This department headed by Dr. Siddhartha Bhattacharya provides all modalities for treatment of obesity which include:

  • Lifestyle management program
  • Medications for obesity treatment
  • Advanced Bariatric surgery
  • Diabetes surgery
  • Endoscopic bariatric solutions

The department includes specialists for various fields providing multi-disciplinary care including endocrinologist, cardiologist, dietician, physical medicine specialists, bariatric nurse and bariatric surgeon. The patient receives comprehensive care under the care of this highly experienced team of specialist.

About our experienced Bariatric & Metabolic surgeon

Dr Siddhartha Bhattacharya is the lead consultant bariatric surgeon at Peerless hospital. He has gained vast experience in the field of Bariatric surgery. He was the lead consultant bariatric surgeon in South India. He is a renowned national faculty and has visited many countries as a faculty in Bariatric surgery. He has more than 20 international publications and he has also co-authored the books “Clinics in Bariatric & Metabolic surgery”, a book focused on various aspects of Bariatric surgery. He has enormous surgical experience having performed vast numbers of all standard types of Bariatric surgery. He is also a very experienced advanced laparoscopic surgery specialized in performing laparoscopic gastrointestinal surgeries.

Obesity: A disease

The World Health Organization (WHO) has recognized obesity as a disease. Obesity is a growing health problem in India, and associated with diabetes (a very common disease in our country) it is affecting the quality, as well as, longevity of the lives of affected individuals. There are many other diseases which can afflict a patient suffering with obesity including:

  • Diabetes & its complications
  • Hypertension
  • Lipid disorder
  • Heart disease
  • Obstructive sleep apnea (OSA)
  • Gastro-esophageal reflux disease (GERD)
  • Arthritis (knee/back pain)
  • Infertility
  • Poly-cystic ovarian disease (PCOD)
  • Non-alcoholic fatty liver disease (NAFLD)
  • Obesity associated kidney disease
  • Increased risk of cancers like breast, kidney, colon etc.

How is obesity defined?

Obesity is most commonly defined by BMI (Body Mass Index) calculated Weight in Kgs / (Height in m)2.

BMI
Class of Obesity
25 – 30
Overweight
30 – 35
Class I obesity
35 – 40
Class II obesity
>40
Class III obesity (Morbid obesity)
>50
Super-obese
>60
Super-super obese
>70
Mega obese

Who needs treatment of obesity by bariatric / metabolic surgery?

As per the OSSI (Obesity & Metabolic surgeons society of India), individuals who meet the following criteria are recommended to undergo bariatric surgery

  • BMI of more than 35 with or without obesity associated diseases
  • BMI of more than 30 with obesity associated diseases like diabetes, hypertension, OSA, etc.
  • BMI of more than 27.5 with severely uncontrolled diabetes can also be considered for metabolic surgery.

What is bariatric surgery?

Bariatric surgery is a laparoscopic surgery (micro-surgery), wherein, alterations are made in the stomach and/or intestines of the suffering person. Bariatric surgery is very safe and recovery after surgery is quick, in fact, the patient is made to walk, the same day as surgery. Following surgery, the patient loses weight at a rapid pace in the next few months. The improvement of diabetes is even more dramatic, with most patients having normal blood sugar within the first few days of surgery. There are many causes for this improvement like changes intestinal hormones which leads to increased production of insulin, restriction of food intake and weight loss which reduces insulin resistance. No other form of treatment can act by so many mechanisms. That is why bariatric surgery is the most effective treatment of diabetes in obese individuals.

Types of Bariatric surgery?

Laparoscopic Sleeve Gastrectomy (LSG)
This procedures involves reduction of size of the stomach making it tube like the process. This is a restrictive procedures achieving excellent weight loss. It is better suited for patients who are young with less severe form of obesity with fewer associated diseases.

Laparoscopic Roux-en-Y Gastric Bypass (RYGB)
This procedures involves creation of a small stomach pouch along with bypass of a small segment of intestines. Thus, this procedure causes both restriction of food intake, as well as, reduced absorption of food. This procedure is more suitable for higher BMI patients and those with severe diabetes.

Mini Gastric Bypass / One Anastomosis Gastric Bypass (MGB/OAGB)
This procedure involves creation of a larger stomach pouch with bypass of a segment of intestines. This procedures achieves excellent weight loss with good resolution of diabetes.

Duodeno-jejunal Bypass (DJB)
Another type of bypass along with a sleeve gastrectomy. This procedure is more suited for super-obese and patients with uncontrolled diabetes.

Single Incision (SILS) Bariatric surgery
Single incision bariatric surgery involve performing bariatric procedures through a key hole through the umbilicus. This procedure is almost scarless as the scar of incision is hidden deep into the umbilicus. Very few centres in India offer this facility.

Types of Endoscopic Bariatric procedures

Intra-gastric Balloon (IGB)
Endoscopic placement of silicon balloon in the stomach to restrict food intake.

Endoscopic Sleeve Gastroplasty (ESG)
Endoscopic plication of stomach reducing its volume causing reduced food intake

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