Obesity and its complications
Obesity is gradually becoming a leading problem all over the world. A lot of medical conditions like diabetes, heart problems, high blood pressure, respiratory problems, depression, female infertility and many more have a direct association with obesity. There is a clear evidence that obesity cuts down your life by many years.When simple activities start becoming task…it time to think seriously about weight loss options.To know more click here
Our team consists of two specialist surgeons, one assistant surgeon, clinical nutritionist or dietician backed by a great team of clinicians across all specialties to take complete care of obesity related health problems.We are performing bariatric surgeries at Indraprastha Apollo hospital, Sarita Vihar, Apollo Spectra Hospital, Kailash Colony and Karol Bagh and Max Hospital, Vaishali.You will be cared by our team of highly experienced health professionals. Our patients experience best results because of carefully tailored education and after care for months to come.
How to define obesity levels
The global method of calculating your obesity levels is BODY MASS INDEX. It is an estimate of body fat based on height and weight. A high BMI can be a sign of too much fat on the body whereas low BMI is an indicator of very less fat on the body.BMI is calculated by dividing a person’s weight by the square of their height
The result can be interpreted as follows:
The Indication for BMI Range
|Normal Size||16.5 to 22.4|
|Overweight||22.5 to 27.4|
|Class I, Obesity||27.5 to 32.4|
|Class II, Serious Obesity||32.5 to 37.4|
|Class III, Severe Obesity||37.5 and greater|
BMI is just one indicator to decide your obesity levels and the risk of potential health problems associated with it. The National Heart, Lung and Blood Institute guidelines recommend to look at waist circumference especially for Asian population which are more prone to Truncal Obesity or Pot belly obesity.Waist circumference more than 90cm in males and 80 cm in females are considered obese even if BMI is low.
Why Bariatric Surgery
Unfortunately for majority of obese patients, dieting will produce transient, temporary weight loss.International guidelines suggest that patients can maintain a weight loss of 10-12 kg only over a period of five years. Trials have shown that bariatric surgery results in greater weight loss than diet and exercise. This weight loss is permanent if patient adheres to advice of their nutritionist and surgeon. Importantly, surgery reduces the risk of death due to obesity and obesity related health problems which is not achieved with diet and exercise. To know more click here
Understanding bariatric surgery
Some weight loss surgeries work by decreasing the size of stomach (restrictive) so that it reduces the quantity of food that can be eaten at one time.
Some weight loss procedures alter digestion by causing food to be poorly digested and incompletely absorbed (malabsorptive). It does by reducing the length of intestine the food travels.
Most of the best weight loss procedures offer a combination of both restriction and malabsorption.
In addition, bariatric surgeries produce hormonal changes which reduces our appetite, craving for sweet foods and increases the secretion of insulin causing resolution or marked improvement in diabetes.
Am I Candidate for Bariatric Surgery
Weight loss surgery should be considered if you:
Are unable to achieve a healthy body weight even after supervised medical weight loss program
Have a BMI of more than 37.5 (calculate your BMI here)
Have a BMI of more than 32.5 but effected by obesity related health problems like Diabetes, High Blood Pressure, Respiratory Problems like asthma, OSA, excessive snoring, Joint Problems like osteoarthritis and even when obesity starts affecting your day to day activities.
In children/ adolescents,
BMI of >40 with one obesity related health problems
Unable to achieve ideal weight after a supervised 6 months medical weight loss program.
Weight Loss Surgery Options
Our team offers a comprehensive range of weight loss procedures and surgeries. There are many bariatric surgical procedures, but each surgery has its own indication, advantages and disadvantages. We can help you choose the most desirable option for you.
Whilst it is important for you to research about what is available, it is vital to speak to a specialist weight loss surgeon before coming to a decision, to ensure that your choice delivers the best outcome for you.
Type of Bariatric Surgeries
Sleeve gastrectomy is relatively a new technique with satisfying restriction and appetite suppression.Read more
One of the most successful and still considered as the gold standard for bariatric or weight loss surgery.Read more
Mini Gastric Bypass
It is a similar type of surgery as gastric bypass having both restrictive and malabsorptive component.Read more
Duodenal Jejunal Bypass
Laparoscopic duodenal jejunal bypass or single anastomosis gastric bypass is an upcoming bariatricRead more
Banded Bariatric Surgery
The Gabp ring device is an annular restrictive ring placed around the newly surgically createdRead more
Single Port Bariatric Surgery
Single incision surgery” or “single site surgery” or “single port surgery” is a very exciting new modality.Read more
Endoscopic Intra Gastric Balloon
A non-surgical procedure which helps achieve better portion control by making you feel full after eating less food.Read more
Gastric Plication Surgery
Gastric Sleeve Plication surgery is a relatively new procedure performed by limited number of bariatric surgeons.Read more
Revision Bariatric Surgery
Revision bariatric surgery refers to weight loss surgery that is done when patients do not obtain outstandingRead more
Why Choose Us
Dr.Kapil Agrawal is one of the leading and best bariatric surgeon in Delhi, India. He was trained by leading bariatric center in London, U.K. and he has performed more than 3000 laparoscopic and bariatric surgeries with excellent results.
Some surgeons have the preference to perform only one procedure, when another surgical procedure may offer more benefits to you. We have the skills to provide our patients a full range of weight loss options and complete range of weight loss surgeries.
We approach your requirements collectively as a team of surgeon, dietician, psychiatrist and nurse to tailor a plan that is right for you.
The results that our patients achieve speak for themselves. Our team ensures 100% support through your weight loss journey.
Our practice guarantees no hidden fees or additional out-of-pocket expenses. We provide an all-inclusive weight management program for 12 months after surgery, with unlimited follow-up.
The patients are discharged with 36-48 hours of surgery. The recovery is very fast and patient can go home once they are comfortable and are able to drink and digest well.
Our team performs all bariatric or weight loss surgeries through minimal invasive techniques better known as laparoscopic surgery. the entire surgery is carried out with the help of 3-4 tiny incisions on the abdomen. Long thin instruments along with a telescope fitted to a camera are introduced into these incisions. In selected patients, instead of making 4 ports or holes, we perform the procedure using single incision completely hidden in the umbilicus known as single port bariatric surgery.
We never encourage our patients for complete bed rest post-surgery. In fact, we start mobilizing our patients as soon as two hours after surgery. The morning after, we expect our patients to walk comfortably. After discharge from hospital, we recommend increasing activity levels and daily walk as much as possible. Aerobic exercises like jogging, cycling or swimming are introduced after one week and lifting heavy weights and gym can started in a month’s time.
Obesity is associated with increased risk of pregnancy loss, pregnancy-associated complications such as preeclampsia and gestational diabetes, and postpartum complications including hemorrhage as well as higher rates of infant mortality and congenital defects. In short, it is harmful both for the mother and child.
Bariatric surgery not only increases women's chance of conception but there is also marked decrease in the incidence of miscarriage after bariatric surgery. The data suggests that incidence of developing diabetes during pregnancy is significantly decreased after surgery which is very good for both mother and child health.
It has been proven beyond doubt that diet and exercise alone can help in achieving a weight loss of 10-12 kg. Even if you lose beyond that, its very difficult to maintain and almost all patients will eventually have weight regain. It is therefore indicated for only overweight or class 1 obese patients.
Class 2 or class 3 obese patients usually have hormonal and genetic component associated with obesity which is not addressed by diet and exercise alone. Moreover, excessive weight can cause permanent damage to their joints during exercise. Lack of stamina, low basal metabolic rate further hampers their weight loss. Therefore, bariatric or weight loss surgery is the best and only successful option for such patients..
We strongly advice our patients to abstain from alcohol for at least a year. It will help you in achieving best weight loss. After one year, as our nutritionist approves, small amount of alcohol may be consumed time to time depending upon the type of bariatric procedure conducted.
Bariatric surgeries are associated with marked improvement or even resolution of many obesity related health problems. It is a well-established that it prolongs our life span and even reduces the risk of certain cancers. Some types of bariatric surgeries can lead to vitamin and certain mineral deficiencies but these are easily manageable with the help of tablets. We always believe in proper counselling of patients so that there is no mismatch of expectations and results.