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.
Bariatric surgery is performed laparoscopically nowadays. The recovery is very fast and the patients are usually discharged within 48 hours of surgery.
The surgery is performed laparoscopically. A telescopic rod connected to video camera is inserted through a tiny hole. 3-4 small incisions are additionally created to allow passage of long, thin instruments to perform the surgery.
We usually encourage our patients to walk 3 hours after surgery. You can start your morning walks 2 days after surgery and resume your office after 6 days of surgery. There is no bed rest advised by us.
The chances of weight regain are negligible provided the patient adheres to the guidelines advised by the surgeon and the nutritionists.
Single port bariatric surgery is the latest, most advanced form of laparoscopic bariatric surgery. the entire surgery is performed through a single hole made into the umbilicus. The incision is therefore completely concealed leaving no visible scar. We are performing single port bariatric surgeries especially in young female patients routinely with excellent results.
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.