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Bariatric surgery

Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems. It is defined by body mass index (BMI). BMI is closely related to both percentage body fat and total body fat.

  • Any BMI ≥ 35 or 40 is severe obesity
  • A BMI of ≥ 35 or 40–44.9 or 49.9 is morbid obesity
  • A BMI of ≥ 45 or 50 is super obesity
  • As Asian populations develop negative health consequences at a lower BMI than Caucasians, some nations have redefined obesity; the Japanese have defined obesity as
  • any BMI greater than 25 while China uses a BMI of greater than 28.
  • In India currently obesity is defines as a BMI of > 25.

Effects on health

Excessive body weight is associated with various diseases, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea, certain types of cancer, and osteoarthritis. As a result, obesity has been found to reduce life expectancy

Causes

  • Public health

The World Health Organization (WHO) predicts that overweight and obesity may soon replace more traditional public health concerns such as undernutrition and infectious diseases as the most significant cause of poor health. Obesity is a public health and policy problem because of its prevalence, costs, and health effects. Solutions look at changing the factors that cause excess food energy consumption and inhibit physical activity.

  • Management:

The main treatment for obesity consists of dieting and physical exercise. Diet programs may produce weight loss over the short term, but maintaining this weight loss is frequently difficult and often requires making exercise and a lower food energy diet a permanent part of a person's lifestyle. Success rates of long-term weight loss maintenance with lifestyle changes are low, ranging from 2–20%.

The most effective treatment for obesity is bariatric surgery. Surgery for severe obesity is associated with long-term weight loss and decreased overall mortality. Studies have found a weight loss of between 14% and 25% (depending on the type of procedure performed) at 10 years, and a 29% reduction in all cause mortality when compared to standard weight loss measures.

  • How we can help you ...

We have a dedicated team that includes doctors, nursing staff, paramedical and dietician that ensure that you receive the proper treatement that you deserve.

All out obesity patients are screened via a body composition analyzer. Their BMI and excess body weight including excess body fat are calculated. All the patients are counselled by our experienced dietician. Patient that can be managed at this point with diet and exercise alone are put on a convenient diet therapy.

Diet Plan Therapy:

All patients who are found to be obese but not so much as to require a bariatric procedure are further counselled. Their daily schedule of diet and exercise is evaluated and charted. Faults are outlined in the schedule and a new diet and exercise plan is formulated. The diet plan is scheduled on a weekly basis and the progress of the patients is charted. A close and long term follow up is advised.

For more details regarding the diet plan therapy feel free to contact Dr. Neha Agarwal at 9911558170 or visit her at www.drnehaagarwal.com

Bariatric Surgery

For all those patients found ideal candidates for bariatric surgery, a meeting with the surgical team - Dr. Amit Agarwal is arranged. The patient is thoroughly counselled. All available procedures including Laparoscopic Gastric Banding, Laparoscopic Sleeve Gastrectomy andLaparoscopic Roux en Y Gastric Bypass are discussed in great details. The best procedure for the patient is decided. Pre operative evaluation including the required tests are done. After proper optimization, the patient is taken up for the procedure. Postoperatively the patient is cared after till he has fully recovered and fit to return to his normal life.

  • Diet
  • Sedentary lifestyle
  • Genetics
  • Other illnesses
  • Social determinants

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