One of the most common solutions for overeating and obesity is bariatric surgery. When a person has excessive amounts of excess body fat and a body mass index (BMI) greater than 35, they are morbidly obese. As a result, it’s essentially a surgical emergency. There is an increased risk of heart disease and stroke and high blood pressure, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), sleep apnea, and Type 2 diabetes. Dr. Harsh Sheth is a bariatric surgeon and specializes in doing sophisticated bariatric procedures and has been doing so for more than ten years in Mumbai, executing various bariatric and laparoscopic surgery.
It can cause our bodies to react to “contain” the spread, resulting in obesity. Sleep apnea, diabetes, and stroke will all become more common as a result of this.
Why is it done this way?
Bariatric surgery helps you lose weight and minimize your chance of developing potentially fatal weight-related health conditions, such as:
- Stroke and heart disease
- Hypertension (high blood pressure)
- Nonalcoholic steatohepatitis (NASH) or nonalcoholic fatty liver disease (NAFLD) (NASH)
- Diabetes type 2
- Obstructive sleep apnea
Typically, the doctors perform bariatric surgery only after you’ve attempted to lose weight through bettering your diet and exercise routines.
Who is it for?
In general, bariatric surgery may be an option for you if you meet the following criteria:
1. You have a body mass index (BMI) of 40 or more (extreme obesity).
2. You have a primary weight-related health concern, such as type 2 diabetes, high blood pressure, or severe sleep apnea, and your BMI is 35 to 39.9 (obesity). If your BMI is 30 to 34 and you have major weight-related health concerns, you may be eligible for some form of weight-loss surgery.
Not everyone who is excessively overweight is a candidate for bariatric surgery. To be eligible for weight-loss surgery, you may need to meet specific medical requirements. The check if you qualify includes a lengthy screening process. To live a healthier lifestyle, you must also be willing to make long-term adjustments.
Follow long-term follow-up plans, which may include monitoring your nutrition, lifestyle, and behavior, and medical issues.
Bariatric surgery – Case study:
In this post, we’ll look at one of the most remarkable cases handled by Dr. Harsh Sheth, one of Mumbai’s best bariatric surgeons. Dr. Harsh is a Fellow in Advanced Minimal Access & Bariatric Surgery in Mumbai, where he studied under Dr. Muffazal Lakdawala, a well-known bariatric surgeon at Saifee Hospital. He’d like to share some details on the bariatric surgery he performed in Mumbai.
Since adolescence, the patient, a youthful 35-year-old unmarried female, suffered from weight gain, hypothyroidism, and diabetes mellitus. Her BMI was 45.3 kg/m2 at the start of treatment. Her diabetes was uncontrolled (HbA1c=9.1), and she had hypothyroidism (requiring high levels of thyroid enzyme supplementation). She arrived at us with these symptoms and explained that she had tried and failed to reduce weight through diet and exercise numerous times over the previous ten years. CBC, HbA1c, Lipid profile, thyroid profile, nutritional profile, renal function tests, and liver function tests were among the exams and physical examinations performed.
Following the examination, we discovered that the patient had morbid obesity. Morbid obesity is defined as having a body mass index (BMI) of more than 35. BMI is a measurement of body fat that can evaluate if you are at a healthy weight for your height.
We recommended bariatric surgery type to the patient as a therapy option (Roux-en-Y gastric bypass).
The process
Bariatric surgery type, which includes gastric bypass and other weight-loss treatments, involves making adjustments to your digestive system to help you lose weight. When diet and exercise haven’t worked, or you’re having major health problems resulting from your weight, you may need bariatric surgery. You may have limitations in how much you can consume as a result of some operations. Other methods function by inhibiting the body’s capacity to absorb nutrients.
She is 6 months post-bariatric surgery and lives a much better life. She lost 15% of her total body weight, her diabetes is under control , and her thyroid enzyme supplements levels came down.
The patient was advised not to eat for one to two days after weight-loss surgery to heal the stomach and digestive system. She also received a diet plan to stick to for a few weeks. The diet starts with simply liquids, then moves on to pureed, incredibly soft foods, and finally ordinary foods. She also received instructions on how much and what she could consume. During the first few months after Bariatric surgery, the patient was also given regular medical checkups to monitor her health.
