Weight Loss Surgery: A Tool for Morbid Obesity

drjohn

What is the definition of morbid obesity that qualifies for bariatric surgery? What are the co-morbid symptoms like diabetes or hypertension that improve with surgery? What are the differences between gastric bypass and sleeve gastrectomy? How important is the multidisciplinary team (surgeons, dietitians)? What makes a hospital a Bariatric Center of Excellence? What is the full cost, and what is the lifelong dietary and follow-up guidance required for success?

drrahul

Bariatric surgery is recommended for individuals with morbid obesity, defined as a BMI of 40 or higher, or 35–39.9 with obesity-related conditions like type 2 diabetes, hypertension, sleep apnea, or high cholesterol. The surgery often improves these co-morbidities significantly. Common procedures include gastric bypass, which creates a small stomach pouch and reroutes the intestine for greater weight loss, and sleeve gastrectomy, which removes a portion of the stomach for moderate weight loss. Success depends on a multidisciplinary team of surgeons, dietitians, psychologists, and exercise specialists. Hospitals designated as Bariatric Centers of Excellence meet high standards for experience, outcomes, and comprehensive support. In India, costs range from ₹2,80,000 to ₹6,00,000 depending on the procedure. Lifelong success requires adherence to dietary guidelines, hydration, vitamin supplementation, and regular follow-ups to maintain weight loss and overall health.

dranil

Morbid obesity qualifying for bariatric surgery is defined as a body mass index (BMI) over 40, or BMI over 35 with serious obesity-related health conditions like diabetes, hypertension, or sleep apnea. Bariatric surgery helps improve or reverse these co-morbidities. The two common surgeries are gastric bypass, which reroutes the digestive tract to reduce calorie absorption, and sleeve gastrectomy, which reduces stomach size to limit food intake. A multidisciplinary team including surgeons, dietitians, and mental health experts is essential for successful treatment and lifelong health management. Hospitals recognized as Bariatric Centers of Excellence meet strict standards for safety, expertise, and comprehensive care. The total cost varies but includes surgery, hospital stay, and follow-ups. Lifelong dietary changes, regular exercise, and medical follow-up are critical for maintaining weight loss and health post-surgery.