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Am
i eligible for weight loss surgery?
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Presence of serious sequelae of morbid obesity
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30 kg overweight or a BMI> 33 kg/m2 for more than 5 years with at
least one co-morbidity (ASIA PACIFIC GUIDELINES)
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BMI > 37 with or without co-morbidities
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Failure of sustained weight loss on supervised dietary and
conservative approaches (OR Multiple unsuccessful attempts at
Weight loss with non-surgical methods)
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Absence of an endocrine cause
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Acceptable operative risk
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Compulsive eaters
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Educated, compliant patient. Demonstrate willingness to
maintaining dietary guidelines and other follow-up care.
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Have support from family, spouse, or close friends.
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Surgery is not recommended for the mentally ill or impaired,
patients known to abuse alcohol or drugs, or those with an eating
disorder such as bulimia.
If the answer to the above is yes, then you should be
seeking the opinion of our Bariatric expert.
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Procedure of weight loss surgery?
Entails laparoscopic implantation of a Silastic band
around the stomach just below the gastro-esophageal
junction to section off a small portion called as
stomach pouch creating an hour-glass effect. A small
outlet, about the size of a pencil eraser, is left
at the bottom of the stomach pouch.
Lap.
Gastric Banding Lap.
Gastric Bypass
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Effects of weight loss surgery?
The hour glass configuration only
constricts the upper stomach thus acting as a pure
restrictive operation. Since the outlet is small,
food stays in the pouch longer and one also feels
satiated for a longer time.
In a cooperative and compliant patient,
the reduced stomach capacity, along with behavioral
changes, can result in consistently lower caloric
intake and consistent weight loss. Patients who see
the best results from a restrictive procedure are
those who learn to eat slowly, eat less, and avoid
drinking too many caloric fluids, particularly carbonated
beverages. If the patient fails to follow these guidelines,
they can stretch the stomach pouch and/or the stoma
outlet and defeat the purpose of the surgery. The
effectiveness of a restrictive procedure is reduced
by constant snacking or by drinking high-calorie,
high-fat liquids.
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Complications of weight loss surgery?
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