What is Obesity?- A Serious Multi Health Disorder

  • Shivani Tyagi
  • June 14, 2019

What is obesity?

  • Abnormal accumulation of body fat.
  • 20% or more than the ideal body weight
  • Increased risk of illness, disability

How obesity is measured?

Body Mass Index Image MTC
Body mass index (BMI) = Body weight (kg)Height (m2)
  • Normal 18.5- 24.9
  • Overweight 25- 29.9
  • Obese 30-40
  • Morbidly obese more than 40

Causes of obesity :

Bariatric Surgery Image MTC
  • Sedentary lifestyle
  • High-calorie intake
  • Genetic, familial lifestyle
  • Medical conditions like hypothyroidism, Cushings syndrome
  • Drugs like beta blockers, antidepressants, steroids

Complications Because Of Obesity :

Obesity is harmful image mtc
  • Gastroesophageal reflux disease
  • Heart disease
  • High blood pressure
  • Severe sleep apnea
  • Type 2 diabetes
  • Stroke
  • Reproductive disorders

Treatment to get rid of obesity :

  • Dietary modifications
  • Exercise and yoga
  • Behavioral changes
  • Weight loss surgery

Who can go for Bariatric surgery/ criteria for bariatric surgery

  • BMI more than 35
  • BMI more than 32 with associated disease
  • Failure of non-surgical weight loss programs to achieve sustained weight loss

What are the types of bariatric surgery?

Sleeve Gastrectomy:

This type of surgery is a stapling procedure in which 80% of the stomach is removed surgically. This results in a pouch that is approximately 100 cc in volume. Working along with the same principles as the other restrictive procedures, limiting the amount of food intake leads to an earlier feeling of satiety.

Additionally, the portion of the stomach that is removed, holds the majority of cells in the body that produce the hormone called Ghrelin that is associated with hunger.

This procedure leads to approximately 70-80% of excess weight loss in 12-18 months.

Gastric Bypass :

Gastric bypass surgery is considered a gold standard procedure for weight loss. Highly recommended especially for those who have diabetes. The surgeon seals the stomach by cutting across the top of the stomach. The remaining pouch is about the size of a walnut and can hold only about an ounce of food. Next step, the surgeon cuts the small intestine and attaches a part of it directly onto the remaining pouch. Then the food goes into this small pouch of stomach and then directly into the small intestine attached to it.

Duration of the procedure = 60-90 minutes

Success rate = 95

Length of stay in hospital = 3-4 days

Benefits of Laparoscopic bariatric surgery/ weight loss surgery

  • 55 -70% excess weight reduction
  • Control of hypertension and diabetes
  • Withdrawal of fatigue
  • Infusing activeness
  • Improves the quality of life
  • Prevents the risk of any illness

What is the diet advised after the Bariatric surgery?

  • Liquid diet for two weeks, soft diet for the next two weeks and then a normal diet.
  • Eat small, chew well and eat slowly. Avoid taking fluids half an hour before and after the meal.
  • Take an adequate amount of protein supplements.
  • Take vitamin supplements daily as suggested by the surgeon.

Is pregnancy after bariatric surgery safe?

Weight loss surgery improves fertility and makes childbirth safer for both the mother and baby. It is advised to avoid pregnancy until 18 months after surgery.

What are the risks associated with Bariatric surgery?

  • Leakage and bleeding from stapling site = 5%
  • Deep vein thrombosis and pulmonary embolism = 2%

Is Bariatric surgery cost-effective and permanent?

Laparoscopic Bariatric surgery In Delhi, (India) has proven to be effective in achieving permanent weight loss with minimal complications.  Surgical weight loss increases life span and is cost effective too.

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