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When you cannot control your weight through diet or exercise is when doctors prescribe Gastric Bypass Surgery. Also, patients who undergo serious health conditions due to obesity, such as type-2 diabetes or high blood pressure, undergo this surgery. This surgery ensures fewer complications and safety and is a very common operation done by doctors in India.
This piece will define you all about the surgery, its side effects and the cost in India. Read on to gather information on the same in case you are planning to do this surgery to reduce weight.
Roux-en-Y or gastric bypass surgery is a specific weight-loss surgery where the surgeon makes a minor pouch from your stomach. This new pouch directly connects your small intestine.
Post gastric bypass surgery, the food you swallow will go directly into this small pouch and then to the small intestine. This procedure will bypass most of your stomach and the first part of your small intestine.
This surgery is a very common bariatric surgery. Often patients with obesity or those suffering from severe medical issues due to obesity undergo this surgery.
Doctors prescribe gastric bypass surgery to reduce potential life-threatening issues due to being overweight. It helps to treat the following:
GERD or Gastroesophageal reflux disease happens when your stomach acid flows back frequently into the oesophagus. This acid reflux or frequent backwash can irritate the oesophagus lining, causing harm to your body.
Being overweight can majorly cause coronary artery disease and stroke. These are high triglycerides, LDL cholesterol and low HDL cholesterol. Additionally, this leads to high blood pressure and impaired glucose tolerance or commonly called type-2 diabetes.
This is a condition where excess fat builds up in your liver. This issue can damage your liver causing inflammation and sudden pain in your stomach. NAFLD happens due to obesity and type 2 diabetes.
This is a very serious sleep disorder which causes sudden starting and stopping of your breath. If you notice that you snore loudly and feel tired even after sleeping at night, it might be due to sleep apnea. Excessive weight and obesity is the main reason behind this issue.
It is a chronic condition where your body uses sugar or glucose as fuel. This results in increased sugar circulation in your bloodstream leading to disorders in your immune, nervous and circulatory systems. Type-2 diabetes is a common chronic condition prevalent in most individuals.
Every type of bariatric surgery comes with its own set of benefits. Before undergoing any surgery, it is mandatory to consult your doctor. Learn everything about the sane and understand whether it suits your body.
Some of the common gastric bypass surgeries done by reputed hospitals in India are as follows:
This term in French, denoting 'in the form of a Y', is a type of surgery to treat obesity and obesity-related diseases. A very common bariatric surgery, Roux-en-Y, is irreversible.
It works effectively by reducing your food consumption in one sitting, preventing nutrients from getting absorbed. In this surgery, doctors cut the top section of your stomach, sealing it from the rest. The new pouch is almost the size of a walnut and could hold an ounce of food.
After this, the surgeon cuts a part of your small intestine and connects it directly to your pouch. Therefore, when you consume food, it goes to this pouch and bypasses most of your stomach. Then it directly goes to the small intestine. There are no gastric bypass surgery complications here.
Benefits -
Survival Rate After Surgery -
As per a recent study, amongst 81,751 patients who underwent RYGB surgery, the mortality rate was approximately 0.15%.
Cost of Surgery -
Approximately ₹ 10,00,000 to ₹ 30,00,000
Sleeve gastrectomy or laparoscopic sleeve gastrectomy is a process where your stomach is freed from its surrounding organs. Almost 80% of your stomach is removed in this process, making it like a tube-like pouch or a banana shape. This means the small pouch is unable to hold much food.
It also produces low ghrelin hormone, an appetite-regulating hormone that reduces your wish to eat. Patients undergoing this surgery require fewer days to stay in the hospital with reduced side effects of gastric bypass surgery.
Benefits –
Survival Rate After Surgery -
Cost of Surgery -
Approximately ₹ 2,30,000 to ₹ 3,50,000
It is a surgery where doctors create a tube-shaped pouch. Just like sleeve gastrectomy, it is a two-way surgery process. The first part is making this pouch, and the second includes connecting the small intestine's rear to your duodenum near your stomach. This is a duodenal switch and Biliopancreatic diversion.
In this process, the majority of your intestine is bypassed. Undergoing this operation will reduce your consumption of food and reduce your absorption of nutrients as well. However, certain risks come with this surgery, including malnutrition and certain vitamin deficiencies. Some medical practitioners say almost 90% of patients have recovered after undergoing this surgery.
Benefits –
Survival Rate After Surgery -
As per recent studies, almost 85% of patients have improved with this surgery.
Cost of Surgery -
Approximately ₹ 3,00,000 to ₹ 4,22,809
Although surgeons do not practise this surgery much, this surgery allows placing an adjustable silicone band. This band is placed on the top section of your stomach to reduce food consumption.
Then, doctors create a small pouch above the band that helps in controlling the amount of food intake, thus avoiding too much eating.
Benefits –
Survival Rate After Surgery -
According to reports, almost 98% of patients came for follow-ups after 3 years of surgery, and almost 88% came after 5 years.
Cost of Surgery
Approximately ₹ 1,00,000 to ₹ 5,00,000
A very recent procedure initiated by the American Society for Metabolic and Bariatric Surgery, this surgery takes very less time and ensures safety. There is only one surgical bowel connection doctors do during this operation. Like sleeve gastrectomy, doctors create a small pouch here first.
After that, doctors create a minor section of your small intestine. Then, they measure a section of the small intestine and attach it to your stomach. This is the only connection they make here through surgery.
Benefits –
Survival Rate After Surgery -
Cost of Surgery
Approximately ₹ 2,93,000
Although this surgery is safe, there are certain precautions you must take before, during and post-surgery. You will have to consult your doctor, who will help you understand the theory and why you need this gastric bypass surgery.
Here is what you need to follow:
Like most surgeries, gastric bypass surgery has certain side effects and risks. The side effects of gastric bypass surgery are as follows:
These are some of the gastric bypass surgery risks you might experience post-surgery. In that case, it is necessary to immediately consult a doctor.
Doctors conduct an appropriate evaluation of your health condition before the surgery. This will help your doctor to determine what complications your body has. If you have diabetes, you must take certain steps to control your blood sugar levels.
Here are the tests your medical practitioner will do:
Well, before the operation, you might face certain discomfort or nervousness. This is only because of the anxiety that happens due to overthinking. Your doctor will make you stable by speaking with you in this case. You will have nurses to assist you during this period as well.
As nurses take you to the operation theatre in a bed, the following are the things that you can expect during the surgery:
When you are in the recovery room, a nurse will be present there to monitor your health condition. Once you recover, the medical team will shift you to a general ward, where you might have to stay for five to six nights.
In addition, you might require frequent health check-ups to monitor your body condition. However, you may witness excessive weight loss in the first six months. In addition, your body will adapt to the changing conditions soon after.
Gastric bypass surgery requires frequent doctor consultation. After the surgery, if you find these below symptoms, you must call a doctor:
If you still have reservations regarding gastric bypass surgery and find them too complicated, you can find other alternatives. However, it depends on your medical conditions and your doctor's analysis.
The following methods are often used as substitutes for gastric bypass surgery:
Intragastric Balloon Therapy
Approved for patients with a body mass index of 30 to 40, this process includes gas-filled balloons or fluids. These fluid-filled balloons are inserted inside a patient's abdomen and a tiny camera. This is done from the patient’s mouth to the abdomen.
After positioning this balloon, the physician fills it with saline solution. This allows a reduction of the patient's stomach size and thus lower food consumption. This process is reversible and is intended to be kept in the exact place for over six months before removal.
Endoscopic Sleeve Gastroplasty
A minimally invasive weight loss process is somewhat similar to the traditional sleeve gastrectomy. However, while an incision is made in the traditional method, this method doesn’t involve any incision, and the upper endoscopy is done.
A thin tube is inserted into the mouth of the patient and led through the abdomen. This procedure involves minimal risk and is intended for patients with BMI greater than 30.
|
Type of Gastric Bypass Surgery |
Cost of Surgery in India (May Vary Across Cities) |
|
Roux-en-Y Gastric Bypass Surgery |
Approximately ₹ 10,00,000 to ₹ 30,00,000 |
|
Sleeve Gastrectomy |
Approximately ₹ 2,30,000 to ₹ 3,50,000 |
|
Biliopancreatic Diversion With Duodenal Switch |
Approximately ₹ 3,00,000 to ₹ 4,22,809 |
|
Adjustable Gastric Band |
Approximately ₹ 1,00,000 to ₹ 5,00,000 |
|
Single Anastomosis Duodenal-ileal Bypass With Sleeve Gastrectomy or SADI-S |
Approximately ₹ 2,93,000 |
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