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Obesity

What is Metabolic Syndrome?

Metabolic Syndrome is a condition in which excess body fat has accumulated to such an extent that health may be negatively affected and life span is shortened.it is commonly defined as a body mass index(BMI) of 30 kg/m2 or higher. This distinguishes it from being overweight as defined by a BMI of 25 kg/m2 or higher. Obesity occurs over a period time when you eat more calories than you use.the balance between calories-in and calories-out differs for such person.Factors that might tilt the balance include your genetic makeup,overeating, eating high-fat foods and not being physically active.


Body Mass Index (BMI)

BMI is an accurate reflection of body fat percentage in the majority of the adult population.

Problems of Metabolic Syndrome

Metabolic Syndrome raises concern because of its implications for the health.Metabolic Syndrome increases the risk of many diseases and health conditions.These includes:

  • Type 2 diabetes
  • Coronary heart disease
  • Hypertension (high blood pleasure)
  • Cancers(endometrial,breast and colon)
  • Dyslipidemia (for example,high total cholesterol)
  • Stroke
  • Liver and Gallbaladder disease
  • Sleep apnea and respiratory problems
  • Osteoarthritis
  • Infertility
  • Mental Disorders

Metabolic Syndrome can be treated effectively

Treating Metabolic Syndrome involves more than keeping a certain diet or taking a tablet. It requires multidisciplinary assessment, which involves several specialists collaborating as a team.The team often comprises a dietician, psychologist , physician, cardiologist, pulmonolgist, diabetologist and surgeon.Treatment can be adapted to the needs of the patient and may include: Psychological support, Diet and exercise, Medical treatment, Obesity surgery.If you suffer from obesity and have tried various treatment without results, obesity surgery may be indicated. At present, surgery combined with behavriol changes is the only documented method of achieving lasting weight loss for patients with morbid obesity.

Bariatrirc (weight-loss) surgery

Weight-loss (bariatric) surgery changes the anatomy of your digestive system to limit the amount of food you can eat and digest. The surgery aids in weight loss and lowers your risk of medical problems associated with obesity,

Open Approach

An open procedure involves one long incision that open the abdomen to provide the surgeon acces.

Laparoscopic Approach

When a Laparoscopic Surgery is performed , a small video camera is inserted through a small incision in the abdominal wall, allowing the surgeon to view and perform the surgery.Compared to open surgery . Keyhole surgery for treating obesity is highly effective simple and safe.

Some benefits of laparoscopy surgery includes:
  • Minimal Blood loss.
  • Minimal post-operative pain.
  • Very few wound infections.
  • Very few incisional hernias.
  • Very fast recovery and early return to pre-surgical level of activity.
  • Less intestinal adhesions.
  • More precision due to 20 times magnification.
  • Significantly better surgical outcomes.
Types of Bariatric Surgery

Restrictive procedures make the stomach smaller to limit the amount of food intake. Restrictive and Malabsorptive techniques reduce the amount of food intake and also limit the length of intestine that comes in contact with food so that the body absorbs fewer calories.

Sleeve Gastrectomy

The portion of stomach whioch secretes Ghrelin (hormone which increase desire for appetite& cholestrol ) and acid (which digests food) in excess is removedisfor digestion is removed. This leads to reduction in food intake and also alteration in hormonal milieu which leads to usage of stored fat for caloric requirement.Thus, by natural way, weight gets reduced and in few months time major portion of excess weight is lost.There is no need for taking medicines continously and the weight lost will be sustained.Studies show this as the best metheod.

Roux-en-Y gastric bypass.

This is a malabsorphic procedure.Within the first two years of surgery, you can expect to loose 75 to 85 percent of your excess weight.If you closely follow dietary and exercise recommendations, you can keep most of that weight off long term.

Others

Adjustable Gastric band.Effects are moderate with some undesireable effects and hence not much preferred.

You are suitable for surgery if:
  • Your BMI is 35 or above
  • Your BMI is 30 or above and you have obesity-related health problems (co-morbidities)/Metabolic Syndrome.
  • A multi-disciplinary team will assess the type of surgery suitable for ypu. They will give you information about benefits and risks of surgery. After the operation, you will have regular check ups at the obesity centre or by your primary care doctor.The operatio is the first step in a comprehensive lifestyle change.
  • In addition to dramatic weight loss,Bariatric surgery improves or resolves the conditions associated with obesity like Diabetics,BP,Infertility, Joint Pain,High Cholestrol.The surgery has also shown to improve mobility and quality of life,Success of surgery will also depend on determination and ongoing effort by the patient.


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