Obesity Surgery

Obesity Surgery

Dwarika Clinic, A Weight Loss surgery Center in Ahmedabad, helps to reduce the excess weight after all initial modalities fails. Centre is having most experienced and super-specialist weight loss doctor in Ahmedabad along with team of physician, diabetologists, intensivist, dietician and specialized physiotherapist to take care of all & high-risk obese person. This centre is equipped with all latest facilities to deliver world class treatment.

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Benefits of Weight Loss Surgery

Early Resumption of Diet

Liquids can be taken as early as 6 hours of the surgery

Faster Recovery

You will be able to resume normal activity from the 4th day of surgery

Negligible Pain

As it is a laparoscopic surgery pain is negligible

Keyhole/Laparoscopic Surgery

No large incision, only small key hole like incisions

24 X 7 Multidisciplinary Doctors Available

Hospital being multispecialty all super specialty doctors available 24×7

In-house CT, MRI and Well Equipped ICU

Increases patient safety to minimize diagnostic delay and hassles of transferring patients

Dedicated Infrastructure

Specially designed wheelchairs, stretcher beds, lift, commode, OT table.

Safe Surgery

Surgery is as safe as routine laparoscopic appendix or gall bladder surgery

Dr. Avinash Tank's primary mission and ultimate goal is Reduce Weight to Regain Health

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Obesity Surgery

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Diabetic Surgery

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Cancer Surgery

Killer of your Health

Obesity is a chronic illness in which person accumulates excess fat, which can jeopardize health. Obesity is the result of an increase in the size or percentage of fat cells in the body. When a person gains weight, these fat cells first grow in size and then in number.

Since obesity is a chronic illness, its symptoms (called co-morbidities)) develops gradually. In its early stages, obesity can make it hard to walk and cause back pain, fatigue, skin conditions & shortness of breath. If left untreated, obesity has a tendency to worsen. When obesity crosses the line into morbid obesity, it can lead to life threatening illness such as type 2 diabetes, high blood pressure, certain forms of cancer, high cholesterol and sleep apnea. The only way to prevent further development of the symptoms is to achieve lasting weight loss.

Effect of Obesity on Health

Health Risk: Morbid obesity is a metabolic disease associated with numerous medical problems, some of which are virtually unknown in the absence of obesity. Almost all organs of body are ill-effected by untreated obesity. Diabetes, heart disease, high blood pressure, certain types of cancer, sleep apnea and joint pain are most commonly suffered diseases.

Mortality (Early death): Obesity is proven risk factor for early death from number of diseases increase as BMI increases. This risk is more in person who remains overweight for longer period of time.

Lower quality of life: Obesity affects social, psychological and financial aspect of person. Obese individuals are routinely discriminated against in terms of employment. Severely obese individuals are thought of by much of the public as being lazy and lacking self-discipline. Psychologic diseases such as depression therefore have an extraordinarily high incidence in this population compared with the general public. Poor self-image is almost universal among these individuals as well.

Joint related disorders: The most frequent problem is the combination of arthritis and degenerative joint disease, present in at least 50% of morbidly obese person.
Respiratory disorders: Obstructive Sleep Apnea Obstructive Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep. Each episode lasts long enough that one or more breaths are missed, and such episodes occur repeatedly throughout sleep. Common problems related with obstructive sleep apnea are loud snoring, restless night sleep leading to have day-time sleepiness and in severe form it affects heart in form in congestive heart failure. Sleep apnea is diagnosed with an overnight sleep test called a polysomnogram (sleep study) that shows blood oxygen desaturation (fall of oxygen in blood) of 3–4% or greater.
Metabolic disorders: In obese patients, Insulin (hormone that regulate blood sugar level) functions are ineffective and in long term lead to development of so called “metabolic syndrome”. Metabolic syndrome encompasses 3 of the following components: the presence of visceral obesity (waist circumference of more than 40 inches in males and more than 35 inches in females), hypertension (HTN) with a blood pressure greater than 130/85mmHg, fasting blood glucose greater than 100 mg/dL, elevated triglycerides of 150 or greater, and a low high-density lipoprotein (HDL) of less than 40 in males and 50 in females.

Cardiac disorders: Cardiac problems are also very common in obese person. Obesity itself is a dominant risk factor for coronary artery disease and associated metabolic disorders make heart to more vulnerable for coronary artery disease and sudden cardiac death.
Risk of Cancer: Obese patients have higher chance to develop cancer of esophagus, colon, breast, endomatrium, prostate & kidney.
Gastrointestinal disorders: Gastro-esophageal reflux is an abnormal reflux of stomach acid to the esophagus due to high intra-abdominal pressure in obese person and manifest as burning sensation in chest and upper part of abdomen. Stone in Gall bladder (Cholelithiasis) are frequently associated with obesity.
Liver disorders: Untreated obese person have tendency to accumulated extra fat in to Liver, medically condition is known as Non-alcoholic-fatty-liver-disease (NAFLD). This disease has been convincingly shown to have a progressive course, potentially leading to cirrhosis, liver cancer or liver failure. The rise in NAFLD has paralleled increases in obesity and diabetes. Prevalence of Non-alcoholic-fatty-liver-disease (NAFLD) in morbidly obese is 93% and in type 2 diabetics is about 62%.

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Normal Digestive System

To better understand how weight loss surgery works, it is important to understand how your gastrointestinal tract functions. As the food you consume moves through the gastrointestinal tract, various digestive juices and enzymes are introduced at specific stages that allow absorption of nutrients.

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Recovery After Surgery

Hospital stay

For most of patients, usual hospital stay is between 3-5 days. You are advised to stand up and move as soon as possible after bariatric surgery. This will build you confidence in your recovery along with it will minimize the risk of blood clotting in your legs.

Depending upon your medical state, you may be admitted to intensive care ward for strict observation of your heart and lung.

You will be discharged when:

Complication & Side effect of obesity (Bariatric) surgery

There are risks that go with any type of medical procedure and surgery is no longer an exception. Success of surgery depends upon 3 factors: type of disease/surgery, experience of surgeon and overall health of patients. The risks of each procedure need to be considered in the light of potential reductions in mortality, morbidity or co-morbidity, quality of life and productivity.

The most common complications of Gastro-intestinal (bariatric) surgery include anastomotic and staple-line leaks (3.1%), wound infections (2.3%), pulmonary events (2.2%) and haemorrhage (1.7%). Morbidity rates are lower after laparoscopic procedures, which constitute a steadily increasing proportion of bariatric operations. (Nguyen NT et al. Use and outcomes of laparoscopic versus open gastric bypass at academic medical centers.J Am Coll Surg2007;205: 248“255).
Early post-operative morbidity and mortality are related to the complexity of the surgery. The US Bariatric Outcomes Longitudinal Database (BOLD) reviewed over 57 000 consecutive procedures and reported one or more complication at 1-year rates of 4.6, 10.8, 14.9 and 25.7% following laparoscopic adjustable gastric band, sleeve gastrectomy, Roux-en-Y gastric bypass and bilio-pancreatic diversion, respectively. (DeMaria EJ. Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Out-comes Longitudinal Database.Surg Obes Relat Dis2010;6: 347“355)

The 30-day mortality associated with Gastro-intestinal (bariatric) surgery is estimated at 0.1“0.3%, a rate lower / similar to that for laparoscopic cholecystectomy & described as ˜low™. Thirty-day post-surgical mortality is 0.1% for laparoscopic adjustable gastric band, 0.5% for Roux-en-Y gastric bypass and 1.1 for bilio-pancreatic diversion. (Buchwald H et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery 2007;142: 621“632).
Long-term concerns, especially with Roux-en-Y gastric bypass and bilio-pancreatic diversion, include vitamin and mineral deficiencies, osteoporosis and, rarely, Wernicke™s encephalopathy and severe hypoglycaemia from insulin hypersecretion.

Weight Loss After Obesity Surgery

Efficacy

The actual weight a patient will lose after the procedure is dependent on several factors. These include:

Time period

Resolution of obesity related co-morbidities

Weight regain

New Life Style After Obesity Surgery

Diet

Regardless of the weight loss procedure, you will require permanent changes in your eating habits that must be adhered to for successful weight loss. Post-surgery dietary guidelines will vary by bariatric procedure.

Take protein diet as first food and daily target is 60 gm/day.
Take small and frequent meals, about 6 meals a day.
Eat slowly, take 30 minute to eat your meals, Chew foods thoroughly and stop when you feel full.
Do-not skip meals Eat at least three meals a day.
Drink 6-8 glass (250 ml each) of caffeine free, calorie-free ad non-carbonated beverage a day is must. Do-not drink with meal, stop drinking 30 minute before and after your meal.
Take your vitamins and minerals supplement daily as prescribed.

Exercise & Return to regular work

It is important following obesity (bariatric) surgery in Ahmedabad that you not only alter your eating habits, but also your level of physical activity. Patients are generally recommended to start exercising slowly. As weight loss is achieved, physical activities will gradually become easier.

Contraceptive & Pregnancy

Regular check-up & long term follow-up

In most cases the surgery is a tool to limit what happens internally but you are still in control of what you put into your mouth. If you have previously attended a slimming club for 6 months or more and lost more than 10kg doing so, you are probably more likely to do well with surgery than if you haven't.
Your weight loss doctor in Ahmedabad will advise you weight loss surgery on the timing and frequency of necessary follow-up visits as part of their post-operative care program. Follow-up will be unique to your individual procedure and circumstances.

Weight Loss Surgeries

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FAQs

Testimonials

Mehul Shah

Treat in the best way and very highly recommended as bariatric surgeon in Ahmedabad to everybody & especially to desperate people who try to solve their obesity problem. Thanks, Dr. Avinash Tank.

Mehul Shah

Kapil Patel

It was a really good experience for bariatric surgery in Ahmedabad. I suggest to all who are fighting with obesity to visit Dwarika Clinic and meet Dr. Avinash Tank.

Kapil Patel

Harsh Khurana

Thanks for the Google users for sharing there views and rating about Dr. Avinash Tank on Google. Overall experience about doctor is more than five star. Doctor & staffsare very nice and there behavior likes a family with visitors and patient. God grace I found Dr. Avinash Tank for weight loss surgery in Ahmedabad through Google and had remedy for my problem. Thanks again and wish best luck for future.

Harsh Khurana

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