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Dr. Ashish AhujaDr. Ashish AhujaM.S, Fellowship Bariatric Surgery, (Australia)M.S, Fellowship Bariatric Surgery, (Australia)
Consultant Surgeon & Asst. Prof. of Surgery,Consultant Surgeon & Asst. Prof. of Surgery,Dayanand Medical College & Hospital, LudhianaDayanand Medical College & Hospital, Ludhiana
E-mail: - E-mail: - [email protected]
What is Obesity / Weight Gain
Obesity means having too much body fat.
Over Weight means weighing too much. Extra muscles, bone, water as well as excess fat.
Breath.wmv
Common causes of weight gain
Eating food more than body requirement.Birth control pills, anti-depressants, anti-psychotic pills.Stress, anxiety, feeling sad, not sleeping wellFor women: menopause,
Unable to loose weight post pregnancy. Birth control pills, anti-depressants, anti-psychotic pills.
Medical causes:Thyroid disease
Signs & Tests for Obesity
B.M.I (Body Mass Index)Weight Height (m2)
Waist Circumference:extra fat around your middle,stomach area increases risk of type–2 diabetes, heart disease, stroke.
Complications of Weight GainComplications of Weight Gain
Obese patients who undergo weight loss surgery live longer,
studies suggest The Associated Press
Published: September 7, 2006 The Associated Press
Published: September 7, 2006
SYDNEY, Australia — Stomach stapling and other surgical procedures to help overweight people eat less may be radical, but they also could be safer than staying obese, new research suggests. ……………………..
Diet Exercise
How To Lose Weight?How To Lose Weight?
When diets and exercise don’t work?
Bariatric Surgery ?
Comes from Greek words Baros: - WeightIatreia: - Medical Treatment
Common Myths aboutweight loss surgery
BARIATRIC SURGERY IS NOT LIPOSUCTIONBARIATRIC SURGERY IS A SAFE SURGERYDOES NOT CAUSE ANY SIDE EFFECTSRISKS OF UNDERGOING BARIATRIC SURGERY ARE FAR LESS THAN RISKS OF OBESITY
Why Surgery for the Treatment of the Why Surgery for the Treatment of the Clinically Severe Obese?Clinically Severe Obese?
“Only surgery has proven effective over the long term
for most patients with clinically severe obesity.”- NIH Consensus Conference Statement, 1991
Surgery for the treatment of clinically severe obesity
is endorsed by:
The National Institutes of Health
The American Medical Association
The National Institute of Diabetes and Digestive and Kidney Diseases
American Association of Family Practitioners
Types of bariatric procedures1. Sweedish adjustable gastric band
2. Gastric sleeve resection
3. Roux-en-y gastric bypass
4. Bilio-pancreatic diversion with duodenal switch
Adjustable Silastic Gastric Banding Adjustable Silastic Gastric Banding (ASGB): LapBand(ASGB): LapBand
Inflatable balloon within the band orifice can be adjusted via a reservoir under the skin
Average Weight loss50% of excess weight
Gastric sleeve resection
• Restrictive procedure
• No complication rates
• Weight loss around 50-60%
Roux-en-Y Gastric Bypass Roux-en-Y Gastric Bypass (RYGBP)(RYGBP)
General FeaturesPouch size: 15-20 ccPouch opening: 0.5 inRoux-en-Y limbStandard: 2 ft
Average Weight Loss70 % of excess weight
“The Pouch-Tool”
Procedure Swedish
adjustable Gastric band
Gastric sleeve
resection
Roux-en-y Gastric bypass
Laparoscopic
Hospital Stay X
Abdominal drain X
Operative time (<1 hour)
X X
Post operative supplements X X
Post operative adjustments
X X
Weight loss
Comparison of different procedures
Patients
Before And After
Bariatric Surgery
170 kgs with BMI-72, HTN, TYPE-2 DM, OSA, 170 kgs with BMI-72, HTN, TYPE-2 DM, OSA, AFTER 1 year 2 months 110 kgsAFTER 1 year 2 months 110 kgs
145 kgs with BMI, HTN, TYPE-2 DM,145 kgs with BMI, HTN, TYPE-2 DM,AFTER 10 MONTHS 90 kgsAFTER 10 MONTHS 90 kgs
128 kgs 128 kgs HTN & THYROID DISEASEHTN & THYROID DISEASEafter 9 months present weight 74 kgsafter 9 months present weight 74 kgs
130 kgs with HTN ,after 1 year 4 130 kgs with HTN ,after 1 year 4 months present weight 70 kgsmonths present weight 70 kgs
Morbid obesity with Blood Pressure, SugarMorbid obesity with Blood Pressure, SugarBeforeBefore AfterAfter
World Anti Obesity Day
Before 106 kgs After 65 kgs
After surgery Today 60
Before surgery 100
117 kgs with HTN 117 kgs with HTN AFTER 12 MONTHSAFTER 12 MONTHS65 kgs and resolved HTN,D.M type 265 kgs and resolved HTN,D.M type 2
105 kgs, HTN, 105 kgs, HTN, AFTER 5 MONTHS 70 kgs resolved HTNAFTER 5 MONTHS 70 kgs resolved HTN
102 kgs sugar + blood pressure Now 48 kgs
DM Type-2 with HTN,DM Type-2 with HTN,Before 127 kgs – Present 70 kgsBefore 127 kgs – Present 70 kgs
110 kgs with HTN 110 kgs with HTN AFTER 9 MONTHS 78 kgsAFTER 9 MONTHS 78 kgs
102 kgs, Unmarried,Polycystic Ovarian Disease
BEFORE SURGERY
AFTER 8 MONTHS 55 KGS
Dental Surgeon from Delhi115 kgs, HTN (Before Surgery)
A 32 year old male, 170 kg weight
Gastric bypass done
When we choose to live with When we choose to live with ObesityObesity
Frequent hospitalizationHigh cost of medicineFrequent visit to specialist doctorsDependability on others,
e.g. wearing socks, changing clothes, domestic works.
Various diseasesLaughing stock
Option is yours……
Or
Famous bollywood singer
Before
After surgery