The First & Only Centrein South India to be certified asInternational Center of Excellencein Obesity and Diabetes Surgery

8 1

Celebrates Successful

of OBESITYCONTROL

Years

Contact: +91 422 2325125Email: info@obesitysurgeryindia.comWebsite: www.obesitysurgeryindia.com

GEM HOSPITAL& RESEARCH CENTREThe name GEM (Gastroenterology Medical Centre and

Hospital) obviously is derived from its own speciality. Being

situated in Coimbatore, the emerging medical capital of South

India, is Asia's First and most advanced tertiary health care, in

the field of Gastroenterology and Laparoscopic surgery.

It has grown exponentially gaining wide patronage of patients

from India as well as abroad. Gem Hospital with its pioneering

work has evolved to be the first and the only centre in India with

subspecialities in Bariatric, Hepatobiliary, Colorectal, GI Cancer

Surgery, Endogynaecology Scarless surgery etc.

The centre is a 250 bedded, state of the art hospital with the most

advanced and latest technology, equipments and infrastructure

facilities and above all a team of well trained, experienced and

dedicated doctors and paramedical staff.

Gem Hospital also the very first in India to get an ISO 9001: 2000

CERTIFICATE in the field of Gastroenterology Laparoscopy

surgery. It also got NABH recognition for excellence of medical

services. This hospital is providing world class health care with

the latest diagnostic and therapeutic facilities and placed on the

International medical map in the field of Laparoscopic surgery.

Department of Laparoscopic Gynecology

OTHER SPECIALITY DEPARTMENTS

45-A, Pankaja Mill Road, Ramanathapuram, Coimbatore - 641 045Tel: 0422 - 2325100 Fax: 0422 - 2320879GEM HOSPITAL

& RESEARCH CENTRE Follow us @Sunday 7.30am to 8.00am

For Appointments: 1800 425 0203

422 2325200+91 E-mail: appointments@geminstitute.in

About

We are here to give

what you

need!

What is

Obesity Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse affect on health. It is a life-long progressive, life threatening disease which can significantly reduce life expectancy

When weight reaches extreme levels, it is called MORBID OBESITY which is prone to develop numerous medical, psychological and social consequences

It can be defined based on the Body Mass Index into various categories as shown below

BMI Classification:

BMI = wt (kg) / [ht (m )]2

BMI is a useful general guideline and is a good estimator of body fat for most adults between 19 and 70 years of age

However, it may not be an accurate measurement of body fat for body builders, certain athletes, and pregnant women

Healthy weight is defined as BMI equal to or greater than 19 and less than 25

BMI greater than or equal to 25 is overweight

BMI greater than or equal to 30 is obesity

BMI � 35 or 40 is severe obesity

BMI of � 35 or 40 - 44.9 or 49.9 is morbid obesity

A BMI of � 45 or 50 is super obesity

Obesity is also defined by waist size - over 90 cm in males and over 80 cm in females

With every single increase in BMI, the chances of developing diseases like Diabetes, Hypertension increases

Causes of

Obesity Food Habits & Sedentary Life Style

Psychological Problems

Drugs

Endocrine Diseases

Genes

2

?

Has successfully

completed

over 1500

Bariatric Surgeries

in 10 years

7

Dr.P. Praveen Raj MS DNB (Gen.Surg) DNB(SGE) FALS(Hon) FMAS

Lead Consultant-GEM Obesity & Diabetes Surgery Centre

GEM Obesity & Diabetes Surgery Centre

GEM Obesity & Diabetes Surgery Centre is an exclusive and dedicated

speciality at GEM Hospital & Research Centre in the field of

laparoscopic bariatric and metabolic keyhole surgical treatment for

morbid obesity and substantially improves or resolves obesity related

medical co morbidities like diabetes, hyper tension, high cholesterol

levels etc.,

This super speciality centre is functioning with a multimodality team of

surgeons, diabetologist, clinical nutrition and bariatric coordinator,

dietitians and life style therapist all under one roof to provide a holistic

approach since 2003. This centre is the First & Only International

Centre of Excellence (ICE) for Bariatric Surgery in South India

recognized by Surgical Review Corporation, USA.

GEM Obesity & Diabetes Surgery Centre is the First & Only centre in

South India to be a member of International Excellence Federation

(IEF), Taiwan & The only recognized Training centre of IEF. It is the only

centre to conduct the largest series of diabetes surgeries in the country

and the first centre to have performed laparoscopic gastric bypass and

also the only institute to be recognized by Dr. M.G.R. Medical University

to train surgeons in bariatric speciality in the country.

This centre is pledging world class facilities in tune with the evolving

technology with quality service to abate obesity and placed GEM

Hospital & Research Centre to apex.

· First surgeon to perform single incision laparoscopic gastric bypass in the country.· First surgeon in the world to perform series of laparoscopic duodenojejunal bypasses surgeries for treatment of obesity & diabetes.

· Only surgeon who conducts largest series of diabetes surgeries in the Indian sub continent.

· First South Indian surgeon & First and Only Surgeon of International Excellence by Surgical Review Corporation USA 2012.

· First & Only recognized surgeon of International Excellence Federation (IEF), Taiwan.

· Organizing secretary of Laparofit 2010/11/13, 3rd, 4th, 5th International Conference and live workshop on bariatric and metabolic surgery.

· Author the "Guidelines for Metabolic (Bariatric) surgery in India" in the Guidelines book meant for Physicians of India.

· Has authored several papers and presentations on laparoscopy and bariatric procedures, and has held several workshops and conferences on obesity, bariatric surgery and laparoscopy across world.

Bariatric Surgery / Weight Loss Surgery

Bariatric surgery is refer to any surgery performed on stomach or intestine with intent to cure obesity and its co morbidities like diabetes, hypertension, high cholesterol levels etc.,

Principles of the surgery are

• Reducing the appetite by lowering the blood levels of the ghrelin, the appetite hormone

• Limiting the capacity of food intake at one point of time so that the body can metabolize the ingested food faster

• Reducing the absorption of food consumed hence by limiting the deposition of additional fat

• Increasing the burning capacity of the body (Basal Metabolic Rate) hence by throwing away the excess fat

Treating

Obesity The basic principles in treating obesity are

• Diet and Healthy Eating: Healthy eating and eating less calories with

increased physical activity and modified life style habits is the easy way to reduce weight. A registered dietitian can help to design a diet suitable for the individual's need along with the physical activity plan

• : Weight-loss medicines of various kinds are available in Medications

the market, but at GEM OBESITY & DIABETES SURGERY CENTRE we do not recommend them as most of these preparations have more adverse side effects compared to their benefits

Types of

Surgical Procedures

First centre

in the country

to have performed

Laparoscopic

Gastric bypass

4 5

Laparoscopic Adjustable Gastric Banding - LAGB

Laparoscopic Adjustable Gastric Banding is a reversible procedure for weight loss. This

laparoscopic procedure involves the placement of a silicone band around the upper part of the

stomach. That results in the creation of an hour glass stomach, with a small outlet that allows food

to enter into the lower part of the stomach

This procedure is especially beneficial for large eaters, or those who have tried to lose weight

several times but haven't been able to. Generally this procedure is recommended for younger

patients, as it is reversible. With this procedure one can lose about 40-50% of their excess weight

within 18 months, but patient understanding and compliance is the most important

Sleeve Gastrectomy - SG

Sleeve Gastrectomy is an irreversible procedure that curtails the size of the stomach, this

operation surgically removes two thirds of the left side of the stomach. This results in a new

stomach which is roughly the size and shape of a banana and looks like a sleeve or a tube.

Among the bariatric procedures, sleeve gastrectomy is the most commonly performed

procedure. Sleeve gastrectomy is a restrictive form of weight loss surgery that limits the capacity

of the stomach to 60 cc - 150 cc. Unlike other forms of bariatric surgery, the outlet valve and the

nerves to the stomach remain intact

This procedure also eliminates the hunger inducing hormone called 'Ghrelin', hence patient feels

full after consuming small amounts of food, and lose weight quickly

ROUX en Y Gastric Bypass - RYGB

Laparoscopic Roux en Y Gastric Bypass procedure is a weight loss surgery that involves the

creation of a small stomach pouch with the help of staples that restricts food intake. In addition the

initial segment of the small intestine is bypassed. As a result the food directly enters the jejunum.

This leads to malabsorption of consumed food. This procedure also eliminates the hunger

inducing hormone "Ghrelin". All these mechanisms contribute to significant weight loss

“It can also successful in control of type II diabetes in the short / long term"

Single Incision Multiport Bariatric Surgery - SIMP

Single incision surgery or single-incision laparoscopic bariatric surgery is one of the most

spectacular innovations in the field of minimal access surgery. As the name suggests single

incision surgery is performed through a single incision in the navel. It is essentially a scarless

procedure as the scar gets hidden deep into the navel. Among the bariatric procedures, sleeve

gastrectomy is the most commonly performed procedure using this technique

GEM ODS

is the only institute

to be recognized by

Dr. MGR

Medical University

to train surgeons in

bariatric speciality

One among the

few centres to have

multi disciplinary team

of specialist to manage

obesity and diabetes

Laparofit- single theme

International

Conference in

Bariatric

Speciality

of GEM ODS

is the most

successful

conference

of its kind in

the country

6

Patient Testimonial

Successful years

Surgeries

International Conference

Surgeon Trained

AwarenessProgramme

Web Conference

Clinics

(Coimbatore, Chennai, Bangalore)

10

>1,500

4

>500

100

5

3

OBESITY

Type IIDiabetes

HeartDisease

Hypertension

Hyperchole-sterolemia

Liver andKidney

Disorders

Joint Pain/Osteoarthritis

/Gout

RespiratoryDisorders

GastroEsophageal

Reflux Disease

Infertility

CertainCancers

SleepApnea

Depressionand anxietydisorders

How can

affect you?Obesity Obesity is rarely just a physiological problem. This disorder has far reaching effects; physiological, psychological and social. On the physical front, obesity can lead to several complications that could be fatal or incapacitating if left untreated

Some of the most common diseases that are directly and indirectly linked to obesity are

Type II DiabetesType 2 diabetes also called Non-Insulin Dependent Diabetes Mellitus

(NIDDM) has the strongest association with obesity. In type II diabetes, the

body does not respond correctly to available insulin. In other words, a person

becomes insulin resistant. People who are overweight are more likely to have

insulin resistance, because fat interferes with the body's ability to use insulin.

Cardiovascular Disease and HypertensionObesity is one of the important factor for this Cardiovascular Disease (CVD)

includes Coronary Heart Disease (CHD), stroke and peripheral vascular

disease. These diseases account for up to 33% of deaths in most

industrialized countries - a figure that's increasing rapidly in developing

countries as well

CancerSeveral studies have found an association between obesity and the

incidence of certain cancers, particularly of hormone-dependent and

gastrointestinal cancers. Obese women have been proved to be at greater

risk of breast, endometrial, ovarian and cervical cancers. There is also

evidence for higher risk of prostate and rectal cancer in men. Obesity also

increases the risk of colon cancer by nearly 3 times in both men and women

OsteoarthritisDegenerative diseases of weight-bearing joints such as the knee are

common complications of obesity. The cause of this is mechanical damage to

joints due to the excess weight. Lower back pain is also more common in

obese people and may be one of the major contributors to obesity-related

absenteeism from work

Psychological AspectsObese people are stigmatized world over. It is perceived as an undesirable

physical appearance, and supposedly embodies several character defects.

Even children often perceive obese children in a negative manner. It is not

uncommon to see patients breakdown even during a consultation

Sleep ApneaSleep apnea is a chronic condition that disrupts sleep. In this condition there

are one or more pauses in breathing or shallow breaths while sleeping. These

breathing pauses can last from a few seconds to minutes. They often occur

5 to 30 times or more per hour. Typically, normal breathing then starts again,

sometimes with a loud snore or a choking sound. Even snoring is a sign of

sleep apnea at it early stages

This results in poor sleep quality that makes one feel tired during the day.

Sleep apnea is one of the leading causes of excessive day time sleepiness

3

The only centre in

South India to be a member of

International Excellence

Federation

and also only recognized

training centre of IEF