Obesity is defined as body mass index (BMI) of greater 30Kg/m2. Obesity is associated with a number of diseases:
- Heart disease
- Stroke
- Type 2 Diabetes
- High cholesterol
- High blood pressure
- Fatty liver / cirrhosis
- Polycystic ovaries / infertility
- Gout
- Gastrointestinal Reflux Disease
- Arthritis / back pain
- Various types of cancer
- Anxiety, depression
- Sleep disorders
Benefits of obesity surgery
- Achieves weight loss
- Reverses the above diseases
- Improves the overall quality of life
Types of obesity surgery
- Gastric balloon(See separate pamphlet)
- Sleeve gastrectomy
- Mini gastric by-pass
- Gastric by-pass
- Billio-pancreatic procedure (BPD)
Sleeve Gastrectomy
This procedure is indicated for people with a BMI above 40 or people with a BMI of 35 with an obesity related disease. It is done Laparoscopically and it involves removal of part of the stomach. This induces the amount of food eaten and also induces early satiety
Advantages of a sleeve Gastrectomy
- Performed laparoscopically
- No anastomosis (joining of the intestines) done
- Achieves adequate weigh loss
- Leads to resolution of associated diseases
- Quicker recovery after surgery
- Earlier return to the normal activities
- Comparatively, it costs less
Mini Gastric by-pass
Mini Gastric by-pass is effective in weight loss and resolution of the diseases that are associated with obesity.
In mini-gastric bypass, only one anastomosis is created.
Advantages of Mini-Gastric-Bypass
(Similar to those of Sleeve Gastrectomy)
Gastric by-pass
Gastric bypass is very effective in weigh loss. Many anastomosis (joining of the intestine). It is associated with higher complication rates.
World over the number of gastric by-pass performed has declined.
