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Obesity


Severe Obesity is associated with many problems medical, physical, social and for most of obese individuals, psychological. It is hard to lose weight with diet and exercise. The obesity surgery has been refined and improved. It is now recognised as the treatment of choice for safe, successful , long- term weight loss for the severely obese. Dr. SANJAY BORUDE has been providing obesity surgical services. He has performed more than 1000 operations for obese individuals with minimised morbidity. All these operations are done Laproscopically and require a stay of 3-4 days. Our hospital has special operating tables which can take patients upto 370 kgs, have double motor and can go as low a 30 inches as well as special long instruments.


Laparoscopic Adjustable Gastric Banding
  • This entails a laparoscopic implantation of a silastic band around the stomach just below the gastroesophageal junction.
  • This creates an hour-glass effect. Since the outlet is small, food stays in the pouch longer and one feels satiated for a longer time.
  • The band can be adjusted by injecting fluid into it, as an outpatient.
  • 100% Reversible.
  • Hospital stay 1-2 days.


Laparoscopic Sleeve Gastrectomy
  • Sleeve Gastrectomy is an operation in which approximately 2/3rd of the left side of the stomach is removed laparoscopically.
  • The stomach thus takes the shape of a tube or “sleeve”.
  • It removes that part of the stomach that contains the Ghrelin hormone and hence decreases your appetite.
  • Irreversible.
  • Hospital stay 2-3 days.


Laparoscopic Roux-en-y Gastric Bypass
  • A small stomach pouch is created by stapling the stomach. This causes restriction of food intake.
  • Next a “Y-shaped” section of the small intestine is attached to the pouch to allow food to bypass the first part of small intestine for mal-absorption.
  • Reversible.
  • Hospital stay 2-3 days.


ADVANTAGES
  • In Restrictive procedures patients have Early Satiety with small meals thereby reducing total calorie intake leading to weight loss.
  • In Mal-absorptive procedures along with small meals the bypassed portion reduces the absorption as well.
  • It also causes good hormonal changes leading to resolving of morbidities like Diabetes, Hypertension, Sleep Apnoea etc.
  • The risks involved with obesity surgery are similar in nature i.e. hysterectomy, cholecystectomy etc.
  • The band or staples does not cause cancer.


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