Obesity is today one of the main concerns of the World Health Organization (WHO). Already considered as a pandemic, overweight and obesity in India have alarming rates, leading the rankings internationally. Every year thousands of people opt to go for bariatric surgery in Delhi to curb obesity. According to the report, 74% of Indians are overweight and 86% are sedentary, while 32% suffer from obesity, and 3% morbidly obese. In the world, 44% of global cases of diabetes, 23% of ischemic heart disease and a significant percentage of certain cancers are attributable to overweight and obesity, ”says WHO.
Dr. Mohit Jain, who is a famous bariatric surgeon in Delhi, points out that there are three types of patients who are more recurrent in this type of procedure: the obese patient, the obese diabetics, and the patients who have gained weight again after bariatric surgery. He also points out that women are more recurrent patients than men, and that more teenagers and young people are treated every day, although the most frequent range is between forty and fifty years.
What is bariatric surgery?
It is known as bariatric surgery in Delhi that surgical intervention to treat morbid obesity and obesity disease, understanding obesity as an excessive overweight that puts health and quality of life at risk, corresponding to having a body mass index (BMI) or relationship between weight and height, greater than forty. Obesity is a disease because it has all the properties of the disease. That is, it compromises the health of the organism, and decreases the years and quality of life.
There are different types of bariatric surgeries:
- Restrictive: This type of procedure changes the size of the stomach to reduce food intake in large quantities, keeping the digestive system functions intact
- Malabsorptive: These change the way in which the digestive system carries out its processes, change the path of food, preventing them from passing through a part of the stomach and small intestine that absorb calories.
Within these two types, which can be combined, there are also different techniques to perform the interventions, according to the bariatric surgeon in Delhi. 70% of the people attended the clinic correspond to Gastric Sleeve, while the Bypass adds thirty percent of the care.
The Gastric Sleeve is an operation where the volume of the stomach is reduced by 80%, leaving a non-distensible tube, that is to say rigid, which limits the amount of food that is eaten, producing an important weight loss. This technique has the particularity of eliminating Ghrelin, a hormone that is located in the stomach and that stimulates the appetite. “It is an operation that is associated with a prolonged period in which we have little hunger, which lasts between eight months and one year after the intervention,” says bariatric surgeon in Delhi. This procedure is recommended for cases of obesity of up to fifty kilos of overweight.
On the other hand, the Gastric Bypass is recommended for cases of obesity where overweight exceeds fifty kilos, as well as for diabetic patients, due to their metabolic effects, whether obese or not. The Bypass represents 30% of the care. The intervention consists of dividing the stomach into two parts, leaving a blocked part that does not receive food. In addition, food is less assimilated by a fraction of the stomach, having a mixed, restrictive and malabsorptive effect.