Welcome to LetusFightthefat

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  Contact : +91-11-42251742

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Can weight loss surgery prolong my life?

There is good evidence from scientific research that if you have Type 2 diabetes (or other serious obesity-related health conditions), are Morbidly obese, and are able to comply with lifestyle changes (daily exercise and low-fat diet), then weight loss surgery may significantly prolong your life.

Does hair growth recover?

Most patients experience natural hair regrowth after the initial period of loss.

Will I lose hair after surgery? How can I prevent it?

Many patients experience some hair loss or thinning after surgery. This usually occurs between the fourth and the eighth month after surgery. Consistent intake of protein at mealtime is the most important prevention method. Also recommended are a daily zinc supplement and a good daily volume of fluid intake.

Is blood transfusion required?

Infrequently: If needed, it is usually given after surgery to promote healing.

Will I have to change my medications?

Your doctor will determine whether medications for blood pressure, diabetes, etc., can be stopped when the conditions for which they are taken improve or resolve after weight loss surgery. Two classes of medications that should be used only in consultation with your surgeon are diuretics and NSAIDs (pain medicines). NSAIDs (ibuprofen, voveran, etc.) may create ulcers in the small pouch or the attached bowel.

What if I am really hungry?

This is usually caused by the types of food you may be consuming, especially starches (rice, pasta, potatoes). Be absolutely sure not to drink liquid with food since liquid washes food out of the pouch.

Will I be miserably hungry after weight loss surgery since I’m not eating much?

Most patients say no. In fact, for the first four to six weeks patients have almost no appetite. Over the next several months the appetite returns, but it tends not to be a ravenous “eat everything in the cupboard” type of hunger.

Will I be asked to stop smoking?

Patients are encouraged to stop smoking at least one month before surgery.

If I continue to smoke, what happens?

Smoking increases the risk of lung problems after surgery, can reduce the rate of healing, increases the rates of infection, and interferes with blood supply to the healing tissues.

What will the staples do inside my abdomen? Is it okay in the future to have an MRI test? Will I set off metal detectors in airports?

The staples used on the stomach and the intestines are very tiny pieces of titanium and are inert in the body usually causing no problems in the long run. It is also non-magnetic, which means that they will not be affected by MRI. The staples will not set off airport metal detectors.

Can I get pregnant after weight loss surgery?

It is strongly recommended that women wait at least one year after the surgery before a pregnancy. Approximately one year post-operatively, your body will be fairly stable from a weight and nutrition standpoint and you should be able to carry a normally nourished fetus. You should consult your surgeon as you plan for pregnancy.

What’s so important about exercise?

When you have a weight loss surgery procedure, you lose weight because the amount of food energy (calories) you are able to eat is much less than your body needs to operate. Your body will tend to burn any unused muscle before it begins to burn the fat it has saved up. Daily aerobic exercise for 20 minutes will communicate to your body that you want to use your muscles and force it to burn the fat instead.

What do I need to do to be successful after surgery?

The basic rules are simple and easy to follow:

Immediately after surgery, your doctor will provide you with special dietary guidelines. You will need to follow these guidelines closely. Allowing time for proper healing of your new stomach pouch is necessary and important.

Never eat between meals.

Drink 2-3 litres or more of water each day

Exercise aerobically every day for at least 20 minutes.

Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Attending support group helps you understand the lifestyle changes you must make. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you’re making — and can help keep you on track with your weight loss program.

Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family will certainly improve after weight loss surgery. Also, as you lose weight, the results will be obvious. People will notice, and ask you about your appearance. Prepare for these questions ahead of time — and consider how you want to answer them.

How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy which gradually improves with time. Only a fraction of patients require plastic surgery for it.

When can I get pregnant?

Female patients are advised to delay pregnancy at least for a year after surgery till the weight loss becomes more gradual.

When will I be able to resume my sex life?

As soon as you are comfortable doing around 20- 30 minutes of walking or cardio or doing normal routine work.

When will I be able to eat normal food?

Normally patients are put on liquids for a period of three weeks after surgery, then the diet is gradually changed to pureed foods and then to solid food within two months.

 

How soon will I be able to walk after bariatric surgery?

Almost. Immediately after surgery the doctors and nurses  will encourage you to move in bed. Patients are encouraged to walk or stand at the bedside on the night of surgery, take several walks the next day and therefter. On leaving the hospital, you are able to care for all your personal needs.

Am I a candidate for surgical treatment for obesity?

If you are an Indian/Asian and a weight 100% over your ideal body weight, or a BMI of 37.5 or more, your should strongly consider Obesity Surgery, as it is the only durable option at this stage. If you are a hypertensive or diabetic or have any other obesity related diseases, surgery is recommended at a BMI of 32.5 or more.

what-is-the-need-to-undergo-surgical-treatment-of-obesity?

Various studies all over the world have proved that surgery is the most dramatic and durable treatment option for morbid obesity. With the current surgical procedures, a loss of 68-78% excess body weight is lost. The most dramatic loss is in the first six months. The procedures like Roux-en-Y Gastric Bypass and Sleeve gastrectomy reduce food intake because of early filling as well as decreased hunger. This avoids ‘starvation’ to get slimmer.

Does-obesity-surgery-resolve-diseases-like-diabetes-hypertension-sleep-apnoea-etc?

Obesity surgeries like Roux-en-Y Gastric Bypass has shown to cure diabetes in 83% of patients and reduce the dose of Insulin & OHA in 17%. The control of hypertension also becomes better. Obstructive sleep apnoea patients show a remarkable improvement.

if i am interested in weight loss surgery what is my first step ?

Yes.

Just to make a phone call. You can get all the related information on obesity surgery, can book an appointment with the obesity surgeon, schedule your tests and book your follow-up dates. You have to dial (+91-11) 42253400 / 42253164.

How important is the obesity surgeon and the centre in the outcome of obesity surgery?

The laparoscopic bariatric surgery is a very advanced procedure and the importance of an experienced bariatric surgeon cannot be overemphasized. The Institute of Minimal Access Surgery (IMAS) at Sir Gangaram Hospital is a pioneer in this field. It has a team of experienced advanced Laparoscopic surgeons who are routinely performing the obesity surgical procedures apart from various advanced laparoscopic procedures.

It his highly desirable for a centre, dealing with Obesity and related diseases, to be adequately equipped. IMAS is a centre of healthcare excellence, having the latest bariatric program and a state-of-the-art operation theatre and ICU facilities. IMAS, in liason with an experienced Bariatric Anaesthetic Team, cardiologist, endocrinologist, chest physician, psychologist & nutritionist, form an ideal centre for the treatment of Obesity and related diseases.

Know Why You Need to Lose that Flabby Tummy?

An eye-opening article by the Institute of Minimal Access, Metabolic and Bariatric Surgery at Sir Ganga Ram Hospital) reveals the shocking aspects of obesity and how it travels from pre-birth maternal obesity to  to children in our society. It also highlights the most dangerous form of obesity common among Asians especially Indian Asians, namely abdominal or central obesity. The article also offers solutions, by providing appropriate treatment for this dangerous condition.

How Diabetes is Directly linked to Obesity?

There is an increasing belief among medical experts that abdominal or central body obesity is directly linked to the genesis of diabetes and more importantly the rise of cardiovascular disease during adulthood.

Shocking aspect of obesity starting from pre-birth levels:

This problem has its root in nutritional and sedentary behaviour starting from the birth of the child to an unhealthy mother. Maternal obesity and diabetes is now linked to the establishment of adult obesity and diabetes in her children. Sadly, childhood and adolescent obesity has a high chance of resulting in obesity in adulthood.

How Asians are prone to Excess Visceral Fat?

There is now increasing recognition that Asians, especially Indians with obesity have a predisposition for the excess body fat to be largely distributed around the abdomen. Interestingly, a large part of this abdominal fat is visceral or spread around the internal organs contained within the abdomen. Excess visceral fat is dangerous as it produces an excess of substances that have an harmful effect on various systems in the body. The following facts characterise the profile of Asian Indians – 1. A high prevalence of abdominal obesity. 2. Abdominal obesity can occur even in the absence of elevated body mass Index (BMI) and is seen even at a young age.

Indian Asians have even more danger:

Indian Asians have more abdominal visceral fat, higher degree of insulin resistance, hyperinsulinemia, hypertension and diabetes all of which are implicated in the generation of the Metabolic Syndrome and its consequences, especially, premature cardio vascular disease and death among many other morbid and mortal outcomes.

Role of Bariatric surgery and other social aspects in reducing Obesity:

In adults where obesity and especially abdominal obesity is well established, the role of metabolic realignment in the form of bariatric surgery must be considered.

This has immense implications for the promotion of health and the prevention and treatment of obesity. Solutions have to be implemented at the level of larger society as well as the individual. Sharp solutions would have to focus on rendering hopeful mothers non-obese, preventing childhood and adolescent obesity. This largely will come in the form of positive life style choices.

what is the need to undergo surgical treatment of obesity?

Various studies all over the world have proved that surgery is the most dramatic and durable  treatment option for morbid obesity. With the current surgical procedures, a loss of 68-78% excess body weight is lost. The most dramatic loss is in the first six months. The procedures like Roux-en-Y Gastric Bypass and Sleeve gastrectomy reduce food intake because of early filling as well as decreased hunger. This avoids ‘starvation’ to get slimmer.

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