Artemis Gurugram performs North India’s first Endoscopic Sleeve Gastroplasty

Artemis Hospital, Gurugram has become the first hospital in North India to introduce Endoscopic Sleeve Gastroplasty (ESG), a newer and revolutionary non-invasive procedure to treat obesity. It’s performed to help to lose weight and potentially lower the risk of serious weight-related health problems.

Recently Artemis Hospital treated north India’s first patient who had obstructive sleep apnea and hypertension.

(Source:https://www.biospectrumindia.com)

Endoscopic sleeve gastroplasty (ESG) is a newer type of weight-loss procedure. ESG reduces the size of your stomach using an endoscopic suturing device without the need for surgery. It is performed to help you lose weight and potentially lower your risk of serious weight-related health problems, including, Gastroesophageal reflux disease, heart disease and stroke, high blood pressure, sleep apnea and type 2 diabetes.

Considering the patient’s severe condition, the team of doctors led by Dr. Atul Sharma, Senior consultant at Artemis Hospital decided to apply the ESG (Endoscopic Sleeve Gastroplastiy) procedure. The treatment is so convenient with such high success rate that he was discharged within 48 hours of procedure and resumed his normal routine life.

Dr Kapil Jamwal, Head Gastroenterology Unit, Artemis Centre of Excellence for Digestive and Liver Diseases said that, “ESG is a day care procedure in which a flexible tube with endoscopic suturing device attached is inserted into the stomach through mouth and fat is taken out. With no operative complications involved, the process is cost effective. The entire process takes approximately 90 minutes with no anesthesia required and majority of patients can go home same day. It reduces the size of stomach with the endoscopic device without surgery. Apprehensions regarding cuts, surgeries and scars are no more involved in the treatment of obesity.”

The team of Dr. Atul Sharma, Senior consultant and Clinical Lead in Motility, UBD and Third Space Endoscopy, Dr Kapil Jamwal, Head of the Gastroenterology Unit, Artemis Hospital, Gurugram and Dr. Rajesh K Padhan, Senior Consultant and Clinical Lead in Hepatology and Pancreas at Artemis Hospital have brought this ESG treatment for the first time in North India.

Elaborating further Dr. Jamwal said, “ESG is the future of bariatric and metabolic endoscopy for patients with or without comorbidities. ESG has minimal or no side effects leaves no scars or sutures on patients and can be done in patients who are not fit for Laparoscopic Sleeve Gastrectomy and bariatric surgery. The procedure is presently being done in a few centers across India and we are proud to introduce the procedure for our patients across north India.”

This treatment is common in the USA but now through Artemis Gurugram, Delhi and NCR population and others will also be benefitted. Till now the most common procedure done for obesity worldwide is Laparoscopic Sleeve Gastrectomy but it has its own limitations. Obesity can now be treated with a new endoscopic procedure which is Endoscopic Sleeve Gastroplasty or ESG, in this procedure the stomach size is reduced from 60-70% of the original after passage of the endoscope from the mouth and with placement of sutures in the stomach.  The procedure shows effects over 6 months to 1 year and patient loses around 60-80% of the excessive body weight.

Obesity has become the biggest epidemic in India with an obese population of 7.5 crore and over 5 crore are morbidly obese. With such a high rate, a treatment like ESG is the most appropriate and feasible treatment option available.

According to NFHS (National Family and Health Survey) 2007 data Delhi and NCR had the highest overweight population with 45% in males and 49 % in females. As per the latest report of Obesity Surgery Society of India, the country has seen a 100-fold increase in weight-loss surgeries in the past 15 years, rising from just 200-odd in 2004 to more than 20,000 in 2019. During this period, the number of surgeons who specialize in the surgery also went also went up from eight (in 2003) to 450. Delhi, Punjab, Gujarat, Maharashtra and Tamil Nadu lead in the number of surgeries performed every year.

Source

Weight Loss Surgery in India: The most Affordable Solution!

Obesity is a condition wherein you have excess amount of fats collected over your stomach and buttock areas creating problems for you. It can bring in a number of health ailments including high blood pressure, diabetes and even heart problems. Though one has a number of non-surgical options available for the extra weight but when these options like diet and exercises do not work, weight loss surgery comes as a ray of hope for these. In India, the development in healthcare services call global patients all across the world for a number of treatments and procedures and hence weight loss surgery is no exception here. Let’s dig in deep into the surgery and get the crux of the same here. 

What is Weight Loss bariatric Surgery?

Weight loss bariatric surgery deals with removing certain portion of muscles and tissues along with making the stomach tight in order to restrict the food intake for retaining the weight loss results. There are different types of weight loss bariatric surgeries, which one can consider to get rid of the extra weight over your body. As there are different types of weight loss bariatric surgery procedures found in the medical circles, the choice of the same would depend upon the conditions one has. 

Who is a Candidate for the bariatric Surgery?

Generally measuring the BMI or body mass index is the criteria of Bariatric Surgery, which is chosen before taking any decision. People with more than 35 and in below or above 40 is considered to be the candidate for weight loss bariatric surgery. Before you tread the path of surgery, the patient has to suffice the requirements given by the surgeon, psychologists and dietitians. This means you will have a surgery only after a complete medial evaluation. 

What to Expect Before the Procedure?

Before having the weight loss bariatric surgery, you will be given a set or instructions from your surgeon, dietician and others in the team to follow in order to make the result of the surgery effective. You are supposed to restrict from alcohol and cigarettes for at least for a week or so apart from keeping away yourself from medications and consuming junk food and other similar stuff. Also, you are supposed to remain away from physical activities and consuming tobacco. This can help in getting one of the best of the outcomes from the weight loss surgery. 

What to Expect During the Procedure?

The weight loss bariatric surgery is among the specialized treatment options, which requires special surgeons to carry out the surgical procedures. You are supposed to follow their instructions during the surgery. Generally, all the weight loss procedures need anesthesia; hence if you have any problem, you need to make your mind for the same. 

What to Expect After the Procedure?

After the surgery you need to follow a number of instructions as given by the surgeon and the medical team. You are supposed to make certain significant amount of changes in your lifestyle, which include having proper diet followed a good workout sessions. As far as the recovery after the surgery is concerned, you need at least one week to resume your life, however, the healing of incisions would come at this time duration only when you have chosen for a laparoscopic process.  Generally speaking, you simply need 2-3 weeks to resume to your usual activities. 

What do we provide?

When it comes to weight loss bariatric surgery in India, a global patients has loads to get. The global patients enjoy a highly competitive cost and high quality services, which are hard to find out at any other place. Most of the time, the quality of bariatric surgery in India is par with the ones carried out in the developed nation like the US or the UK.  

You may also read:

What are the different types of weight loss surgery?

Laparoscopic Bariatric Weight Loss Surgery: Patient Testimonials

Overweight, obesity and weight loss: Facts to know

Must Read - Top 10 Bariatric Surgery Tips

Overview

Support for weight loss journey is quite important for people who are have decided to undergo the bariatric surgery. There are lots of information that you need to know when having a bariatric surgery. Here are the top 10 bariatric surgery tips that have been given by people who underwent their weight loss surgery and are at different post-operative stages.

Follow your doctor's advice

A patient undergoing her gastric bypass review that she diligently followed ALL the instructions given by her doctor including, quit smoking, fast pre-surgery, follow the post surgery schedule of introducing foods, drinking lots of water, eating high protein foods, started walking the day after surgery and continuing it at home.

Do an honest self-evaluation

Another patient says while she was in her fifth post operation and she felt exhausted, grumpy, fat and just icky. After doing some honest self evaluation, she realized that she had forgotten or ignored to take care of her tummy, her whole body and her mind. She then started taking her vitamins regularly and slowly being aware of the food intake. A few months later, she started doing her regular exercises.

Have the right attitude

Being a patient, if you have the right attitude and the proper approach that you are doing this for life and you have to keep eating small since you understand all the benefits of this being the most sensible way to deal with your weight once and for all. The right attitude is a fabulous tool which requires commitment and thinking. Most of the patients are happy to feel full again, which they were missing prior to the surgery.

Drink a lot of water           

Drinking enough water each day, a minimum of 64 ounces is good for your overall health. Although it may sound like  a lot, but in reality its just four 16-ounce bottles, which is freeze ice cold helps your body burn more calories when it has warmed up the water to use it. Some of you may not like drinking water because it is not full of sugar and it is not sweet to your tongue. But our body is made to like water since it is built to have water and our brain and muscles depend on water to function properly.

Don't rush back into eating

Do not rush back into eating. You should stick with liquids for four weeks and a pureed diet for two weeks. Some patients can find it hard mentally as they just wanted to chew. But you should listen to the doctors and nurses since they know what is best for you.

       

Change your eating habits for good

If you are willing to change your lifestyle, then this surgery will help you become the person you dreamt of. Changing your lifestyle means you should be willing to completely change your eating habits, exercising on a daily basis and committing to taking the vitamins for the rest of your life. You should be able to motivate yourself by saying that this food does not taste as good as the skinny feels.

Learn coping mechanisms       

   

It is significant to see someone and spend some serious time talking about what to expect when you have slimmed down. Though you will still have some issues with the self worth, but you will have to learn coping up with these mechanisms. It is vital to know what you are getting into so that you are prepared when the things get tough and you will be able to cope and get yourself accepted into yet another new life.

Join a support group

If you are thinking about this weight loss procedure and want to get your health back, JUST DO IT. The biggest key to your success is the support group therapy post surgery. Joining a support group can be considered as a ‘tuneup’. If your doctor doesn’t offer a support group, then look around you may end up joining any of the support groups offered by other doctors and often they will welcome you.        

Realize that surgery is only a tool

Bariatric Surgery is not a miracle, but it is a tool to use. Its up to you if are willing to use this tool and stick with the diet for life. If you are opting for this tool, then you cannot just go and eat whatever you want and still lose weight instead you will have to start working at it.

Here you will get all the info about

BariatricSurgery – You need to know everything

Bariatric surgery - Causes, Risk Factors, Symptoms

Weight Loss Surgery FAQ

What is weight loss surgery?

Weight loss surgery deals with removing upon the extra weight from your stomach and making your belly flat keeping the weight at the bay. It basically removes the extra flesh over your stomach area using any of the surgical procedure along with reducing the food intake in order to make the weight loss effective.

What are the different types of weight loss surgeries?

There are basically four types of weight loss surgery, which are common among the subject of weight loss. These include gastric bypass, adjustable gastric band, gastric sleeve and duodenal switch. These surgeries remove some portion of stomach from the stomach and intestine in order to get rid of the weight from your body.

What are the benefits of weight loss surgeries?

One of the most obvious benefits you can enjoy with this surgery includes the drastic weight loss, which keeps you away from a number of medical conditions like high blood pressure and diabetes that are linked to obesity.

What are the complications of weight loss surgeries?

Some of the complications of weight loss surgeries include the following:

• Bleeding
• Blood clots
• Bowel function changes
• Bowel obstruction or the internal hernia
• Dumping syndrome

Who is a good candidate for weight loss surgery?

Anyone with extra weight may or may not weight loss surgery. The patients with complicated medical conditions and limited amount of mobility may have certain risks of surgical issues. These surgeries help in giving a good result in terms of weight loss.

How much weight is lost after weight loss surgery?

The rate and amount at which you are going to lose your weight would depend upon the chosen surgical procedure including the compliance diet, workouts, weight and vitamin intake.

Which doctors perform weight loss surgery?

The weight loss surgery is a specialized treatment, which needs special surgeons who have expertise in weight loss management and removing extra flesh over their body.

What are the preparations for weight loss surgery?

Before having the said surgery, you need to follow instructions given by the doctor like restricting the drinks, smoking, other medications and eating junk food and other similar things. You will be asked to remain active physical and stop consuming tobacco. This will help in getting the best of the outcome from the surgery.

What is the recovery time after weight loss surgery?

The recovery time of the surgery would depend upon the kind of procedure adopted for the same. Generally it is one week for the laparoscopic procedure that comes along with small incisions and faster healing. Generally speaking, you need two weeks to resume to your normal activities.

What should be the lifestyle (diet & exercise) after weight loss surgery?

You can experience significant amount of changes in your life after the surgery provided you adopt the lifestyle as instructed by your surgeon. These include carrying out daily workout sessions along with reducing the food intake to see retaining the results.

When can a female get pregnant after weight loss surgery?

If you get the permanent after the weight loss surgery, there are several things that you need to remember. Generally speaking, pregnancy and the child delivery after this surgical procedure are much safer to a lean woman as compare to the ones who are obese. You can discuss with your doctor to get special instructions in such cases to keep the complications at bay.

How much does weight loss surgery cost?

When it comes to paying for weight loss surgery in India is concerned, it is very much less as compared to the developed nations. Any typical weight loss surgery in India can range from 4000 to 7000 dollars. 

Weight Loss Surgery: What You Need To Know

Weight loss surgery can work well to help some people to lose weight. However, it may not be suitable or the right decision for everyone who wants to lose weight. Weight loss surgery is not something to be undertaken without very careful consideration. You need to be fully prepared for weight loss surgery and you need to be highly motivated. When considering surgery you must have a full understanding of what it involves, including the risks and benefits. You should also be aware of the fact that you need to make long-term changes to your lifestyle and eating habits after your surgery. Now, let’s check some of the common weight loss surgical procedures as under: 

Weight Loss Gastric Bypass Surgery

Gastric bypass surgery is among the common weight loss procedures carried out for surgeons for obese people. In this surgery, a small size pouch over the stomach is created by the surgeon. This pouch is that part of the stomach, which receives food. This can further limit the amount of food intake in your body at one time. The surgeon then cuts the small intestine at a small distance just below the main stomach and then connected to a new pouch. This leads the food flow directly from this pouch over the portion of the cut made over the intestine. However, the main portion of the stomach keeps on producing digestive juices. The intestine’s portion is simply attached over the main stomach, which is further reattached farther down. With this the digestive juice is flown over the small intestine. As the food is seen getting bypassed to a portion of small intestine, you can find small amounts of calories and nutrients being absorbed. 

Weight Loss Sleeve Gastrectomy Surgery

In this surgery, a big chunk of your stomach is seen getting removed, which leaves behind a small stomach sleeve, which is like a narrow tube. This is further connected to the patient’s oesophagus above along with the intestine below of the first part. Hence once again, the size of the patient’s stomach is seen becoming smaller. This means the food intake you have would reduce. This will keep your stomach full for a longer amount of time once you have food. This surgery can be even carried out using the keyhole technique. This surgery is simpler for the surgeons to operate than any other procedures of weight loss. However, it is reported to be less effective than the other procedures in terms of weight loss one enjoys with the other options. Hence it is considered for people who have lesser obesity and who has fewer health issues. 

Weight Loss Gastric Banding Surgery

This procedure works on the idea of using adjustable laparoscopic gastric banding procedure, which is a band that carries an inflatable balloon that is placed over the upper part of the stomach and the ones that are fixed over the place. This simply creates a small kind of stomach pouch just above the band that contains an inflatable balloon that is put across the upper stomach part and then fixed in this place. This further simply creates a small amount of small stomach pouch over the band that carries a very small and narrow kind of opening over remaining portion of the stomach.  The surgeon then places a port under the abdomen’s skin tissues and then connects the same to a band. This makes a balloon, which can be adjusted by deflating or inflating it in order to get adjusted to the right band’s size. With this the amount of food entering your stomach is adjusted, however, the absorption of nutrients and calories are not restricted. 

Conclusion

One of the best ways to reduce weight is to opt for any of the above three surgical options. However, these are often called as the last resort when any morbidly obese person has tried all the non surgical options to lose weight.

Reference:

http://laparoscopictreatment.blogspot.in/2015/09/what-are-the-different-types-of-weight-loss-surgery.html
https://healthcareandbeautytricks.wordpress.com/2015/09/18/laparoscopic-bariatric-weight-loss-surgery-patient-testimonials/
laparoscopictreatment.blogspot.com/2015/09/myths-about-weight-loss-surgery.html
 

Gastric Bypass Surgery and Pregnancy - You should know about it!

Overview

The Obese patients often are seen with meeting a number of challenges. These can bring in a number of complications, which also include adding problems to your pregnancies. However, losing weight is not a simple task for most of the people and when all the non surgical options fail; the idea of taking up a weight loss surgery like gastric bypass becomes obligatory. Gastric bypass surgery is among the most common bariatric surgical procedures for pregnant ladies. Reducing weight before undergoing the phase of pregnancies can help in smoothening up the task of delivering babies after the nine months. After all, the idea of obesity and pregnancies cannot go hand in hand. Despite the option of having a weight loss surgery being safe one can have certain repercussions while having passing the phase of pregnancies; however, these can be controlled in a big way. Now, how about exploring the relevance found in between gastric bypass and pregnancies as under: 

Benefits of a Gastric Bypass in Future Pregnancies

Though a number of patients opting for the weight loss surgeries are seen in improving the issue of weight loss along with taking care of the overall health, it can even add a number of benefits in favour of pregnancies. As per the study called Pregnancy After Bariatric Surgery: A Review, the pregnant ladies are seen experiencing good amount of improvement in fertility and reducing a number of risks like hypertension, preeclampsia and diabetes for the pregnant ladies as well the women facing fetal macrosomia for the baby. However, you may not find any changes over the miscarriages of percentage before or after gastric bypass surgery. There are many evidences that can suggest that the weight loss surgery can enhance the maternal and perinatal results by simply reducing the obesity relevant obstetric complication factors.  Though you can experience the issue of paucity of tough randomised control trials found in this segment, some of the recent case control and group studies simply showcase that women are known to have lower amounts of obesity related risks like having gestational diabetes and hypertensive problems rather than certain historical regulations or the women having pregnancies before their gastric bypass surgeries claim the researchers. 

Potential Problems of Getting Pregnant After a Gastric Bypass

Despite a number of improvements in fertility, the health of baby and mother can be compromised considering the fact that gastric bypass surgery is an aggressive surgical procedure, which make a couple of changes in digestive system. Thus it can have a couple of harmful implications over the pregnancies or the patient. You are therefore required to seek a proper guidance from a number of healthcare providers before you conceive. It is common for any patient to wait for around 12 to 18 months after the surgical procedure that will bring in weight stabilization. Owing to quicker weight loss, you may end up adding cases pertaining to nutritional deficiencies for both the infant and moth. Also, there are higher amount of risks pertaining to birth defects while adding up the intra abdominal pressure, organ displacement due organs like uterus. Also, the pregnant woman can have higher risk for vomiting tendencies after having gastric bypass surgeries. Though the overall outcome of the weight loss surgery for pregnant ladies, at times they can even have risks like having premature membranes rupture of the infant. A majority of the cases report that there are certain amounts of complications after the gastric bypass surgery during the time of time of pregnancies.

Final Verdict 

Gastric bypass before surgery can have both risks and benefits, which a number of reports have proved. However, the overall picture of weight loss seems promising for the pregnant ladies to a great extent. All you need is a proper guidance from the doctor before having the same. In other words, you need to plan the same.