BAPS Yogiji Maharaj Hospital Weight Loss Program offers new hope and a long-term solution. For most patients, this will be a new beginning. Our dedicated team of specialists is committed to helping you throughout this life-changing journey

Over the years, Bariatric Surgery (Weight-loss Surgery) has evolved, enhancing the rate of success and reducing risks. Today, studies confirm that Bariatric Surgery is a safe and effective weight-loss treatment after all other methods to lose weight have been exhausted.

In comparison to other weight-loss methods such as dieting, physical activities or liposuction, Bariatric surgery helps :

• sustain weight-loss for the longest time in patients who have exhausted all the other options.
• to improve or resolve many obesity-related health risks including Type 2 Diabetes,
• Sleep Apnoea and
• High Blood Pressure.
• enhanced quality of life,
• psychological well-being,
• social interactions,
• employment opportunities and
• financial conditions.

You are a candidate for surgery if you meet any one of the below given requirements: (the Asian Guidelines that qualify you for bariatric surgery are)

• Your BMI is > 37.5 kg/m2
• Your BMI is > 32 kg/m2 with at least 1 obesity associated co-morbidity
• Uncontrolled Type II DM
• DM on treatment, Hypertension, Sleep apnea, Dyslipidemia, Gout, Osteoarthritis, Backache, PID, Male and Female infertility, PCOS/PCOD and many medical illnesses secondary to obesity

What is Obesity?

Obesity and Health Risks

• Type 2 Diabetes: People with obesity run the risk of insulin resistance where insulin produced by the body is not used effectively. This leads to high blood sugar which can damage the body extensively in the long run. This would include irreversible damage to vital organs, gradually rendering them dysfunctional.
• Heart Attack: Obese people are more prone to heart attacks than people with normal body weight. Obesity also attracts other heart conditions including congestive heart failure, abnormal heart rhythm, angina or even sudden cardiac death. The reason being obesity translates to excessive amount of body fat which means higher levels of triglycerides and low-density lipoprotein (LDL). This creates the ideal recipe for developing heart conditions.
• Cancer: Excess body weight is linked with risk of cancer to several organs including colon, oesophagus, pancreas, breast (in postmenopausal women), and kidney.
• Osteoarthritis: Obesity can cause rapid wear and tear of the weight bearing joints. This can cause inflammation and decreased mobility.
• Stroke/high blood pressure: Obesity is one of the main culprits behind high blood pressure. It is a known fact that the higher the body weight, higher the blood pressure which in turn leads to heart attack, kidney damage or stroke.

How do you manage obesity?

• Dietary Therapy – Reducing calories is the key to dietary therapy. Long-term nutritional modifications to reduce caloric intake work for individuals with obesity. Dietary therapy includes steps to modify diets and maintain weight-loss.
• Physical Activity – Regular physical activity goes a long way in reducing body fat. It also helps with preventing the decrease in muscle mass when a person undergoes weight loss. The other benefit of physical activity is increase energy expenditure which plays an important role in weight management. For the obese, the right way is to gradually increase physical activity to avoid injury to the body.
• Behaviour Therapy – Behavioural management techniques involve stress management, self-monitoring, stimulus control, contingency management, problem-solving, cognitive restructuring and social support which aid the obese individuals to adhere to weight-loss methodologies.
• Pharmacotherapy (Medical Management) – This therapy make use of medications to achieve and sustain weight-loss. The therapy ideally benefits high-risk obese individuals.
• Intragastric Balloon – This is a short-term weight loss therapy where a silicone balloon is placed endoscopically through the mouth and oesophagus while the patient is heavily sedated on day of Appointment and filled with liquid. This helps stomach achieve a feeling of fullness.
• Bariatric Surgery (Weight loss surgery) – When all the above options have been exhausted, the next logical step to fight obesity would be surgery for extremely obese patients. Weight loss surgery can help with medically significant weight loss which is sustainable. It is advisable that well-informed patients (with BMI ≥ 32 with or without serious co-morbid conditions) may undergo surgery. After surgery, these patients need constant monitoring for complications and lifestyle adjustments throughout their lifetime.

• Gastric Bypass Surgery
• Sleeve Gastrectomy
• Mini Gastric Bypass
• Biliopancreatic Diversion (BPD) Surgery
• Single Port Bariatric Surgeries
• Diabetes Surgery for low BMI patients

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