Primus Super Speciality Hospital - Obesity - Bariatric Surgery - Fighting Obesity
INSTITUTE OF MINIMAL ACCESS AND BARIATRIC SURGERY
PRIMIUS SUPER SPECIALITY HOSPITAL, NEW DELHI
Obesity is major health problem affecting approximately 300 million people worldwide approximately 2.5 million deaths occurred because of obesity related co-morbidities and t shortens the life span of those who suffers it .Obesity is a common problem in India. Current research suggests that one in three Indians is obese Obesity tends to run in families, suggesting there may be a genetic contribution. However, family members also tend to share the same diet and lifestyle habits. Environment also plays a role in obesity. These environmental factors include what and how often a person eats, a person’s level of activity and behavioral factors.
We have come to realize that obesity is a chronic condition and a lifelong battle that requires long term lifestyle changes. The treatment of obesity can be difficult, especially when the patient does not have a correctable endocrine problem, such as a thyroid disorder. Low-calorie, low-fat diets along with exercise - usually are recommended to treat obesity. “Crash diets and appetite suppressants generally are appropriate only under very specific conditions.
Alarmed by reports that India will become the global diabetes capital by 2050, the health ministry has reduced the diagnostic cut-offs for body mass index to 23 and the standard waist circumference to fight the battle against bulge. The guidelines were released jointly by the health ministry, the Diabetes Foundation of India, the All-India Institute of Medical Science (AIIMS), Indian Council of Medical Research, the National Institute of Nutrition and 20 other health organizations. Studies say India will become the global diabetes capital by 2050 if the abdominal and lower limb obesity and metabolic syndrome are not arrested.
The guidelines estimate that the absolute mortality due to chronic heart diseases in India will increase to 20.3 million annually by 2010 and by 2020 it will touch 2.58 million. The new guidelines state that: BMI of 23 will now be considered overweight (compared to the earlier level of 25) BMI of 25 will be considered clinically obese (compared to earlier level of 30) The waist circumference considered as unhealthy for Indian men is now 90cm or 35.4” (it is 102 cm/40.1” globally> and 60cm or 31.5” for Indian women (as oppose to 88cm/34 6”) “For every 10 extra kilograms above the stipulated body weight (measured according to height), life expectancy of a person reduces by three years, “the report said.
AM I A CANDIDATE
For patients who remain severely obese after conventional approaches to weight loss such as diet and exercise has failed, or for patients who have an obesity- related disease, surgery may be the best treatment option. For other patients, however, greater efforts toward weight control such as changes in eating habits, behavior modification and increasing physical activity - may be more appropriate.
Answering the following questions may help you decide if surgery is right for you:
• Are you obese (have a BMI over 30)
• Do you have a BMI greater than 30 with one or more significant obesity related conditions including high blood pressure, diabetes, arthritis sleep apnea, high cholesterol and a family history of early coronary heart disease?
• Have you tried to lose weight earlier through diet; exercise and behavior modification but cannot maintain the weight loss?
• Have you been carefully evaluated by a team of medical, surgical, behavioral and nutrition experts?
• Are you committed to regular follow-up care and lifestyle changes?
• If you have depression or excessive stress, has it been adequately treated?
• Do you have realistic expectations and are motivated?
• Are you above 18 years old?
ELIGIBILITY FOR BARIATRIC SURGERY
BMI Range Eligible for Surgery Prioritized for Surgery
<30 No No
30-35 YES Conditional*** No
35- 40 YES YES Conditional***
In all cases patients should have failed to lose weight and sustain significant weight loss through non surgical weight management programmes, and have type - II diabetes that has not responded adequately to lifestyle measures (+/-metformin) with a HbAlc <7% * * Action points should be lowered by 23 BMI point levels for Asians.
***HbAlc > 7 5 despite fully optimized conventional therapy especially if weight is increasing or other weight responsive co-morbidities not achieving targets on conventional therapies. For example blood pressure, dyslipidaemia and obstructive sleep apnea.
RESULTS OF WEIGHT LOSS SURGERY
Most patients will lose about 66 to 80 percent of their excess body weight with the gastric bypass procedure. Substantial weight loss occurs 18 to 24 months after surgery; some weight regain is normal and can be expected at two to five years after surgery In addition to weight loss, surgery has been found to have a beneficial effect on many medical conditions such as: diabetes, hypertension, acid reflux, sleep apnea, polycystic ovary syndrome (PCOS), urinary stress incontinence, low back pain, and many others. Medical research has shown that 80% of our diabetic patients had remission from their diabetes (the blood sugar is normal on no medication) Many patients report an improvement in mood and other aspects of psychosocial functioning after surgery.
The overall quality of life is improved. Many patients express elation on being able to do things that may seem trivial to the non-obese person, such as, improvement in personal hygiene, going to the store, playing with their children, getting in and out of a car, riding a roller coaster, shopping for regular sized clothes ... the list is endless.Also, because most surgeries are performed laparoscopically (minimal invasive surgery), patients will typically experience shorter hospital stays, smaller incisions and quicker recovery periods.
FOR MORE INFORMATION
CALL AT CALL AT
Dr. Vinod Kaul HOD & Director primus Laparoscopic Department and his team of doctors
PRIMIUS SUPER SPECIALITY HOSPITAL, NEW DELHI
Obesity is major health problem affecting approximately 300 million people worldwide approximately 2.5 million deaths occurred because of obesity related co-morbidities and t shortens the life span of those who suffers it .Obesity is a common problem in India. Current research suggests that one in three Indians is obese Obesity tends to run in families, suggesting there may be a genetic contribution. However, family members also tend to share the same diet and lifestyle habits. Environment also plays a role in obesity. These environmental factors include what and how often a person eats, a person’s level of activity and behavioral factors.
We have come to realize that obesity is a chronic condition and a lifelong battle that requires long term lifestyle changes. The treatment of obesity can be difficult, especially when the patient does not have a correctable endocrine problem, such as a thyroid disorder. Low-calorie, low-fat diets along with exercise - usually are recommended to treat obesity. “Crash diets and appetite suppressants generally are appropriate only under very specific conditions.
Alarmed by reports that India will become the global diabetes capital by 2050, the health ministry has reduced the diagnostic cut-offs for body mass index to 23 and the standard waist circumference to fight the battle against bulge. The guidelines were released jointly by the health ministry, the Diabetes Foundation of India, the All-India Institute of Medical Science (AIIMS), Indian Council of Medical Research, the National Institute of Nutrition and 20 other health organizations. Studies say India will become the global diabetes capital by 2050 if the abdominal and lower limb obesity and metabolic syndrome are not arrested.
The guidelines estimate that the absolute mortality due to chronic heart diseases in India will increase to 20.3 million annually by 2010 and by 2020 it will touch 2.58 million. The new guidelines state that: BMI of 23 will now be considered overweight (compared to the earlier level of 25) BMI of 25 will be considered clinically obese (compared to earlier level of 30) The waist circumference considered as unhealthy for Indian men is now 90cm or 35.4” (it is 102 cm/40.1” globally> and 60cm or 31.5” for Indian women (as oppose to 88cm/34 6”) “For every 10 extra kilograms above the stipulated body weight (measured according to height), life expectancy of a person reduces by three years, “the report said.
For patients who remain severely obese after conventional approaches to weight loss such as diet and exercise has failed, or for patients who have an obesity- related disease, surgery may be the best treatment option. For other patients, however, greater efforts toward weight control such as changes in eating habits, behavior modification and increasing physical activity - may be more appropriate.
Answering the following questions may help you decide if surgery is right for you:
• Are you obese (have a BMI over 30)
• Do you have a BMI greater than 30 with one or more significant obesity related conditions including high blood pressure, diabetes, arthritis sleep apnea, high cholesterol and a family history of early coronary heart disease?
• Have you tried to lose weight earlier through diet; exercise and behavior modification but cannot maintain the weight loss?
• Have you been carefully evaluated by a team of medical, surgical, behavioral and nutrition experts?
• Are you committed to regular follow-up care and lifestyle changes?
• If you have depression or excessive stress, has it been adequately treated?
• Do you have realistic expectations and are motivated?
• Are you above 18 years old?
ELIGIBILITY FOR BARIATRIC SURGERY
BMI Range Eligible for Surgery Prioritized for Surgery
<30 No No
30-35 YES Conditional*** No
35- 40 YES YES Conditional***
In all cases patients should have failed to lose weight and sustain significant weight loss through non surgical weight management programmes, and have type - II diabetes that has not responded adequately to lifestyle measures (+/-metformin) with a HbAlc <7% * * Action points should be lowered by 23 BMI point levels for Asians.
***HbAlc > 7 5 despite fully optimized conventional therapy especially if weight is increasing or other weight responsive co-morbidities not achieving targets on conventional therapies. For example blood pressure, dyslipidaemia and obstructive sleep apnea.
RESULTS OF WEIGHT LOSS SURGERY
Most patients will lose about 66 to 80 percent of their excess body weight with the gastric bypass procedure. Substantial weight loss occurs 18 to 24 months after surgery; some weight regain is normal and can be expected at two to five years after surgery In addition to weight loss, surgery has been found to have a beneficial effect on many medical conditions such as: diabetes, hypertension, acid reflux, sleep apnea, polycystic ovary syndrome (PCOS), urinary stress incontinence, low back pain, and many others. Medical research has shown that 80% of our diabetic patients had remission from their diabetes (the blood sugar is normal on no medication) Many patients report an improvement in mood and other aspects of psychosocial functioning after surgery.
The overall quality of life is improved. Many patients express elation on being able to do things that may seem trivial to the non-obese person, such as, improvement in personal hygiene, going to the store, playing with their children, getting in and out of a car, riding a roller coaster, shopping for regular sized clothes ... the list is endless.Also, because most surgeries are performed laparoscopically (minimal invasive surgery), patients will typically experience shorter hospital stays, smaller incisions and quicker recovery periods.
FOR MORE INFORMATION
CALL AT CALL AT
I agree that the overall quality of life is improved. This is only one of the many benefits that are included in a procedure like this! My dad is considering getting one and I'll have to remind him of all of the benefits that are included. Thanks for the tips! http://centicare.com/shower_commodes.html
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