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Obesity is one of the chronic conditions and is a risk factor for many other chronic conditions. Obesity is expanding at an alarming rate as a major health concern throughout the world. Obesity, one of the chronic conditions is caused by various factors. One or more of the below mentioned factors may cause obesity.

Energy Imbalance: Obesity happens gradually if the amount of energy or calories you consume is more than the amount of energy spent on your daily activities.

Sedentary Lifestyle: People leading an inactive or sedentary lifestyle are more likely to become obese as they do not burn down the calories they consume.

Environmental factors: Lack of safe places for exercising and walking (sidewalks or parks), busy work schedule, eating larger food portions, and junk food are contributing factors to gain weight.

Family history: The genes inherited from your parents have an effect the amount of fat stored in your body and your chances of being obese is higher if one or both your parents are obese. Obesity tends to run in families.

Disease conditions: Hormonal disorders such as hypothyroidism, Cushing’s syndrome, and polycystic ovarian syndrome may cause weight gain.

Medicines: Certain medicines such as corticosteroids, antidepressants and seizure medications are known to decrease the rate of metabolism, increase your appetite and retain excess water in the body leading to weight gain.

Emotional factors: Unusual eating habits such as excessive eating when under stress or anger. Overeating will cause weight gain.

Age: Aging results in muscle loss in the body which is even more if you are inactive. Muscle loss reduces the calorie consumption and consequently uncontrolled diet may increase the chances of becoming obese.

Consequences

If you are obese, severely obese, or morbidly obese, you may have the following health consequences:

Major health consequences

Premature death (shorter life expectancy): Obese people have a 50% to 100% increased risk of premature death

Obese people have more risk for heart diseases, type 2 diabetes, certain cancers (breast, uterine, colon), breathing difficulties (e.g., sleep apnea, asthma), arthritis, pregnancy complications, gall bladder problems, urinary incontinence, depression and digestive disorders (gastroesophageal reflux disease)

Risks to psychological and social well-being

Negative self-image

Social isolation

Discrimination

Difficulties with day-to-day living

Normal tasks become harder when you are obese

You tend to tire more quickly and you find yourself short of breath

Public transport seats, telephone booths, and cars may be too small for you

You may find it difficult to maintain personal hygiene

Surgery for Weight Loss

Severe obesity is a chronic condition that is difficult to treat through diet and exercise alone. Weight Loss Surgery (Bariatric / Obesity Surgery) is a good option for people who are severely obese and cannot lose weight by traditional means or who suffer from serious obesity-related health problems. The surgery promotes weight loss by restricting food intake and, in some operations, interrupting the digestive process. As in other treatments for obesity, the best results are achieved with healthy eating behaviours and regular physical activity.

People who may consider gastrointestinal surgery include those with a body mass index (BMI) above 35.  People with a BMI between 32 and 35 who suffer from type 2 diabetes or life-threatening cardiopulmonary problems, such as severe sleep apnoea or obesity-related heart disease, may also be candidates for surgery.

Obesity Surgeries

Obesity surgery is a scientifically proven, more successful approach to weight loss compared to a pill.

SCOPE OF SERVICES

1.  Weight Loss Management Program

   a.  Surgical Services

      i.  Bariatric Surgeries

      ii.  Post operative follow-up Plans

b.  Non Surgical Services

      i.  Obesity Analysis

      ii.  Diet Management

      iii. Life Style Management

 

What is Obesity?

Mini Gastric Bypass

 

Mini gastric bypass is a less invasive alternative to standard gastric bypass;but produces similar results.This procedure is performed laparoscopically, meaning the surgeon works through several small incisions and uses a tiny camera (called a laparoscope) and a television screen to guide special instruments through the incisions.

 

Advantages:

  • MGB is a low risk surgery.
  • It has excellent weight loss and minimal pain.
  • It can be easily reversed or revised.

Sleeve Gastrectomy

 

The stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. It combines a satisfying gastric restriction with appetite suppression.

 

Advantages:

  • Less chances of complications such as migration, erosion and infection.
  • Great appetite suppression.
  • Lower risk of peptic ulcer.
  • No vitamin or drugs malabsorption.

Gastric Bypass
Roux-En-Y

 

Strapling is used to create a small, upper stomach pouch which restricts the amount of food to be consumed. A portion of small bowel is bypassed thus delaying food from mixing with digestive juices to avoid complete calorie absortion.

 

Advantages:

  • About 96% of associated health conditions like Sleep Apnea, high BP, Type II Diabetes, Depression, Back Pain were improved or resolved.

Ileal Interposition with BMI-adjusted sleeve Gastrectomy

 

A long Segment of last part of small bowel (Ileum) is cut & joined very close to the stomach. Undigested food now first enters Illeum to stimulate increased secretion of Incretin (gut) Hormone called GLP-1, which in turn stimulates Beta cells in pancreas to secrete increase amounts in Insulin.

 

Advantages:

  • Operation for congrol of Type-2 Diabetes
  • even with normal BMI (non obese patient)

Q.Am I fat?

A.Fat is often referred as obese In medical terminology.To determine whether you are fat, doctors calculate your BMI (Body Mass Index) to know how much excess weight a person has in relation to their height.BMI of a normal weight persons range from 18 to  24.9 kg/m2.

Q.What is bariatric surgery?

A.bariatric surgery is a type of surgery which is performed to induce long term excess weight loss along with curing or improving most of the medical problems like diabetes, blood pressure, arthritis etc.

Q.How does weight loss surgery help to reduce excess weight?

A.It will restrict or reduce the amount you can eat or can avoid absorbing all food,  you have eaten.Also there can be a combination of both.

Q. How effective is Weight Loss Surgery?

A.Depending on the type of surgery (patients complication & lifestyle) anywhere from 90% of your excess body weight (EBW) will be lost over a period of 6 months to two years.Clinical studies have shown that post surgery,most patients lose weight rapidly and continue to do so up 18 to 24 months after the procedure.

Q.What type of diet will be recommended after surgery?

A.you will be on liquid diet for almost 4 weeks.Dieticians will advice you appropriate dish.

Q.When am I a candidate for surgery?

A.If you have diabetes for 3 years 7 control is not good in spite of all medication  & lifestyle change, &/or you have hereditary factors ,&/ or you have a progressive of the diabetes;age group between 18 to 70 years.

 

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Kerala, South India

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Email : saraswathyhospital@yahoo.com

www.saraswathyinstitutions.com

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