In this article, we have covered the following aspects of Bariatric Surgery:
- Best Hospitals in India for Bariatric Surgery procedure
- Top GI & General Surgeons for Bariatric Surgery
- Cost of Bariatric Surgery in India
- Understanding Bariatric Surgery
Best Doctors and Hospitals in India for Bariatric Surgery
Following is a list of the most reputed specialists in India for Bariatric Surgery.
Please click the ‘contact doctor‘ button on the right side for seeking opinion or requesting an appointment with your chosen specialist.
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Cost of Bariatric Surgery in India
A Bariatric Surgery will cost between USD 4000-12000 depending on the patient’s condition & type of surgery needed. For best cost estimate, please share patient’s medical history, height, weight & a recent photograph in the form below.
Bariatric surgery is a procedure in which the stomach size is reduced with a gastric band or through removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouch (gastric bypass surgery).
Indications for Bariatric Surgery
- Your BMI (Body Mass Index) is 40 or higher
- Your BMI is 35 and higher with weight-related issues like Type 2 Diabetes, Sleep apnea and High blood pressure.
- You have tried diet and exercise with no results
Why Bariatric Surgery?
Millions of people around the world struggle with their day to day activities due to excessive weight. It affects the ability to perform normal tasks and puts a lot of psychological pressure. Apart from that if a person is obese or overweight, it can pose a serious threat to his/her life and give rise to several medical conditions such as high blood pressure, heart diseases and diabetes. While many people lose the weight with proper diet and exercise, there are several others who remain unsuccessful.
Bariatric Surgery is an option when a person suffers from Morbid Obesity. A person is considered morbidly obese if his/her BMI is 40 and over or if he/she weighs 50-100% over the ideal body weight. With Bariatric surgery such obese people are able to lose a considerable amount of weight and with proper commitment and restrictions are able to maintain a healthy and happy lifestyle after the surgery.
Bariatric or Weight-loss surgery helps in weight loss by limiting the amount of food in the stomach. It involves making changes in the digestive system by making the stomach smaller so as to make you feel full sooner and consume less food and in other cases making the small intestine smaller as well.
Bariatric surgeries help in losing weight in different ways:
- Restrictive procedure
This procedure is performed by shrinking the size of the stomach in order to make you consume less food. As the size of the stomach is reduces, you eat less, fill full faster and thus calorie intake also becomes less. This helps in slowing down digestion and thus helps in losing weight faster.
- Malabsorptive procedure
Such procedures help in weight loss by altering the structure of the digestive tract by allowing food to bypass most of the portion of the small intestine. It helps in less absorption of the number of calories, fats as well as nutrients during the digestion process. However, such procedures are performed rarely by surgeons these days due to various risks involved and therefore combine the procedure with restrictive surgeries.
- Combination of both Restrictive and Malabsorptive procedure
As the name suggests it involves combining the above two methods by connecting the shrunk stomach to the bypassed small intestine.
Based on the above methods, there are four common types of Bariatric Surgery procedures. They are
- Roux-en-Y Gastric Bypass Surgery
- Sleeve Gastrectomy
- Adjustable Gastric Banding
- Biliopancreatic diversion with Duodenal Switch
Types of Bariatric Surgery
Roux-en-Y Gastric Bypass Surgery
This procedure is also known as Gastric Bypass surgery and is the most common of all procedures. It is done in two parts. First the surgeon creates a small pouch in the upper section of the stomach which is approximately 30 millimeters which divides this section from the rest of the stomach.
Next the surgeon divides the first portion of the small intestine and connects the lower portion of the small intestine to the smaller pouch of the stomach. Now the upper portion of the divided small intestine is connected farther down to the lower part of the small intestine. The bypassed portion remains connected with the main part of the stomach hence allowing the stomach acids and digestive enzymes to move from the bypassed stomach to the small intestine. It is usually a non-reversible procedure, but the surgeon can reverse it in case of any medical emergency.
Benefits of the procedure
- The small stomach pouch allows you to fell full faster and thus consume less calories.
- As there are no food substances going through the small segment of the small intestine, there is less absorption of calories as well.
- It changes the gut hormones and gut bacteria thereby suppressing hunger and felling of sufficiency.
- It helps in significant long term weight loss and maintaining it for a number of years.
This procedure involves removing almost 75% – 80% of the stomach and the remaining is in the form of a long tubular banana-shaped pouch. The pouch holds a very small amount of food and thus helps in less consumption of calories. The surgery has a direct impact on the gut hormones and therefore you feel less hungry, better satiety and also control the blood sugar level. This is a non-reversible procedure however it is highly effective in weight loss as it restricts the amount of food the stomach can hold.
Benefits of the procedure
- As the stomach is reduced in size, it can hold considerably less amount of food and make you full sooner.
- It helps in significant weight loss after the surgery that continues for several years.
- The procedure produces favorable changes in the gut hormones thereby controlling appetite and improving satiety.
Adjustable Gastric Banding
Gastric Banding or Adjusting Gastric Banding is a procedure where the surgeon uses an inflatable band and places it around the upper portion of the stomach creating a smaller pouch. The maximum portion of the stomach remains below the band.
The mechanism through which this procedure works depends on the band. Since it divides the stomach into a smaller pouch, the amount of food you consume is very less and you fill satisfied faster. An opening remains between the two sections which can be controlled by injecting a sterile saline liquid through a port that is placed under the skin. The saline that is filled in the band helps to adjust the size of the opening to limit the food intake. The size of the band can be adjusted as and when required by the patient. This procedure is completely reversible and you can have a surgery to remove the band after which the size of the stomach returns to normal.
Benefits of the procedure:
- Your stomach feels full after having a small amount of food.
- It helps to lose almost 30- 40% of excess weight.
- It is a better option than most other types of Bariatric surgery as there is no cutting involved and you can remove the band if required.
- The size of the opening between the two sections of the stomach can be adjusted according to the requirement of the patient
Biliopancreatic Diversion with Duodenal Switch
The Biliopancreatic Diversion with Duodenal Switch or BDP/DS in short is a procedure that involves two parts. It is somewhat a combination of gastric bypass and sleeve gastrectomy procedures. Here the surgeon removes around 70% of the stomach and bypasses an even larger portion of the small intestine.
The first portion of the small intestine (duodenum) is divided right near the outlet of the stomach and a segment of the lower portion (distal) is brought upwards and connected to the outlet of the new stomach. The bypassed portion of the small intestine is then connected with the last lower portion which allows the digestive and pancreatic juices to mix with the food.
Benefits of the procedure
- It helps in faster and greater weight loss as compared to all other three procedures.
- Initially the procedure allows consuming much less amount of food but eventually the patient can have larger meals when compared to other procedures.
- The food bypasses almost three-fourth of the digestive tract and flows directly into the last segment of the small intestine, thus allowing less consumption of calories.
Bariatric surgeries are a great help for the people who have tried their best to lose weight through various non-surgical options. While most people are obese and overweight due to their lifestyles, there are some people who weigh more as a result of some rare medical conditions. Any of the above Bariatric surgeries cannot be concluded as the best because the type of surgery depends entirely on you and your body type. A doctor will be able to advise the best procedure as per you.
Note (for foreign patients):
Besides South Asian countries (Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan, Sri Lanka), every year, India gets thousands of medical tourists from African countries- Nigeria, Kenya, Ethiopia, Sudan, Uganda, Ghana, Somalia,Gambia etc and Middle Eastern countries like Iraq, Iran, Saudi Arabia, Oman, UAE, Yemen etc. Hence, if you are a citizen of any of these countries, there is good likelihood that you will be meeting some fellow citizens or same language speakers in the major hospitals in India. Almost all the top hospitals have translators for people of these region. Our patient support team is also well placed to assist you.