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Our Milestones
Our evidence-based practices and precision-based care approach have established us as the :
- Best hospital for gastric bypass in India
- Leading center for sleeve gastrectomy
- Pioneer in robotic bariatric surgery
- Expert in revision bariatric surgeries
Our Approach
At Apollo Hospitals, we combine medical expertise with a patient-first approach to deliver the best bariatric care. Our multidisciplinary teams are committed to:
Expert Bariatric Surgery Team
At Apollo Institutes of Bariatric Surgery, our team of specialists forms the backbone of our world-class weight loss care. Our doctors are not just practitioners; they are pioneers in their fields, pushing the boundaries of bariatric care with their expertise and innovative approaches.
- Bariatric Surgery
Bariatric Surgery
Robotic Surgery
Robotic Surgery
22+ years ,
MBBS, MS, MMAS, DMAS, FICS(GE), FMAS, FARIS, FALS, FIBC, FRS, FLS
Bariatric Surgery
25+ years ,
MBBS, MS( Gen. Surgery), Dip. In Adv. Lap Surgery, FALS, FMAS, FIAGES
Advanced Technology & Equipment
The Apollo Institute of Bariatric Surgery is equipped with advanced technology and state-of-the-art facilities to provide comprehensive care for obesity and weight-loss surgery. The advanced technologies and facilities that make the Apollo Institute of Bariatric Surgery one of the most sought-after centres globally for weight-loss surgeries, offering cutting-edge solutions with high success rates comparable to international standards are:
Why Choose Apollo Institutes of Bariatric Surgery?
Common Conditions We Treat
At Apollo Institute of Bariatric Surgery, we recognize that obesity is often accompanied by various medical conditions that significantly impact patients' health and quality of life.
Our comprehensive treatment approaches address these obesity-related medical conditions through tailored surgical interventions and multidisciplinary care. Below are the key obesity-related medical conditions we treat, along with our strategies for management:
- Obesity-Related Medical Conditions
- Metabolic Disorders
Obesity-Related Medical Conditions
Bariatric surgery is typically considered for patients who:
1. Have Severe Obesity:
• Body Mass Index (BMI) ≥ 40 kg/m² (morbid obesity).
• BMI ≥ 35 kg/m² with serious obesity-related health conditions (e.g., type 2 diabetes, hypertension, sleep apnea).
2. Failed Non-Surgical Treatments:
• Diet, exercise, and medication have not resulted in sustainable weight loss.
3. Have Obesity-Related Medical Conditions:
• Conditions like type 2 diabetes, heart disease, severe joint pain, or liver disease improve significantly after surgery.
4. Need Weight Loss Before Surgery for Other Conditions:
• For example, reducing weight to improve outcomes for joint replacement or heart surgeries.
5. Are Psychologically Prepared:
• Patients must commit to lifelong dietary changes, physical activity, and follow-ups.
6. Other Criteria:
• Adults or adolescents (usually aged 13–18) with severe obesity, as recommended by guidelines and medical teams.
Some of the conditions where bariatric surgery may help treat underlying diseases include :
1. Type 2 Diabetes: Obesity is a major risk factor for developing type 2 diabetes. Weight loss surgery can lead to significant improvements in insulin sensitivity and glucose metabolism, often resulting in remission of diabetes. Our approach includes pre-operative assessments to determine eligibility for surgery and post-operative monitoring to manage diabetes effectively.
2. Hypertension: Excess weight contributes to high blood pressure, which can lead to serious cardiovascular complications. Bariatric surgery has been shown to reduce blood pressure levels in many patients. We provide a structured program that includes lifestyle modifications, medication management, and regular follow-ups to monitor blood pressure post-surgery.
3. Cardiovascular Disease: Obesity increases the risk of heart disease and stroke. Our surgical interventions not only promote weight loss but also improve cardiovascular health markers. We collaborate with cardiologists to assess cardiovascular risk factors pre-and post-operatively, ensuring comprehensive care tailored to each patient's needs.
4. Sleep Apnoea: Obstructive sleep apnoea is common among obese individuals and can lead to severe health issues. Bariatric surgery often results in significant weight loss, which can alleviate sleep apnoea symptoms. We conduct thorough evaluations and provide post-operative support, including referrals for sleep studies if necessary.
5. Gastroesophageal Reflux Disease (GERD): Many patients experience GERD due to obesity, which can lead to discomfort and complications. Weight loss surgery can reduce or eliminate GERD symptoms in many cases. Our treatment approach includes assessing the severity of GERD before surgery and monitoring symptom resolution afterwards.
Metabolic Disorders
Metabolic Syndrome: Metabolic syndrome is a cluster of conditions including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. Our multifaceted approach includes:
- Comprehensive pre-operative evaluation to assess all components of metabolic syndrome
- Bariatric procedures that address multiple aspects of metabolic syndrome simultaneously
- Regular post-operative follow-ups to monitor improvements in metabolic parameters
- Personalized lifestyle modification programs including diet and exercise recommendations
- Coordination with various specialists (endocrinologists, cardiologists) for holistic management
Our Comprehensive Surgical Treatment Care Programs
- Laparoscopic Adjustable Gastric Banding (LAGB)
- Sleeve Gastrectomy
- Gastric Bypass
- Bilio-pancreatic Diversion
- Metabolic Surgery
- Endoscopic Bariatric Surgery
- Single Incision Laparoscopic Surgery (SILS)
- Robotic Surgery
Laparoscopic Adjustable Gastric Banding (LAGB)
What is LAGB?
LAGB is a type of bariatric surgery that uses an adjustable band to restrict the size of the stomach. The procedure is performed laparoscopically, implying that it involves small incisions in the abdomen rather than one large cut. The band creates a small stomach pouch above it, with a narrow opening to the larger portion of the stomach below. This small pouch ensures that even with a small quantity of food , there is a feeling of fullness.
Key features of LAGB include:
Minimally invasive procedure
Adjustable and reversible
No stapling or cutting of the stomach
Typically requires a short hospital stay
Why is it done?
LAGB is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria for LAGB include:
LAGB is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria for LAGB include:
Body Mass Index (BMI) greater than 40, or
BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, sleep apnoea, or hypertension
The procedure aims to help patients achieve significant weight loss, improve obesity-related health conditions, and enhance overall quality of life.
What happens during the procedure?
The LAGB procedure typically involves the following steps:
The LAGB procedure typically involves the following steps:
General anaesthesia is administered to the patient.
The surgeon makes 1 to 5 small incisions in the abdomen to insert a camera and surgical instruments.
Using laparoscopic techniques, the surgeon places the adjustable silicone band around the upper part of the stomach.
The band is connected to a small port placed under the skin of the abdomen, usually near the rib cage.
The incisions are closed, completing the procedure.
The entire surgery usually takes between 30 to 60 minutes when performed by an experienced surgeon. Post-surgery, the band can be adjusted by adding or removing saline solution through the port, allowing for customization of the stomach opening size to meet the patient's weight loss needs and comfort level.Read more
Sleeve Gastrectomy
What is Sleeve Gastrectomy?
Sleeve gastrectomy is a type of bariatric surgery that involves removing approximately 80% of the stomach, leaving a sleeve-shaped stomach about the size and shape of a banana. This smaller stomach can't hold as much food, which limits calorie intake and leads to weight loss. Additionally, the procedure reduces the production of ghrelin, a hormone that stimulates hunger, further aiding in weight loss.
Key features of Sleeve Gastrectomy include:
Permanent alteration of the stomach
No rerouting of the intestines
Typically performed laparoscopically
Can lead to significant weight loss and improvement in obesity-related conditions
Why is it done?
Sleeve gastrectomy is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria include:
Sleeve gastrectomy is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria include:
Body Mass Index (BMI) greater than 40, or
BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, sleep apnoea, or hypertension
The procedure aims to help patients achieve significant weight loss, improve obesity-related health conditions, and enhance overall quality of life.
What happens during the procedure?
The sleeve gastrectomy procedure typically involves the following steps:
The sleeve gastrectomy procedure typically involves the following steps:
General anaesthesia is administered to the patient.
The surgeon makes several small incisions in the abdomen to insert a camera and surgical instruments.
Using laparoscopic techniques, the surgeon removes about 80% of the stomach along the greater curvature.
The remaining stomach is stapled closed, creating a tube or "sleeve" shape.
The incisions are closed, completing the procedure.
The entire surgery usually takes between 60 to 90 minutes when performed by an experienced surgeon. Post-surgery, patients typically stay in the hospital for 1-2 days for monitoring and to begin adjusting to their new dietary requirements.
Gastric Bypass
What is Gastric Bypass?
Gastric bypass, also known as Roux-en-Y gastric bypass, is a surgical procedure that involves creating a small pouch from the stomach and connecting it directly to the small intestine, bypassing a large part of the stomach and the first part of the small intestine. This procedure works through both restriction (limiting food intake) and malabsorption (reducing calorie and nutrient absorption).
Key features of Gastric Bypass include:
Considered the "gold standard" of weight loss surgeries
Typically results in rapid and significant weight loss
Can lead to dramatic improvement in obesity-related conditions
Requires lifelong vitamin and mineral supplementation
Why is it done?
Gastric bypass is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria include:
Gastric bypass is recommended for individuals with severe obesity who have not achieved long-term success with non-surgical weight loss methods. Specific criteria include:
Body Mass Index (BMI) greater than 40, or
BMI of 35 or higher with obesity-related health conditions
The procedure aims to help patients achieve significant weight loss, improve obesity-related health conditions (especially type 2 diabetes), and enhance overall quality of life.
What happens during the procedure?
The gastric bypass procedure typically involves the following steps:
The gastric bypass procedure typically involves the following steps:
General anaesthesia is administered to the patient.
The surgeon makes several small incisions in the abdomen to insert a camera and surgical instruments.
A small stomach pouch is created by dividing the top of the stomach from the rest of the stomach.
The small intestine is then divided, and the lower portion (the Roux limb) is connected to the newly created small stomach pouch.
The other end of the small intestine is connected to the Roux limb lower down, creating a "Y" shape.
The incisions are closed, completing the procedure.
The entire surgery usually takes between 2 to 3 hours when performed by an experienced surgeon. Post-surgery, patients typically stay in the hospital for 2-3 days for monitoring and to begin adjusting to their new dietary requirements.
Bilio-pancreatic Diversion
What is Bilio-pancreatic Diversion?
Bilio-pancreatic diversion (BPD) is a complex weight loss surgery that involves removing a portion of the stomach and rerouting the small intestine. In the duodenal switch variation (BPD/DS), about 80% of the stomach is removed, and the small intestine is rearranged to separate food from digestive juices until the last portion of the small intestine. This limits both food intake and nutrient absorption.
Key features of Bilio-pancreatic Diversion include:
Most complex and highest-risk bariatric procedure
Results in the most significant weight loss and metabolic changes
Requires strict adherence to dietary guidelines and lifelong supplementation
Typically reserved for super-obese patients or those with severe metabolic disorders
Why is it done?
BPD is typically recommended for individuals with super obesity (BMI 50 or higher) or those with severe obesity-related health conditions who have not achieved success with other weight loss methods. The procedure aims to:
BPD is typically recommended for individuals with super obesity (BMI 50 or higher) or those with severe obesity-related health conditions who have not achieved success with other weight loss methods. The procedure aims to:
Achieve significant and sustained weight loss
Improve or resolve severe obesity-related health conditions, particularly type 2 diabetes
Enhance overall quality of life for patients with extreme obesity
What happens during the procedure?
The BPD procedure typically involves the following steps:
The BPD procedure typically involves the following steps:
General anaesthesia is administered to the patient.
The surgeon makes several incisions in the abdomen to insert surgical instruments.
About 70-80% of the stomach is removed, similar to a sleeve gastrectomy.
The small intestine is divided and rearranged, creating a longer bypass than in standard gastric bypass.
A portion of the small intestine is connected to the remaining stomach.
Another portion of the small intestine is connected further down, allowing digestive enzymes to mix with food.
The incisions are closed, completing the procedure.
The surgery usually takes 3-4 hours. Patients typically stay in the hospital for 3-4 days’ post-surgery for monitoring and to begin adjusting to their new dietary requirements.
Metabolic Surgery
What is Metabolic Surgery?
Metabolic surgery refers to surgical procedures primarily aimed at treating metabolic disorders, particularly type 2 diabetes, in patients with obesity. While these surgeries often result in weight loss, their primary goal is to improve or resolve obesity-related metabolic conditions. Common metabolic surgeries include gastric bypass and sleeve gastrectomy.
Key features of Metabolic Surgery include:
Focuses on improving metabolic health beyond weight loss
Can lead to remission of type 2 diabetes in many patients
May be considered for patients with lower BMIs who have poorly controlled diabetes
Alters gut hormones and metabolism to improve blood sugar control
Why is it done?
Metabolic surgery is recommended for individuals with:
Metabolic surgery is recommended for individuals with:
Type 2 diabetes and a BMI of 35 or higher
Poorly controlled type 2 diabetes with a BMI between 30 and 35 (in some cases)
Other metabolic disorders associated with obesity, such as high blood pressure or high cholesterol
The primary aim is to improve or resolve metabolic conditions, particularly type 2 diabetes, often before significant weight loss occurs.
What happens during the procedure?
The specific steps depend on the type of metabolic surgery chosen (e.g., gastric bypass or sleeve gastrectomy). Generally, the procedure involves:
The specific steps depend on the type of metabolic surgery chosen (e.g., gastric bypass or sleeve gastrectomy). Generally, the procedure involves:
Administration of general anaesthesia.
Making small incisions in the abdomen for laparoscopic instruments.
Altering the digestive system, either by creating a small stomach pouch and rerouting the small intestine (gastric bypass) or by removing a large portion of the stomach (sleeve gastrectomy).
Closing the incisions.
The surgery typically takes 1-3 hours, depending on the specific procedure. Patients usually stay in the hospital for 1-3 days post-surgery for monitoring and to begin adjusting to their new dietary requirements.
Endoscopic Bariatric Surgery
What is Endoscopic Bariatric Surgery?
Endoscopic bariatric surgery refers to minimally invasive weight loss procedures performed entirely through the mouth using an endoscope, without any external incisions. These procedures can be used for primary weight loss treatment or to revise previous bariatric surgeries.
Key features of Robotic Surgery include:
Enhanced 3D visualization for the surgeon
Greater precision and dexterity, especially in complex cases
Potential for reduced complications and faster recovery
Requires specialized training and equipmen
Why is it done?
Robotic-assisted bariatric surgery is performed to:
Robotic-assisted bariatric surgery is performed to:
Enhance surgical precision, particularly in complex cases
Improve visualization during the procedure
Potentially reduce complications compared to traditional laparoscopic techniques
Offer the benefits of minimally invasive surgery even in challenging cases
It's typically offered as an alternative to traditional laparoscopic surgery for various bariatric procedures, including gastric bypass and sleeve gastrectomy.
What happens during the procedure?
Robotic bariatric surgery typically involves:
Robotic bariatric surgery typically involves:
Administration of general anaesthesia.
Making several small incisions in the abdomen.
Inserting the robotic arms and camera through these incisions.
The surgeon sitting at a nearby console to control the robotic arms.
Performing the bariatric procedure (e.g., gastric bypass) using the robotic system.
Removing the robotic instruments and closing the incisions.
The duration of robotic surgery is often similar to or slightly longer than traditional laparoscopic approaches, typically 2-3 hours depending on the specific procedure. Recovery time is generally comparable to laparoscopic surgery, with potential for reduced pain and complications in some cases.
Single Incision Laparoscopic Surgery (SILS)
What is SILS?
SILS is an advanced minimally invasive surgical technique where the entire operation is performed through a single small incision, typically in the navel. In bariatric surgery, this technique can be applied to procedures like sleeve gastrectomy or gastric banding
Key features of Robotic Surgery include:
Enhanced 3D visualization for the surgeon
Greater precision and dexterity, especially in complex cases
Potential for reduced complications and faster recovery
Requires specialized training and equipmen
Why is it done?
Robotic-assisted bariatric surgery is performed to:
Robotic-assisted bariatric surgery is performed to:
Enhance surgical precision, particularly in complex cases
Improve visualization during the procedure
Potentially reduce complications compared to traditional laparoscopic techniques
Offer the benefits of minimally invasive surgery even in challenging cases
It's typically offered as an alternative to traditional laparoscopic surgery for various bariatric procedures, including gastric bypass and sleeve gastrectomy.
What happens during the procedure?
Robotic bariatric surgery typically involves:
Robotic bariatric surgery typically involves:
Administration of general anaesthesia.
Making several small incisions in the abdomen.
Inserting the robotic arms and camera through these incisions.
The surgeon sitting at a nearby console to control the robotic arms.
Performing the bariatric procedure (e.g., gastric bypass) using the robotic system.
Removing the robotic instruments and closing the incisions.
The duration of robotic surgery is often similar to or slightly longer than traditional laparoscopic approaches, typically 2-3 hours depending on the specific procedure. Recovery time is generally comparable to laparoscopic surgery, with potential for reduced pain and complications in some cases.
Robotic Surgery
What is Robotic Surgery?
Robotic surgery in bariatrics involves the use of a robotic system, typically the da Vinci system, to assist in weight loss procedures. The surgeon controls robotic arms from a console in the operating room, which translates the surgeon's hand movements into precise movements of surgical instruments inside the patient's body.
Key features of Robotic Surgery include:
Enhanced 3D visualization for the surgeon
Greater precision and dexterity, especially in complex cases
Potential for reduced complications and faster recovery
Requires specialized training and equipmen
Why is it done?
Robotic-assisted bariatric surgery is performed to:
Robotic-assisted bariatric surgery is performed to:
Enhance surgical precision, particularly in complex cases
Improve visualization during the procedure
Potentially reduce complications compared to traditional laparoscopic techniques
Offer the benefits of minimally invasive surgery even in challenging cases
It's typically offered as an alternative to traditional laparoscopic surgery for various bariatric procedures, including gastric bypass and sleeve gastrectomy.
What happens during the procedure?
Robotic bariatric surgery typically involves:
Robotic bariatric surgery typically involves:
Administration of general anaesthesia.
Making several small incisions in the abdomen.
Inserting the robotic arms and camera through these incisions.
The surgeon sitting at a nearby console to control the robotic arms.
Performing the bariatric procedure (e.g., gastric bypass) using the robotic system.
Removing the robotic instruments and closing the incisions.
The duration of robotic surgery is often similar to or slightly longer than traditional laparoscopic approaches, typically 2-3 hours depending on the specific procedure. Recovery time is generally comparable to laparoscopic surgery, with potential for reduced pain and complications in some cases.
Patient Journey
At Apollo Institute of Bariatric Surgery, we are dedicated to guiding you through every step of your weight loss journey, from your initial consultation to your long-term recovery and health maintenance. Our comprehensive approach ensures a seamless experience with personalized attention at each stage.
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International Patient Services
Comprehensive Support for Global Patients
Apollo Institute of Bariatric Surgery provides complete support for international patients seeking bariatric care, ensuring a smooth journey from planning to recovery.
Apollo Institute of Bariatric Surgery provides complete support for international patients seeking bariatric care, ensuring a smooth journey from planning to recovery.
- Pre-Arrival Support
- During Your Stay
- Post-Treatment Care
Pre-Arrival Support
Medical Documentation Review
- Evaluation of previous medical records related to obesity and comorbidities.
- Analysis of imaging studies and relevant test results.
- Assessment of current health conditions and treatment history.
- Development of a personalized treatment plan.
- Cost estimation for the proposed procedures.
Treatment Planning
- Creation of tailored care protocols based on individual needs.
- Scheduling of procedures and necessary pre-operative assessments.
- Planning for post-operative recovery and follow-up care.
- Discussion of alternative treatment options if applicable.
- Establishment of a clear timeline for the entire process.
Travel Assistance
- Support with visa documentation and requirements.
- Assistance with flight arrangements if needed.
- Planning for local transportation upon arrival.
- Recommendations for accommodation near the hospital.
- Coordination of arrival logistics to ensure a seamless experience.
During Your Stay
Dedicated Care Coordination
- Assignment of a personal patient coordinator to assist throughout your stay.
- Management of treatment schedules and appointments.
- Support for family members accompanying the patient.
- Daily updates on patient progress and care plans.
- Coordination of all logistical needs during the visit.
Cultural Support
- Provision of language interpreters to facilitate communication.
- Consideration of cultural dietary preferences in meal planning.
- Accommodation for religious practices during the stay.
- Integration of traditional healing practices if desired.
- Involvement of family members in the care process as needed.
Comfort Services
- Comfortable accommodation arrangements for patients and families.
- Assistance with family lodging options nearby.
- Guidance on local area attractions and amenities.
- Attention to dietary preferences during hospital stay.
- Entertainment options to enhance the patient experience.
Post-Treatment Care
Follow-Up Planning
- Monitoring recovery progress through scheduled follow-up appointments.
- Adjustments to treatment plans based on recovery outcomes.
- Tracking progress towards weight loss and health goals.
- Future care planning to ensure long-term success.
International Care Coordination
- Availability of telemedicine consultations for ongoing support.
- Coordination with local healthcare providers in the patient's home country.
- Sharing of medical records with local doctors as needed.
- Guidance on medication management post-surgery.
- Remote monitoring options for continuous health oversight.
Long-Term Support
- Access to digital health records for ongoing reference and management.
- Options for online consultations with bariatric specialists.
- Guidance on rehabilitation and lifestyle modifications post-surgery.
- Emergency support available even after returning home.
- Continued coordination of care with local healthcare providers.
Centres of Excellence & Locations
Apollo Institute of Bariatric Surgery operates one of India's largest and most comprehensive networks dedicated to weight loss and metabolic surgery:
Every recovery Tells a story.
Experience the inspiring journeys of patients who found hope, healing, and care at Apollo Hospitals.
When I was 50 in 2010, my surgeon Dr. Paul Ramesh told me that if I if I chose medicinal aid it will be palliative but choosing bypass surgery will be more curative. The one memorable line which made me decide on surgery was
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R. Natarajan., Chennai
Many Thanks to Dr Manish Samson for guiding and explaining the entire process of BTKR when we came first for consultation. Dr Manish was recommended to us by our family internally. His friendly approach and honest suggestions
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Mr. Chintamani Khanvilkar,
"I was shocked to know that I weighed 348 kgs when I measured myself on arrival at Apollo Hospitals and was suffering from severe sleep apnoea, arthritis and compulsive eating habits. I was rejected as a candidate fit for sur
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Mr. Sanjey Dey, Guwahati
"Being a chef, I had become a compulsive and voracious eater for the last decade and gained around 60 kgs since. I developed Diabetes very early in life and for the last 2 years am on drugs for my high BP. Bariatric surgery c
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Mr. Satheesh Krishnan, Hyderabad
Milestones & Achievements
Pioneer in Bariatric Excellence
Appointment & Consultation Information
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February 18, 2025
Understanding the different types of Bariatric Surgery
Bariatric surgery is a sort of surgical procedure for weight loss aimed at patients suffering from extreme obesity, to whom dieting and exercise regimens are not helpful. This involves a surgical modification of the digestive system structures to assist the patient in overcoming their condition of weight loss. The procedure is changing the lives of some patients besides helping them lose weight since it can cure obesity-related conditions such as Type 2 diabetes, sleep apnea, hypertension, and cardiovascular disease.
Modern bariatric surgery options are provided by Apollo Hospitals’ Gastroenterology Department. It is tailored to each patient’s specific needs. Having a number of choices and variations may make it easier for one to choose the best form of bariatric surgery that can be used in achieving weight loss and health goals.
Who Is a Candidate for Bariatric Surgery?
Prior to discussing the many kinds of bariatric surgery, it’s critical to comprehend who is eligible for these treatments. Bariatric surgery is usually prescribed for persons:
Whose body mass index exceeds 40, which describes severe obesity.
Have a BMI of 35-39.9 with major obesity-related health conditions like diabetes, high blood pressure, and heart disease.
Other methods were used to lose weight without having achieved any lasting results.
They are committed to lifestyle adjustment post-surgery, including dietary changes, exercise, and any other long-term medical follow-up.
Apollo Hospitals ensures that every patient receives individualised treatment from a multidisciplinary team of specialists in the Gastroenterology Department by providing a thorough approach to determining the patient’s eligibility for bariatric surgery.\
Types of Bariatric Surgery
There are many types of bariatric surgery, each with a different mechanism by which weight loss is induced. They can generally be divided into two categories of procedure: restrictive and malabsorptive. Some surgeries are a combination of both. Let’s have a look at the most common types of bariatric surgery:
Gastric Bypass (Roux-en-Y Gastric Bypass)
Being the most successful technique in terms of being both a restrictive and a malabsorptive procedure—which would limit your food consumption and diminish nutritional absorption by modifying your gastrointestinal tract—gastric bypass surgery is one of the most popular types of bariatric surgery.
With gastric bypass surgery, the surgeon makes a small pouch at the top of the stomach, thus reducing the size of the stomach. Then there is direct connection to the small intestine while bypassing most of the stomach and part of the intestine. So the patients can consume small amounts only, and that absorbs fewer calories.
Benefits:
Substantial weight loss over the long term (60–80% of extra weight).
Reduction or disappearance of health issues associated with obesity.
Decreased appetite as a result of altered gastrointestinal hormones.
Sleeve Gastrectomy (Gastric Sleeve Surgery)
Another very popular bariatric surgery is sleeve gastrectomy, mainly a restrictive procedure. Here, the stomach is made smaller to restrain the consumption of food.
In a sleeve gastrectomy, 75-80% of the stomach is surgically removed and left with a narrow, tube-like sleeve. Because the remaining portion of the stomach will hold less food and because one of the major portions of the stomach producing the hormone that stimulates hunger, ghrelin, is removed, patients tend to feel less hungry.
Benefits:
With a sleeve gastrectomy, patients can expect sustained weight loss of 50-70% excess weight.
There is no intestinal rerouting, so it is less complicated than a gastric bypass.
Quick recovery time and shorter hospital stays.
Adjustable Gastric Banding (LAP-BAND Surgery)
By placing a band around the top part of the stomach, an adjustable gastric banding treatment aims to restrict the amount of food consumed in a single sitting.
In this process, an adjustable silicone band is put around the upper portion of the stomach that blocks food intake by forming a small pouch. It’s made adjustable by the surgeon by blowing air in or out from a port placed under the skin according to the patient’s requirement.
Benefits:
Reversible and adjustable.
No cutting or routing of the intestines is necessary.
Recovery time and stay in the hospital were shorter compared with other surgeries.
Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
This is a restrictive and malabsorptive procedure that provides one of the most effective options for long-term weight loss but with more risks attached.
BPD/DS is a two-stage surgery. The first part comes in the form of a sleeve gastrectomy wherein part of the stomach is removed thereby reducing food intake. The second part involves bypassing a large portion of the small intestine, thus highly reducing absorption of calories and nutrients.
Benefits:
With significant and continuous reduction in body weight, patients often manage to lose up to 90% of excess weight.
It has a high success rate in combating obesity-related health problems like diabetes.
Patients can take more food than they could while in other operations.
Risks and Complications of Bariatric Surgery
Although bariatric surgery has many benefits regarding weight loss and overall well being, there are several risks associated with this surgery. This might include differences between various procedures, patient health conditions, and following prescriptions after surgery.
Infection: As with every other surgical intervention, there will always be a risk of infection around the incision sites or internally.
Nutritional Deficiencies: The lousy absorption of essential nutrients due to the surgery presents a risk of vitamin and mineral deficiencies. For this reason, the patient will require lifetime supplements.
Blood Clots: After the surgery, patients risk contracting blood clots, especially in the legs or deep vein thrombosis.
Dumping Syndrome: This rapid emptying of the stomach into the small intestine can result in diarrhoea, vomiting, and nausea.
Bowel Obstruction: The obstructed intestines can result from scar tissue or narrowing of the intestines.
Postoperative Care After Weight Loss Surgery
Proper postoperative care always leads to a successful recovery along with long-term results in the case of weight loss surgery. Here are some of the important guidelines on the same.
Start off with a liquid diet, soft foods, and finally progress to solid foods as your doctor will tell you.
Drink a lot of water to avoid dehydration, but do not drink during meals.
Ensure you fully replenish your body with vitamins and minerals to avoid shortages, which can occur as a result of malabsorption.
Schedule subsequent appointments to check your progress, whether in the loss of weight or the levels of intake.
It is also important to follow the advice from the doctor on when to return to physical activities.
Recognize any symptoms such as fever, vomiting, or sharp pain and bring them to your healthcare provider’s attention.
Conclusion
Bariatric surgery is a safe and effective way to lose weight as well as to address obesity-related health conditions. However, an understanding of the types of procedures carried out and their benefits, risks, and long-term commitments will have to be made before making such a decision. Apollo Hospitals offers personalised bariatric surgery options to cater to the specific needs of each patient with the aid of state-of-the-art technology and an extremely experienced team in the Gastroenterology Department.Whether it’s a gastric bypass, sleeve gastrectomy, adjustable gastric banding, or BPD/DS, Apollo Hospitals satisfies all requirements, starting with pre-surgery assessment and continuing through post-operative recuperation. Apollo Hospitals offers bariatric surgery, which may be a life-saving treatment for those suffering from extreme obesity who want to improve their quality of life and health.
February 18, 2025
How Bariatric Surgery Can Help You Achieve Sustainable Weight Loss
In the war on obesity, most people are entrapped in a vicious cycle of dieting, exercising, and subsequent temporary weight reduction, leaving them disappointed and discouraged. For severely obese persons, the path to long-lasting weight reduction seems very far and out of reach. However, for those patients seeking permanent and effective weight loss, bariatric surgery provides the solution. This surgical procedure is a complete approach to weight control that incorporates continuing assistance, lifestyle modifications, and medical competence. It is not just a temporary solution.
The department of Gastroenterology in Apollo Hospitals specialises in performing bariatric surgeries tailored to each patient’s individual needs. Bariatric surgery is not merely an advanced medical procedure but also more holistic in combating obesity and associated disorders. Below, we outline how bariatric surgery works, the varieties of procedures available, and how it lends itself to sustainable weight loss.
Understanding Bariatric Surgery
Bariatric surgery refers to various surgical procedures usually aimed at assisting an individual in losing excess weight by altering the digestive system. In general, bariatric surgery is mainly directed towards the reduction of food intake and, subsequently, the intake of calories; this actually aids in weight loss. The most common bariatric surgeries include:
Gastric Bypass: This develops a small purse-like pouch at the top of the stomach, and it is then directly attached to the small intestine. It reduces the amount of food intake and decreases caloric as well as nutrient assimilation.
Sleeve Gastrectomy: With this treatment, the stomach is removed in its entirety, leaving behind a slender structure that resembles a sleeve. This lowers hunger hormones and drastically diminishes the stomach’s capacity.
Adjustable Gastric Banding: This technique involves creating a small pouch that limits the passage of food into the stomach through an inflatable band around the upper part of the stomach. The band can be adjusted to control the amount of food consumed.
Biliopancreatic Diversion with Duodenal Switch: This is both a restriction and a malabsorption operation since it involves a considerable portion of the small intestine being bypassed together with a sleeve gastrectomy.
These procedures prove to be beneficial for a BMI level of 40 or greater, or a BMI of 35 or greater with other obesity-related health issues. The Gastroenterology department of Apollo Hospitals is dedicated to and operates strictly according to protocol for assessing patients for bariatric surgery, and appropriate surgery is hereby suggested for an individual.
The Science Behind Weight Loss Through Surgery
The two mechanisms through which bariatric surgery triggers weight loss are primarily through restriction and malabsorption. The restriction component puts a patient in a position where only minimal amounts of food can be consumed, and these result in feelings of fullness even after consumption of small portions of food. This is an immediate change and ensures healthier eating habits without overeating.
The malabsorption component alters the processing of nutrients in the gut. Because such a large portion of the intestine is bypassed, it leads to fewer calories and nutrients being available for absorption. Most critically, it should be noted that this element of surgery requires a lifetime of altered diet and supplementation to avoid deficiencies.
How Bariatric Surgery Supports Sustainable Weight Loss?
Reduces Appetite: The hormone levels that regulate hunger are significantly changed after bariatric surgery. This hormonal shift prevents overeating during the recovery phase and increases the difficulty of regaining the calories lost, which helps people lose weight for longer periods of time.
Limits Food Intake: It actually reduces stomach capacity, meaning that less food can be consumed at once. Patients are left to gradually achieve their health goals as a result of the reduced calorie intake that eventually results in a steady and ongoing weight loss over time.
Enhances Nutrient Absorption Efficiency: The body’s capacity to absorb calories from meals is decreased when a portion of the digestive tract is bypassed during surgeries like gastric bypass or biliopancreatic diversion. Although patients still need to watch what they eat to avoid shortages, this change ensures that a person absorbs fewer calories overall even when they eat the same kinds of meals.
Improves Metabolic Health: Bariatric surgery has been shown to improve metabolic health on many different levels closely associated with achieving sustainable weight loss. The improvement in such health helps bariatric surgery patients to easily take part in physical activities that also reinforce their weight loss.
Helps Overcome Plateaus: A plateau is another common issue with weight reduction programs when people’s efforts to lose weight are in vain. By giving the metabolism the necessary push, bariatric surgery breaks through this plateau. Patients can lose more weight more consistently and persistently, even when other approaches have failed, because of the changes in hormone and digestive processes.
Benefits of Bariatric Surgery
Bariatric surgery has numerous advantages that go beyond a number on the scale. Here are some of the top health improvements bariatric surgery can yield to patients:
Resolution of Type 2 Diabetes: Many patients diagnosed with type 2 diabetes experience improvement in their symptoms, and most of them even experience full remission after bariatric surgery. In such cases, it could well mean needing less or even no medication for diabetes and insulin.
Lower Risk of Cardiovascular Disease: Obesity is known to increase the risks of heart disease and stroke. Most of the weight loss associated with bariatric surgery patients correlates with improved cholesterol levels and blood pressure; hence, it reduces the risk for cardiovascular events.
Improvement in Joint Health: Gaining weight puts stress on the body’s joints, increasing the risk of conditions like osteoarthritis. Following bariatric surgery, losing weight improves functioning and reduces joint strain, which increases physical activity and encourages more weight reduction.
Better Sleep: The second common disease among obese people includes sleep apnea, which often disappears after bariatric surgery.Improved rest not only leads to improved moods and high energy levels but also assists in weight management
Enhanced Mental Health: The psychological impacts of obesity may be severe because it can cause its victims to become depressed and anxious as well. Mental well-being is improved through bariatric surgery as these patients start gaining confidence after the surgery because they regain control over their bodies and their overall well-being.
Conclusion
While bariatric surgery is not an instant fix, it is an effective means for those who are obese to lose weight in a sustainable and long-lasting manner. Bariatric surgery alters the body’s digestive system and thereby contributes to weight loss along with resolving health conditions related to obesity and enhancing overall quality of life. Apollo Hospitals, with its state-of-the-art bariatric surgery clinics, offers patients individualised treatment that puts them in a better position to maintain their weight reduction and long-term health gains.
For patients who would like to choose bariatric surgery, Apollo Hospitals offers programs that include all the expertise required to guarantee long-term weight loss and restored health.
February 18, 2025
Is Bariatric Surgery Right for You? Assessing Eligibility and Readiness
Bariatric surgery has emerged as a life-changing option for individuals struggling with severe obesity, offering the potential to achieve substantial and sustainable weight loss. However, this transformative procedure is not suitable for everyone. Deciding whether to undergo bariatric surgery requires a comprehensive assessment of eligibility and readiness by a Gastroenterologist in Bangalore. Here, we will explore the key factors to consider when evaluating if bariatric surgery is the right choice for you.
Understanding Bariatric Surgery
Bariatric surgery encompasses various procedures, including gastric sleeve, gastric bypass, and adjustable gastric banding. These surgeries aim to reduce the size of the stomach, alter the digestive process, or both, ultimately leading to weight loss. This procedure is conducted by a Surgical Gastroenterologist in Bangalore. The decision to undergo bariatric surgery is a significant one that requires careful consideration of both medical and psychological factors.
Assessing Eligibility
Determining if you are eligible for bariatric surgery involves evaluating your medical history, current health status, and potential risks. While eligibility criteria can vary, the following factors are commonly considered:
Body Mass Index (BMI): Generally, individuals with a BMI of 40 or higher are candidates for bariatric surgery. Those with a BMI between 35 and 39.9 may also be considered if they have obesity-related health conditions.
Obesity-Related Health Conditions: Presence of conditions like type 2 diabetes, sleep apnea, heart disease, and hypertension can contribute to eligibility for surgery.
Previous Weight Loss Efforts: Evidence of prior attempts to lose weight through diet, exercise, and other interventions is typically assessed.
Age: Bariatric surgery is generally recommended for individuals aged 18 to 65, but age alone is not a strict determining factor.
Psychological Evaluation: A psychological assessment helps gauge your mental readiness and ability to cope with the emotional and lifestyle changes associated with surgery.
Evaluating Readiness
Eligibility is just the starting point. Being emotionally and mentally prepared for bariatric surgery is equally crucial. Here’s how to assess your readiness:
Understanding the Procedure: Educate yourself about the different bariatric surgery options, the surgical process, and the potential outcomes. Being well-informed helps you make an informed decision.
Realistic Expectations: Have realistic expectations about the results. Bariatric surgery is a tool for weight loss, but it requires commitment to lifestyle changes for long-term success.
Support System: A strong support system, including family, friends, and healthcare professionals, can play a significant role in your journey before and after surgery.
Emotional Readiness: Address any emotional or psychological issues that might affect your ability to adhere to post-operative guidelines and cope with changes.
Commitment to Lifestyle Changes: Bariatric surgery requires a significant shift in eating habits, physical activity, and overall lifestyle. Assess your willingness to make and sustain these changes.
Bariatric surgery can be a life-changing solution for individuals struggling with obesity, but it’s not a decision to be taken lightly. Evaluating eligibility and readiness is a multifaceted process that involves both medical and psychological assessments. It’s essential to work closely with a qualified healthcare provider who specialises in bariatric surgery at the Best Gastroenterology Hospital in Bangalore, like Apollo Hospitals to determine whether you meet the eligibility criteria and are mentally and emotionally prepared for the journey ahead. Remember that the decision should be based on your individual health needs, goals, and circumstances.
February 18, 2025
Diabetes – Obesity & Bariatric Surgery
Diabetes – Obesity & Bariatric Surgery
How does Obesity lead to Type II Diabetes?
Obesity contributes to development of diabetes by causing insulin resistance and producing a state of chronic inflammation. The inflammatory state is produced by cytokines (type of hormone) produced by the excessive number of fat cells (adipose tissue) in Obese individuals present in muscles, abdomen and liver. These cytokines also contribute to excessive free fatty acids in the blood stream. The cytokines and free fatty acids in the blood stream contribute to this state of inflammation which are responsible for insulin resistance (IR). Once IR develops, Insulin is not allowed to work on all the tissues where it is supposed to work leading to high levels of blood sugar which manifests asType 2 Diabetes. Apart from T2 DM, this IR is also responsible for number of co morbidities seen in obese individuals.
Who would have known that Bariatric Surgery can cure Type 2 Diabetes in Obese people?
People would not have believed if in 1980’s somebody said that Type2 Diabetes can be cured with surgery, but that’s what is exactly happening now! Obesity is now deemed to be the leading cause for the increased incidence of Type 2 Diabetes in India and worldwide. It is well known that Type 2 diabetes mellitus (T2DM) is caused by increasing insulin resistance and progressive failure of beta cells in the pancreas which produce insulin.
How does Bariatric Surgery help?
Although the exact mechanism is not known, it is now very clear that having a Laparoscopic Roux En Y Gastric Bypass a form of Bariatric Surgery) can reverse Insulin Resistance virtually overnight. There is enough evidence in the literature that following this patient can develop a state of Remission from their Diabetes not requiring medication for Diabetes. Patients who are taking Insulin often do not need to take it in the long term particularly if their Beta Cell function of the pancreas is good.
With control of Diabetes the risk of disabling and life threatening complications of the disease is averted and this has prompted the International Diabetes Organization (IDO) to come out with a consensus statement last year cementing the place of Bariatric Surgery in the treatment algorithm of Diabetes Mellitus.
February 18, 2025
Health Benefits of Bariatric Surgery You Didn’t Know
Obesity is a common problem throughout the world. It affects people all over the globe, causing a myriad of health problems and reducing the quality of life. Bariatric surgery is a boon for such people who try all other traditional methods for losing weight and do not achieve success. Bariatric surgery offers a chance to live a healthy life.
Bariatric Surgery
It is an effective surgical procedure that helps people lose weight. This method is suggested for people who fail to get results from other weight loss strategies such as diet and exercise.
Different procedures are used, each with a specific strategy that helps people lose weight.
Different Procedures for Bariatric Surgery
Doctors use different bariatric surgery procedures depending on the individual needs of a person. Common bariatric surgery procedures done include:
Sleeve Gastrectomy: In this surgical procedure, the surgeon removes a large part of your stomach. Only a smaller stomach is left, which reduces your appetite considerably and curtails the amount of food you can eat.
Gastric Bypass: The surgeon strategically creates a small pouch and a new route for the part of the small intestine that needs to be bypassed. This process helps limit appetite and reduce calorie absorption in the body.
Biliopancreatic Diversion with Duodenal Switch: This surgical procedure involves removing part of the stomach and redirecting the small intestine. This helps to restrict food intake and absorption.
Adjustable Gastric Banding: In adjustable gastric banding, a silicone band is carefully placed around the upper part of the stomach and a small pouch is made. This pouch can be changed depending on the food intake.
Unknown Health Benefits of Bariatric Surgery
Everybody knows that bariatric surgery is done to lose weight. But, there are other unknown benefits of this surgery. The unknown benefits of bariatric surgery are:
Sudden and long-lasting weight loss
Bariatric surgery will help you lose weight in the long term. You can achieve a healthy body weight with this surgery. You can successfully maintain a healthy body weight after surgery.
Better Health
If you suffer from type 2 diabetes due to obesity, you can reverse your diabetes with this weight loss surgery. You can eliminate medicines by focusing on diet and exercise after bariatric surgery.
Bariatric surgery can benefit people suffering from high blood pressure. After this surgery, they can manage their blood pressure without taking medicines.
Many people suffer from sleep problems due to obesity. Bariatric surgery can help improve sleep and a person’s overall health.Excessive body weight puts pressure on knees and many people experience knee pains due to excess body weight. Bariatric surgery can help in improving knee pains and other bone disorders such as osteoarthritis.
Improved Quality of Life
Enhanced Mobility: A person can enhance physical activity and mobility after bariatric surgery. It will help you to experience overall fitness and good health.
Improved Mental Health: Obesity can cause depression and low self-esteem. Bariatric surgery can help to improve self-esteem and confidence levels in obese people. They can experience better mental health after considerable weight loss.
Increased Lifespan
Bariatric surgery will help in enhancing the lifespan. It is observed that people can live longer after losing considerable body weight.
Monetary Gains
You can also enjoy monetary gain as there will be less expenditure on medicines. You can save money and plan other things after bariatric surgery.Another benefit of bariatric surgery is that you can also increase productivity at work. Better health will help to have higher energy levels and this will reduce your sick days off from work.
Risks of Bariatric Surgery
There are numerous benefits of bariatric surgery, but some risks are also associated with it. Risks include surgical complications, including infection at the site, which is a common problem. Infection may occur only in 1% of cases.
Lifestyle changes after surgery: You have to make significant lifestyle changes to achieve long-term effects from bariatric surgery.
Exercise: It is important to exercise regularly after bariatric surgery. It will not only help maintain a healthy body weight but also help achieve overall good health. Therefore, you must plan a regular exercise regimen after surgery.
Diet: You have to follow a strict diet after surgery. Initially, you have to eat only liquid foods and slowly you can switch to solid foods. You must avoid eating processed foods and include healthy nutrients in the diet for quick recovery after surgery.
Why is a support system required after bariatric surgery?
You must have a strong support system to achieve long-term success. You can get support from different sources.
Family: Your family provides you with the biggest support system after bariatric surgery. They can give emotional support and help you recover fast after surgery.
Doctors and other medical professionals: Your doctors and other professionals, such as dieticians and psychologists provide support and guidance before and after surgery to make sure that you are recovering properly. You may have to visit for regular check-ups to monitor the progress of recovery.
Conclusion
In conclusion, bariatric surgery is not only a weight loss surgery, but it also helps to improve the overall health of an individual. It can help to reduce your chances of getting high blood sugar, high blood pressure, and other harmful health problems. It also helps to enhance your life span. You can live a healthy and happy life after bariatric surgery. However, bariatric surgery requires proper support and a willingness to make changes in lifestyle to achieve the best results.
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Frequently Asked Questions (FAQs)
1
What should I expect during my first bariatric consultation?
During your initial consultation, you'll meet with a bariatric surgeon who will review your medical history, conduct a physical examination, and discuss your weight loss goals. They will explain different surgical options, potential risks and benefits, and answer any questions you may have. You may also undergo some preliminary tests and meet with a nutritionist and psychologist as part of a comprehensive evaluation.
2
How long is the recovery after bariatric surgery?
Recovery time varies depending on the type of surgery and individual factors. Generally, patients can return to normal activities within 2-4 weeks after laparoscopic procedures. Full recovery, including adapting to dietary changes and reaching significant weight loss milestones, can take several months. Your surgeon will provide a detailed recovery timeline based on your specific procedure and health status.
3
When should I consider bariatric surgery?
Bariatric surgery is typically considered for individuals with a Body Mass Index (BMI) of 40 or higher, or those with a BMI of 35-39.9 who have obesity-related health conditions like type 2 diabetes or sleep apnea. It's also recommended for those who have not achieved significant weight loss through diet and exercise alone. A consultation with a bariatric specialist can help determine if you're a suitable candidate.
4
What are the latest advances in bariatric surgery?
Recent advances include minimally invasive techniques like laparoscopic and robotic-assisted surgeries, which offer smaller incisions, less pain, and faster recovery. New procedures like the endoscopic sleeve gastroplasty provide non-surgical options for some patients. Additionally, improvements in post-operative care and long-term support programs have enhanced overall outcomes and patient satisfaction.
5
How do I prepare for bariatric surgery?
Preparation typically involves several steps:,
a- Undergoing medical evaluations and tests as recommended by your surgeon,
b- Following a specific pre-surgery diet and prepare your body,
c- Quitting smoking and avoiding alcohol,
d- Starting an exercise routine to improve your overall health,
e- Attending educational sessions about post-surgery lifestyle changes,
f- Preparing your home for recovery, including arranging for help during the initial recovery period
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