Diabetes currently affects more than 150 million people
worldwide and that number is expected to quickly increase. Over 90% of people
with the disease have the Type 2 form, which is associated with obesity and
overweight, lack of physical activity, family history, and older age.
Dietary and medical therapy for severe obesity has limited
short-term success and almost nonexistent long-term success. Therefore, Obesity Surgery (also called bariatric surgery) has
been a popular treatment in the war against obesity. Weight loss surgery
generally results in greater and sustained weight loss than conventional treatment and leads to improvements in quality of life and obesity-related diseases such
as diabetes, hypertension, sleep apnea (when breathing stops for short periods
during sleep), and many others.
You are eligible for metabolic surgery if your Body mass index (BMI) of 40 or more, which is about 45 kg
(100 pounds) overweight for men and 35 kg (80 pounds) for women; or BMI between 35 and 39.9 and a serious
obesity-related health problem such as type 2 diabetes, heart disease, or
severe sleep apnea.
(Metabolic Surgery Procedure)
Bariatric surgery also functions as a metabolic procedure and
helps in the improvement and/or remission of diabetes and other metabolic diseases
in the long term. Bariatric surgery procedures reduce the caloric intake and also
promote rapid transit of food through the gastrointestinal tract. This leads
to increased production of hormones which stimulate insulin production from the
pancreas. Also, weight loss improves insulin sensitivity and increases the
action of insulin within the body tissues. Both these actions combine to reduce
blood glucose levels and help in the control of diabetes.
Laparoscopic adjustable gastric banding (LAGB)
involves encircling the upper part of the stomach with a silicone adjustable
band with an inflatable balloon at the inner surface connected with a port
placed subcutaneously, through which pressure on the vagal afferent
intraganglionic laminar endings (IGLEs) can be adjusted by adding or retracting
fluid.
Bariatric surgery can also prevent/delay the new onset of
diabetes in high-risk individuals and is also protective for hyperlipidemia and
cardiac disease. Different bariatric procedures vary in their metabolic
efficacy but in general bypass procedures have higher metabolic potential
compared to purely restrictive procedures.
Dr. Achal Agrawal at Indore Laparoscopy Center is a consultant
gastrointestinal, laparoscopic & bariatric surgeon. His focus and skills in
minimal access took him to Asian Bariatrics, Ahmedabad (the leading bariatric
surgery center in the country)where he did a fellowship in laparoscopy and
bariatric surgery under Dr. Mahendra Narwaria. Here he was trained in the complete
ambit of bariatric and metabolic surgeries including revision surgeries.
For more info about metabolic surgery, you may visit our
website at www.indorelaparoscopycenter.com
Book Appointment: – +91 -9171770805
Email: – drachalagrawal@gmail.com
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