Gastric Sleeve surgery
In Bangalore

It is feasible for obese people who have a BMI of over 40. The gastric sleeve operation is an option for those who have already tried diet and exercise and have failed to lose weight.

Excessive weight can cause several diseases like heart disease, diabetes, high blood pressure, etc. In recent times, it can affect people with Coronavirus. Becoming obese can only bring adverse effects to your health, and sometimes people fail to do anything about it even if they understand the risks.

During such a time, the gastric sleeve operation help saves the individual. The procedure is not simple, but it provides relief to obese people by cutting down at least 60% of the extra flab in the body. It also curtails the appetite-boosting hormone permanently, thus bringing on a long-term result for the obese individual.

BMI over 40 translates into 100 pounds or more than the ideal body weight. The BMI 40 might not sound dangerous. But, when one weighs more than 100 pounds or so than the normal range, it can be detrimental for his health. A BMI of 35 and 39.9 indicates you suffer from serious health issues.

These issues include type 2 diabetes, hypertension, or even sleep apnea. In such a circumstance, one has no other option but to lose weight. The gastric sleeve surgery promises to save the day.

Gastric sleeve surgery is a highly specialised form of operation, and there are specialised surgeons available in India to perform this. The procedure takes around an hour.

Undoubtedly, it is a complicated surgery. But if there is the best bariatric surgeon in bangalore like DR. Kiran KJ to assist, then the patient doesn’t have to fear.

Learn more about Dr Kiran KJ. 

In certain patients, a laparoscopic gastric sleeve surgery can be performed rather effectively, as it is easier on its body.

But it is somewhat expensive due to the latest instrument used during the operation. Few incisions are made on the patient’s stomach through which a camera and other operative instruments are placed inside the body to complete the surgery.

The gastric sleeve surgery price is high all around the world. However, in Bangalore, it is still affordable for people with the help of health insurance. Many foreigners are choosing health tourism in India especially bangalore to solve various health-related problems.

The scenario highlights that surgeries and treatment costs in India are less compared to the world. Bariatric surgery cost in Bangalore is between 2 lakhs and 3.50 lakhs.

The medical facilities there are better than in the rest of India. It is a highly specialized surgery. Hence, everybody wants the best surgeons to perform it.  Dr. Kiran KJ also practices in the Apollo Hospitals in Bangalore, and holds MBBS, MS, FMAS, DMAS, and FALS degrees. With his 17 experience in laparoscopic surgeries, he has magically transformed the lives of many.  

So, to get the best surgeons and medical facilities, one needs health insurance that covers bariatric surgery. Earlier, this didn’t come under any kind of health insurance coverage. However, in the current times, with the increase of obese people and the health risks posed, bariatric surgery has come under the umbrella of health insurance.

Family health insurance plans, individual health insurance plans, and even critical illness policies cover weight-loss surgeries nowadays. Gastric bypass and laparoscopic sleeve gastrectomy are covered within the health insurance plans. The amendments came to place during 2019 when the IRDAI recognized obesity-related comorbidities in individuals.

So, now health insurance will cover the entire 2-5 lakh expense of gastric and bariatric surgeries. However, the claimant must prove he needs the surgery for medical purposes. Hence, not for cosmetic purposes. Also, the disease covered must be mentioned in the policy.

The waiting period for bariatric surgeries is 2-4 years, and one can claim after that period for surgery expenses. However, surgeries for pre-existing medical conditions are not covered, and the claims filed within 30 days of policy commencement are excluded.

PCOS is a lifestyle disease, and obesity is too. So, there is an obvious connection between the two. PCOS is a hormonal disorder that is also the leading cause for women between 25 and 35 becoming infertile. Obese individuals develop insulin resistance which manifests in different ways within the human body. For women with PCOS, it affects the ovaries resulting in infertility.

A gastric sleeve surgery will tackle three problems at once. It will reduce the ovarian size, treat irregular menstrual cycles and decrease BMI. Any woman with a BMI of 35 and above can opt for a gastric sleeve operation on the doctor’s advice.

Women with more than 35 BMI are generally susceptible to PCOS. Such a condition prevents healthy pregnancy. Women with operations and a good diet and exercise regime in the post-operative times will help get the body back on track so one can prepare for babies.

However, there is a process to be followed before one can conceive. For the first 18 months, a proper birth control measure is necessary. This is the time for active weight loss and thus not good for the foetus.

Also, post-surgery pills need to be taken. It may not be the most conducive period for a foetus to grow inside a mother’s womb. The nutritional values for a woman need proper evaluation before planning pregnancy.

Even when PCOS can be treated with Laparoscopic gastric sleeve operation, taking time to plan for a baby is crucial for the baby and mother’s health.

Developing fatty liver disease at an early stage in life is becoming quite common in this Generation partly due to their inactive lifestyle, and partly due to bad food habits, the disease is spreading quite fast. Directly related to obesity, an individual with a BMI over 40 will develop fatty liver disease.

Currently, there is no FDA-approved medication available for fatty liver. Therefore, in advanced patients with obesity and fatty liver disease, gastric sleeve surgery can be an option to restore one’s health. Fatty liver can be alcoholic or non-alcoholic. Recent studies have proved that non-alcoholic fatty liver disease is spreading fast due to obesity in patients of all ages.

The liver can get damaged with excess fat accumulation, and it will also be inflamed. A prolonged fatty liver concern may be transformed into cirrhosis, increasing the risk of liver cancer. At this stage, only a liver transplant can save a life.

Also, non-alcoholic fatty liver disease can bring on other diseases like diabetes and cardiovascular issues that can be life-threatening. The non-alcoholic fatty liver is known as NASH or non-alcoholic steatohepatitis.

This condition can be improved by weight loss. To reduce the risk of liver cancer, scarring and fibrosis one must lose weight, and gastric sleeve operation helps achieve that goal.

It has been found post bariatric surgery, the Fatty Liver Index and the BARD score both have reduced in patients, thus providing them a long and healthy life.

Gastric sleeve surgery is not always full-proof. Just like any other surgery, it has a chance of failing too. The patient is supposed to lose at least 60% of its excess weight after the surgery. However, it will be a failure, if the intended goal is not reached. A patient can hit a plateau post-surgery.

There is nothing to worry about that. It is common as well. In the long term, the efficacy of gastric sleeve surgery has faced some questions. Some recent research has proved that the surgery has a failure rate of around 30%, which is high. But the good news is that a revision is possible.

For a patient who hasn’t reached the optimum result even after gastric sleeve for 6 months, he/she can choose for revision of gastric sleeve followed by duodenal switch or gastric bypass. However, one must be sure that the BMI remains at 35 even after 18-24 months before the follow-up revision surgery.

Most of the time, it is the failure to maintain a proper diet and exercise routine. Patients need to understand that this is not a magic pill, and a BMI of 40 and above doesn’t happen in a single day. Bad lifestyle choices over a very long period lead to this. So, the failure and success rate also depend on the willpower of the patient to be able to adapt to a new lifestyle.

Any kind of surgery is quite painful. Incisions on the body don’t feel good. However, gastric sleeve operation is the most painful between the first 3-6 days. Of course, during the operation, one doesn’t feel pain, as it remains under anaesthesia.

After the initial period, it pains because the effect of medication reduces, and the wound heals gradually. By the 6th day, the doctor will ask the patient to move around a bit so that the muscles do not feel tight.

It is a common practice. Thus, it hurts more during the first few days. Generally, people report pain in the range of 5 on a scale of 1-10. For some, it goes up to 7 on the same scale.

Different bodies react in different ways and thus the variation. Usually, the pain goes away after three weeks of the surgery. But that also depends on whether the wound is healing.

There have been cases where the wounds did not heal properly due to a leak in which case it will be a severe shooting pain on the left shoulder or in the abdomen.

In a situation like this, the patient needs to be admitted to a hospital immediately. Mild pain on the staple line will remain until it heals.

It takes around eight weeks. Some people feel pain while eating after surgery. Pain occurs due to the narrowing of the sleeve and the healing of scar tissues.

Laparoscopic gastric sleeve surgery is done on patients with morbid obesity in which the BMI reads over 40. Such patients are at the risk of developing fatal diseases like diabetes, cardiovascular issues, hypertension, and in some women, it also causes infertility.

The operation is a way to improve the health of such patients, but it is not a single and final treatment for obesity or obesity-related diseases.

Many test results and research show that people lose 60% of their excess weight in 2-5 years’ time post-surgery. Gastric sleeve surgery has side effects over a long period. People usually complain of gastroesophageal reflux after the surgery.

The gastric sleeve surgery success rate demands a 50/50 contribution from the patient and the surgery. Since the stomach is cut down, the patient feels fuller after eating small amounts of food. The hormone called ghrelin gets eliminated forever.

It helps in curtailing hunger. However, there is no alternative to maintaining a proper diet and exercise routine in the long run.Some of the gastric sleeve surgery side effects include heartburn, stenosis, vitamin deficiencies, and leaks.

Doctors usually ask patients to take vitamin supplements, calcium supplements, and B12 shots after surgery. Doing so will help compensate for the nutritional needs of the body.

Patients post-surgery are left with excess skin that needs to be operated on ideally after 18 months of the operation. The good side is that you will be hooked on leading a healthy lifestyle for as long as you live.

Gastric sleeve operation, as we know by now, is advisable for patients with a higher BMI rate of over 40. These patients are morbidly obese. They suffer from the risk of developing other serious diseases that can be fatal in the long run.

Essentially, gastric sleeve procedure helps morbidly obese patients lose weight to lead healthy lives. Usually, a patient undergoing this surgery loses 55-70% of weight within two years. Sometimes, it could be more or less depending on the constitution of a human body. Sometimes, it also depends on the gender of the person.

The surgery makes one lose part of the stomach, thereby slashing the hunger inside the individual and making the person feel fuller for an extended period. However, this does not mean that the patient can lead a reckless lifestyle post-surgery.

The surgeon will put the patient on a strict diet two weeks before the surgery. Immediately after the operation, only liquids are allowed, and after three weeks, the patient can start on solid food but in a small portion. Gastric sleeve weight loss entails a combination of exercise, diet, and operation.

According to doctors and research studies, patients who followed a healthy lifestyle after surgery managed to shed weight by around 50%. It requires patients to maintain a healthy lifestyle to see a positive outcome of it throughout the rest of their life. The ones without any dedication towards maintaining healthy life usually lose their way, not their weight in the long run.

Gastric sleeve surgery is successful when the patient loses 50% of the excess weight accumulated in the person’s body and maintains it for five years after the surgery. While this is the tangible result, the intangible is the patient’s renewed interest in leading a healthy life. This surgery is also rewarding when the other obesity-related diseases of the patient reduce or diminish.

Having said that, patients also worry about whether the stomach will grow back after the surgery. It is a valid question because after going through so much, they need to be rest assured that they will be fine.

With time, the weight loss process slows down, and the stomach adjusts to the small portion of meals being taken by the patient. By the end of 5 years, patients mostly eat less. The stomach never grows back to its full size because of the small portions of food, but it does grow to a little extent for the patient to lead a normal life.

The stomach will never grow back to its original size because it has been operated on, but it can stretch to an extent because of the food being consumed regularly. That is a reason why it is significant to hold on to the diet and exercise routine.

It is not safe to confuse the brain with signals regarding hunger pangs. Otherwise, it could be a health risk. The best way is to avoid overeating.

It is just the opposite that happens. People are afraid to go under the knife because they think it can shorten their life span, but contrary to the common belief, their life span increases after surgery. It is a myth that no one needs to believe in now.

A gastric sleeve operation is performed on morbidly obese patients to help them get rid of life-threatening diseases, so it is only logical that their life span will increase after surgery.

Also, the gastric sleeve procedure is one of the safest because only small incisions appear on the body, which heals quickly. It is 45 minutes to 1-hour procedure, even if not simply does not pose any life risk.

In fact, according to the research done on patients’ post-surgery, life expectancy has increased, and gastric sleeve helps reduce the rate of mortality in patients. In the long term, with a proper diet and exercise routine, people have experienced a reduced rate of blood pressure, blood sugar, and sleep apnea.

These are all fatal diseases that have been reduced after gastric sleeve surgery, thus enhancing the life span of patients. It has been found after studying a large number of subjects, the risk of fatality is reduced after surgery than the pre-surgery condition. The term “safer with surgery” can be used safely for patients of gastric sleeve surgery.

Studies also point out that the long-term surgical side effects are mild compared to what people had earlier without surgery. Health insurance includes bariatric surgery today because of lower death risk.

Any kind of weight loss surgery is aimed at a permanent change in the lifestyle of the patient. This is a positive change maintaining that he/she can remain fit and healthy for the rest of their lives.

By maintaining a fit and healthy lifestyle, one can reap benefits like enhancement of self-worth, becoming popular among the social circle, and in today’s date, one might even have followers on various social media platforms. Losing weight is a process, and gastric sleeve surgery is a way to quicken that process.

For the first two weeks of weight loss surgery, only a liquid diet is allowed, and after that soft and pureed food can be a part of one’s diet. Start walking even if it is for 5 minutes. Also, take smaller plates and eat small portions.

After a month, the patient can start solid food. By proper routine maintenance, one can lose 60% of their weight in the first two years, after which active weight loss becomes slow.

For example, at gastric sleeve 6 months, one loses around 30% of the extra weight.

At nine months, gastric sleeve weight loss will reach new heights with the loss of 50% excess weight. After a year and a half people, may not be able to the individual having lost so much weight.

Most people reach their weight loss goals by the end of 2 years, after which maintaining that weight becomes a priority. One must avoid dumping food inside the stomach to slide back into the obesity zone again.

Gastric sleeve surgery is essentially an operation for the obese to feel normal again and reduce the life-threatening diseases one suffers from. People between 18 and 65 years with a BMI of more than 40 can undergo gastric sleeve surgery.

For instance, if an individual is 5 feet and 9 inches tall with a bodyweight of 270 pounds will be considered for surgery. Also, if an obese individual suffers from heart disease, type 2 diabetes, fatty liver, and PCOS will be advised for gastric surgery.

Gastric sleeve surgery entails stapling the stomach lengthwise and removing the stretchy part through a small incision on the skin. It is quite an intricate process and is generally not reversed.

However, it can be converted into another procedure if it is an emergency for the patient. Requiring a reversal of gastric sleeve surgery can be thought of due to two scenarios. First is relentless heartburn for the patient.

It happens when antacid medications fail to work. The other is a leak in the sleeve, which can be painful. It requires a medical examination, and the possible outcome is another surgery. Besides these, insufficient weight loss can also be another reason to seek reversal. However, reversing the gastric sleeve is not feasible.

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Gastric sleeve surgery is a major operation because it takes around an hour to complete. Several cuts or incisions are made on the skin, due to which anaesthesia is required.

The surgeon will inset surgery instruments and a camera through the incisions and remove a large portion of the stomach followed by stapling it into the size of a sleeve, and thus the name. So, this is not a minor operation as it takes time and is quite intricate. A gastric sleeve is often irreversible, which indicates it is a critical operation.

The patient will be required to stay in the hospital for a couple of days under the doctor’s monitoring. Few post-surgery hazards are involved, like throwing up after trying to have liquid food.

The nurses try to make the patient move around after three days of the operation. There can be other concerns like bleeding, blood clots, acid reflux, and leaking stomach after the surgery. So, gastric sleeve operation is in no way a minor one.

Now that we know about what gastric sleeve surgery is all about, gastric sleeve surgery cost, and its pros and cons, it will be easier for any individual to understand whether to go under the knife or not. However, the advice of your doctor is a prerogative to this surgery.

Also, trying to maintain a healthy and active lifestyle is an alternative to this surgery. Largely safe, this procedure still involves bodily cuts. However, it can be avoided by maintaining of healthy body weight.