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buton Bariatric (Metabolic) Surgery
buton Colo Rectal Surgery
Dr U.S. Kini Dr. U.S. Kini
Bariatric Surgeon

Department of Surgery,
Mount Sinai School of Medicine,
5 East 98th Street,
15th floor, New York,
NY 10029, USA

Ph: (212) 241-5339
Fax: (212) 534-4079

Bariatric Surgery
What is Severe Obesity?
  Severe obesity is often defined as being 45Kgs (100 pounds) or more overweight. A better way to determine obesity is by calculating your Body Mass Index, or BMI. This index combines your weight and height into a single number. The easiest way to calculate your BMI is with the BMI Calculator / See the Weight Chart. This will help you determine whether or not you are a candidate for weight loss surgery
Is Obesity just a Cosmetic Problem?
  Obesity is not just a cosmetic issue; it is a major health problem with difficulty in walking and breathing, decreased life expectancy and quality, and a high risk of
Type II diabetes
High blood pressure / heart disease
Dyslipidemia (lipid metabolism abnormalities)
Certain kinds of cancers
Osteoarthritis of weight bearing joints
Sleep apnea / respiratory problems
Gastro-oesophageal reflux / heartburn
Infertility / menstrual irregularities
Intertrigo -infection in the skin folds
These can be improved or resolved with weight loss
What is the cause of Obesity?
  Obesity can be due to endocrine disturbances, such as thyroid insufficiency and steroid excess, and if present should be treated. Usually obesity is due to mismatch between calorie intake and calorie used, especially in those with a genetic predisposition.
What is Bariatric Surgery?
  Bariatric surgery is the medical name for weight loss surgery. The word "bariatric" comes from the Greek word "baros" meaning weight and "iatros" meaning physician. Bariatric surgery is not cosmetic surgery. It is not liposuction! Bariatric surgery changes your digestive system so that your body takes in fewer calories. This changes your body's energy balance so that you take fewer calories than you burn, resulting in gradual, long-lasting weight loss. As it alters energy and chemical processes of the body it is also called Metabolic Surgery. Bariatric/Metabolic Surgery helps correct Metabolic Syndrome a combination of Obesity, Diabetes and Dyslipidemia.
How Does Bariatric Surgery Work?
  Weight loss operations work to help you lose weight in 3 ways:
Restriction : The functional size of the stomach is reduced. This helps you to feel full after eating a smaller meal.
Decreased Absorption : The gastric bypass and the biliopancreatic diversion-duodenal switch (BPD-DS) operations bypass part of the intestine. This limits the absorption of calories from food.
Decreasing Hunger : Your stomach makes a hunger-causing hormones called ghrelin (pronounced "greh-lin"). Bariatric surgery may decrease the amount of ghrelin that your stomach produces and you feel less hungry.
Why Consider Weight Loss Surgery?
  The safest way to lose weight is dieting and exercise. Unfortunately, many are unable to lose weight effectively or permanently by dieting and exercise. Hence the National Institute of Health (NIH), USA, has recommended surgical treatment of obesity for severely overweight individuals who have not been successful with dieting and exercise alone.
Will Bariatric Surgery cure all my problems?
  Surgery is NOT a "magic cure" for obesity! Surgery helps you lose weight. Even after a weight-loss operation, it necessary to follow a special diet and exercise regularly. You may need to take vitamins, calcium, iron supplements and other medications every day for the rest of your life. Most importantly, you will need to follow up with your surgeon and primary care doctor on a regular basis. It is important to recognize that weight loss surgery is major surgery. Even with minimally invasive surgical techniques, weight loss surgery requires general anesthesia, several days in the hospital, and several weeks of recuperation.
Which are the commonly done Bariatric operations?
  The most common Bariatric operations are:
Gastric Bypass Roux-en-Y
Biliopancreatic Diversion with Duodenal Switch (BPD-DS)
Laparoscopic Adjustable Gastric Band (SABG/ Lap Band)
Sleeve Gastrectomy (Also called "2-Stage procedure)
Revisional Bariatric Surgery (conversions or repairs of failed bariatric operations)
How do I know which operation is best for me?
  A number of different operations are available to treat severe obesity. Each of these has its unique advantages and disadvantages. No single operation is right for everyone. A Bariatric surgeon can discuss the health benefits and risks of each individual procedure and help you decide which operation will help you to lose weight safely and effectively.
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