Bariatric Surgery in India

Total cost estimate for Bariatric Surgery

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Total Cost US $8,000
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Treatment/Surgery Cost
$7,000
542,362 INR

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Travel and Visa Cost
$0
0 INR

Travel and visa includes return airfare
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Duration of Stay in India

  • 2 Days
    in Hospital
  • 7 Days
    Outside
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Hotel, Food and Conveyance
$273
21,152 INR

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Additional Expenses
10% Extra

* Medicines, Nurse
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Total Treatment Cost
$8,000
619,866 INR

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Procedure Details

Bariatric surgery is a combination of weight loss and gastric bypass surgeries, that include making changes to the digestive system to help you lose weight.

Bariatric surgery is performed when diet and exercise do not work for weight loss, or when you have serious health problems due to your weight.
Some bariatric surgery procedures limit the amount of food you eat, while other procedures work by reducing the ability of the body to absorb nutrients. Some procedures can do both.

Purpose: 
Bariatric surgery is performed to help you in losing excess weight and reduce the risk of potentially life-threatening weight-related health problems, like:

  • Heart disease
  • Stroke (a condition in which the blood supply to the brain is stopped)
  • High blood pressure
  • Sleep apnea (a serious sleep disorder in which the breathing repeatedly stops and starts)
  • Diabetes
  • Non-alcoholic fatty liver disease (accumulation of fat in the liver in people who drink little or no alcohol) or non-alcoholic steatohepatitis (an advanced form of non-alcoholic fatty liver disease)

Indications:
Bariatric surgery is usually indicated in the following cases:

  • Body mass index (BMI) (weight in kilograms divided by height in square meters) is 40 or more than 40, which indicates extreme obesity.
  • Body mass index is between 35 and 39.9, which indicates obesity, along with certain health problems, like high blood pressure, diabetes, or severe sleep apnea.
  • Body mass index between 30 and 34 along with serious weight-related health problems.
  • It is essential to perform bariatric surgery on people who are willing to make permanent changes to their lifestyle, like eating a healthy and well-balanced diet, exercising regularly, and keeping your medical diseases under check.
  1. Physical examination: The doctor examines the patient physically. The height and weight of the patient are measured to calculate the BMI of the patient. The medical history and family history of the patient are also noted.
  2. Blood tests: A blood test helps in evaluating the different blood parameters and the levels of the various nutrients in the blood. Certain medical disorders, like diabetes or thyroid diseases, can also be diagnosed using blood tests.
  3. Chest x-ray: This test helps the doctor in checking the condition of the internal organs within the chest area, that is, the heart and lungs. 
  4. Electrocardiogram (ECG): This test helps in recording the electrical activity of the heart. It helps in detecting any heart-related problems.

 

The procedure is generally performed under general anesthesia, which means that the patient is put to sleep during the procedure.
The type of surgery performed depends on the severity of the condition and the overall health status of the patient.
The surgery can be performed in the following ways:

1. Laparoscopically: A laparoscope is a small tube with a camera on one end. It is inserted through small incisions or cuts in the abdomen or stomach area. The camera on the tip of the laparoscope allows the surgeon to view and operate inside the abdomen without making traditional large incisions. The recovery is quicker than the traditional method.

2. Traditional method: This surgery is performed by making large, open incisions in the stomach area.

The different types of bariatric surgeries and their procedure are as follows:

1. Roux-en-Y gastric bypass:

  • This is the most common method of performing gastric bypass.
  • The surgery is normally not reversible.
  • The procedure works by decreasing the amount of food that can be eaten by a person at one sitting and reducing nutrient absorption.
  • The surgeon cuts across the top of the stomach and seals it off from the rest of the stomach.
  • The resulting pouch is small in size and can approximately hold only an ounce of food. In normal circumstances, the stomach can hold about 3 pints of food.
  • The surgeon then cuts the small intestine and sews a portion of it directly onto the pouch.
  • The food goes into the small pouch of the stomach and directly into the small intestine that is sewn to it.
  • The food bypasses most of the stomach and the first section of the small intestine, and instead directly enters into the middle portion of the small intestine.

2. Sleeve gastrectomy:

  • The procedure involves the removal of approximately 80% of the stomach, leaving behind a long, tube-like pouch.
  • The smaller stomach cannot hold too much food.
  • The smaller stomach produces less of the appetite-regulating hormone ghrelin, which lessens a person’s desire to eat.
  • This procedure causes substantial loss of weight without rerouting of the intestines.
  • The procedure requires a shorter hospital stay than other procedures.

3. Biliopancreatic diversion with duodenal switch:

  • This procedure is a two-part surgery. 
  • The first part involves performing a procedure similar to a sleeve gastrectomy.
  • The second part involves connecting the end part of the intestine to the duodenum (the first portion of the small intestine that connects to the stomach) near the stomach area, thereby bypassing the major portion of the intestine.
  • This type of surgery limits how much one can eat and reduces nutrient absorption.
  • The surgery involves risks like vitamin deficiency and malnutrition.

The complications associated with bariatric surgery are:

  • Bleeding
  • Infection
  • Blood clot formation
  • Allergic reaction to anesthesia
  • Lung problems
  • Breathing problems
  • Leakage in the gastrointestinal system
  • Bowel obstruction
  • Dumping syndrome (a condition in which the food moves very quickly from the stomach to the duodenum) causing diarrhea, flushing, nausea, vomiting, lightheadedness
  • Gall stones (a hardened deposit of digestive fluid in the gall bladder, which is a small, pear-shaped organ situated under the liver)
  • Hernia (bulging of a tissue or organ through an abdominal opening)
  • Hypoglycemia (low blood sugar)
  • Ulcers
  • Malnutrition
  • Vomiting 
  • Acid reflux (a digestive disease in which the stomach acid flows into the food pipe to irritate its lining)
  • Requirement of a second or revision surgery 
  • Death

 

  • The patient will be kept on a liquid diet after the surgery.
  • Over the next few weeks following the surgery, the patient will gradually move to pureed food and then solid food.
  • The meals will be much smaller due to the small stomach.
  • It is important to make significant lifestyle changes following the surgery to lose the weight and keep it off.
  • The patient will have to follow dietary guidelines, exercise regularly, and probably have to take vitamins or other supplements for the rest of their lives.
  • Follow-up appointments are recommended to monitor the health of the patient after the surgery.
  • Loss of weight due to bariatric surgery may help in improving or resolving conditions that are related to being overweight, and also improve the quality of life.
  • In some cases, the patient may lose weight initially due to the surgery, but may eventually regain some of the weight if proper lifestyle guidelines are not followed.

 

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FAQ Section

1) What is bariatric surgery?

Bariatric surgery is a surgical procedure performed to cause weight loss by restricting the amount of food the stomach can accommodate. It is carried out with an aim to cause malabsorption of nutrients and gastric restriction. Procedures falling under Bariatric surgery often hormonal changes and entail their own risks.

2) Who can qualify for bariatric surgery?

  • A person with body ma ass index (BMI) of 40 or higher.
  • Someone with BMI 35 or more and has a serious weight-related health problem like type 2 diabetes, high blood pressure, or severe sleep apnea.
  • A teenager who has gone through puberty and his BMI is 35 or more and has serious obesity-related health problems like type 2 diabetes or severe sleep apnea.
  • A person whose efforts to lose weight with diet and exercise have been unsuccessful.

3) What are the risk factors for bariatric surgery?

Risks associated with the surgical procedure in gastric bypass surgery can include:

  • Excessive bleeding
  • Blood clots
  • Infection
  • Adverse reactions to anesthesia
  • Leaks in your gastrointestinal system
  • Lung or breathing problems
  • Death (rare)

Longer term risks and complications of bypass surgery vary depending on the type of surgery and can
include:

  • Bowel obstruction
  • Ulcers
  • Vomiting
  • Dumping syndrome, causing diarrhea, nausea or vomiting
  • Gallstones
  • Hernias
  • Low blood sugar (hypoglycemia)
  • Malnutrition
  • Stomach perforation
  • Death (rare)

4) How effective is bariatric surgery?

Bariatric Surgery is able to lead to an average of 50% excessive weight loss after two years, which makes the procedure quite effective.

5) What is the cost of bariatric surgery in India?

A bariatric surgery, in India, can cost anywhere between Rs 2.5 to Rs 5 lakh, and the equipment and technology alone can fetch around Rs1.75 lakh.

6) What kind of foodstuff can be and can't be eaten after bariatric surgery?

A gastric bypass diet helps people who are recovering from gastric bypass surgery, which is also known as Roux-en-Y gastric bypass surgery, and to heal and to change their eating habits.
Liquids
For the first day or so after surgery, the patient is only allowed to drink clear liquids. Once the patient
starts handling clear liquids, they can start having other liquids, such as:

  • Milk
  • Unsweetened juice
  • Decaffeinated tea or coffee
  • Sugar-free gelatin or popsicles

About one week after consuming nothing else but liquids, the patient is allowed to have mashed up food.

  • Soft scrambled eggs
  • Lean ground meat, poultry or fish
  • Cottage cheese
  • Strained cream soups
  • Soft fruits and cooked vegetables

A few weeks after that, the patient can move to soft food like rice and eggs. And then after completing around eight weeks of the gastric diet, the patient can return to eating solid food.

7) Does stomach hurt after bariatric surgery?

Yes, you may have to endure some pain for a few weeks after bariatric surgery as abdominal pain is one of the most common and nagging problems after the procedure.

8) Different types of bariatric surgeries?

Gastric bypass is one of the most common types of bariatric surgery in the world. It is done when diet and exercise haven't shown you any results or when you have serious health problems because of your weight. Roux-en-Y gastric bypass or simply called gastric bypass is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created sack directly to the small intestine. After gastric bypass, swallowed food goes into this small pouch of the stomach and then directly into the small intestine, whereby bypassing most of the stomach and the first section of the small intestine.

  • Laparoscopic adjustable gastric banding: In the laparoscopic adjustable gastric banding procedure, a band containing an inflatable balloon is put encompassing the upper part of the stomach and fixed in place, creating a small stomach pouch above the band with a very narrow opening to the rest of the stomach, restricting the amount of food that your stomach can hold, making you feel full sooner.
  • Sleeve Gastrectomy: A section of the stomach is separated and removed from the body and the remaining section of the stomach is formed into a tubelike structure.

9) Are bariatric surgeries dangerous?

All forms of bariatric surgery, including gastric bypass, are major procedures in someone's life and even can pose serious risks and side effects.

10) What is the duration of recovery for the bariatric surgeries?

If one follows the doctor's diet plan along with other medication, the recovery can be made within ten weeks.

11) Are the bariatric surgeries reversible?

Most procedures in bariatric surgeries are not reversible as in addition to reducing the size of the stomach, the procedures also rearrange the digestive system and also causes alterations in gut hormones, improving satiety, changing the absorption rate of calories, and restricting the amount of food consumed.

12) Do the benefits of bariatric surgeries really outweighs risks?

All major surgeries present their risks which usually vary with each patient. The same can be said for bariatric procedures, however, in the appropriate patients, the health risks from obesity far outweigh the risks associated with procedures like bypass surgery or sleeve gastrectomy. Most of the surgeries are now associated with major reductions in risk of premature death over a 5-year period versus not having surgeries.