Bariatric Surgery: A Life-Saving Last Resort, Not a Quick Fix
As a surgeon, I strongly believe that weight-loss surgery should be considered only after exhausting lifestyle changes. It’s essential to give your body a chance to stabilize with the right diet and wellness practices. Bariatric surgery is a life-saving intervention—not to be confused with liposuction or tummy tucks, which are cosmetic, body-sculpting procedures. These terms often get mixed up, but they are not interchangeable.
Key Differences Between Bariatric Surgery, Liposuction, and Tummy Tucks
- Bariatric Surgery: A medical procedure aimed at life-saving weight loss by altering the gastrointestinal anatomy. Patients can lose between 20 to 100 kg (depending on their starting weight) and often experience remission of co-morbidities like type 2 diabetes, hypertension, PCOD, heart disease, acid reflux, and infertility.
- Liposuction and Tummy Tucks: Cosmetic procedures designed for body sculpting. The maximum weight loss after liposuction is typically 6-8 kg and does not address co-morbidities.
At Digestive Health Institute, my team and I guide our patients through a comprehensive, long-term journey before and after bariatric surgery to ensure sustained benefits and healthier lives.
Frequently Asked Questions About Bariatric Surgery
1. At what BMI does one qualify for bariatric surgery in India?
Bariatric surgery is recommended for individuals who are:
- Obese or morbidly obese with a BMI of 27.5–32.5 or 32.5–37.5, depending on their health conditions and associated co-morbidities.
2. What about scars and pain?
At Digestive Health Institute, we specialize in Single Incision Laparoscopic Surgery (SILS), where the entire procedure is performed through a single incision. This technique:
- Minimizes pain
- Accelerates recovery
- Leaves no visible scars
3. Is there an age limit for bariatric surgery?
- Minimum Age: Surgery can be safely performed on adolescents as young as 15 years, provided they have achieved optimal bone growth.
- No Upper Age Limit: Bariatric surgery is also safe for older adults, as long as they are medically fit for surgery.
4. Can a patient with uncontrolled diabetes undergo bariatric surgery?
Yes, most morbidly obese patients undergoing bariatric surgery have type 2 diabetes. Key considerations:
- A seven-day pre-operative low-calorie liquid diet helps stabilize blood sugar levels.
- Pre-operative consultation with a diabetologist or endocrinologist is advised for better blood sugar control.
- Post-surgery, the need for medications and insulin typically decreases significantly. Most patients no longer require antidiabetic medications within 3–6 months.
5. Can one conceive after bariatric surgery?
Weight loss following bariatric surgery greatly improves the chances of conception in morbidly obese individuals. However, it is advisable to:
- Wait for at least one year after surgery before attempting to conceive to allow the body to stabilize.
