Gastric bypass Surgery in India
Gastric bypass surgery or bariatric surgery is used to treat morbid obesity. It is a surgical procedure in which the stomach is divided into a small upper pouch, and a larger lower pouch. Then the small intestine is rearranged to connect to the upper and lower pouches. This, in return, makes the stomach smaller and the food stays in it for a longer time making the person feel full for a longer time.
Gastric bypass in India is done in two steps: First, the stomach is made smaller. The surgeon uses staples to divide the stomach in a small upper section along with a larger bottom section. Because of this, the patient eats less and loses weight. In the second step called as the bypass, the surgeon connects a small part of the small intestine (the jejunum) to a small hole in the pouch. Thus, the food travels from the pouch into this new opening and subsequently into the small intestine. As a result, the body absorbs less calories, thus aiding in the weight loss.
Who needs to get a gastric bypass surgery?
Gastric bypass surgery is used to treat severe obesity. It’s advised for people who have tried other weight loss methods without long-term success. It is advisable to go for gastric bypass in India if you are severely obese with a body mass index (BMI) over 40. Some doctors also advise it if a person has a BMI between 35 and 40 and a health condition such as sleep apnea, high blood pressure, heart disease, or type 2 diabetes. Gastric bypass surgery stops heartburn and reflux and also lowers the risk for high blood pressure, sleep apnea, and heart problems. It is advised to choose the best surgeons for bariatric surgery due to its delicacy. Also, gastric bypass in India is available at very affordable charges even if you choose any of the below surgeries.
Four common types of gastric bypass in India:
- Roux-en-Y gastric bypass
- Laparoscopic adjustable gastric banding.
- Sleeve gastrectomy
- Duodenal switch with biliopancreatic diversion.
- Roux-en-Y gastric bypass: In a Roux-en-Y gastric bypass, a small part of the stomach is used to create a new stomach pouch, which is roughly the size of an egg. Your smaller stomach is linked directly to the middle portion of the small intestine, termed as jejunum, which bypasses the rest of the stomach and the upper portion of the small intestine which is called duodenum. This procedure is done by making several small incisions and using small instruments and a camera to guide the surgery (laparoscopic approach). This reduces the amount of fat and calories absorbed from the foods, and also reduces the amount of vitamins and minerals absorbed from the food.
- Laparoscopic adjustable gastric banding: Laparoscopic gastric banding is a surgery to help with weight loss. In the process of this surgery, the surgeon first places a band around the upper part of your stomach which helps to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food. After surgery, the band can be adjusted by the doctor to make food pass more slowly or quickly through stomach.
- Sleeve gastrectomy: With this procedure, which is usually performed laparoscopically, the surgeon removes approximately 75 percent of the stomach. As a result of this procedure, the stomach takes on the shape of a tube or "sleeve" which holds lesser amount of food. Although originally devised as the first stage of a two-stage procedure for super obese or high-risk patients, the sleeve gastrectomy is now commonly and successfully used as one of the most preferred procedure for weight loss in people with BMI more than 40.
- Duodenal switch with biliopancreatic diversion: Termed as one of the most complicated and technical surgeries, it is also one of the most effective ones off the list. As part of the process, a new stomach size and shape is created because of the removal of approximately 70% of the stomach. The esophagus is connected via the stomach to the top part of the small intestine. The surgeon then cuts the top of the small intestine, while leaving a portion of the duodenum where digestive chemicals make their way into the process.
Another cut is made further down the small intestine (closer to where it meets the large intestine) and this part is connected to the duodenum. The loose part of the small intestine is attached to the small intestine at the bottom, allowing digestive chemicals from the duodenum to enter into the digestive process in the final stretch of the small intestine. This complex procedure is so effective because of its combined restrictive and malabsorptive properties. Restriction of the stomach size means less food can be eaten. The malabsorptive aspect of the procedure comes about by shortening the small intestine, as well as reducing the amount of time food interacts with digestive chemicals.
Important steps to consider before getting a gastric bypass in India
Before surgery, you will meet with several health care providers, such as a dietitian, a psychiatrist or psychologist, an internist, and a bariatric surgeon.
- The doctor will ask about your medical history, do a thorough physical exam, and order blood tests. If you are a smoker, he or she will likely ask you to stop smoking at least 6 weeks before your surgery.
- Follow the expert advice and make sure you pay heed to every word your surgeon advises you about the surgery, including how to prepare for it and what type of follow-up you will need.
- The dietitian will explain what and how much you will be able to eat and drink after surgery and help you to prepare for how your life will change after surgery.
- The psychiatrist or psychologist may assess to see if bariatric surgery is an option for you.
These health care providers also will advise you to become more active and adopt a healthy eating plan before and after surgery. Having normal sugar levels and losing weight before the actual surgery might lower your chances of having surgery-related problems.
Results of Gastric Bypass Surgery
On an average, people often lose more than half of their excess weight after the Roux-en-Y surgery. Ten years after weight-loss surgery, many people have gained 20% to 25% of the weight they lost. The long-term success of gastric bypass in India is highest in people who are realistic about how much weight will be lost and who keep appointments with a medical team, follow the recommended eating plan, and are physically active.
Risks common to all surgeries for weight loss include an infection in the incision, a leak from the stomach into the abdominal cavity or where the intestine is connected (resulting in an infection called peritonitis), and a blood clot in the legs (deep vein thrombosis, or DVT) or lung (pulmonary embolism). Some people develop gallstones or a nutritional deficiency condition such as anemia or osteoporosis.
Other risks from Roux-en-Y gastric bypass include:
- Stomach pouch problems. This means you might have to undergo a repeat surgery in order to repair the stomach and/or the opening between the stomach and the intestine.
- Vomiting. If you eat more than your stomach can hold, you may vomit.
- Hernia. These can be related to the incisions that the surgeon makes or caused by the intestine twisting around itself.
- Kidney stones. Drinking enough water can help.
- Gallstones. Sometimes the gall bladder is removed as part of the surgery. But if your gallbladder is not removed, then you may need to take medicine to prevent gallstones.
Recovery and Potential Complications of Gastric Bypass Surgery
The process of recovery is steady and effective, after gastric bypass surgery, people are typically kept in the hospital for 2 to 3 days and thankfully also return to normal activity within 2 to 3 weeks. About 10% of people have complications, which are usually minor and include wound infections, digestive problems, Ulcers, and bleeding. Only 1% to 5% of people have serious or life-threatening complications, such as blood clot (pulmonary embolism), heart attack, leak in the surgical connections with the intestines and serious infection or bleeding.
The risk of complications is lower at speciality centers. However, deaths within the month following gastric bypass surgery are very rare (which is about 0.2% to 0.5%, or less than one in 200 people) especially when the procedure is done by a highly experienced surgeon. Other health problems can also happen as a result of the surgery. For example, not absorbing as much of nutrients like iron and calcium can cause anemia and osteoporosis. But taking nutritional supplements and getting blood tests can make that less likely.
What to Expect After Gastric Bypass in India
After surgery, you will need to rest and recover. The follow ups differ as per the surgery type, hence, you will need to take supplements that your doctor prescribes to make sure you are getting enough vitamins and minerals. Walking and moving around the house may help you recover more quickly. Post surgery, most people move from a liquid diet to a soft diet such as cottage cheese, yogurt, or soup, and then to solid foods over several weeks. Your doctor, nurse, or dietitian will tell you which foods and beverages you may have and which ones you should avoid.
Gradually, you will definitely be able to add solid foods as part of your daily diet. One needs to be extra careful when it comes to the process of chewing food well and to stop eating when you feel full. Also, not chewing your food well or don’t know when to stop eating, you will start feeling nauseous or a certain discomfort. Also, one needs to remember the basic precautions, if you make high-calorie liquids such as soda or fruit juice as part of your diet, you might fail to lose weight. It is not advisable to overeat continuously because it may lead to stomach stretch. As a result of which, there will not be any real benefit from your surgery.
In a gastric bypass, as part of the process, one needs to remember that a part of the intestine which absorbs many minerals and vitamins is bypassed. Because of this, you may have a deficiency in iron, calcium, magnesium, or vitamins. This can lead to long-term problems, such as osteoporosis. To prevent vitamin and mineral deficiencies, you may need to work with a dietitian to plan meals. And you may need to take extra vitamin B12.
Depending on how the surgery was done (open or laparoscopic), you'll have to watch your activity during recovery. If you had an open surgery, it is important to avoid heavy lifting or strenuous exercise while you are recovering so that your belly can heal. In this case, you will probably be able to return to work or your normal routine in 4 to 6 weeks. The gastric bypass in India is most commonly done as a laparoscopic procedure, which means the recovery time is faster.
Post-surgery weight loss is often dramatic. On an average, it has been seen that patients tend to lose 60% of their extra weight. To give you an example, a 350-pound person who is 200 pounds overweight would drop about 120 pounds. Many weight-related health problems improve or even disappear after gastric bypass surgery. The most common are diabetes, high blood pressure, asthma, and obstructive sleep apnea.
Gastric bypass in India is done at a much lesser price as compared to other parts of the world. India today is listed among the best destinations for the medical treatments. Hospitals in India are equipped with state of art facilities with the team of experts to treat. All the modern amenities, scanning machines, procedures that are available in the developed countries are available in India as well. People from countries like UK, US, Sri Lanka, Bangladesh, Ethiopia, East Africa, Middle East, and Nepal come for gastric bypass in India.
The biggest advantage of undergoing gastric bypass in India is the cost advantage, but you need to be careful about the hospital you choose. A hospital with a successful record that has been in service for a long period should be preferred. The cost of Gastric bypass in India starts from INR 3,40,000 (USD 4,700) and goes up to INR 7,03,000 (USD 11,000). Gastric sleeve surgery costs around INR 3,37,000 (USD 4,500) in India. Gastric bypass in India is done at the rate of one fourth price of what is being charged in US for the same procedures. This surgery is performed only after the patient has undergone a thorough investigation involving advanced equipment, radiologists, and scanning facilities. To bring down the cost of surgery, therefore, you should select a hospital that has all these facilities under a single roof with Medmonks. The advantage to the patient is they don’t have to travel long distance for the screening process if they do their gastric bypass in India at the best hospital. More importantly, an advanced clinical laboratory can help the patient in post-operative care as well.
Charges of gastric bypass in India are lower as compared to prices in US and Singapore. For example, Laparoscopic gastric banding in US is done for around INR 11,80,000 (USD 18,500) Roux-en-Y surgery can be done in US for Rs. 17,85, 000 (USD 28,000). Hence, gastric bypass in India is the better and cost-saving option for international patients.
What affects the final cost of Gastric Bypass in India?
- Qualifications/expertise of specialist
- Treatment method
- The patient's general health
- Minimally invasive surgery or open surgery
Medmonks is a one-stop destination for patients from abroad who seek quality medical treatment at an affordable price. With us, you will be able to pre-plan your treatment right from travel plan, hotel stay, choosing doctors and hospital for your gastric bypass in India followed by the second opinion on the procedure, and then follow up. We help you find the best surgeon for your gastric bypass in India so there are less risks involved after the surgery. Patients from around the world go for gastric bypass in India due to the world-class facilities at its hospitals that come at low price.
top Gastric Bypass Doctors in India
Dr Vikas Singhal
Dr Vikas Singhal, after completing MBBS from the prestigious Maulana Azad Medical College pursued further surgical training from top institutes in UK and USA. He completeView Details
Dr Deep Goel
Dr. Deep Goel is currently associated as a Director at the BLK Super Specialty Hospital, New Delhi.
He has completed his MBBS from Kasturba Medical College; and DNB from the prestigious SirView Details