Obesity surgery/ bariatric surgery in Nagpur, India

Obesity is a major international problem which is increasingly becoming prevalent in India. A person is categorized as underweight, healthy weight, overweight, or obese based on his or her body mass index (BMI). Body mass index is a standardized measure of body fat that can be calculated based on an adult's height and weight; a BMI of 25 to 29.9 is considered overweight, while a BMI of ≥30 is considered obese

Bariatric surgery (from the Greek words "baros" meaning "weight", and "iatrikos" meaning "medicine") is the collective term for a group of surgical procedures that may be used to promote weight loss in certain cases.

The National Institute of Health recommends that surgery be considered for people at the following weight levels:

• Patients with a body mass index >40 kg/m2 (for Indians->35Kg/m2)


• Patients with a body mass index between 35 and 40 kg/m2 (forIndians-32 Kg/m2) who also have serious medical problems (including diabetes, disabling joint conditions such as arthritis, or obstructive sleep apnea) that would improve with weight loss.

The New Guidelines for Asians are:

• 1. Bariatric/gastrointestinal metabolic surgery should be considered as a treatment option for obesity in people with Asian ethnicity with *BMI more than >35 kg/m2 with or without comorbidities.


•  * 2. Bariatric/gastrointestinal metabolic surgery should be considered as a treatment option for obesity in people with Asian ethnicity above a *BMI of 32 kg/m2 with comorbidities.


• * 3. Bariatric/gastrointestinal metabolic surgery should be considered as a treatment option for obesity in people with Asian ethnicity above a *BMI of 30 kg/m2 if they have central obesity (waist circumference more than 80 cm in females and more than 90 cm in males) along with at least two of the additional criteria for metabolic syndrome*: raised triglycerides, reduced HDL cholesterol levels, high blood pressure and raised fasting plasma glucose levels.

Weight-loss surgery can be divided into the following categories:

restrictive, malabsorptive, and mixed or combination

Obesity surgery nagpur india, Bariatric surgery, weight loss surgery

As weight increases, so do serious health risks.
In clinical terms, extreme or severe obesity is defined as a medical condition in which excess body fat has accumulated to the extent that it has adverse affects on health and physical functioning. It is measured by Body Mass Index, or BMI, with Class 3 (morbid obesity) beginning at 40 kg/m2. In generalized terms, it is about 100 pounds over ideal body weight.

It is estimated that more than 9 million Americans are considered morbidly obese. The proportion of people with a BMI that exceeds 40 has increased by more than 50% in the past 20 years.

Researchers with RTI International recently published results of a study of 366,000 people and found that those who are morbidly obese shorten their expected lifespan by up to 12 years. Premature death rates are further increased for those with diabetes as a co-existing condition.

The effect of severe obesity appears to be greater for men. Morbidly obese white males between 20 and 30 years of age with a BMI over 45 can shorten their life expectancy by 12 years, while women of the same age and BMI shorten lifespan by about 8 years.

Several factors are involved in the mortality associated with obesity. These include age of onset, duration of obesity, severity of obesity, amount of central adiposity (abdominal fat), existing co-morbid conditions, sex, and level of respiratory fitness.

In addition to a shorter life, those with morbid obesity also have an increased risk of chronic health conditions that affect quality of life. These include an increased risk of heart disease and stroke, certain cancers (particularly breast, colon, and prostate), severe arthritis, and respiratory problems such as sleep apnea.

Weight Loss Surgery is currently the most effective treatment for those suffering from morbid obesity that has not responded to traditional therapies, such as diet, exercise, and behavioral modification. After WLS surgery, mortality rate is reduced and improvements are seen to many of the health risks listed above. In addition, overall quality of life is improved in many patients.

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Dr Ahsan Badar Nagpur

Dr Ahsan Badar Nagpur, Laparoscopic Surgeon, Bariatric Surgeon, Obesity Surgeon

Dr Ahsan Badar Nagpur

Dr Ahsan Badar, Laparoscopic surgeon, Bariatric surgeon, obesitynsurgeon