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