BMI

What doctors or other people don’t know about sex in fat people (the numbers of whom are increasing everyday) could fill an encyclopedia. From our own experience with obese patients consulting us for bariatric surgery, we can at least offer some thoughts on the subject. First, let us reiterate what many psychologists probably already know. [...]

Click on pen to

At BMI, we don’t generally talk about our successes. We focus, instead, on the science, the details that are not covered in counseling sessions with patients and their families. This is probably why we are on the first page of Google on most of the search terms for bariatric surgery. Once in a while, we [...]

Click on pen to

As you may or may not know, mortality in bariatric surgery occurs at a very acceptable 0.2-0.3% rate. Compare this to gall bladder or appendix surgery (0.3 to 0.4%). This means that in this class of obese people, if we operate on a thousand, two will die. If you take these same thousand people and [...]

Click on pen to

Almost all people (with the exception of some bariatric surgeons) believe that the sleeve gastrectomy is a safer operation than the gastric bypass because of the ease and simplicity of the procedure, as also the possibility of leaks in the latter case (multiple staple lines). At the root of the confidence of many surgeons is [...]

Click on pen to

After the initial (and highly popular, if I may say so) posts on the subject (see Parts One and Two), we will now talk about what we have gained in terms of experience and insight about this subject. I had jokingly noted how BMI has not had a leak in many years. This year (obviously our busiest [...]

Click on pen to

It requires a lot of motivation for obese subjects to convince themselves for surgery. Now, imagine after the entire ordeal, the patient either does not have an adequate weight loss (failed promises can go down very badly with anyone, you know) or, someone develops undesirable side effects (nutritional deficiencies, chronic vomiting, hernias mainly) after bariatric [...]

Click on pen to

Those who undergo or contemplate bariatric surgery do so essentially as a second chance at life. I mean that the severely obese man or woman feels that he (or she) has lost out in life on multiple fronts. Here are a few examples:
Loss of body contour/beauty: you can’t forget how you were once before the fat started piling on.
Poor self image: you hate the thing you see in the mirror.
Poor quality of life: you can’t dance, surf, skip, run or walk without some kind of pain or discomfort. Going up one floor makes you breathless. You avoid holidays where you would need to walk, especially on hilly terrain.

Click on pen to

In the last two decades or so, people have recognised (mistakenly, as you will see) that surgery for weight loss means liposuction. It has become a tiresome but necessary ritual for us to explain to our patients that what we do is bariatric surgery, not liposuction. Liposuction is local removal of subcutaneous fat from a [...]

Click on pen to

Weight loss after the lap gastric bypass is a well known fact. What is less known is that there is a certain degree of weight regain in some patients in the long term. Before we proceed, do you know what is a lap gastric bypass all about? An important factor to be considered by every [...]

Click on pen to

Lap Gastric Bypass Animation The bypass (as it is called in short) is an operation that is used for severe obesity and related diseases like Type II Diabetes Mellitus. It has excellent results in the short as well as the long term. It consists of the following steps: 1. Laparoscopic (keyhole) access into the abdominal [...]

Click on pen to