BMI

Bariatrics & Metabolism Initiative

HAIR LOSS AFTER GASTRIC BYPASS SURGERY

posted by ramana On June - 29 - 2010 1 COMMENT

Hair loss is one of the commonest laments in female patients after gastric bypass surgery (whether for weight loss or surgical cure of Type II Diabetes Mellitus), and is at once one of the least heralded topics in the subject. This is but natural: after all, surgeons are more bothered by complications that are life-threatening [...]

PERSPECTIVE

posted by ramana On May - 26 - 2010 ADD COMMENTS

“When you have a hammer, everything looks like a nail!” We have all heard of this saying, and all of us agree. A skilled laparoscopic surgeon plots to take out huge tumors and cysts through the keyhole method, while the dinosaur surgeon tends to think of employing his hands to remove organs (like the appendix) [...]

ACID REFLUX AND BARIATRIC SURGERY- PART THREE

posted by ramana On May - 14 - 2010 1 COMMENT

In Part One, we outlined the nature of the beast. In Part Two, we dealt with ways of cooking it. Now, in this part, we will clean up the remains. Sorry to our Gujju (and other vegan) friends for this analogy! If you have had bariatric surgery and are now having reflux, what now? (Are [...]

ACID REFLUX AND BARIATRIC SURGERY- PART TWO

posted by ramana On May - 14 - 2010 1 COMMENT

In Part One, we outlined the nature of gastroesophageal reflux and how it occurs, as well as how we detect it clinically. So let us now assume that you are awaiting bariatric surgery and have reflux symptoms. So how does your reflux have an implication on your surgery? Will bariatric surgery (after all, we are [...]

ACID REFLUX AND BARIATRIC SURGERY- PART ONE

posted by ramana On May - 14 - 2010 2 COMMENTS

If you have acid reflux, chances are you are also obese or, at least, overweight. Many of our patients who are candidates for bariatric surgery have symptoms of acid reflux– heartburn, water brash (a sudden flooding of the mouth with saliva because of reflux of gastric contents into the food pipe), eructations, etc. While a [...]

FOCUS

posted by ramana On May - 8 - 2010 5 COMMENTS

Some of the commonest things I get asked by patients after bariatric surgery is, “So what can I eat now? When can I eat sweets? When can I drink Coke?” Or words to that effect. Each time, I sigh. It means another ten minute lecture is due on my part. I have to teach an [...]

Handling Social Commitments After Bariatric Surgery

posted by ramana On February - 14 - 2010 2 COMMENTS

So you have had a gastric bypass and are now on the way to normal life. You have a party you need to go to. Fine. Till you realise that you can’t eat most things there, and people are staring at you — someone who is saying ‘No’ to every dish being offered. It’s not [...]

DIET AFTER A SLEEVE GASTRECTOMY–PART ONE

posted by ramana On September - 18 - 2009 ADD COMMENTS

The sleeve gastrectomy operation converts the stomach into a long tube with a capacity of around 120 ml (or whereabouts). Obviously, you cannot exceed the newly reduced capacity, and your meals are going to be small, though much bigger than after a gastric bypass.  To make matters better (and more interesting) you do not feel [...]

PREPARING FOR YOUR BARIATRIC OPERATION

posted by ramana On September - 14 - 2009 ADD COMMENTS

(pic credit goes to this site) If you have decided to go for a bariatric operation, you need to do some preliminary preparation for it. 1. We tell our patients to go on a liquid diet for 15 days before the day of surgery. This does not mean you can drink ghee, condensed milk, juices and [...]

“HOW MUCH WEIGHT CAN I LOSE, DOC?”

posted by ramana On September - 1 - 2009 ADD COMMENTS

This is one of the commonest questions we face as providers of obesity care. The question may be posed by a matronly lady in her fifties, an out-of-shape PYT, or by a morbidly obese patient looking at bariatric surgery. (pic source: here.) The answer to that question, therefore, has to be contextual. In the more [...]