BMI

Bariatrics & Metabolism Initiative

REDUCING MORTALITY IN BARIATRIC SURGERY

posted by ramana On October - 9 - 2011 ADD COMMENTS

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 Use a Highlighter on this page

LEAKS AFTER GASTRIC BYPASS

posted by ramana On September - 26 - 2011 ADD COMMENTS

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 Use a Highlighter on this page

GASTRIC BYPASS: CHOOSING THE STOMA

posted by ramana On April - 21 - 2011 ADD COMMENTS

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 Use a Highlighter on this page

THE LAP GASTRIC BYPASS: WHAT IS IT?

posted by ramana On April - 21 - 2011 1 COMMENT

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 Use a Highlighter on this page

IS DIABETES CURABLE BY SURGERY?

posted by ramana On February - 6 - 2011 4 COMMENTS

Note: This article discusses only Type II Diabetes Mellitus It has always been a given for generations that ‘once a diabetic, always a diabetic’. Absolutely like the truism for high blood pressure, asthma and hypothyroidism. You know that if you are unlucky enough to get these labels stuck on you, you are going to take [...]

Click on pen to Use a Highlighter on this page

HAIR LOSS AFTER GASTRIC BYPASS SURGERY

posted by ramana On June - 29 - 2010 2 COMMENTS

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 [...]

Click on pen to Use a Highlighter on this page

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 [...]

Click on pen to Use a Highlighter on this page

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 [...]

Click on pen to Use a Highlighter on this page

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 [...]

Click on pen to Use a Highlighter on this page

“HOW MUCH WEIGHT CAN I LOSE, DOC?”

posted by ramana On September - 1 - 2009 1 COMMENT

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 [...]

Click on pen to Use a Highlighter on this page