Weight Loss Surgery

Weight loss surgery, also known as bariatric surgery, is recognized as an effective method for significant weight reduction, particularly in cases of morbid obesity. According to the guidelines established by the National Institute of Health (NIH) in 1991, candidates for this surgery include individuals with a Body Mass Index (BMI) over 35 kg/m^2 who also suffer from serious obesity-related health conditions, or those with a BMI over 40 kg/m^2, regardless of additional health issues.

The criteria are stricter for Asian populations, including individuals from India, due to their higher body fat percentage and increased risk of metabolic diseases linked to obesity. For these individuals, the BMI threshold is set at over 32.5 kg/m^2 with significant obesity-related health issues, or over 37.5 kg/m^2 without such conditions. The surgeries fall into two main categories: restrictive and malabsorptive. Restrictive surgeries limit food intake by reducing stomach capacity, while malabsorptive surgeries decrease nutrient absorption in the intestine. Some surgeries combine both approaches for a more pronounced effect.

Patients typically experience rapid weight loss in the first six months post-surgery, followed by a slower, steady reduction that may last up to two years. The extent of weight loss varies by the surgical method, with results ranging from 50% to 80% of excess body weight.

Currently, these procedures are often performed laparoscopically, a minimally invasive technique favored for its reduced impact on the abdominal wall and improved recovery outcomes. This method offers benefits like decreased postoperative pain, better cosmetic results, and quicker recovery times.

Dr. Nikunj is an expert in performing these weight loss surgeries, utilizing the latest laparoscopic techniques to ensure the best possible outcomes for his patients.