It is important to modify your diet and be involved in physical activities to lose excess weight and maintain weight loss over the long term.
Diet and exercises
Regular physical activity combined with healthy eating habits is the most efficient and healthful way to control your weight. Physical activity helps to control your weight by using excess calories that otherwise would be stored as fat.
Most available weight-loss medications are “appetite-suppressant” medications. Appetite-suppressant medications promote weight loss by decreasing appetite or increasing the feeling of being full. These medications decrease appetite by increasing serotonin or catecholamine – two brain chemicals that affect mood and appetite. Prescription weight-loss medications should be used only when there are increased medical risks because of your weight and not for cosmetic reasons.
The gastric Balloon is a nonsurgical procedure indicated for patients who are either overweight and have failed diet attempts or cannot go on diet due to their current life style. It is an inflatable medical device that is temporarily placed into the stomach to reduce weight. The use of the balloon should be complemented with counseling and nutritional support or advice.
There are different types of balloons; some need endoscopy, local anesthesia or X-Ray monitoring.
The ElipseTM Gastric Balloon is the perfect revolutionary alternative for patients that are looking for an effective weight loss treatment. It creates a feeling of fullness, allowing you to eat less without the hunger that accompanies most diets.
Bariatric surgery is the surgical option for obesity where conservative treatment is not successful. It is recommended for individuals whose body mass index (BMI) is greater than 40. Bariatric surgery is of two types – malabsorptive and restrictive surgery. Malabsorptive surgery decreases the absorption of food while restrictive surgery decreases the size of the stomach.
Various techniques of bariatric surgery include gastric bypass, laparoscopic gastric banding, laparoscopic sleeve gastrectomy, and laparoscopic roux-en y gastric bypass.
Laparoscopic Sleeve Gastrectomy
During the laparoscopic sleeve gastrectomy, about 75% of the stomach is removed leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed during the sleeve gastrectomy. The removed portion of stomach contains the hungry stimulating hormones. The lower part of the stomach is not altered. The capacity of food intake is reduced and you will not feel hungry quiet often than before.
Laparoscopic Roux-en Y Gastric Bypass
It is similar to Roux-en Y gastric bypass but performed using laparoscopy, a minimally invasive surgery where only a small part of the stomach is used to create a new stomach pouch, roughly the size of an egg. The smaller stomach is connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum). pouch limits the quantity of food. Gastric bypass surgery makes the stomach smaller and causes food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size. This reduces the amount of food you can eat at one time. Bypassing part of the intestine reduces how much food and nutrients are absorbed.
Gastric Band (Reversible Surgery)
An inflatable silicone devise is placed on a portion of the stomach and reduces the amount of food that you are able to eat. It acts like a belt around the top portion of your stomach, creating a small pouch. Thus reduces the amount of food consumed.
However, gastric banding is the least invasive surgery of its kind and is completely reversible.
|Dr. Girish Juneja|
Department: General Surgery / Bariatrics
Specialties: Consultant General & Bariatric Surgeon
Interests: Laparo-Bariatric (Weight-Loss) Surgery, Sleeve Gastrectomy, Gastric Bypass, Gastric Banding, Gastric Balloon, Laparoscopic Abdominal Surgery, Endoscopic Procedures (Gastroscopy, Colonoscopy)
A well experienced surgeon with more than 25 years o practice as a Laparoscopic Surgeon, Dr Juneja received his diploma in Minimal Access Surgery from France and has an advanced Laparoscopic training From Ninewells Medical College United Kingdom.
He is a fellow of the Ace Bariatrics Surgical Center, Emmen Netherlands. He also served as the Head of Surgery Department in various reputable hospitals since 1990 and is currently the Head Of The Weight Loss & Metabolic Center at the Al Zahra Hospital, Dubai.