Obesity is a disease worldwide. It is defined by WHO as excessive accumulation of fat in the body to the extent that health and well-being is adversely affected.
Obesity can be measured and categorised by different parameters but most commonly used is Body Mass Index (BMI) :-
Weight(kg) / Height(m2)
Classification of Obesity :-
|18.5 – 24.9.||Normal|
|25 – 29.9.||Overweight|
|30 – 34.9.||Class I Obesity|
|35 – 39.9.||Class II Obesity|
|40 – 50.||Class III/Morbid Obesity|
|50 – 60.||Super Obesity|
|60 – 70.||Super super Obesity|
|70 & above.||Mega Obesity|
Obesity is actually a predator in shadow as silently it brings in multiple comorbidities including cancer that affect quality of life and most
- Dietary changes
- Lifestyle modification
These are very important components in battle against obesity but these are overpowered by morbid obesity.
The only cure for morbid obesity is Bariatric Surgery. It involves restriction of food passage and / or reduction of absorption of nutrients.
It not only causes significant weight loss which is not achievable by conservative approach but also ameliorates above mentioned comorbidities Cancer risk will be reduced dramatically.
Ladies suffering from long term subfertility due to obesity will get back their smile as there will be significant rise of chance of conception after bariatric surgery.
This surgery is done laparoscopically.So very fast recovery and resumption of a much better life.
Obesity Surgery Society of India (OSSI)
Guidelines for Indication of Surgery
- BMI > 37.5 without any comorbidities
- BMI >32.5 with obesity related comorbidities e.g Diabetes, Hypertension, Hyperlipidemia etc
Types of Bariatric Surgeries
It involves restriction of stomach by removal of a part of it.It is suitable for young morbidly obese of lower range of BMI.
Roux- en – Y Gastric Bypass
It involves removal of a significant portion of stomach leaving behind a pouch and it is amalgamated with another portion of intestine.It is for a higher level of morbid obesity.
Mini Gastric Bypass/One Anastomosis Gastric Bypass (MGB/OAGB)
Almost similar procedure as RYGB
Biliopancreatic Diversion with Duodenal Switch (BPD – DS)
It is for Super Obese and onwards.