Diabetes has long been linked to obesity and being overweight. Being overweight places extra stress on your body in a variety of ways, including your body’s ability to maintain proper blood glucose levels. In fact, being overweight can cause your body to become resistant to insulin. If you already have diabetes, this means you will need to take even more insulin to get sugar into your cells. And if you don’t have diabetes, the prolonged effects of the insulin resistance can eventually cause you to develop the disease.
CMRI is a pioneer institute in the field of laparoscopic surgery (Key Hole). It had established a comprehensive Weight Management Clinic. Now we are providing a permanent solution for diabetes called Metabolic Surgery.
Whatever help a person requires – be it a simple nutritional advice or a very specialized weight reduction surgery, it is provided by a single unit of dedicated professionals working full time with CMRI.
If you are looking for a weight loss solution, we can certainly help you with our team of Nutritionists, Endocrinologists, Psychologists and Bariatric Surgeons who are the best and most experienced in the whole of Eastern India.
Obesity and Co-Morbidity
An Obese Person Is….
- 6 times more likely to develop gall bladder diseases
- 5.6 times more likely to develop high blood pressure
- 2 times more likely to develop osteoarthritis
- Higher rates of cancer have also been linked to obesity including prostrate, breast, cervix, and ovarian cancer
- Cardiac Disease
- Respiratory Disease
- Sleep apnea
- Stress Incontinence
- Menstrual irregularity & Infertility
- Cancers- Esophageal, Prostrate, Colon, Ovarian, Cervical, Uterine, Breast
In addition to above, excessive weight diminishes almost every aspect of health, from reproductive and respiratory function to memory and mood; and also interferes with sexual function.
The balance between calorie intake and energy expenditure determines a person’s weight. If a person eats more calories than he or she burns (metabolizes), the person gains weight (the body stores this as fat). Therefore most common causes of obesity are OVEREATING and PHYSICAL INACTIVITY. However there are other factors too like medications(steroids). FAT GENES inherited from parents and behavorial problems.
We all know the best way to lose weight: Dieting and exercise! While many people are successful with it to lose weight temporarily, often they have difficulty keeping this weight off. For those who are seriously overweight,weight loss is not just cosmetic.
In order to determine if you are a candidate for weight-loss surgery,it is helpful to know your Body Mass Index or BMI.
It is equal to your weight (in kilograms) divided by the square of your height (in meters). Then consult the BMI to the chart below:
|22.5 to 27.5||Overweight|
|27.5 to 37.5||Obese|
|37.5 and above||Severely Obese|
Here are some examples of how BMI is used:
- A person who is 5 feet 5 inches tall and weighs 65 kgs has a BMI of 24 and she would be considered overweight.
- A person who is 5 feet 5 inches and weighs 75 kgs has a BMI of 27.5. This would be diagnosed as “obese.”
Obesity and Diabetes
Routine tests are done prior to surgery in all the patients to evaluate pre-operative co-morbidities and plan the surgery so as to avoid complications in pre-operative period.
Laparoscopic Sleeve Gastrectomy:
In this procedure stomach is divided vertically and made in a narrow tube capable of holding 80 to 90ml. of food at a time almost a size of small banana. Simplicity of this operation makes it a procedure of choice for all patients.
Laparoscopic Roux-En-Y Gastric Bypass:
Gastric bypass involves creating a small pouch by dividing the stomach. The small intestine is divided and brought up to join the new stomach pouch. This allows the food to go straight from the stomach pouch into the small intestine, which causes it to bypass the lower stomach and the duodenum (the first segment of the small intestine). This reduces the amount of calories the body absorbs.
This is the most effective weight loss procedure as well as more popular in U.S.A.
Mini Gastric Bypass
The Mini-Gastric Bypass (MGB) is a recently introduced procedure increasingly being adopted in many countries around the world.
In this surgery the stomach is divided and a small stomach is created holding 200 to 250ml of food at a time. A portion of intestine is joined to this divided portion of stomach creating the passage for food to pass into the intestine.
The operation is much simpler to perform than traditional bypass operation. Limited data is available but it seems to be as effective as RYGB.
Why Bariatric Surgery?
All Co-morbidities arising out of Obesity are improved or cured by Bariatric surgery. We carry more weight around our abdomen. Abdominal fat or visceral fat is very metabolically active and secretes hormones that leads to inflammation, heart diseases, diabetes etc. Obesity increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnea, certain types of cancer, andosteoarthritis.