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3 types of bariatric surgery you need to know about

Doctors have long known that womb cancer is caused by obesity. © Shutterstock

Dr Ramen Goel explains about different types of bariatric surgery.

Written by Bhavyajyoti Chilukoti |Updated : November 28, 2016 5:16 PM IST

Bariatric surgery, also known as weight loss surgery, is gaining popularity in recent times, thanks to the health benefits. It is mostly recommended for people who are overweight or obese with a body mass index (BMI) greater than 35 (and 27.5 for diabetics). But there are the different type of bariatric surgeries and choosing the one that fits your condition is the key. So before you plan to undergo bariatric surgery, knowing about the pros and cons of the different types of bariatric surgeries might help. Dr Ramen Goel, Director, Center for Bariatric & Metabolic Surgery, Wockhardt Hospitals, Mumbai, tells more.

Biliary Pancreatic Diversion (BPD) with or without duodenal switch: You might have come across BPD with or without duodenal switch online and wondering what is it about. Well, BPD is a weight loss surgery in which a part of the stomach is removed surgically, while the remaining part is connected to the small intestine. However, if the pylorus, the opening from the stomach into the duodenum, is not removed, the process is known as BPD with duodenal switch. This treatment is not that common in India.

RNYBP

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RYGBP (Roux-en-Y gastric bypass): This type of bariatric surgery is practised only by 25- 30% of surgeons in India. It is the gold standard for surgical weight loss and mostly preferred in patients with long-term diabetes and severe acidity. The surgery is a keyhole procedure in which the stomach is divided into a small pouch which is directly connected to the intestine. This causes a feeling of fullness after eating a small meal as the food is directed to the intestine. As the procedure reduces the ability to absorb nutrients, people have to take mineral and vitamin supplements to ensure a proper nutrient intake. Also, protein intake is increased to 50 -60 gms per day, with a low-carb diet. Vegetarians might fulfil their daily requirements of proteins by increasing the intake e of milk products. The patients are advised liquid diet for two weeks post surgery and two - four weeks on a soft diet after that.

sleeve gastroectomy

Sleeve gastrectomy: It is one of the most common bariatric surgery that is done in 60 - 70% of the world and India. It is a laparoscopic procedure in which the size of the stomach is reduced. Unlike RYGBP, the food does not directly reach the intestine but follows the normal pathway of digestion. Here's are 5 things you need to know before undergoing bariatric surgery.

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