weightloss surgery public program june 2014
TRANSCRIPT
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Welcome
© 2012 NOVA SPECIALTY SURGERY |
People Awareness Program on Weight Loss Surgery
Greetings From… Nova Specialty Hospital
KoramangalaBangalore
15th June 2014
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Surgeons: Dr M G Bhat (Bangalore) Dr Bhasker Pai ( Bangalore)
Dr Nanda Babu ( Bangalore)Dr. Shridhar Pandit
Dietician: Ms Sheela KrishnaswamyMs Sithara
Endocrinology: Dr Mohan BadgandyDr Tejaswini
Physicians: Dr Khaitan &
Physiotherapy: Mr Vinod Jain, SnigdaCouncillor: Ms PurvaCo ordinator: Ms Vasugee
The Bariatric TeamNova Specialty Surgery
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Obesity
Body Weight in Kg (Height in m)2
=Kgm2
Underweight - <18
Normal - 18 -25
Overweight - >25
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Obesity
• India Ranks in Top 5 Obese Nations
• 200 m Urban Indians are seriously Obese
• 50% women >35 have unhealthy shapes
• 1 out of 10 urban Indian child is Obese
• Obesity with health risks is a major killer
BBC News May 2014
India and Asia News May 2014
India News June 2014
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© 2012 NOVA SPECIALTY SURGERY |
Multidisciplinary Team
Approach
Weight Loss Methods
DietExercise Surgery
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www.bariatricsurgerybangalore.com
DietSugars
Oil
SugarJuicesFruitsSweetsRiceMaida
Oily FoodFried Food
Your Food!
Enjoy
ContinuousThroughout
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
DietBecome Weight Conscious
Watch your Food
Continuous
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
Sugar According to American Heart Association, the recommended
amount of sugar intake in women is no more than 6 teaspoonsa day, or 100 calories, of added sugar — the sweeteners andsyrups that are added to foods during processing, preparation or at the table. For most men, the recommended limit is
9 teaspoons, or 150 calories. The heart group released a
report stating that Americans eat an average of 22 teaspoons of sugar a day, more than twice the recommended amount.
In teens, it was found to be 34 tablespoons. [1]
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
Exercise
How much can we do?
How much do we lose?
Keeps us Fit
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Weight Loss SurgeryObesity SurgeryBariatric Surgery
(Laparoscopy)
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
Bariatric Surgery 1
1. It is not Fat Removing Surgery2. It is surgery on the Stomach and Intestine3. It is done by Laparoscopy ( Key Holes)4. Requires Anesthesia5. Short Hospitalization 6. Quick Recovery and Return to Normal
Some Facts :
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
Bariatric Surgery 2
1. Reduces the Capacity to eat2. Reduces Desire to eat3. Satisfied with small quantity4. Lose about 40-60% Weight5. Decrease Absorption in bypass
Some Facts :
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
Bariatric Surgery 3
1. Diet will be required2. Some Exercise3. Commitment4. Good Nutrition & Supplements5. Long Term Success6. Fails with no co operation
Some Facts :
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© 2012 NOVA SPECIALTY SURGERY |
www.bariatricsurgerybangalore.com
Bariatric Surgery 4
1. General Risks of Surgery2. Technical Problems3. Risk Reduced with good Selection4. Risk Reduced with good Team
Some Facts :
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Who Requires Surgery ?
• Obese: BMI of >30• Morbid Obese: BMI >40 or greater
(Roughly 45kg over ideal wt)
Obesity Related
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Who Requires Surgery ?
• BMI of >25 with one or more obesity Related Health Conditions
Medical Related
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Who Requires Surgery ?
• Failed Attempts at Wt Loss• Life Long Commitment to Wt Loss with Diet ,
Exercise and Medical guidelines• Psychological Evaluation
Other Considerations
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What is Wt Loss Surgery?
• RestrictiveBands, Sleeve Gastrectomy
• MalabsorptiveGastirc Bypass
• Mixed
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Lap Adjustable Gastric Band
• Good Weight Loss• Simple Procedure• Reversible• Rapid Recovery• Least Problems
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Laparoscopic Gastric Sleeve Resection
• Remove 80% Stomach• Tube or Sleeve Like Stomach is left behind
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Lap Gastric Bypass
• Small Stomach Pouch• Bypass
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Who Requires Surgery ?Wt Loss Surgery ImprovesObesity Related Health Conditions
• Type II Diabetes• High Blood Pressure/ Heart Disease• Infertility and Menstrual Irregularities• Arthritis of Wt Bearing Joints• Sleep and Breathing Problems• Reflux Problems• Breast Cancer• Depression• Other Good Life Related
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Most Important Treatment of Obesity is Prevention
The Unique and effective treatment of Morbid Obesity is
Surgery
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Which center to do?
• A center where treatment starts with non surgical means
• Patient understands Risks involved• Multidisciplinary Team Approach
(medical, endocrine, diet, physio, psych, anesthesia, others and surgeon)
• Life – Long Follow up
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Surgery for Obesity
• What is Wt Loss Surgery?• Who should be treated ?• Which Surgery is the Best?• Who should be doing ?• Where to have Surgery ?
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Dr. M G BhatMS, FRCS(England), FRCS ( Edinburgh), FICS, DMLE (Law),
DMIRCSEd (Informatics)
Thank You ..
Consultant Surgeon, Bangalore Nova Specialty Hospital , Koramangala
Medical Director, Nova Medical Centers Ltd, India
Thank You
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© 2012 NOVA SPECIALTY SURGERY |
Greetings From…
Dr. M G BhatMS, FRCS(England), FRCS ( Edinburgh), FICS, DMLE (Law), DMIRCSEd (Informatics)
Consultant Surgeon, Bangalore Nova Specialty Hospital , KoramangalaMedical Director, Nova Medical Centers Ltd, India