
The risks of obesity
Evidence for Bariatric Surgery
Obesity is a leading cause of morbidity and mortality in the world. Morbid obesity is described as Body Mass Index (BMI) of > 35. BMI is calculated by dividing weight in kilograms divided by the square of height in meters. A number of non surgical methods of weight loss have failed to achieve sustained weight loss. Bariatric Surgery is a safe and effective way to loose weight and improve quality of life. Surgery for obesity is now proven to improve conditions such as Diabetes, Hypertension & Arthritis.
National Institute for Health & Clinical Excellence (NICE) has published guidelines for those who will benefit from Obesity Surgery.
Which operation?
Bariatric surgical procedures are broadly classified into either ‘Restrictive’ or ‘Malabsorptive’ procedures. In purely restrictive procedures the capacity of the stomach is reduced such that the patient feels full and satisfied after small portions of meals. In the malabsortive procedures the stomach and bowel is reconnected in such a way that the food is not fully absorbed. Gastric band & sleeve gastrectomy are restrictive procedures. Gastric bypass combines the advantages of both restrictive and malabsorptive procedures.
An ideal operation would result in effective & sustained weight loss with minimal risks, side effects and not causing vitamin or mineral deficiencies resulting in improved quality of life. At your consultation with Mr Jayanthi, there will be a detailed discussion about your health, expectations and the most suitable operation for you.
Mr Jayanthi has trained in Bariatric Surgery at St James’ University Hospital, which is one of the pioneering institutions in the UK for Bariatric Surgery. He was then selected for the much coveted Ethicon Fellowship in Bariatric Surgery at Musgrove Park Hospital, which is an International Centre of Excellence for Bariatric Surgery.