AASTHA HEALTHCARE

for Weight loss, A right place to change your life.

B-Lite Clinic - Centre for Bariatric Surgery

As we have already seen in the previous sections, the health consequences of severe obesity. It is evident that almost every part of our body gets affected. In fact we can say that it affects all the three planes of human existence, i.e. physical, mental and spiritual.

The remarkable and wonderful fact is that most of these problems can be greatly improved, while some can be entirely resolved, with successful weight loss. Many have struggled with weight loss for years trying various diets, medications and professional weight loss services without long-term success. People have been adopting various dieting methods all over the world to loose weight. While some starve themselves to death while others go overboard with exercises to loose weight. And above all, those who do loose weight find the result very short lasting. Eventually they become even more disappointed and rejected. For these people, weight management is much more than carrying a few extra pounds. It can be a matter of life and death.

This weight loss surgery (B-Lite Clinic Centre for Weight Loss) has given many individuals a new lease on life. This surgery enables a person to loose weight in short time. The amount of weight one will lose will depend on the type of surgical procedure he has undergone and how committed they are to the required lifestyle changes, including exercise and eating habits. Results vary, but the average patient can expect to lose 50-90% of their excess weight 12-18 months after surgery. Even if the ideal weight is not reached, co-morbid medical problems are improved in most cases. Many patients find they no longer need medications for diabetes, hypertension, sleep apnoea, arthritis and back pain. Most patients report an increase in self-esteem and self-confidence and an improvement in their overall quality of life.

Treatment Average Weight Loss (% Total) % Weight Loss
Maintained (@ 5 years)
Placebo 4%-6% 0
Overweight 8%-12% 0
Drug Therapy 10% 10%
Laparoscopic Weight Loss Surgery 25%-70% Up to 100%

So Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity. It is a highly specialized field of surgery, which requires exceptional surgical skills. Just like, a pilot cannot fly every aircraft. He has to be trained to fly different machines. Similarly not every laparoscopic surgeon can perform this gastric bypass surgery. So it is very important to consult a skilled surgeon. B-Lite Clinic Centre for Weight Loss is a term derived from the Greek words: ''weight'' and ''treatment.'' They are surgical procedures which are major gastrointestinal operations that:

(a) Seal off most of the stomach to reduce the amount of food one can eat, and
(b) Rearrange the small intestine to reduce the calories the bodies can absorb.

Growing importance of B-Lite Clinic Centre for Weight Loss

Weight loss surgery is a major surgery. There are three factors for its increasing popularity and use. They are described below:

  • More and more awareness is spreading about obesity and people worldwide are realizing that obesity is not just a problem, it is a disease.
  • Other approaches to obtain weight loss do not yield long term results.
  • The latest breakthrough in medical field-'B-Lite Clinic Centre for Weight Loss' has relatively low complications and has excellent results.

B-Lite Clinic Centre for Weight Loss is not a cosmetic surgery. And just like any other surgery, there are immediate and long-term complications and risks. So it is very essential to obtain a complete and comprehensive knowledge before you set your mind. Some people merely understand that this surgery involves removing of 'fat' from the body. But it is not so. It is a major surgery. And the patient has to be prepared for long-term commitment, lifestyle changes including diet and exercise. Bariatic is a major surgery. Although most patients enjoy an improvement in obesity-related health conditions (such as mobility, self-image, and self-esteem) after the successful results of weight loss surgery, these results should not be the overriding motivation for having the procedure. The goal is to live better, healthier, and longer.

The best way to start is by having an in-depth conversation with your surgeon. Only a qualified surgeon will be able to give you a complete picture. As a rule, B-Lite Clinic Centre for Weight Loss is not considered until you and your surgeon have looked at all other options. It is very important for you to be open with him and understand the exact details of procedure, the complications and risks involved, extent of recovery time, the commitment required from your side and the follow-up care. One must also have good knowledge about the B-Lite Clinic Centre for Weight Loss before meeting the surgeon. We have devoted this section of ours to give you some understanding about this weight loss procedure.

Ultimately, the decision to have the procedure is entirely up to you. After having heard all the information, you must decide if the benefits outweigh the side effects and potential complications. Weight loss surgery is only a tool. Your ultimate success depends on strict adherence to the recommended dietary, exercise and lifestyle changes.

Only a surgeon can evaluate if you are the right candidate for this surgery or not. When you decide to see a Bariatric surgeon, he will definitely try to probe as to what efforts were made to achieve weight control by non-surgical methods. From this history, he will sketch a picture of current health status, and the adverse effects of obesity. After this, he would take a thorough Medical History to identify the course of development of obesity. After the cause is outlined, a detailed family and past history will be taken. Current weight and height will be measured to calculate the Body Mass Index.

To decide whether a patient is a candidate for B-Lite Clinic Centre for Weight Loss or not, the surgeon will conduct a comprehensive medical evaluation that may include blood tests, EKG, chest x-ray, pulmonary function test, upper gastrointestinal x-ray, gall bladder ultrasound and/or a psychiatric evaluation. One may not qualify for surgery if he has pre-existing conditions such as hepatic cirrhosis with impaired liver functions, serious psychiatric disability and/or correctable hormonal causes of obesity. An ideal candidate for the surgery is the one who fulfils the following criterion:

  • The patient who has BMI of 30 with co-morbidities and 32 without co-morbidities.
  • He has already tried dietary modification and exercises but all attempts have been ineffective.
  • There is no endocrine cause of obesity
  • Absence of drug or alcohol problem
  • No uncontrolled psychological conditions
  • The patient should be willing and determined to have a change in life-style

At Aastha, we stress a lot on educating our patients well. Some of the challenges facing a person after weight loss surgery can be unexpected. Lifestyle changes can strain relationships within families and between married couples. So most of the bariatric surgeons offer follow-up care that includes support groups, dieticians and other forms of continuing education. But at Aastha, we emphasize on 'pre-surgery care'. We have a panel of experts comprising of psychologists and Bariatric surgeons who will start preparing you and your family right from the beginning. They will help you to:At Aastha, we stress a lot on educating our patients well. Some of the challenges facing a person after weight loss surgery can be unexpected. Lifestyle changes can strain relationships within families and between married couples. So most of the bariatric surgeons offer follow-up care that includes support groups, dieticians and other forms of continuing education. But at Aastha, we emphasize on 'pre-surgery care'. We have a panel of experts comprising of psychologists and Bariatric surgeons who will start preparing you and your family right from the beginning. They will help you to:

  • Understand the surgical process and what to expect afterward.
  • Understand what are realistic goals and what changes will be needed to achieve them.
  • Get connected to other patients who have had B-Lite Clinic Centre for Weight Loss
  • Mentally prepare for the surgery. They will also talk to your family and explain them how they could offer their support in this process.

B-Lite Clinic Centre for Weight Loss is like other major surgeries. You can best prepare by knowing the benefits and risks of surgery and by closely following your surgeon's instructions.

Our Bariatric program has four components: medical, nutritional, psychological, and surgical. We have a dedicated team who will take care of our patients during the whole process, right from preparing the patient for the surgery to providing treatments and care after the surgery. To contact our surgeon, click here.

People from all around the world have had wonderful results from B-Lite Clinic Centre for Weight Loss. In this section, we will be describing as to what patient should be expecting before and after the surgery. Also, we have provided an insight into the process to help our patients become well-informed about the surgery.

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Before the surgery, you will be required to undergo the pre-surgery medical, nutritional, and psychological evaluations. Once the surgeon announces that the patient is fit for surgery, he will explain the treatment process in details and together you will choose the most appropriate surgery suited for you. Most surgeons will perform B-Lite Clinic Centre for Weight Loss using the laparoscopic method. However, this is a decision that the doctor and patient must make together. Read the topic-'The Surgery' to learn more about both procedures.

On the day of the surgery, you will be required to sign a consent form. Before you sign a consent form, you should have a solid understanding of what is about to take place. At Aastha, we have a panel of experts like psychologist, dieticians too who will take care of all the concerns of the patient. Your surgeon will have specific instructions for you to follow. A few of the more frequently given instructions include:

  • Do not drink or eat anything prior to surgery, beginning the evening before the day of surgery.
  • Most medicines can be taken the day of surgery, just with small sips of water (however, your doctor will have instructions regarding specific medications).
  • Bring all of your medications with you.

Before surgery, the patient will be given an IV line to administer antibiotics and other medications. After anesthesia, the patient is intubated and then the surgeons are all set to work their magic!

B-Lite Clinic Centre for Weight Loss has been performed for many decades. For many of those years, the surgery was performed as an open procedure. An open procedure means a surgeon creates a long incision, or cut, opening up the patient. As medical technology evolved, laparoscopic or minimally invasive surgery became a possibility. With laparoscopic surgery, the surgeon creates small incisions. Both approaches have similar success rates in reducing excess weight and improving or resolving co-morbidities. So as discussed above, this surgery can be done either as an open surgery or laparoscopically. The surgeon is the best person to decide what is ideal for the patient. Ofcourse in the open method, the surgeon operates through an abdominal incision, so the recovery takes time. Laparoscopic surgery is a minimally invasive approach that involves a surgeon to operate through four tiny incisions, most of which are less than a half-centimetre in size! The surgeon inserts the laparoscope through very tiny incisions and gets a magnified view of the patient's organs on a television monitor. The surgeons are especially trained to develop skills in operating by this new method, without being able to feel tissue directly. The use of laparoscopy for more complex operations, in which the stomach or bowel is cut and re-connected, is called "Advanced Laparoscopy". Though the operating time is slightly longer than the open operation but the recovery time is much shorter. Complication rate has been similar to that with the open operation, except that incisional hernias (hernias occurring through the scar of the incision) have been a rare occurrence, with the laparoscopic technique.

But not everyone qualifies for less-invasive surgery. In some patients, the laparoscopic or minimally invasive approach to surgery cannot be used. It depends on medical history, surgical difficulty, and body shape. Here are reasons why you may have an open procedure, or that may lead your surgeon to switch during the procedure from laparoscopic to open:

  • Presence of any dense scar or fibrosis from any previous abdominal surgery
  • When the surgeon is unable to view the organs clearly due to any reasons.
  • Bleeding problems during the operation

The decision to perform the open procedure is a judgment call made by your surgeon either before or during the actual operation and is based on patient safety. There are three types of B-Lite Clinic Centre for Weight Loss (described below). The surgeon is the best person to tell you which one is best for you. The three types are:

Restrictive procedures: This kind of surgery primarily reduces the stomach size.

  • Vertical Banded Gastroplasty (Mason procedure, stomach stapling)
  • Adjustable gastric band (or "Lap Band")
  • Sleeve gastrectomy

Hybrid procedures:In this type, both the techniques of restriction and malabsorption are applied simultaneously. i.e. Gastric bypass surgery, like Roux-en-Y gastric bypass

After surgery, the healthcare team will make sure that your vital signs are correct and arrange for you to be taken to a recovery room. The patient will be closely monitored for the first 24 hours after surgery. To help manage pain, analgesia medication will be given.

In the laparoscopic surgery, since the incisions are small, the healing rate is faster. After surgery, the patient is put on a liquid diet and then is slowly encouraged to have a pureed, soft and regular diet. Depending upon the condition of the patient, leg exercises may be recommended and/or a compression device may be attached to the legs to help prevent the formation of blood clots and to improve circulation. The doctor generally encourages the patients to be up and walking as soon as possible to help the circulation. This surgery usually involves a 4 to 6 days hospital stay (2 to 3 days for a laparoscopic approach).

Gastric bypass surgeries may cause dumping syndrome. This occurs when food moves too quickly through the stomach and intestines. It causes nausea, weakness, sweating, faintness, and possibly diarrhoea soon after eating. These symptoms are made worse by eating highly refined, high-calorie foods (like sweets). But these problems can be easily overcome with the help of a nutritionist. In a gastric bypass, the part of the intestine where many minerals and vitamins are most easily absorbed is bypassed. Because of this, there may be deficiency of iron, calcium, magnesium, or vitamins. This can lead to long-term problems, such as osteoporosis. To prevent vitamin and mineral deficiencies, one need to work with a dietician to plan meals, and it may be required to take nutrient supplements and injections of vitamin B12. So immediately after B-Lite Clinic Centre for Weight Loss, the surgeon will review the dietary instructions. Many Bariatric surgeons begin patients with liquid diets, and after a period of time, move them on to semisolid foods. Later, when the surgeon deems it appropriate, patients can begin eating solid foods.

Before discharge, the surgeons will discuss post-operative plan with patients, which is essential to the long-term maintenance of weight. This may include referrals to nutritionists, exercise programs, psychotherapists and/or support groups.

Although diet, exercise, behaviour therapy and anti-obesity drugs are first-line treatment, but sometimes all these treatments are totally in-effective. Therefore, obesity surgery (or B-Lite Clinic Centre for Weight Loss) has become a popular treatment in the war against obesity. Weight loss surgery generally results in greater weight loss than conventional treatment, and leads to improvements in quality of life and obesity related diseases such as hypertension and diabetes. Given below are the benefits of this surgery:

  • Studies show that weight loss ranges from 28% to 87%. Initially, dramatic weight loss is experienced. Weight loss tapers off 18 months post-operative.
  • No alteration of natural anatomy, food consumed passes through the digestive tract naturally allowing for normal absorption
  • In case of Restrictive Procedure, the band can be adjusted to increase or decrease restriction
  • Disappearance of co-morbid conditions (patients are able to stop taking many of the medications for co-morbid conditions, sleep is improved, patient can be more active, and can re-enter the workforce)
  • Feeling of confidence and the patient can lead an active life.

Besides this, if the surgery is done laparoscopically, it has few additional benefits. Laparoscopy has truly marked the beginning of new era. The benefits of have been listed below:

  • Tiny Incisions, tiny scars, so faster healing
  • Less Discomfort
  • Reduced Risk of Incisional Hernias
  • Less Stress on Body's Defences
  • Shorter Hospital Time
  • Quick Recovery

So let us compare the benefits of B-Lite Clinic Centre for Weight Loss when done laparoscopically with traditional way.

Traditional Laparoscopic
Shorter surgery Relatively longer surgery
More predictable Higher risk of leak
Lower risk of leak Quicker recovery and return to work
Higher risk of pulmonary problems Less post - operation pain
More post - operation pain Fewer wound complications
2 - 4 weeks off works Less risk of hernia formation

Just like every coin has two sides, similarly side-effects occur with any operation. Although they are less serious than complications, they may be permanent, and may require a change in lifestyle, to avoid continuing discomfort. E.g Most patients experience some difficulty tolerating red meat, chicken and sweets after surgery. During the first 3-7 months of reduced food intake, some patients experience nausea, vomiting, food intolerance, changes in bowel movements, constipation, transient hair loss and loss of muscle mass. But nearly all patients see a significant improvement after 7-8 months of surgery.

In gastric bypass surgery, the duodenum and other sections of the small intestine are bypassed. So there may be poor absorption of iron and calcium. This can lead to deficiency in the body. But By taking a multivitamin and calcium supplements, patients can maintain a healthy level of minerals and vitamins.

As with any abdominal surgery, there are potential risks. However, with B-Lite Clinic Centre for Weight Loss, these risks are further complicated because of the patient's extra weight. Possible risks during and after surgery include:

  • Respiratory problems including pneumonia.
  • Infection, bleeding, inflammation of the intestines.
  • Abdominal blockage.
  • Leakage around surgical connection sites/stretched stomach outlets.
  • Blood clots, which can result in heart attack or stroke.
  • Stomach ulcer.
  • Breakdown of staple line in stomach.
  • Nutritional deficiencies including anaemia, osteoporosis or metabolic bone disease.
  • Gall bladder disease.
  • Nausea, vomiting, bloating and gas
  • Diarrhoea or constipation.

After surgery, it is like a re-birth. You body has to re-adjust to the new changes. It will take some time to heal. And so recovery will also take efforts. Some patients begin to lose pounds within few weeks of their surgery. For others, a couple of months go by before they see noticeable weight loss. With courage and a circle of support, you will make it through recovery and start to do things like never before.

Always remember, the weight loss surgery is not a one-time visit to the operating room. As discussed above, it calls for a long commitment, change in lifestyle habits which include diet, exercise etc. The consequences of neglecting nutritional health postoperatively can be devastating. Vitamin and mineral deficiencies can occur. Moreover if the instructions of the surgeons are not followed well, patients may not deliver good results. So one must remember that this surgery requires a careful follow up and an extensive lifelong program of nutritional health. Let us see some of the changes that need to be made:

Patients have to re-learn how to eat. After weight loss surgery, the amount one can eat before feeling full is significantly reduced. The doctor may recommend eating several (8-10) small meals throughout the day to ensure proper nutrition. When you start eating solid food, it is important to chew your food thoroughly and eat very slowly. One must avoid drinking fluids while eating. Fluids consumed with meals can cause vomiting and dumping syndrome, and can lead to feeling hungry sooner after a meal

There is nothing like sudden weight loss after the surgery. So the person must be mentally prepared to change the lifestyle and accept that changes takes time.

After gastric restriction, if one gets a full feeling, and continues to eat, chances are an episode of vomiting will result. Most patients have this happen several times, and most quickly learn to follow instructions to eat slowly, chew food well, and avoid that last bite when fullness occurs. Typically, with the gastric Bypass, a profound feeling of satisfaction follows the fullness within a few minutes, and makes further eating a matter of indifference. The Gastric Banding does not produce this sense of satisfaction as quickly, or as intensely. During the first few days to weeks, another kind of nausea may follow the gastric bypass. This results from delayed function of the Y-limb, and spontaneously resolves with time.

The changes made to your gastrointestinal tract will require permanent changes in your eating habits that must be followed for successful weight loss. After either the gastric bypass, or the gastric banding, red meats are not well tolerated, and may cause vomiting. Even Sugar may cause it because refined sugars and candy consist of many small molecules, which tend to draw fluid into the intestine. After the gastric bypass (not after the gastric banding), a condition called "dumping syndrome" may occur, when sugar is taken on an empty stomach, passes rapidly through the stomach into the intestine, and draws a large amount of fluid into the bowel. The physiology is complicated, but the result is a condition like shock: one turns ghostly pale, breaks out in a profuse sweat, feels butterflies in the stomach, a rapid pulse, and a feeling of prostration.

The problem of dumping is avoided by avoiding sweets, candies, and fruit juices on an empty stomach. To help avoid dumping syndrome, you may want to cook foods without using fat and season food to taste. It's a good idea to avoid sauces, gravies, butter, margarine, mayonnaise, and foods high in fat and/or sugar. To digest milk sugar (lactose), our bodies need and enzyme called lactase, which is often in short supply in the lower small intestine. After gastric bypass (not after gastric banding), milk and milk products may not be fully digested. So they are avoided but the supplements are taken to ensure that any deficiency does not occur.

After restrictive surgery, the amount of food consumed is greatly reduced, and the quantity of roughage consumed may be much smaller. Correspondingly, the amount of bowel movements will be diminished, causing less frequent bowel activity, and constipation. If this becomes a problem, a stool softener supplement may be needed, to avoid rectal difficulties. It is very important to keep oneself hydrated all the time.

Many patients are hesitant about exercising after surgery, but exercise is an essential component of success after surgery. When you have a weight loss surgery procedure, you lose weight because the amount of food energy (calories) you are able to eat is much less than your body needs to operate. It has to make up the difference by burning reserves or unused tissues. Your body will tend to burn any unused muscle before it begins to burn the fat it has saved up. If you do not exercise daily, your body will consume your unused muscle, and you will lose muscle mass and strength. Daily aerobic exercise for 20 minutes will communicate to your body that you want to use your muscles and force it to burn the fat instead.

Soon after surgery, doctors will require you to get up and move around. Patients are asked to walk or stand at the bedside the very next day of surgery and take several walks soon after. Your ability to resume pre-surgery levels of activity depends on your physical condition, the nature of the activity, and the type of B-Lite Clinic Centre for Weight Loss you had. Many patients return to normal levels of activity within five weeks of surgery.

B-Lite Clinic Centre for Weight Loss Surgery and Bariatric Surgery is not a quick fix. It's an ongoing journey toward weight loss through lifestyle changes. Our team will always be there to support your efforts. Positive changes in your body, your weight, and your health will occur, but you will need to be patient through the recovery process.