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1 M G Bhat Welcome © 2012 NOVA SPECIALTY SURGERY | People Awareness Program on Weight Loss Surgery Greetings From… Nova Specialty Hospital Koramangala Bangalore 15 th June 2014
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Page 1: Weightloss surgery public program june 2014

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M G Bhat

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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© 2012 NOVA SPECIALTY SURGERY |

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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Multidisciplinary Team

Approach

Weight Loss Methods

DietExercise Surgery

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© 2012 NOVA SPECIALTY SURGERY |

www.bariatricsurgerybangalore.com

DietSugars

Oil

SugarJuicesFruitsSweetsRiceMaida

Oily FoodFried Food

Your Food!

Enjoy

ContinuousThroughout

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www.bariatricsurgerybangalore.com

DietBecome Weight Conscious

Watch your Food

Continuous

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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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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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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