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Endoscopic Surgery for Morbid Obesity
Obesity
today is recognized as a health problem of epidemic proportions.
Obesity refers to a spectrum of problems of excess weight
ranging from mild overweight to the morbidly obese. Patients
with morbid obesity do not respond to medical means of weight
loss. Efforts to treat morbid obesity through controlled
diets, behavior modification and exercise programs are only
temporarily successful with the patient invariably regaining
even more weight than the amount lost. Obesity surgery is
the only method by which long-term weight loss can be achieved
in these patients. Seven to nine percent (7-9%) people in
India are overweight, of which 20 - 25% are morbidly obese
which amounts to a staggering 2 - 2.5 million people. Incidence
of child hood obesity is on the rise due to changing lifestyles.
These people are more likely to develop obesity related
complications at an earlier age. If not addressed today
this problem is likely to compound imposing heavily on medical
resources.
Surgical
procedures for obesity can now be safely performed by endoscopic
or laparoscopic approach. These morbid patients stand to
benefit tremendously by laparoscopic surgery decreasing
the hospital stay, minimizing pain and an early return to
activity. Laparoscopic gastric banding has emerged as a
highly popular and successful surgery for morbid obesity.
A biocompatible, silicon band is placed around the stomach
just below the food pipe creating a 30ml pouch (~ 2 table
spoonful). The patient feels full after just two bites of
food thus decreasing the intake and resulting in the weight
loss. The procedure is safe, simple and reversible. It can
be done as a short stay procedure (hospitalization for 24
to 48 hours). It is a very patient friendly procedure and
has no cut on the abdominal wall hence an excellent cosmetic
result (only few tiny puncture marks), very little pain
is caused by the surgery and patient can resume his or her
work within few days after surgery.
The
department of Minimal access surgery at Sir Ganga Ram Hospital,
New Delhi, has been gearing upto this challenge since two
years. Having acquired the necessary infrastructure, the
department Launched this high tech endoscopic surgery of
morbid obesity on Saturday, 22nd Nov. 2003, inaugurated
by Dr. S K Sama, Chairman, Sir Ganga Ram Hospital. It is
for the First time that Endoscopic Surgery for Morbid Obesity
will be performed in India.
The
department had organised a live surgery workshop on 13th
& 14th March 2004 where laparoscopic surgery for morbid
obesity will be performed by International / National faculty.
The first Asia Pacific Obesity Conclave is being organized by the department
in New Delhi, between March 1-5, 2006 where eminent international
and national faculty will focus on Bariatric Surgery
and management of Morbid Obesity.
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here FAQs on Endoscopic Surgery for Morbid
Obesity
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