Weight loss surgery overview

ObesityWhy All This Fuss?

Dr Abeezar Sarela

A Global Epidemic

Obesity is not just about weight

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Obesity causes Diabetes

Obesity Causes High Blood Pressure

Obesity Causes High Cholesterol

Obesity Causes Cancer

Obesity Causes Infertility and

Increased Risk to Mother & Infant

During Pregnancy & Delivery

Obesity Causes Bone & Joint Problems

Obesity Causes Depression

Obesity Causes Early Death

Obesity Needs Attention

What is Obesity?

Body Mass Index (BMI) more than 28

How Can We Treat Obesity?

“At present, surgery is the only effective treatment for clinically

severe obesity.”

National Institute of Clinical Excellence, UK

Who Needs Surgery for Obesity?

BMI more than 32.5and an obesity-related disease

- If dieting and exercise for at least six months has not worked

No Obesity-Related DiseaseBMI more than 37.5

- If dieting and exercise for at least six months has not worked

BMI more than 50

Surgery is first-line treatment

Why Surgery?

Take control, not struggle

Lose enough weight to make a difference

Keep the weight off

Cure disease, stop medication

What is Obesity Surgery?

Called Bariatric Surgery or Metabolic Surgery

There is a Choice

One Size Does Not Fit All!

Gastric Band

Gastric Bypass

Sleeve Gastrectomy

How Does it Work?

Restriction

Decrease in Hunger Hormone

Keyhole

Safe

Effective

Obesity Surgery Transforms Life

“Thank you.I have got back my life”

Weight Loss

Sjostrom L et al. Effects of Bariatric Surgery on Mortality in Swedish Obese Subjects. N Engl J Med 2007;357:741-52.

Lose 60%-80% of Excess Weight

5 feet 6 inches tall

Ideal Weight ~ 65 kg

Actual Weight ~ 95 kg

Excess Weight ~ 30 kg

50% Excess Weight loss ~ 15 kg

It is a fantastic tool!

But remember to use it well

Obesity Surgery Cures Diabetes

80% of patients stop all medication

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Diabetes is controlled within weeks after surgery

Surgery on the Stomach Causes Profound Changes in Hormones

that Control Blood Sugar

Obesity Surgery Cures High Blood Pressure &

High Cholesterol

65%-75% of patients stop all medication

Restores Fertility

Improves Mental Health

Increases Mobility

Cures Obstructive Sleep Apnea

Obesity Surgery Increases Longevity

Risk of death was decreased by 40%

Quality of Life

Obesity Surgery is Extremely Cost-Effective in the

Long-Run

It is Our Privilege to Help Change Your Life