Am I eligible for bariatric surgery?
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X Am I eligible for bariatric surgery? May 30, 2025 In an age where obesity has become a global health epidemic, many individuals find themselves struggling to lose weight despite countless attempts at dieting and exercise. For those facing severe obesity or obesity-related health issues, bariatric surgery presents a potential solution to help manage weight and improve overall health. However, bariatric surgery is not a one-size-fits-all treatment, and eligibility is determined based on various factors including body mass index (BMI), medical history, and psychological readiness. Bariatric surgery can offer life-changing results for people with severe obesity (BMI ≥ 40) or those who have struggled to manage obesity-related health conditions like type 2 diabetes, sleep apnea, and heart disease. But it’s not an automatic decision. The path to bariatric surgery is a complex one, involving comprehensive medical evaluations and lifestyle assessments to ensure that the individual is physically and mentally prepared for the challenges that come with such a major procedure. This guide will take you through the eligibility criteria for bariatric surgery, helping you understand the key factors that determine if this treatment is right for you. From BMI thresholds and health conditions to psychological readiness and lifestyle commitment, you’ll gain insight into the factors that influence whether you are a candidate for bariatric surgery. Understanding Bariatric Surgery Bariatric surgery is a term used to describe a range of surgical procedures designed to help individuals with severe obesity lose weight and improve their overall health. These surgeries are typically recommended for those who have not been successful in losing weight through traditional methods like diet and exercise and who suffer from obesity-related health issues. The primary goal of bariatric surgery is to alter the digestive system in a way that limits food intake, reduces nutrient absorption, or both, leading to significant weight loss. There are several types of bariatric surgeries, each with its own approach to helping patients lose weight. Here are the most common procedures: 1. Gastric Bypass (Roux-en-Y) Gastric bypass surgery creates a small stomach pouch and connects it directly to the small intestine, bypassing part of the stomach and the duodenum (the first part of the intestine). This limits the amount of food you can eat and reduces nutrient absorption, leading to weight loss. It can also help manage conditions like type 2 diabetes. 2. Sleeve Gastrectomy In sleeve gastrectomy, a large portion of the stomach is removed, leaving a tube-shaped stomach about the size of a banana. This reduces the amount of food you can eat and lowers hunger-related hormones, helping control appetite. Unlike gastric bypass, it doesn’t alter the intestines, so there’s less risk of nutrient deficiencies. 3. Adjustable Gastric Banding This procedure involves placing an adjustable band around the upper stomach to create a small pouch. The band restricts the amount of food the stomach can hold and slows digestion. While less invasive, it is less commonly used today due to the rise of more effective surgeries. Some patients also face challenges with the band. 4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS) BPD/DS combines stomach reduction with rerouting the intestines, significantly limiting food intake and calorie absorption. This leads to substantial weight loss and helps manage diabetes. However, it’s a more complex surgery and carries higher risks, requiring lifelong follow-up for nutrient management. You may be eligible if: 1. Body Mass Index (BMI) Bariatric surgery is typically recommended for individuals with a BMI of: 30 or higher with comorbidities like type 2 diabetes, hypertension, or sleep apnea. 35 or higher (even without comorbidities) or in cases where traditional weight loss methods have failed. A BMI of 40 or higher qualifies most candidates for bariatric surgery. If you’re in the 30-34.9 range, bariatric surgery might be considered, but it depends on your medical history, lifestyle, and specific health conditions. It’s important to note that BMI isn’t a perfect metric. Some individuals may have a high BMI due to muscle mass, while others may carry visceral fat that increases health risks. Hence, metabolic assessments and waist-to-hip ratios are also considered in some evaluations. How to view your BMI from the Chart To view where your BMI lies in this chart, you can first find your weight on the top horizontal axis and then following the BMI numbers all the way down until the height on the left axis corresponds to your height. The category that your body mass index (BMI) lies under is shaded in the corresponding colour which is shown in the legend above as well list below: Blue: The category is Underweight and corresponds to a BMI of less than 18.5 Green: The category is Normal Weight and corresponds to a BMI between 18.5 and 24.9 Yellow: The category is Overweight and corresponds to a BMI between 25 and 29.9 Orange: The category is Obese and corresponds to a BMI between 30 and 39.9 Red: The category is Extremely Obese and corresponds to a BMI of 40 or higher 2. Health Conditions (Comorbidities) The presence of certain health conditions may make you more eligible for surgery, including: Type 2 diabetes High blood pressure Obesity-related heart disease Sleep apnea Fatty liver disease or joint issues If you suffer from any of these, surgery could help manage or even reverse some conditions. 3. Previous Weight Loss Attempts Bariatric surgery is generally a last-resort option after trying dieting, exercise, and other medically supervised weight loss programs for a significant period (usually 6–12 months). 4. Psychological and Emotional Readiness Mental health
How Obesity Affects Fertility in Women: What You Need to Know
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X How Obesity Affects Fertility in Women: What You Need to Know May 23, 2025 Fertility is influenced by many factors, but one that often goes overlooked is weight. Obesity can disrupt the body’s delicate hormonal balance, interfere with ovulation, and increase the risk of reproductive disorders. It’s not just a health concern—it’s a fertility issue. Globally, obesity rates among women have nearly tripled since 1975, with over 15% of women aged 18 and older classified as obese (World Health Organization). In women trying to conceive, a high Body Mass Index (BMI over 30) has been linked to a 50% reduction in the chances of natural conception. Obese women are also more likely to experience irregular menstrual cycles, anovulation (absence of ovulation), and lower success rates with fertility treatments like IVF. Moreover, conditions such as Polycystic Ovary Syndrome (PCOS)—a leading cause of infertility—are closely tied to excess weight and insulin resistance. Up to 70% of women with PCOS are overweight or obese, creating a cycle that makes conception even more difficult. This blog explores the science behind how obesity impacts fertility—from hormonal disruptions to PCOS, ovulation issues, and pregnancy complications—along with actionable steps women can take to reclaim control over their reproductive health. Understanding the Link Between Obesity and Hormones Fat tissue isn’t just a passive store of energy—it’s hormonally active. It produces estrogen, a crucial hormone for female fertility. However, when estrogen levels are excessively high—as is often the case in women with obesity—the body’s delicate hormonal balance gets disrupted. High estrogen can trick the brain into thinking the body is already ovulating, which suppresses the release of hormones like FSH (follicle-stimulating hormone) and LH (luteinizing hormone)—both essential for egg development and release. Moreover, obesity often leads to insulin resistance, where the body’s cells don’t respond effectively to insulin. To compensate, the pancreas produces more insulin, but this excess insulin stimulates the ovaries to produce androgens(male hormones such as testosterone). Elevated androgen levels interfere with the maturation of ovarian follicles, leading to poor egg development and lower chances of successful ovulation. This hormonal chaos ultimately results in irregular cycles, missed periods, and infertility. In short, obesity throws a wrench into the hormonal machinery required for conception. Ovulation Problems Caused by Obesity Ovulation—the monthly release of a mature egg from the ovary—is central to a woman’s ability to conceive. In women with obesity, ovulation may become irregular (oligo-ovulation) or may not occur at all (anovulation). This is due to hormonal signals getting misfired or suppressed, which prevents eggs from developing and being released properly. Even if ovulation does occur, it may be suboptimal, meaning the egg released may not be of good quality or the hormonal environment may not support fertilization and implantation. This results in lower conception rates, increased chances of miscarriage, and reduced pregnancy success. Many obese women also experience irregular periods, missed cycles, or unusually heavy menstrual bleeding—signs that the ovulation cycle is out of sync. Without predictable ovulation, the window for conception narrows significantly. PCOS and Obesity: A Complicated Relationship Polycystic Ovary Syndrome (PCOS) affects nearly 1 in 10 women of reproductive age and is one of the most common causes of infertility. While not all women with PCOS are overweight, a significant majority are—and obesity dramatically worsens PCOS symptoms. In PCOS, the ovaries produce excess androgens, which leads to symptoms such as: Irregular or absent periods Multiple small ovarian cysts Acne and oily skin Excess facial or body hair Weight gain and difficulty losing weight Obesity and insulin resistance create a vicious cycle: excess weight worsens insulin resistance, which then elevates androgen levels, further derailing ovulation. This makes weight loss extremely challenging but also crucial in managing PCOS. Women with both obesity and PCOS are more likely to suffer from: Infrequent or absent ovulation Poor egg quality Endometrial abnormalities Lower success rates with fertility treatments The good news? Even moderate weight loss can significantly improve symptoms and restore fertility in many women with PCOS. Impact on Assisted Reproductive Treatments (IVF, IUI) For women turning to assisted reproductive technologies like IVF (In Vitro Fertilization) or IUI (Intrauterine Insemination), obesity can still be a barrier. Studies show that: Obese women often need higher doses of fertility medications They may have fewer mature eggs retrieved during IVF The implantation and success rates are lower There’s a higher risk of early pregnancy loss or miscarriage Excess body fat can affect the quality of the egg, the uterine environment, and the overall hormonal response to fertility drugs. Additionally, obesity is linked to poorer embryo development, which affects IVF outcomes. These complications often result in longer treatment durations, more financial strain, and greater emotional stress. Pregnancy Risks Associated with Obesity Even after a woman with obesity becomes pregnant, the risks don’t disappear—they shift. Maternal obesity increases the likelihood of numerous pregnancy-related complications, such as: Gestational diabetes (high blood sugar during pregnancy) Hypertension and preeclampsia (dangerously high blood pressure) Preterm labor and miscarriage Cesarean delivery and birth trauma Stillbirth or neonatal intensive care needs There are also long-term risks for the baby. Children born to obese mothers may face a higher risk of: Childhood obesity Type 2 diabetes Heart disease and metabolic disorders Managing weight before conception can significantly reduce these risks and lead to a healthier pregnancy and baby. Small Changes, Big Impact: Weight Loss and Fertility Recovery Here’s the most empowering part: you don’t need to lose a massive amount of weight to see benefits. Studies consistently show that losing just 5–10% of body weight can dramatically improve
Life After Bariatric Surgery
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X Life After Bariatric Surgery May 23, 2025 Bariatric surgery, often perceived as a drastic or last-resort measure, is in reality a powerful medical intervention that opens the door to transformation. For individuals who have battled obesity for years—trying diet after diet, struggling with chronic health conditions, and facing societal stigma—this surgery represents far more than just a tool for weight loss. It marks the beginning of a new chapter, one rooted in hope, health, and empowerment. At its core, bariatric surgery is designed to assist with significant and sustainable weight reduction by altering the way the digestive system processes food. But its benefits extend well beyond the numbers on the scale. Life after bariatric surgery is a journey of rediscovery, where physical vitality, mental clarity, emotional healing, and social freedom converge. Patients often experience a profound sense of renewal—shedding not just pounds, but also the limitations and pain that excess weight once imposed. This blog takes an in-depth look at the positive changes after bariatric surgery—from improved physical health and mental well-being to new lifestyle habits and social interactions. Whether you’re considering the procedure, supporting a loved one, or simply curious about the journey, this guide aims to illuminate the inspiring transformations that bariatric surgery makes possible. After all, this is not the end of the road—it’s the beginning of a healthier, happier, and more fulfilling life. 1. A New Chapter: The Physical Transformation Weight Loss Milestones One of the most noticeable changes after bariatric surgery is rapid and substantial weight loss. Most patients lose between 50% to 70% of their excess body weight within the first 12 to 18 months post-surgery. This transformation is not just visual—it is deeply functional. As the body sheds excess weight, the strain on bones, joints, and internal organs diminishes, making movement easier and less painful. Walking, running, or climbing stairs—activities that once seemed daunting—suddenly feel possible again. This progress builds momentum, encouraging patients to stay committed to their new lifestyle. Improvements in Chronic Health Conditions Obesity-related diseases often see dramatic improvement or complete remission following weight loss surgery. Some of the most common chronic conditions impacted include: Type 2 Diabetes: Many patients see normalized blood sugar levels within days or weeks of surgery—often leading to reduced or eliminated need for medication. High Blood Pressure and Cholesterol: These cardiovascular risk factors decline as fat mass reduces, lowering the strain on the heart and arteries. Heart Disease Risk: Lower blood pressure, better cholesterol profiles, and reduced inflammation all contribute to a significantly lower risk of cardiovascular events. Joint Pain and Osteoarthritis: As weight drops, pressure on knees, hips, and the lower back eases, often alleviating pain and stiffness. These changes translate to fewer prescriptions, reduced hospital visits, and greater day-to-day comfort. Better Mobility and Energy Levels Post-bariatric surgery, many patients describe feeling “lighter” not only physically but emotionally. Increased mobility and stamina mean simple actions like bending, walking, and even dancing become easier and more enjoyable. With these physical gains comes a boost in energy levels. No longer burdened by fatigue, individuals are more likely to engage in hobbies, family activities, and even regular workouts—strengthening both the body and mind. Sleep and Breathing Improvements Obstructive sleep apnea, a common obesity-related condition, often improves or resolves entirely after surgery. Many patients can discontinue use of CPAP machines as airways open up and breathing normalizes. Improved sleep quality has a domino effect—boosting mood, concentration, metabolic function, and overall quality of life. Restful sleep also supports faster recovery and better performance throughout the day. 2. Mental and Emotional Rejuvenation Boosted Self-Esteem and Confidence As the body transforms, so does the mind. For many, the weight loss journey brings a renewed sense of confidence. Looking in the mirror and seeing visible progress can dramatically change how someone feels about themselves. Clothes fit better, social interactions feel more comfortable, and there’s pride in taking charge of one’s health. This self-esteem boost can affect every area of life—from personal relationships to career growth. Managing Depression and Anxiety There is a strong link between obesity and mental health challenges, including depression and anxiety. After bariatric surgery, many individuals report a decrease in these symptoms. This isn’t just due to appearance—it stems from a feeling of control, community support, and the body functioning more efficiently. When mental health care is integrated with weight loss support (such as therapy or support groups), patients often find lasting emotional stability and resilience. Gaining a Sense of Control Over Life Bariatric surgery is not a passive fix; it requires commitment and accountability. The post-surgery lifestyle includes structured eating habits, regular physical activity, and ongoing monitoring. These changes foster a strong sense of self-discipline and empowerment. Patients often say they feel more in control—not just of their eating, but of their life choices in general. This sense of autonomy can be profoundly liberating and motivating. 3. Building a Healthier Lifestyle Nutrition and Eating Habits Post-Surgery After surgery, the stomach’s capacity is dramatically reduced, requiring a complete overhaul of one’s relationship with food. Patients must learn to: Eat smaller, more frequent meals Focus on high-protein, low-fat, and low-sugar options Prioritize hydration without drinking during meals Avoid carbonated beverages and processed snacks These nutritional changes not only aid in weight loss but also establish a foundation for lifelong wellness. Adapting to Portion Sizes and Food Tolerance Overeating or consuming the wrong foods can cause discomfort or nausea post-surgery. This forces individuals to
What is Robotic surgery?
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X What is Robotic surgery? May 16, 2025 Surgical care has evolved dramatically over the past century—from the era of large, invasive incisions and prolonged hospital stays to today’s highly advanced, minimally invasive procedures. What once required open surgery with significant recovery time can now be accomplished through keyhole incisions with unmatched precision, thanks to the advent of robotic-assisted surgery. In the early days, surgery was often seen as a last resort. The tools were basic, the procedures were lengthy, and outcomes carried considerable risk. The introduction of laparoscopic surgery in the late 20th century marked a major breakthrough. It allowed surgeons to operate using small incisions, guided by cameras and long instruments. This approach reduced pain, minimized complications, and helped patients recover faster. However, even laparoscopy had its limitations—restricted range of motion, reduced visibility, and physical strain on surgeons during long operations. The next leap forward came with the development of robotic surgical systems—a technological evolution that has redefined what modern surgery can achieve. These systems combine a surgeon’s expertise with the precision of robotic arms, offering three-dimensional high-definition views and a level of control that exceeds the human hand. Robotic surgery enhances safety, accuracy, and outcomes, especially in complex procedures involving the digestive system and internal organs. What is Robotic Surgery? Robotic surgery is a cutting-edge surgical technique that uses computer-assisted robotic systems to perform complex procedures with enhanced precision, flexibility, and control. Unlike traditional open surgery, where a surgeon operates directly with their hands, or even standard laparoscopy which relies on rigid instruments, robotic surgery allows the surgeon to operate from a specialized console, where every movement of their hands is translated into real-time, fine-tuned actions by robotic arms inside the patient’s body. The most well-known system used globally is the da Vinci Surgical System, which has transformed the landscape of minimally invasive surgery. This system comprises three main components: Surgeon Console: Here, the surgeon sits comfortably and views the surgical site in high-definition 3D, magnified up to 10 times. Using master controls and foot pedals, the surgeon manipulates the robotic arms with precision. Patient-side Robotic Arms: These robotic arms are attached to tiny instruments and a 3D camera. They mimic the surgeon’s movements with high accuracy and can rotate and bend in ways far beyond the capability of the human wrist. Vision System: The robotic system provides a crystal-clear, magnified view of the surgical field, allowing the surgeon to see fine anatomical details and perform delicate manoeuvres with confidence. Despite its name, the robot does not operate on its own. Every movement and decision is entirely controlled by the surgeon. The robot acts as an extension of the surgeon’s hands, providing enhanced reach, steadiness, and accuracy—especially in tight or delicate areas such as the digestive tract, pelvic cavity, or near vital nerves and blood vessels. The core components of MASH include: Abdominal Obesity: Excess fat around the abdomen is a major risk factor for developing metabolic syndrome. This is typically measured by waist circumference or waist-to-hip ratio. Insulin Resistance: When the body’s cells don’t respond properly to insulin, leading to elevated blood sugar levels. Insulin resistance is a precursor to type 2 diabetes. High Blood Pressure: Increased blood pressure, also known as hypertension, is another key component. It puts extra strain on the heart and can lead to cardiovascular problems over time. Dyslipidemia (Abnormal Cholesterol Levels): This includes high levels of LDL (bad cholesterol), low levels of HDL (good cholesterol), and high triglycerides, which increase the risk of heart disease. Elevated Blood Glucose Levels: This is a condition where the blood sugar levels are higher than normal, a precursor to type 2 diabetes. Application Areas of Robotic Surgery Robotic surgery has become a cornerstone in the advancement of minimally invasive procedures, especially in the field of abdominal and gastrointestinal health. Its application spans a wide range of complex surgical procedures that benefit from enhanced precision, reduced trauma, and faster recovery. Here are the major areas where robotic surgery is making a significant impact: 1. Advanced Gastrointestinal (GI) Surgeries The digestive system is a complex network of organs, and operating within it demands extreme precision. Robotic surgery allows for safer, more refined movements, especially in deep or narrow areas such as the pelvis or around the intestines. Esophageal surgeries, gastric resections, and intestinal reconstructions benefit from enhanced 3D visualization and steady instrumentation. The robotic system is especially useful in cases where patients have scar tissue from previous surgeries, obesity-related anatomical challenges, or complex anatomical variations. For example, in treating gastric outlet obstruction or severe GERD, robotic surgery offers a highly accurate and less invasive alternative to traditional approaches. 2. Weight Loss (Bariatric) Surgeries Bariatric procedures are increasingly being performed robotically, especially in patients with higher body mass indexes (BMI) or those requiring revision surgeries. Robotic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass are now performed with greater precision and fewer complications. The robotic system’s high level of control is particularly useful in morbidly obese patients, where visibility and space are often limited. Faster healing, reduced pain, and fewer wound infections make robotic bariatric surgery ideal for patients seeking both safety and effective long-term outcomes. 3. Hernia Repairs Hernia repair is one of the most common abdominal surgeries, but complex or recurrent hernias—especially those involving mesh, adhesions, or organ entrapment—can be very challenging. Robotic-assisted hernia repair allows surgeons to perform intricate tasks such as suturing, mesh placement, and
Childhood obesity and MASH
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X Childhood obesity and MASH May 16, 2025 Childhood obesity has emerged as one of the most pressing global health challenges of the 21st century. It not only affects physical appearance but also brings with it a host of medical complications — some of which begin as early as adolescence. Among the most alarming consequences is the development of MASH (Metabolic Syndrome in Adolescents and Schoolchildren), a paediatric form of metabolic syndrome. This cluster of risk factors — including abdominal obesity, high blood pressure, insulin resistance, abnormal cholesterol levels, and elevated blood glucose — can predispose children to type 2 diabetes, cardiovascular disease, and other chronic conditions as they grow older. According to the World Health Organization (WHO), over 39 million children under the age of 5 were overweight or obese in 2022. In India, studies estimate that 14.4 million children are obese, making it the country with the second-highest number of obese children globally. The increasing prevalence of childhood obesity has elevated the risk of early-onset metabolic disorders, shifting the burden of adult diseases to paediatric populations. What is Childhood Obesity? Childhood obesity is a medical condition in which a child has excessive body fat, which can negatively affect their health. It is determined by a child’s body mass index (BMI), a measure of body fat based on height and weight. When a child’s BMI is above the 95th percentile for their age and sex, they are considered obese. Causes of Childhood Obesity: Childhood obesity is influenced by a combination of genetic, behavioural, and environmental factors, such as: Unhealthy Diet: Diets high in calories, sugars, fats, and processed foods contribute significantly to obesity. Consuming sugary drinks, fast food, and snacks that are high in fat can lead to weight gain. Lack of Physical Activity: A sedentary lifestyle, with little or no physical activity, is a significant contributor. Many children spend extended hours on screens (TV, computers, smartphones), which decreases time spent being active. Genetics: Genetics can play a role in obesity, as children with obese parents are more likely to become obese themselves. However, genetic factors alone do not cause obesity; environmental factors are typically at play as well. Environmental Factors: Living in an environment with limited access to healthy foods or safe places to play can contribute to obesity. Socioeconomic factors also affect access to nutritious food and opportunities for physical activity. Psychosocial Factors: Emotional and behavioural issues, such as stress, depression, or boredom, can lead to overeating or unhealthy eating habits as a form of coping. Understanding MASH: Metabolic Syndrome in Adolescents and Schoolchildren MASH stands for Metabolic Syndrome in Adolescents and Schoolchildren. MASH is a paediatric form of metabolic syndrome, referring to a combination of conditions that occur together, increasing the risk of heart disease, stroke, and diabetes. The core components of MASH include: Abdominal Obesity: Excess fat around the abdomen is a major risk factor for developing metabolic syndrome. This is typically measured by waist circumference or waist-to-hip ratio. Insulin Resistance: When the body’s cells don’t respond properly to insulin, leading to elevated blood sugar levels. Insulin resistance is a precursor to type 2 diabetes. High Blood Pressure: Increased blood pressure, also known as hypertension, is another key component. It puts extra strain on the heart and can lead to cardiovascular problems over time. Dyslipidemia (Abnormal Cholesterol Levels): This includes high levels of LDL (bad cholesterol), low levels of HDL (good cholesterol), and high triglycerides, which increase the risk of heart disease. Elevated Blood Glucose Levels: This is a condition where the blood sugar levels are higher than normal, a precursor to type 2 diabetes. The Link Between Childhood Obesity and MASH: Why Childhood Obesity Leads to MASH Increased Insulin Resistance What it is: Insulin is a hormone that allows cells to absorb glucose (sugar) from the bloodstream to use as energy. When a child has too much body fat — particularly visceral fat (fat around internal organs) — their cells become less responsive to insulin, a condition called insulin resistance. How obesity affects it: Fat cells, especially those in the abdomen, release inflammatory signals and fatty acids that interfere with insulin’s action. The pancreas tries to compensate by producing more insulin, but over time, this can lead to elevated blood sugar and eventually type 2 diabetes. Why it’s dangerous: Insulin resistance is the cornerstone of metabolic syndrome. It not only increases blood sugar levels but also triggers a cascade of problems affecting blood pressure and lipid metabolism. High Blood Pressure (Hypertension) What it is: Blood pressure is the force exerted by blood on the walls of arteries. When it’s consistently high, it damages blood vessels and strains the heart. How obesity contributes: Extra body weight increases the amount of blood circulating in the body, which adds pressure to the arterial walls. Additionally, the kidneys, which help regulate blood pressure, are less efficient in obese children. Why it matters: High blood pressure in children often goes undiagnosed because it doesn’t always cause symptoms. Yet, it can quietly damage arteries and organs, setting the stage for early-onset heart disease. Abnormal Cholesterol Levels (Dyslipidemia) What it is: Cholesterol levels include: LDL (low-density lipoprotein) – “bad” cholesterol that builds up in arteries. HDL (high-density lipoprotein) – “good” cholesterol that removes excess cholesterol from the blood. Triglycerides – a type of fat that increases heart disease risk. How obesity affects it: Excess weight often leads to high LDL, low HDL, and high
Sleeve Gastrectomy vs. Gastric Bypass: Which Is Right for You?
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X Sleeve Gastrectomy vs. Gastric Bypass: Which Is Right for You? May 14, 2025 Choosing to undergo weight loss surgery is a life-changing decision—one that goes far beyond shedding pounds. For many individuals struggling with obesity and related health issues like diabetes, high blood pressure, and sleep apnea, bariatric surgery offers a path to not only a healthier body but a fuller, more active life. Among the most commonly performed procedures worldwide are Sleeve Gastrectomy and Gastric Bypass. Though both are effective tools for significant and sustained weight loss, they differ greatly in how they’re performed, how they affect your digestive system, and what they require in terms of long-term lifestyle changes. Understanding the unique benefits, risks, and outcomes of each can help you make an informed decision in consultation with your healthcare team. In this blog, we’ll break down how each surgery works, compare their effectiveness and side effects, and guide you in deciding which option may be better suited to your personal health goals. What Is Sleeve Gastrectomy? Sleeve Gastrectomy, also known as Vertical Sleeve Gastrectomy (VSG), is a restrictive weight loss surgery that significantly reduces the size of your stomach. During the procedure, the surgeon removes approximately 75–80% of the stomach, particularly the curved outer portion called the greater curvature. The remaining stomach is reshaped into a slender, banana-shaped tube—or “sleeve”—that holds much less food. How It Works: The procedure doesn’t involve rerouting the intestines or changing the digestive process. Instead, it works in two main ways: Restricting Intake:The new, smaller stomach can only hold around 100 to 150 mL of food (about the size of a small cup), significantly less than the original capacity. This naturally leads to reduced food intake during meals and a feeling of fullness after eating smaller portions. Hormonal Changes:During the surgery, the part of the stomach that produces most of the hormone ghrelin (often called the “hunger hormone”) is removed. Ghrelin stimulates appetite, so with its levels greatly reduced, patients often feel less hungry between meals, making it easier to manage cravings and reduce overall calorie intake. Key Features: Purely restrictive: No intestinal rerouting. Shorter operative time. Lower risk of nutritional deficiencies compared to bypass. Irreversible, as the stomach is permanently removed. Benefits of Sleeve Gastrectomy: Lower risk of complications. No rerouting of intestines, preserving normal digestion. Suitable for patients with anemia or existing nutritional deficiencies. Fewer long-term complications like internal hernias. Sleeve Gastrectomy Risks: Not reversible. Potential for worsening acid reflux or GERD. Risk of staple line leaks and narrowing of the sleeve. What Is Gastric Bypass? Gastric Bypass, medically known as Roux-en-Y Gastric Bypass (RYGB), is both a restrictive and malabsorptive weight loss surgery. It works by creating a small stomach pouch and rerouting part of the digestive system. This approach not only limits how much food you can eat but also reduces how many calories and nutrients your body absorbs from the food. How It Works: Gastric Bypass aids in weight loss through two major mechanisms: Restricting Intake: During the procedure, the surgeon creates a small pouch at the top portion of the stomach—about the size of an egg. This pouch becomes the new, smaller stomach and is capable of holding only a few tablespoons of food at a time. As a result, patients feel full after eating small portions, leading to a significant reduction in daily calorie intake. Reducing Absorption: After creating the stomach pouch, the surgeon connects it directly to a lower part of the small intestine (called the jejunum), bypassing the rest of the stomach and the upper part of the small intestine (duodenum). Because food skips part of the digestive tract, the body absorbs fewer calories and nutrients. This contributes to faster and more significant weight loss compared to procedures that are purely restrictive. Key Features: Restrictive + malabsorptive. More effective in some patients with severe obesity or diabetes. Greater long-term weight loss potential. More complex surgery with higher risk of complications. Benefits of Gastric Bypass: Often more effective for severe obesity, diabetes, and metabolic syndrome. Better outcomes for patients with severe GERD. Rapid weight loss and higher total excess weight loss. Gastric Bypass Risks: Higher risk of dumping syndrome, where food moves too quickly into the intestine. Vitamin and mineral deficiencies (iron, B12, calcium) due to bypassed intestines. Risk of internal hernias and intestinal obstruction. Requires lifelong supplementation and monitoring. Sleeve Gastrectomy vs. Gastric Bypass: A Detailed Comparison When considering weight loss surgery, understanding the differences between Sleeve Gastrectomy (VSG) and Gastric Bypass (Roux-en-Y or RYGB) is essential. Below is a comprehensive breakdown of how these two procedures differ across multiple key factors: 1. Surgical ComplexitySleeve Gastrectomy is a simpler, less invasive procedure since it does not involve intestinal rerouting. Gastric Bypass is more complex as it requires reconstructing part of the digestive system. 2. ReversibilityThe sleeve procedure is permanent and cannot be reversed. Gastric Bypass is technically reversible, but doing so is rare and complicated. 3. Stomach Size After SurgeryPost-surgery, the sleeve holds about 100 to 150 mL of food. The gastric bypass pouch is smaller, typically holding only 15 to 30 mL—roughly the size of an egg. 4. Food RestrictionBoth procedures restrict how much food you can eat, but they do so differently. Sleeve Gastrectomy limits intake by reducing stomach volume, while Gastric Bypass restricts intake and also changes how food moves through the digestive system. 5. MalabsorptionSleeve Gastrectomy does not affect the absorption of nutrients. In contrast, Gastric Bypass significantly reduces nutrient and calorie absorption, making
Bariatric Surgery: What You Need to Know Before Taking the Step
HOME ABOUT US Dr. Muffazal Lakdawala Note From Our Founders Why Choose DHI? EXPERT CARE Bariatric Surgery Robotic Surgery Endoscopic- Gastric Sleeve SADI Procedure Endoscopic- Gastric Balloon Roux En Y Gastric Bypass Revisional Bariatric Surgeries Sleeve Gastrectomy Sleeve + Procedure After Bariatric Surgery Plastic Surgery After Care & Support Support Groups Non-Surgical Weight Loss Gastrointestinal Surgery Advanced Endoscopy & Colonoscopy Appendectomy Adrenalectomy Cholecystectomy Hydatid Cyst Removal Hernia Surgery Puestow’s Procedure Splenectomy Hysterectomy Video-Assissted Thoracoscopy (VATS) GI Oncology Whipple’s Surgery Stomach Cancers Large & Small Intestine Cancer General Surgery Medical Agents & Tourism OUR TEAM MEDIA AND STORIES Images Videos Testimonials FAQ Collab with DHI Outreach OPD Programs Fellowship Opportunities at DHI Press Blogs Scientific Publications CONTACT US X Bariatric Surgery: What You Need to Know Before Taking the Step By Dr. Muffi May 09, 2025 Obesity isn’t just about appearance—it’s a serious health condition that can quietly take control of your life. From diabetes and hypertension to chronic joint pain and sleep apnea, excess weight can damage nearly every organ system. If you’ve tried dieting, exercise, and medications without lasting success, bariatric surgery may be the life-changing solution you’ve been searching for. This guide walks you through what bariatric surgery is, why it works, and why it could be your next, and final, step toward a healthier life. What Is Bariatric Surgery? Bariatric surgery is a medical procedure that helps people with obesity lose weight by changing how the stomach and sometimes the intestines work. It works in two main ways: Restrictive – By making your stomach smaller, it limits how much food you can eat at one time. Malabsorptive – By rerouting or shortening part of your intestine, it reduces how many calories and nutrients your body absorbs. It’s more than a weight-loss tool—it’s a health-restoring intervention for people with conditions like type 2 diabetes, high blood pressure, PCOS, sleep apnea, or joint pain caused by excess weight. Why Consider Bariatric Surgery? Bariatric surgery is not about taking the “easy way out.” It’s a scientifically proven, medically supported treatment for obesity that has helped millions of people reclaim their health and well-being. When performed by an experienced bariatric surgeon, the procedure can: Help you lose 50–70% of your excess weight in a safe, sustainable manner Improve or completely resolve type 2 diabetes, hypertension, cholesterol issues, and sleep apnea Reduce your long-term risk of heart disease, stroke, infertility, and even some cancers Boost your energy, mobility, and self-esteem This isn’t just about weight—it’s about life expectancy, mental health, and quality of life. Who Is Bariatric Surgery For? You’re likely a candidate if: Your Body Mass Index (BMI) is 40 or higher, or Your BMI is 35–39.9, and you have obesity-related conditions like diabetes, high blood pressure, or PCOS You’ve attempted weight loss through diet, exercise, or medication but experienced little to no long-term success You’re committed to making long-term lifestyle changes post-surgery If you’re tired of the weight-loss rollercoaster, this could be the sustainable solution you’ve been waiting for. Types of Bariatric Surgery: Which Is Right for You? All bariatric procedures work by limiting the amount of food you can eat and/or reducing the absorption of calories. Your surgeon will help you choose the best option based on your health history, weight, and goals. Gastric Bypass (Roux-en-Y) How it Works: A small stomach pouch (about the size of an egg) is created by dividing the top of the stomach. The small intestine is then rerouted and connected to this pouch. This bypasses a large portion of the stomach and the first part of the small intestine. Benefits: Very effective for weight loss and controlling type 2 diabetes. Can lead to 60–80% excess weight loss in the first 12–18 months. Improves or resolves high blood pressure, cholesterol, and sleep apnea. Considerations: More complex than other surgeries. Requires lifelong vitamin and mineral supplements. Slightly higher risk of complications like ulcers or nutrient deficiencies. Sleeve Gastrectomy (Gastric Sleeve) How it Works: About 75–80% of the stomach is surgically removed, leaving a narrow, banana-shaped “sleeve.” The part of the stomach that produces ghrelin, the “hunger hormone,” is also removed. It’s a purely restrictive procedure (no rerouting of intestines). Benefits: Simple and effective: 50–70% excess weight loss. Fewer complications than bypass. Great option for people with a lower BMI or those concerned about absorption issues. Helps control appetite naturally. Considerations: Irreversible (stomach portion is removed). May cause heartburn or acid reflux in some patients. Still requires dietary changes and supplements (less than bypass). Adjustable Gastric Banding (Lap-Band) How it Works: A silicone band is placed around the upper part of the stomach, creating a small pouch. The band is connected to a port under the skin, allowing your doctor to tighten or loosen it by injecting saline. Benefits: Minimally invasive and reversible. No cutting or stapling of the stomach or intestines. Adjustments can be made over time to suit your weight-loss progress. Considerations: Less weight loss compared to other procedures. Higher risk of long-term complications like band slippage, erosion, or poor results. Requires regular follow-up for adjustments. Becoming less common due to lower long-term success rates. Biliopancreatic Diversion with Duodenal Switch (BPD/DS) How it Works: Starts with a sleeve gastrectomy (removal of part of the stomach). Then, a large portion of the small intestine is bypassed, significantly reducing calorie and nutrient absorption. It is both restrictive and malabsorptive, making it one of the most powerful weight-loss procedures. Benefits: Best results for severe obesity (BMI > 50). Can lead to up to 85% excess weight loss. Excellent for treating diabetes and metabolic syndrome. Considerations: Most complex and longest procedure. Highest risk of nutritional deficiencies—requires strict supplement and follow-up care. Not suitable for everyone. The Journey: What to Expect Before Surgery Full medical work-up, blood tests, and sometimes an endoscopy Nutritional counseling to prepare you for dietary changes Psychological evaluation to assess your readiness Insurance paperwork or financial counseling (if applicable) Day of Surgery Most surgeries are done laparoscopically (keyhole), meaning smaller cuts, less pain, and quicker recovery Hospital stay is typically 1–3 days Recovery Start with a liquid diet, gradually progressing to soft foods and then solids over a few weeks Most patients return to work within 2–4 weeks Lifelong dietary changes and vitamin supplementation are essential Life