Bariatric Endoscopy and Nutrition
Obesity is defined as an excessive accumulation of in the body resulting in adverse effects on health of the individual. Three simple measures of obesity are widely used in clinical practice; BMI, WC and waist-to-hip circumference ratio (WHR). Asian Indians exhibit unique features of obesity; excess body fat, abdominal adiposity, increased subcutaneous and intra-abdominal fat, and deposition of fat in ectopic sites (liver, muscle, etc.). Almost 30-65% of adult urban Indians are either overweight or obese or have abdominal obesity. The rising prevalence overweight and obesity in India has a direct correlation with the increasing prevalence of obesity-related co-morbidities; hypertension, the metabolic syndrome, dyslipidemia, type 2 diabetes mellitus (T2DM), and cardiovascular disease (CVD).
Asian Indians have higher percentage body fat, abdominal adiposity at lower or similar BMI levels as compared to white Caucasians. Hence for Indians
Normal BMI: 18.0-22.9 kg/m2
Overweight: 23.0-24.9 kg/m2
Obesity: >25 kg/m2
At Sparsh we have a team of qualified doctors looking at reversible causes of Obesity like endocrine disorders, depression – Eating disorders, medications and acid peptic disease. They (Gastroenterologist, Dietician and physiotherapy) analyse your daily routine and food consumption and come up with ways to help you lose weight. We also provide bariatric endoscopy to assist weight loss. These are OPD procedures with no need for admission and are removed after the desired weight loss
Offers an easy to undergo OPD/Daycare procedure, without incision or scar. Normally it doesn’t need admission and can be used as a bridge to bariatric surgery in people who are morbidly obese with obstructive sleep apnea where anaesthesia for surgery is difficult.
Intragastric balloon placement:
An inflatable balloon is left in the stomach by endoscopy and inflated to a desired volume. This produces a satiate feeling and reduces oral intake and hence weight loss. After the desired weight loss is achieved it can be easily removed as an OPD procedure.
The Duodenal-Jejunal Bypass Sleeve (EndoBarrier Gastrointestinal Liner):
It is an impermeable fluoropolymer sleeve that is reversibly fixated to the duodenal bulb and extends 80 cm into the small bowel, usually terminating in the proximal jejunum. It allows transit of food from the stomach through to the jejunum without contact with the duodenal wall. By not allowing mixing with pancreatic exocrine secretions and bile in the jejunum, it mimics a duodenal-jejunal bypass and encourages weight loss through malabsorption. Again it can be removed after the desired weight loss is achieved.