BARIATRIC-SURGERY - FMH

BARIATRIC SURGERY

Obesity is a chronic disease involving an accumulation of excess fat sufficient to harm health. Individuals are consi-dered obese if their Body Mass Index (BMI) is 30 or higher.

The first thing you need to do is to find out whether or not you are overweight, and if you are, by how much? To do this you have to calculate your Body Mass Index (BMI). If your BMI is above 23 you are overweight and if it is above 30, then you are obese.

BMI is a mathematical formula which expresses the ratio between a person’s body weight and height. Morbid obesity is a chronic, lifelong genetically-related disease. It is defined by a BMI of 35 or above when obesity becomes morbid; the excess weight puts life at risk. The exact causes of morbid obesity are not understood, but there are, most likely, many factors involved. In obese people, the set point of stored energy is too high. This altered set point may result from a low metabolism with low energy expenditure, excessive caloric intake or a combination of both. On insulin-dependent diabetes is highly associated with obesity.

A weight gain of II to 18 pounds increases a person’s risk of developing type 2 diabetes to twice that of individuals who have not gained weight. After weight loss, up to 80% of patients find they no longer have symptoms or require diabetes medication.

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Obese patients who are not diabetic will significantly reduce their risk of developing diabetes with weight loss. There is an increased risk for heart disease, such as heart attack, congestive heart failure, angina or chest pain, sudden death and abnor-mal heart rhythms.

Hypertension is also a risk factor of obesity. Losing weight is one of the primary recommendations for individual with high blood pressure. Many severely over-weight women are infertile because their fatty tissue alters normal estrogen hormone levels. This causes the ovaries not to release eggs. Weight loss can significantly increase one’s chances of becoming pregnant. Obesity during pregnancy is associated with increased risk of death in both the baby and the mother and increases in maternal blood pressure by 10 times. Women who are obese during pregnancy are more likely to have gestational diabetes and problems with labor and delivery.

This surgical technique helps an obese patient lose weight by a modification of their gastrointes-tinal tract. Again this surgery is done by minimally invasive met-hods and has shown excellent results.

FMH is one of the pioneers in this field where experienced surg-eons perform this procedure along with a team of very competent anes-thesiologists.

CONSULTANTS AVAILABLE:

Professor Dr. Aasim Malik

Head Of Department

Dr. Jamshed Ahmad Rehmani

Associate Professor

Dr. Javed Shakir

Head Of Unit 2

Associate Professor

Dr. Junaid Khan Lodhi

Assistant Professor

Dr. Ahsan Masud Chaudhry

Assistant Professor

Dr. Zeeshan Ahmad

Assistant Professor

Dr. Raza Akram

Assistant Professor

PGI Guildeline 2019