Weight Loss – Non-Surgical & Surgical Approaches

Understanding the Obesity Pandemic

Obesity is a global epidemic, affecting over 1 billion people worldwide. It is no longer just a cosmetic concern but a chronic metabolic disease leading to diabetes, hypertension, heart disease, and reduced life expectancy.

Incidence & Prevalence of Obesity

Global Statistics: 1 in 4 adults worldwide is overweight or obese (WHO, 2023).

India: Nearly 40% of adults are overweight, and 9% are obese, with urban areas being more affected.

(LSG) – Shrinking the Stomach

How it Works:

  • Reduces hunger hormone (Ghrelin) → Feel full faster
  • No intestine bypass → No malabsorption
  • Weight Loss: 60-70% of excess weight within 12-18 months
  • Diabetes & BP Improvement: 60-70% of patients reduce or stop medicines
  • Best for: People who eat large portions & struggle with hunger
  • Removes 75-80% of the stomach, making it smaller

 (Roux-en-Y) – The Gold Standard

How it Works:

  • Creates a small stomach pouch
  • Bypasses a portion of the intestine → Absorbs fewer calories
  • Changes gut hormones → Better blood sugar control
  • Weight Loss: 65-80% of excess weight
  • Best for: Severe obesity, diabetes remission, acid reflux patients
  • Metabolic Benefits: 85% of Type 2 diabetes patients see remission!

Why is Gastric Bypass Life-Changing?

  • Cures Diabetes: Within few days after surgery, many patients stop insulin & diabetes medicines
  • Reduces High Blood Pressure & Cholesterol
  • Improves PCOS & Fertility

(MGB) – Faster & Simpler Alternative

How it Works:

  • Similar to gastric bypass but with a single intestinal connection
  • Less surgery time & lower risk of complications
  • Best for: Patients with diabetes, metabolic syndrome, and reflux
  • Advantage: Shorter recovery time & equally effective as Roux-en
  • Weight Loss: 60-75% of excess weight

Non-Surgical & Temporary Weight Loss

 How it Works:

  • A soft balloon is placed in the stomach using an endoscope
  • Creates fullness & reduces hunger
  • Removed after 6-12 months
  • Weight Loss: 10-15% of body weight
  • Best for: BMI 27-35, people who dont want surgery
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