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Dr.  Ashish Vashistha

Dr. Ashish Vashistha

MBBS, MS, FNBE (MAS), Head Department of Surgery Senior Consultant Laparoscopic & Bariatic (Obesity) Surgeon

20 Years Experience

Dr. Vashistha is a renowned senior Bariatric and advanced Laparoscopic surgeon in India with over 20 years of experience in Minimal Access Surgery. He is the Head of the "Department of Surgery" Max Health Care, Saket, New Delhi. He has made significant contributions to Bariatric and minimal access....

Obesity is a complex disorder involving an excessive amount of body fat. Obesity isn't just a cosmetic concern. It increases your risk of diseases and health problems, such as heart disease, diabetes and high blood pressure.

Being extremely obese means you are especially likely to have health problems related to your weight.

What is metabolic syndrome?

The metabolic syndrome is constellation of risk factors in an individual which predisposes the person to greater risk of developing T2DM and CVD.

Presence of 3 or more of the following variables make you qualify into metabolic syndrome.

Variable Definition
Central Obesity Men: waist circumference > 102 cm
Women: waist circumference > 88 cm
Hyperlipidemia LDL – C > 150 mg /dl and /or HDL – C < 40mg/dl in men; < 50 mg/dl for women
Hypertension and hyperglycaemia Blood Pressure > 130/85 mm Hg and fasting blood sugar > 110 mg/dl
Hyperinsulinemia Fasting insulin compared with GTT

What is the concern with being Overweight or Obese?

Being obese is a health hazard with mental, psychological, social physical and economic co- morbidities. If not treated properly, it might become a cause of premature death. Morbid obesity or clinically severe obesity is associated with co- morbidities like adult onset of diabetes and high blood pressure, which can contribute to heart attack, heart failure and stroke. Health concerns such as asthma, sleep apnea, severe acid reflux, lower back pain, urinary stress incontinence are also by – products of increased weight.

How do we measure Obesity?

BMI or Body Mass Index is used to calculate a person’s excess weight. It is calculated by following formula.
       BMI = Weight (kilogram) / Height (Meter2)

BMI Table
  Asia – Pacific guidelines Obesity Grade
Normal built 18 - 22.5 Normal
Over weight 22.5 – 27.5 Overweight
Obese 27.5 – 32.5 Obese
Morbidly Obese 32.5 – 37.5 Severe Obesity
  Above 37.5 Morbid Obesity

What is Bariatric or weight loss surgery procedure?

Weight Loss surgery is a treatment option for patients with severe obesity. It can cause significant weight reduction by altering your body’s food digestion and absorption pattern. The choice of procedure should be decided after a discussion with your Bariatric surgeon. Bariatric surgery is now performed laparoscopically (‘key hole surgery’) which leads to early recovery as it minimizes trauma of surgical access.

Who needs Bariatric or weight loss surgery?

  • BMI is >37.5 without co-morbidities.
  • BMI is between 32.5 - 37.5 with serious weight related problems such as type 2 Diabetes, High blood pressure, Arthritis or Sleep apnea.
  • In some special cases, you may qualify for certain types of weight loss surgeries if BMI is 30 and above and you have serious co-morbid health problems.
  • All other methods of weight loss (exercise, dietary, medicines etc.) have failed to deliver a lasting solution.
  • Unable to do routine activities due to severe obesity.
  • Patients who have understood the surgical procedures for weight loss, the risks and after-effects of surgery and have consented for the same.

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