Centre for Metabolic Surgery

Dr. Ramen Goel is one of the leading bariatric surgeons in India with 30 years of Experience in Bariatric Surgery. He is considered as one of the top obesity  surgeon in Mumbai. He founded Centre for Metabolic Surgery, in the year 2000 in Mumbai, India. Dr. Ramen Goel, a pioneer Bariatric surgeon, founded Centre for Metabolic Surgery, in the year 2000 in Mumbai, India. He is considered as one of the best bariatric surgeons in India. CMS is a dedicated Bariatric center and Metabolic surgery program, based on the pillars of care, compassion and safety. Over the course of past 19 years, CMS has evolved into a nurturing support structure, helping patients achieve significant weight-loss. Procedures we perform: Sleeve Gastrectomy, Gastric Band, Gastric Bypass, Mini Gastric Bypass, Gastric Balloon, Ileal Transposition Surgery, Banded Gastric Bypass, Endoscopic Sleeve Gastroplasty.

Contact us on: +91 9820170783, +91 9323599309

In September 2001, the first ever bariatric surgery was performed in Mumbai by a team of enthusiastic and anxious team of surgeons at the Inlaks Hospital, Chembur. Besides Dr Ramen Goel, primary surgeon, the only other bariatric surgeon in the country Dr Shrihari Dhorepatil and 2 associate surgeons were part of this pathbreaking event. Extensive preparation including check lists of equipment and surgical do’s and don'ts preceded the actual event. Though first surgery had its set of hiccups, overall outcome was satisfactory.

Thus, for the first-time obesity, a so-called medical disease could be managed surgically too. Best obesity doctors in Mumbai, in a subsequent conference, hailed the event and accepted #the role of surgery in morbidly obese individuals. Within 2 years, the premier national healthcare institution Bombay Hospital, Mumbai started first ever obesity department in a private hospital under Dr Ramen Goel. Soon enough it was regarded as the best obesity hospital in Mumbai.

With continued knowledge sharing by pioneer bariatric surgeons, more surgeons took upon challenge and started bariatric programs at other hospitals like Breach Candy, Saifee Hospital etc. In the first decade, few patients opted for bariatric surgeries due to apprehensions about safety and outcome efficacy. Eight surgeons across the country founded an association of bariatric surgeons called ‘Obesity Surgery Society of India’, which laid foundation of academic growth of specialty.

Preferred surgical procedures continued to change over years. Vertical banded gastrectomy which was mostly done through open route went out of favor with the advent of minimally access or keyhole bariatric approach. Surgeons started performing more gastric bands, sleeve gastrectomy, roux-n-y gastric bypass and mini gastric bypass surgeries because of lowered risk and better acceptance.

Similarly surgical indications changed overtime due to better understanding of diseases and related complications. From a purely weight loss reason in over 40 BMI patients, the cut-offs were reduced to 35 BMI for Indian patients even in absence of any associated diseases. While for uncontrolled diabetes surgery can now be offered even at 27.5 BMI.

Various healthcare accreditation and rating agencies started evaluating performance of bariatric surgeons and institutions. Top obesity surgeons in Mumbai and specialty wise hospitals were identified and honored by media outlets.

Recognizing the efficacy and societal need, bariatric surgery became the only obesity treatment modality which is insurance covered, reimbursed by corporates and offered free to government employees and their dependents.

Carrying extra kilos takes a toll on health. Obesity is the rootcause of many other health problems like diabetes, hypertension, heart disease, arthritis, sleep apnea, respiratory problems and more.

If you are overweight and want to reduce it, there are many treatment options available. Sometimes it can be very taxing to start a weight loss journey as most of the time it is a long procedure. However, there are many options available and if carefully selected, you can get quick and effective results leading to a healthier life. 

There are also plenty of fad diets to shed calories rapidly but may leave you feeling hungry and deprived of nutrition. Efforts to treat morbid obesity through diets, counselling and medications bring only short-term results.

To achieve permanent results, it is best to lose weight in a planned and systematic manner like weight loss surgery. Weight loss surgery is also known as bariatric or metabolic surgery. Bariatric surgery includes a variety of procedures that is performed in people with obesity.

Center of Metabolic Surgery (www.obesity-care.com) is well know best bariatric surgeon in Mumbai India headed by the best bariatric surgeon in Mumbai , known for safety & quality care. The Bariatric program has Center of excellence accreditation certifications.

In this laparoscopic procedure, , weight reduction is achieved by reducing the size of the stomach. The basic purpose of this is to restrict food intake , decrease absorption of food in stomach and intestines & induce hormonal changes which lead to significant & sustained weight loss besides other metabolic benefits.

Let us have a look at some benefits of weight-loss operations – 

– Better quality of life: Weight loss reduction helps you to perform more activities like walking, jogging, swimming, cycling. Physical activities helps burn more fat, reduces insulin levels, and calms stress hormones. You are thus more confident and become active in the social circle.

– Fall in mortality rate: Obesity increases the risk of many diseases with a high mortality rate. But gastric weight loss surgeries significantly reduces the risk of death from metabolic syndrome as you can achieve approximately 70%- 100% of excess weight loss within 1-2 years of the surgery.

– Permanent weight loss: it is indeed possible with bariatric surgery and person’s commitment to dietary and lifestyle changes.

– Less need for medications: A significant amount of weight loss helps to resolve chronic health conditions like heart disease, diabetes, asthma, arthritis and more.

– Reduced risk of cancer: Obesity is linked to an increased risk of many cancers like ovarian cancer, colorectal cancer etc. If you undergo bariatric surgery, you will have a much lower chance of developing them.

Nearly 30% of the world’s population i.e. 2.1 billion people are either obese or overweight. The numbers are staggeringly high at 650 million for people suffering from morbid obesity i.e. a BMI of 37.5 and above. Contributing to multiple diseases of the heart and mind, morbid obesity continues to be a major factor in hampering the physical as well as psychosocial growth of a person.

Doctors all over the world recommend Bariatric surgery for morbidly obese patients as they cannot lose and/or maintain their extra weight. By limiting the stomach’s capacity & producing some hormonal changes in the body, the surgery facilitates significant weight loss along with dramatic improvements in the cardiovascular risk, diabetes, PCOD, sleep apnoea etc.

However, one must keep in mind that obesity is a chronic disease and followed by a successful surgery, a healthy lifestyle is essential.

The surgical outcome is dependent on adherence to regular follow-ups with the surgeon & his team. High protein diet, physical activity and supplements etc., play an important role in maintenance.

Surgical reasons for weight regain like dilatation of the pouch or stoma are extremely uncommon.

Certain patients return to habits like alcohol abuse, which can limit the benefits of Bariatric surgery. It is crucial to have a support system among family, friends or weight loss surgery support group to help stay focused on the goal to maintain optimum weight. A patient can discuss their food urges and intake capacity with their bariatric program to maintain weight.

Top Obesity Doctor In Mumbai - Obesity Care is one of the best bariatric hospital in Mumbai, headed by Dr. Ramen Goel. We also assist you after weight loss surgery. Consult at +91 9820170783.Our years of experience in weight-loss surgery enables us to provide safe results and quality obesity care to all patients.

Weight loss surgery marks the beginning of a new life, backed by strong will and determination of people opting for surgery. This article provides a sneak peek into life after weight loss surgery.

Mrs. Anand is at her favourite restaurant to celebrate her 40th birthday. As she flips the pages of the extensive menu she is carefully scanning for items that are low on fat and sugar. It is important that she chooses foods that are nutritionally adequate and do not end up resulting in additional kilos. Life has taken a U-turn for Mrs. Anand ever since she took the decision to undergo a weight loss surgery. After innumerable unsuccessful attempts at weight loss she had finally found an answer to her woes in Bariatric surgery.

Excess weight was no longer a mere cosmetic issue for her as it affected other aspects of her life. The additional weight was posing a serious concern- health conditions such as diabetes, heart problems had started to get worse. In addition to that, she struggled with mental fatigue, depression and anxiety while the weight piled on, kilo after kilo. It went up to a point when the doctors warned about worsening condition of her health, diabetes taking a serious toll on her wellbeing. Surge in blood pressure, blood suhttps://obesity-care.com/own for good as Mrs. Anand is much more active, energetic and cheerful now.

Mrs. Anand is one among many who are struggling with health issues on account of excess weight. Bariatric surgery and the subsequent weight loss can work wonders for such individuals. But this is no magic. The successful outcome of a weight loss surgery calls for fundamental changes in all areas of life. Though a weight loss surgery helps lose weight, eliminate obesity-related health issues and improve the quality of life, it also means some major changes in the way one live his/her life. These include the way you eat, what you eat, when you eat, how you feel about yourself, and much more. It is important that you are closely supervised by a team of experts as you begin your new life after surgery.

Changes you should embrace

Following a weight loss surgery, it is very important to follow healthy eating practices than ever before.  A team of experts- the doctor, nurses and dietitians train you for this.  Eating mostly protein will be the best way to lose weight and keep it off. You will need to stop eating when you are full. You will need to avoid foods that are high in calories. Getting right doses of vitamins and minerals through supplements are critical as you recover.

Similarly, regular physical activity as recommended by your doctor is a vital component for healthy living after a weight loss surgery. A physical activity plan that gradually helps to build stamina and also helps you to burn off calories will be part of your daily routine. Choosing a physical activity plan that you enjoy will ensure adherence.

Importance of Follow-up

Regular follow-up visits to the surgeon, a physician assistant, dietitian, mental health professional, exercise specialist are as important as the surgery itself. Choose a qualified surgeon who has a complete team for long-term aftercare. Adequate support and expert guidance after the weight loss surgery go a long way in safeguarding your well-being.

If you are facing obesity issues since and unable to shed your weight, the best a doctor would recommend is to undergo an endoscopy sleeve surgery. This is the most preferred treatment option to bring down the fat concentration from the body. When you connect with a professional sleeve or bariatric surgeon, you will get complete information on how the procedure takes place and what are the benefits you will get along with a low-fat body.

However, before you undergo surgery, it is vital to have some idea about the types of endoscopy surgery and Endoscope-

What is an Endoscope?

Endoscopy is the process where the doctor inserts a tool called Endoscope. Most of these endoscopes are thin tubes with a powerful light and tiny camera at the end. The length of the Endoscope depends on the part of the body the doctor needs to see.

There are different tools used during the endoscopy sleeve surgery-

●       Flexible Forceps- These tong-like tools take a tissue sample.

●       Biopsy forceps. These remove a tissue sample or a suspicious growth.

●       Cytology brushes. These take cell samples.

●       Suture removal forceps. These remove stitches inside the body.

Once you are clear with the tools used for the endoscopy sleeve surgery, you can confidently go ahead with the process.

When you are looking for endoscopy sleeve surgery, there are specific questions you should ask. Here are some you can ask-

1.      What do I need to do before the surgery?

When you ask this question to the doctor, you will be informed about the preparation and restrictions to follow to ensure the operation goes smoothly. It is vital to get things understood.

2.      What happens when the minimally invasive operation?

While asking this question, make sure you understand all the steps of minimally invasive procedure. Find out where the incisions will be and how many of them will be needed.

3.      What are the side effects of Endoscopic Surgery?

Post-surgery there are chances of side effects like pain. Therefore, you must know about it in advance. Be clear to see where you will feel discomfort and how long it will be. The side effects can differ from person to person.  If you have any significant side effects, it is better to connect with the sleeve surgeon who will advise on steps to follow to avoid side effects.

4.      How long will it take to recover?

It is important to ask this question because you can be mentally prepared. You need to be realistic on what you can do for recovery purpose. Depending on your body type, and if you are going through any health issues, the recovery may differ. There are many patients recover very soon, but there are others take time to recover.

5.      What are the aftercare instructions?

This is the most important question to ask before undergoing endoscopy sleeve surgery. This will help you to know what precautionary measures you should take to recover faster. The doctor may consider telling you to change your lifestyle and follow regular workout. You need to consider following right workout sessions daily that will help in keeping your body in shape and bring down the fat.

Conclusion-

Sleeve surgery is the most common surgery procedure conducted on obese people. Be it the children or young, obesity can attack anyone, and sleeve surgeons after proper examination would recommend to go for the surgery. Obesity is one of the biggest diseases maiming the adolescent population of the world. It can be checked with the help of surgical procedures and lifestyle changes. Bariatric surgeries are the answer to many obesity-related cases in children but there are some parameters to consider.

One of the reasons behind the children obesity is the lifestyle and wrong eating habbit. Children who face obesity can face health issues later as the age keeps growing.

Recommended criteria for bariatric surgery

The body mass index (BMI) of a patient is considered to be the prime factor here. Its calculation is adjusted as per age and then used to diagnose overweight issues.

Sleeve surgery or any other bariatric procedure is recommended by surgeons when:

●      A child patient has a BMI of 35 with co-morbidities such as Diabetes Type II, pseudotumor cerebri, fatty liver, sleep apnea, etc.

●      A child patient has a BMI of 40 suffering from high cholesterol levels, high blood pressure, and moderate to severe sleep apnea.

How bariatric surgery can help?

Bariatric surgeries are subjected to the reduction of excess weight to tackle various co-morbidities that a patient is suffering. It also aids in reducing the risk of developing such lifestyle diseases in the adult stage.

This surgery is particularly done to handle the following childhood-obesity related problems.

●      Diabetes Type II

This type of diabetes develops later and is directly associated with obesity problems. This disease needs proper management. It tends to deteriorate with time and aggravates the overall health of a patient. It can also make the patient more prone to other major diseases.

●      Obstructive Sleep Apnea (OSA)

More than 22% of adolescent patients suffer from OSA due to obesity. Abnormal pauses in rhythmic breathing and hindered sleep cycles are the prime symptoms of OSA. It can cause moodiness, fatigue, and attention disorder.

●      Fatty Liver Disease

It has been found that nearly 4 out of 10 obese children suffer from non-alcoholic fatty liver disease. Fat deposition in the live causes such abnormality. If unchecked, it can lead to inflammation and fibrosis/scarring of the liver. A lot of improvement in the condition is witnessed once a patient undergoes bariatric surgery.

●      Cardiovascular disease

Research suggests an elevated risk of cardiovascular diseases among children triggered by obesity. There is a lack of proper data but it is confirmed that obese children are prone to such diseases in their adulthood. Weight loss surgery can be the best method to overcome the risk and to find improvement in cardiovascular health.

●      Depression and psychological issues

Obese children are prone to psychological disorders. They feel less confident and suffer from mood swings, irritability, etc. In fact, a considerable number of cases have also reported suffering from depression. Sleeve surgery enables a patient to control his bodyweight. This will help to tackle such psychological disorders perfectly.

●      Eating disorders

Eating disturbances are a serious threat to obese children. Binge eating can be stopped by using various bariatric surgical procedures.  Having certain restriction in eating is the most important thing.

Seeking proper consultation

The current pandemic situation is making us think twice about our health and ailments. As per the citations of the Centers for Disease Control and Prevention (CDC), the rate of recovery of COVID-19 is multiple times higher than its mortality rate. It shows that healthy individuals who have contracted this disease will recover quickly. Patients with co-morbidities might face a threat as their bodies will not be able to resist the infection properly. In the list of complicated lifestyle diseases, obesity ranks on the top. There has been a rise in gastric sleeve surgery India due to an unhealthy lifestyle followed by people. It is the reason for different other diseases when not checked or brought under medical supervision. 

Apart from maintaining the highest precautions to avert this disease, weight loss solutions should be availed of by the patients to become healthier and immune to such infections. Dr Ramen Goel, Head, Center for Metabolic Surgery, is the best bariatric surgeon in India. According to his insights and experience, there are excellent invasive procedures that can be utilized to reduce weight and maintain a healthy body mass index.

What is gastric sleeve surgery?

Under the skilled hands of a medical unit, weight loss surgery can be one of the best ways to tackle obesity. For this, a patient will need a brilliant infrastructure for surgery and post-surgical care. In this case, procedures such as gastric sleeve surgery India are performed by bariatric surgeons considering the health factors of a patient. This surgery is largely recommended for those who suffer health issues due to obesity. It is quite different from gastric bypass, where the surgeon makes a small pouch without touch many areas of the stomach, and goes straight to the intestine.

Gastric sleeve surgery is an innovative invasive procedure where almost 80% of the patient’s stomach is removed using endoscopic methods. Top bariatric surgeons and state-of-the-art infrastructure are necessary for this surgery. This reduction of stomach size enables a patient to consume less and counter obesity to regain his health.

Why seek weight loss surgery?

This surgery is specifically chosen for patients with BMI 40 or above. A few of the benefits of weight loss surgery Mumbai to counter the harmful effects of obesity are:

●      Long-term weight loss plan

This surgery will help tackle obesity for a long-term period. Patients will recuperate well and control their body weight without any hassle.

●      Diabetes Type II remission

Obese patients suffering from Diabetes Type II will get exceptional benefits from this surgery. It has been found that most of the patients do not need insulin to control blood sugar levels. Simple changes in lifestyle enable a patient to tackle blood sugar issues after the surgery.

●      Cardiovascular health improvement

Once an endoscopic sleeve surgery is done, a patient can control the cholesterol level and blood pressure. This results in the improvement of the cardiovascular health of obese patients.

●      No mental issues

Forget mental disorders such as depression arising from social stigma and body image. Many obese people face mental stress that further ads to the health issue. This surgical procedure will also help recuperate from stress, depression, etc.

●      Obstructive Sleep Apnea

Sleep apnea is largely caused due to obesity. With bariatric surgery, patients will be able to sleep perfectly as achieving normal weight will result in normal breathing during sleeping.

Verdict

Various studies have revealed bariatric surgery to be the most successful and longest-lasting cure for obesity. And now, Gastric sleeve which is also called gastrectomy is the most popular type of weight loss surgery. According to the American Society of Metabolic and Bariatric Surgery, gastric sleeve surgery accounted for an approximate 60% of all bariatric surgeries done in 2017.

 Through gastric sleeve surgery one can expect to lose up to 70 percent of theirextraweight loss. The sleeve gastrectomy normally results in 30 to 40 percentage of body weight loss or 50 to 70 percent extraweight loss from your standard starting point. Your additional body weight is the difference between your ideal weight and your current weight.

 How the Gastric Sleeve Combats Obesity

 Gastric sleeve surgery is a progressive weight loss process that decreases stomach sizepermanently by 85%. It’s helps reducing food intake and number of calories consumed, which makes you lose weight by feeling less hungry.

 Following are three reasons why gastric sleeve surgery is a successful solution for obesity:

 1.          ReducesCraving and Decreases Feelings of Hunger

 Gastric sleeve surgery helps in biological changes that reduces the gut-hormones production, such as ghrelin, that helps stimulate hunger by working with brain. A reduction in the concentration of ghrelin results in reduced appetite, reduced hunger pangs, and greater feelings of fullness.

 2.     Reduces Risk of Weight-Related Health Problems

  Obesity is the maincause of type 2 diabetes, which is the primaryreason for blindness, kidney diseases, and lower extremity amputations in adults. People who have diabetes are also more likely to experience heart complications and stroke.

The risk of your heart disease and diabetes, which is the main cause of mortality worldwide, can be reduced by losing as little as 5% of your total body weight. Patients who undergo gastric sleeve surgery lose around 30% of additional weight in the years following the process. Addedadvantage of gastric sleeve surgery contain lower blood sugar, lower blood pressure, and improved lipid levels.

 3.     Long-Term Cost Savings

 Patients who have weight loss surgery experience a 29% decrease in health care take 5 years after their procedure, on an average. This dramatic decrease is because of the decrease or removal of obesity-related conditions, that are more expensive to treat over time.

In fact, weight loss surgery nearly pays for itself — quotes suggest that patients recuperate the cost of gastric sleeve surgery within a period of two to four years of the process, due to the reduction in costs linked with treating weight-related conditions.

 Economics specialists also argue that weight loss surgery spurs an upsurge in worker efficiency, which results in an expected annual gain of $2,765 for U.S. employers.

 Gastric Sleeve Surgery