Bariatric surgery includes a variety of procedures performed on people who are obese. Weight loss is achieved by reducing the size of the stomach with a gastric band or through removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by re-routing the small intestines to a small stomach pouch (gastric bypass surgery).
Studies show that the procedures cause significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a reduction in mortality.
The Obesity Surgery Society of India(OSSI) has recommeded that bariatric surgery can be offered to over 37.5 BMI patients even without any other disease and for people with BMI 32.5 with coexisting medical conditions such as diabetes, hypertension, sleep apnoea, PCOD, osteo-arthritis & seriously impaired lifestyle.
International Diabetes Federation(IDF) in a position statement has recommended surgery for >27.5 BMI with uncontrolled type 2 diabetes in patients with atleast 1 cardio-vascular risk factor.
Dr Goel is also doing a clinical trial for surgical treatment of diabetes in > 23 BMI patients.
Summary of Bariatric Patient Acceptance at CMS
- 37.5 – Bariatric Surgery
- >32.5 with associated diseases – Bariatric Surgery
- >27.5 with uncontrolled T2DM with Cardio-vascular risk factor – Bariatric Surgery
- >23 with uncontrolled T2DM – Ileal Interposition(Clinical Trial)