The document discusses surgical management of obesity, including bariatric surgery procedures like gastric banding, sleeve gastrectomy, and gastric bypass that can help treat obesity and related medical conditions. It provides an overview of the medical implications of obesity, options for weight management like medical management and intragastric balloons, outcomes from bariatric surgery cases at Medanta hospital, and costs associated with different bariatric surgery procedures.

1. Surgical Management of Obesity Sandeep Malhotra, MBBS, FACS Director Bariatric Surgery Medanta - “The Medicity”

2. Impact of Obesity Comorbid Diseases Disability Premature Death OBESITY MedicalCosts Reduced QOL 

4. Obstetric complications

5. Low back pain

6. DVT & thromboembolism

7. Depression

8. Immobility

9. Cancer (breast, colorectal, prostate, endometrial, etc.)

10. Venous/stasis ulcers

11. Skin infections

12. Intertrigo

13. Accident proneness

14. Diabetes type II

15. Hypertension

16. Lipid disorders

17. Heart disease

18. Asthma

19. Sleep apnea

20. Gallstones

21. NASH (non-alcoholic steatohepatitis)

22. Urinary incontinence

23. Acid reflux

25. Intragastric Balloon

27. Dietician – Diet plan tailored to patient according to metabolic rate, food preferences, hormonal balance and other factors

28. Physiotherapist – Plans exercise regimen keeping in mind patients current limitations with gradual increase over time

31. BMI 32.5-37.5 with associated obesity related medical problems

32. BMI>37.5

33. Waist to Hip Ratio >1 (Men) or >0.8 (Women)

35. Percent Medical Co-Morbidities Resolved after Bariatric Surgery Wittgrove AC, Clark GW. Laparoscopic Gastric Bypass roux-n-y-500 patients. Obes Surg 2000. .

36. Patients live longer……… N Engl J Med. 2007 Aug 23;357(8):741-52. Effects of bariatric surgery on mortality in Swedish obese subjects. Sjöström L, Narbro K, et al. Institute of Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden. CONCLUSIONS: Bariatric surgery for severe obesity is associated with long-term weight loss and decreased overall mortality. N Engl J Med. 2007 Aug 23;357(8):753-61. Long-term mortality after gastric bypass surgery. Adams TD, Gress RE, Smith SC, Halverson RC, Simper SC, Rosamond WD, Lamonte MJ, Stroup AM, Hunt SC. Cardiovascular Genetics Division, University of Utah School of Medicine, Salt Lake City, UT 84108, USA. CONCLUSIONS: Long-term total mortality after gastric bypass surgery was significantly reduced, particularly deaths from diabetes, heart disease, and cancer.

40. Lap Band: 2.75 Lakh in twin sharing

43. Hernia Repair

44. Appendix

45. GI Cancer Surgery

46. Other Bowel Surgery

47. Acid Reflux Surgery