By Health IN Five Writer
A team headed by Dr Kedar Patil, Laparoscopic & Bariatric Surgeon, Apollo Spectra hospital Pune successfully performed a reversible bariatric surgery called Gastric plication on a 22-year-old girl weighing 112 kg 3 weeks ago, now the patient weighs102 kgs.
Patient Sayara Khan (Name Changed) suffered from obesity since childhood. She had developed body image issues due to which she could not attend college confidently, socialising with peers and family became challenging. Being a student and staying away from parents, she was not able to adhere to a diet plan and she had failed with multiple attempts of exercise induced weight loss. She was looking for a treatment option that would help her lose about 35 to 40 kgs of weight. She visited Dr Kedar Patil who helped her battle the bulge.
Dr Kedar Patil, Bariatric and Hernia Surgeon at Apollo Spectra Hospital, Pune said, “Her body mass index (BMI) was 39, she already had tried several diet and exercise attempts at weight loss and failed at it. After discussing the various options for Bariatric surgery, she choose Gastric Plication surgery. It is a reversible bariatric surgery in which the stomach is folded onto itself with help of stitches which reduces the size of the stomach. This reduces the size of the stomach due to which the food intake reduces and one loses weight. Although Sleeve Gastrostomy is the most preferred Bariatric surgery amongst patients and bariatric surgeons, it is an irreversible procedure but Gastric plication is a reversible procedure. Both have their own place in the armament of Bariatric surgery for weight loss.”
She was prepared for a week before surgery with modified diet, breathing exercises and high protein diet .The surgery lasted for 3 hours and was started on liuid diet next day, discharged on day 3 after surgery. She was on liquid followed by semi solid diet and now on regular food 3 weeks post-surgery.
Speaking about this reversible surgery, Dr Kedar Patil mentioned that Gastric Plication is a relatively cost-effective surgery since the consumable requirement for this procedure is less compared to a Sleeve Gastrostomy. This is being practiced in the Middle Eastern region where it originated about 10 years ago, but due to technical ease Sleeve gastrostomy is popular these days. We performed Gastric plication as an reversible cost effective option to this young patient.
Dr Patil added, “Generally, the patients lose about 60 to 80% of their excess weight in a time frame of 1-1.5 years, they also need to modify their dietary habits, lifestyle and regularly exercise to maintain the lost weight in the long run. She is expected to lose about 35 to 40 kgs in one year. She needs to take supplements of protein, calcium, multivitamins for a year since obese patients have these preexisting deficiencies. Obesity is a silent killer and impacts every aspect of one’s health that is mental, physical, psychological, reproductive, and pulmonary function. Being obese raises one’s risk of cholesterol, type 2 diabetes, gallbladder, and liver disease, asthma, heart attack stroke, and osteoarthritis leading to higher mortality and morbidity rates. It is better to stay healthy by maintaining an optimum weight.
“I piled up excess kilos and touched 112 kgs. I was unable to do any activities or focus on my studies. I stopped going out and meeting my friends owing to excess weight. I would feel embarrassed and didn’t want to be the subject of discussion. I lost hope as diet and exercise couldn’t help me to lose weight. However, I was fortunate to undergo successful Bariatric surgery at Apollo Spectra Hospital. I thank Dr. Patil and his team for giving me a fresh lease of life. I eat a nutritious diet now and initiated exercise. I intend to stay in shape and I pledge to do whatever it takes to improve my quality of life,” averred the patient.
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