Bariatric Surgery - Case Study

By, Dr Harsh Sheth, Bariatric Surgeon in Mumbai

1. OVERVIEW

Bariatric surgery can be one of the most common causes of over eating or overweight. Morbid obesity is when a person has extreme amounts of excess body fat and a body mass index or BMI greater than 35. Hence regarded as surgical emergency. Hence there is a risk of Heart disease and stroke, high blood pressure and Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH), Sleep apnea, Type 2 diabetes. Dr. Harsh Sheth specializes in performing complex bariatric surgeries and has successfully performed a variety of bariatric and laparoscopic surgery and bariatric surgery in Mumbai, in this fashion for more than ten years.

This can result in a reaction in our body in an attempt to “contain” the spread, creating obesity. This will majorly result sleep apnea, diabetes and stroke.

II. DOCTOR NAME

Dr. Harsh Sheth

III. PATIENT DETAILS

Age : 35

IV. SYMPTOMS

Weight gain, diabetes, hypothyroidism

V. TEST PERFORMED

CBC, HbA1c, Lipid profile, thyroid profile, nutritional profile, renal function tests, liver function tests

VI. DIAGNOSIS

Morbid obesity

VII. TREATMENT

Bariatric Surgery

VIII. DESCRIPTION OF THE TREATMENT

The patient was a young 35 year old unmarried female who had been suffering from weight gain, hypothyroidism and diabetes mellitus since adolescence. Her BMI at the time of treatment was 45.3 kg/m2. She had uncontrolled diabetes (HbA1c=9.1), hypothyroidism (requiring high levels of thyroid enzyme supplementation).

She presented to us with these symptoms and described that multiple attempts to lose weight by diet and exercise had failed over the past 10 years. Which is why we offered her a bariatric surgery (Roux-en-Y gastric bypass).

She is 6 months post bariatric surgery and is leading a much better life, having lost 15% of her total body weight with diabetes resolution and reduction in her thyroid enzyme supplementation levels.

IX. POST TREATMENT GUIDELINES

Nutritional follow-up to ensure that the patient continues with supplements as prescribed.