By, Dr Harsh Sheth, Bariatric Surgeon in Mumbai
I. 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
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.