Weight Loss Surgery
Bariatric Procedure
Surgical interventions to achieve significant and sustained weight loss in patients with obesity — improving metabolic health, reducing comorbidities, and enhancing quality of life.
ABOUT THIS CONDITION
What is Bariatric Procedure?
Bariatric surgery refers to a range of surgical procedures that help patients with severe obesity achieve significant weight loss by reducing the stomach’s capacity, altering the digestive pathway, or both. These procedures are indicated when lifestyle modification and medical management have failed to produce adequate weight loss in patients with a BMI of 35 or above, or BMI 30+ with associated metabolic conditions such as type 2 diabetes. Dr. Tagore Mohan Grandhi performs bariatric and metabolic surgery at Lux Hospitals, Hyderabad, tailoring the procedure to each patient’s metabolic profile, weight loss goals, and surgical risk. Bariatric surgery is not merely weight-loss surgery — it is a powerful metabolic intervention that can achieve remission of type 2 diabetes, hypertension, and obstructive sleep apnoea.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Genetic predisposition to obesity and metabolic dysfunction
- Dietary habits, sedentary lifestyle, and environmental factors
- Hormonal imbalances affecting appetite and fat storage
- Medical conditions such as hypothyroidism or PCOS
- Medications causing weight gain as a side effect
- Long-term failure of conservative weight management strategies
CLINICAL DETAILS
KeyFacts
BMI ≥35, or BMI ≥30 with metabolic comorbidities
Sleeve, Bypass, Banding, Balloon, Metabolic Surgery
Up to 80% remission rate with gastric bypass
50–70% of excess body weight within 12–18 months
Return to normal activity in 3–4 weeks
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Metabolic / Diabetic Surgery
Bariatric procedures, particularly gastric bypass and sleeve gastrectomy, offer powerful metabolic benefits beyond weight loss. Dr. Grandhi uses these procedures as a targeted intervention for type 2 diabetes and metabolic syndrome, achieving remission in a significant proportion of patients even before substantial weight loss occurs.
- 1
Assessment & Pre-operative Evaluation
A comprehensive assessment including BMI, metabolic profile, endoscopy, cardiac and respiratory evaluation, and nutritional review determines suitability and guides procedure selection.
- 2
Procedure Selection
The appropriate bariatric procedure — sleeve gastrectomy, gastric bypass, banding, balloon, or metabolic surgery — is selected based on BMI, diabetes status, anatomy, and patient preference.
- 3
Laparoscopic Surgery
The selected procedure is performed laparoscopically under general anaesthesia. Most procedures are completed in 60–90 minutes with small keyhole incisions and minimal blood loss.
- 4
Rehabilitation & Long-term Follow-up
A structured dietary programme, vitamin supplementation, and metabolic monitoring are initiated post-operatively. Regular follow-up at 1, 3, 6, and 12 months ensures sustained weight loss and metabolic improvement.
AVAILABLE TREATMENTS
TreatmentOptions
Sleeve Gastrectomy
Laparoscopic removal of approximately 75% of the stomach, creating a sleeve-shaped tube. Reduces capacity and appetite-stimulating hormones. Most commonly performed bariatric procedure.
Roux-en-Y Gastric Bypass
Creates a small gastric pouch connected directly to the small intestine, bypassing most of the stomach and duodenum. Gold standard for metabolic surgery and diabetes remission.
Mini Gastric Bypass
A simpler single-anastomosis bypass procedure combining restriction and malabsorption with a shorter operative time and comparable outcomes to Roux-en-Y bypass.
Gastric Banding
An adjustable silicone band placed around the upper stomach to restrict food intake. Reversible and adjustable, suitable for selected patients.
Gastric Balloon
A temporary, non-surgical intragastric balloon placed endoscopically to reduce stomach capacity and promote early satiety. Suitable as a bridge or for lower BMI patients.
Metabolic / Diabetic Surgery
Bariatric procedures specifically indicated for metabolic control in type 2 diabetes, targeting hormonal and gut microbiome mechanisms independent of weight loss.
COMMON QUESTIONS
Frequently Asked Questions
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