Doss India - Bariatric Surgery specialist in Pune, Maharashtra

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SURGERY TO COMBAT OBESITY(BARIATRIC SURGERY)
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• MENSTRUAL DISORDERS
• INFERTILITY
• HYPERANDROGENISM
• METABOLIC SYNDROME

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TREATMENT OF OBESITY
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Surgical Treatment of Obesity

• Bariatrics is the branch of medicine that deals
  with the causes, prevention, and treatment of
  obesity.
• Bariatric surgery (weight-loss surgery) includes
  a variety of procedures performed on obese.

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Recommends bariatric surgery for obese people
BMI gt 40 without co morbidities
BMI gt35 with 1 or more co morbidities.
or BMI of 30 to 35 with significant or
serious co morbidities. or When less
invasive methods of weight loss have failed and
the patient is at high risk for
Obesity-associated morbidity and mortality.
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Contraindications to Bariatric Surgery
Bariatric surgery carries the potential for
serious complications, morbidity and possibly
mortality. 1. Cardiac complications with poor
myocardial reserve. 2 Chronic obstructive
airways disease or respiratory dysfunction.
3.Significant psychological disorders, or
significant eating disorders.
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CLASSIFICATION OF BARIATRIC SURGERY
Bariatric surgery procedures can be categorized
into operations utilizing 3 methods to produce
weight loss gastric restriction, mal absorption,
or a combination of the two.

• 1. PREDOMINANTLY RESTRICTIVE PROCEDURES
• 2. PREDOMINANTLY MALABSORBTIVE PROCEDURES
• 3. MIXED OR COMBINATION PROCEDURES

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SUCCESS OF BARIATRIC SURGERY
Bariatric surgery has been available for decades.
Most procedures are now performed
laparoscopicaly. Although various procedures
have been described and attempted, the 3 most
common procedures performed 1.Laparoscopic
adjustable gastric banding (LAGB),
2.Laparoscopic roux-en-Y gastric bypass (LRYGB)
and 3.Laparoscopic sleeve gastrectomy (LSG).
Endoscopic Procedures like Intra- Gastric
Balloon / Endo- Barrier System
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RESOLUTION OF DISEASES FOLLOWING BARIATRIC
SURGERY
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Contact Us
Dr. Satish Pattanshetti M.S ( Gen. Surg ) , F M A
S Fellowship in Bariatric and Metabolic Surgery
(Taiwan) Consulting Laparoscopic General
Surgeon Bariatric Metabolic Surgeon Specialist
in Single port Laparoscopic Surgery
Dr. Neeraj V Rayate Director and Principal
Surgeon Dr Neeraj Rayate is a GI and General
surgeon with expertise is laparoscopic and
robotic surgery for gastro-intestinal diseases
and bariatric surgery. After completing his
medical education in India. He has also completed
a fellowship in Gynecological Endoscopy from the
Giessen School of Endoscopic Surgery in Germany.
Dr. Rayate has special interest in
Hepatopancreatobiliary surgery and
gynecolological oncology.
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