Dr. Anirudh Vij (Bariatric Surgeon)
If it is good to lose something; that is WEIGHT
Get back your original shape and regain the long lost confidence
Centres of Excellence
Internal Medicine
Cardiology
Pediatrics
Bariatric Surgery
GI EndoscopyBariatric Surgery
Lifestyle anomalies have bestowed new and unique disorders upon us. Obesity is one of them. This common disorder has spared nobody; adults, elders and even children. The Department of Bariatric Surgery at Dr. Sunder Lal Memorial Hospital is one of the best places in the entire Delhi and NCR region to get rid of all such obesity conditions.
Directly working under the supervision of the able hands of Dr. Anirudh Vij, the department has so far conducted many bariatric surgeries successfully at all levels.
The hospital has a modern and very sophisticated operation theatre, where all the latest equipment and facilities are available. Dr. Anirudh Vij is a specialist in this field with years’ of experience in conducting bariatric surgeries in India and abroad.
He has expertise in treating MORBID OBESITY, which is extreme case of obesity with numerous medical, psychological and social consequences.
The most prevalent associated diseases includes
- Degenerative joint disease
- Hypertension
- Type 2 diabetes mellitus
- Obstructive sleep apnea
- Asthma
- Right heart failure
- Arrhythmias
- Venous ulcers
- Infertility
- Stress urinary incontinence
- Pseudotumorcerebri
- Depression
- Various cancers
- Various cancers
Finding out if you are obese is simple; you calculate your BMI (Body Mass Index)
Bariatric Surgery Procedures
The term “Bariatric Surgery” refers to surgical procedures performed to reduce body weight. It has been proved to be the only effective treatment for morbid obesity. In 1991, the National Institute of Health (NIH) Consensus established the guidelines for bariatric surgery for patients with BMI> 35 kg/m2 with severe obesity related comorbidity and for BMI > 40 kg/m2 with or without comorbidity.
There are basically two types of bariatric surgical procedures - Restrictive and malabsorptive. Restrictive procedures reduce the amount of food intake by decreasing the reservoir capacity of stomach whereas malabsorptive procedures decrease the amount of food being absorbed by the intestine. Some procedures have both these effects and are known as combined procedures.
There is a rapid loss of body weight after bariatric surgery during the first six months with a more gradual weight loss which can continue up to 2 years. The percentage of excess weight loss varies with the type of procedure performed and can vary from 50% to 80%.
In the present day scenario, all these operations are performed laparoscopically by the minimal access technique. This reduces the trauma to the abdominal wall and provides ease of access to the organs inside the abdomen. The other advantages of this approach include less pain, superior cosmesis and faster postoperative recovery.
The various common bariatric surgical procedures in modern day practice are the following
This procedure consists of removing the majority of the stomach using laparoscopic staplers to form a banana shaped tube. This reduces the amount of food that can be consumed at one sitting. Also, the fundus of the stomach is removed which is the major source of hunger producing hormone (ghrelin). Thus, the patients feel easily satiety after the surgery and it helps them to reduce their body weight.
In this operation, a small gastric pouch of around 50 ml is created which is joined to a limb of intestine bypassing a total of 150-200 cm of small intestine. This helps in reducing the amount of food intake and also the absorption of the ingested food by the intestine.
This is one of the simplest bariatric surgeries to perform in which an adjustable silicon band is placed around the upper end of the stomach which helps to regulate food intake and provide a sense of satiety to the patient.
A relatively new procedure wherein a part of the stomach is sewn with non absorbable sutures to reduce its size. This is a very economical option for patients who cannot afford the previously mentioned procedures.
| Sleeve Gastrectomy | Gastric Bypass | Adjustable Gastric Banding | Gastric Plication | |
|---|---|---|---|---|
| Mechanism of action | Restrictive | Combined | Restrictive | Restrictive |
| Complexity of surgery | ++ | ++++ | + | +++ |
| Cost | +++ | ++++ | ++ | + |
| Excess Weight Loss | 60-70% | 70-80% | 50-60% | 40-50% |
| Vitamin supplementation | Yes | Yes | No | No |
Dr. Anirudh Vij
Master of Surgeon , Head of the department
| Qualification | : | MS, FNB, Fellowship in Bariatric Surgery (Taiwan) |
| Area of Expertise | : | General and Laparoscopic & Bariatric Surgeon |
| OPD Timings | : | Mon – Sat, 9 AM – 2 PM & 5 PM – 8 PM |
| Mobile No. | : | (+91)-9650075862 |
| : | vij.dranirudh@gmail.com | |
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