quick appointment

Diabetes Obesity Center

Quick Appointment Form

Dr-Mohans-Obesity-Weight-Management Dr-Mohans-Lite-Weight-Management-Program-Chennai

Dr-Mohans-Obesity-Weight-Management-Centre-Chennai

For Appointments

No. 4, Conran Smith Road,
Gopalapuram, Chennai – 600086
Ph : (91-44)39988899
Fax : (91-44)28350935
E-mail : obesity@drmohans.com

Regd.Office: Gopalapuram Main Centre
No. 6B, Conran Smith Road,
Gopalapuram, Chennai – 600086
Ph : (91-44)28359048/28359050/28353038/28352632/28352634
Fax : (91-44)28350935
E-mail : drmohans@diabetes.ind.in

Bariatrict-surgeory-team

Bariatrict Surgery Team

Obesity is a chronic disorder with multiple serious health complications. Previously it used to be a concern only for developed countries but now it is becoming a problem of developing countries as well. There is a global epidemic of obesity with prevalence as high as 30 to 40% in some regions. In India approximately 139 million people are obese (INDIAB study).

Obesity impairs quality of life and reduces life expectancy. All the effects and complications of obesity appear at lower body weight and at a younger age in Indians as compared to white population.

1614a

OBESITY PREDISPOSES TO

  • Diabetes
  • High cholesterol
  • High blood pressure
  • Cardiovascular diseases
  • Breathing problems
  • Sleep disturbance
  • Arthritis
  • Hormonal imbalances
  • Some cancers
  • Low self-esteem
  • Depression

BENEFITS OF 5 TO 10% WEIGHT REDUCTION

Persons with out diabetes Persons with diabetes
50% risk reduction for developing new onset diabetes Reduction of the blood sugars by 30 to 50%
25% risk reduction for all cause death
10% reduction in total cholesterol
30% reduction in triglycerides Reduction of requirement of oral diabetic drugs and insulin
40% reduction of risk of obesity related cancers

THE TEAM

PROCESS FLOW CHART

EXPECTATIONS FROM PATIENT

  • Agree to complete the weight management program as plan
  • Agree to comply with the recommendations
  • Agree for investigations, questionnaires
  • Agree to realistic goals and expectations
  • If interested to take part in research activities in the department
  • Funding approval

THE WEIGHT MANAGEMENT TEAM UNDERTAKES….

  • To discuss about management plan
  • To discuss realistic expectations and goals
  • To discuss about benefits of weight loss
  • To support the patient through the whole journey of weight loss

ROLES

Physician

  • Medical assessments for causes of obesity
  • Identifying co morbidities, complications of obesity
  • Formulatng a treatment plan
  • Assessing suitability for bariatric surgery

Intensivist

  • Diagnosing and managing sleep apnea
  • Accessing fitness for surgery
  • Immediate post-operative care

Nutritionist

  • Individualized meal plan
  • Specialist diets
  • Diet plan for surgery
  • Assessing eating habits
  • Pre and post operative support

Clinical psychologist

  • Motivation assessment
  • Motivational technique
  • Screening for psychological issues

Fitness instructor

  • Assessing levels of fitness
  • Individualized exercise plan

Surgeon

  • Full surgical assessment
  • Explaining types of surgical operations
  • Explaining the risks and benefits
  • Expertise in all surgical operations

POSSIBLE SURGERIES

1.Roux-en-Y Gastric Bypass

A new small stomach pouch is created and the intestine is divided and joined to new stomach pouch, thereby bypassing part of the intestine


Positives

Faster weight loss, dumping (specifically if you eat high sugar meal), requires less outpatient follow up than the band, better effect on diabetes.

Negatives

Increased risk – clots (deep venous thrombosis and pulmonary embolism). Risk of leakage of internal joins where cuts have been made. Longer surgery than the band, longer hospital stay, longer off work, more pain, more vomiting for some (although some have little or no vomiting at all). Not everyone gets dumping. Procedure is more risky than the band. Patient needs more monitoring about vitamins and diet. Shouldn’t eat and drink at the same time. More chance of weight regain than with the band.

2.Sleeve Gastrectomy

A new sausage shaped stomach is made, smaller than the original, but with no intestinal bypass. One of the newest operations. It can be done as the first part of another operation for larger people, or those with other high risk factors

Positives

Quicker, easier and less time in hospital

Negatives

Less convincing longer term weight loss and no help in maintaining weight loss