Debunking Common Myths Of Bariatric Surgery

Debunking Common Myths Of Bariatric Surgery

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Bariatric surgery, or weight loss surgery, is a long-term treatment for weight loss and its comorbidities. In this article, we’ll try to bust some common myths about bariatric surgery.

Myth #1In Weight loss surgery fat is removed from the body during the procedure

Fact – Weight Loss surgery is an internal abdominal surgery that is performed by using a laparoscope. It involves reducing the stomach’s capacity and the absorptive length of small intestine, resulting in a caloric deficit and weight loss.
This weight loss is gradual and occurs over the course of a year, as a result of fat burning by hormonal and metabolic adjustments in the body. In weight loss surgery procedure there is no immediate weight loss or fat removal. However, On the other hand weight loss surgery helps in maintaining the weight for long time and It prevents weight regain and also helps in reversing of many metabolic conditions like hypertension, diabetes, and metabolic syndrome.

Myth #2Weight loss surgery is painful

Fact – Weight loss surgery is a laparoscopic procedure that is done under general anaesthesia. During the procedure patient is unconscious and totally unaware. There is mild pain after surgery that is tolerable and controlled with pain relievers, and it goes away in 1-2 days. Within a week of the treatment, patients are usually able to resume their normal routine and are totally pain free at that time.

Myth #3Weight loss surgery is risky

Fact – Weight loss surgery or bariatric surgery is an elective surgery and the risk associated with bariatric surgery is the same as for any other elective surgery like a cholecystectomy or a Caesarean section. The surgery is done by the minimally invasive route and makes use of various high-tech devices like staplers which make the surgery quick and painless. This also decreases the chances for human error and increases the safety of the procedure. This also reduces the risk for human error and increases the safety of the procedure.

Myth #4Weight loss surgery may result in weakness or extra weight loss

Fact – Weight loss surgery is a long-term weight management procedure. It causes a caloric deficit in the body which activates the hormones that helps the body burn fat. Within 12-18 months, typically 60-90 percent of the excess weight is lost gradually and consistently.

Due to the reduced ability for taking food, there may be a risk for protein and vitamin deficiency which can be avoided by taking adequate supplements for 6-12 months after the surgery. There is a very small chance of gaining weight after weight loss surgery, and this is particularly common in malabsorption surgeries like gastric bypass and in persons who don’t take the needed vitamins.

Myth #5Weight loss surgery may impair family life or fertility

Fact – Many metabolic problems associated with obesity, such as PCOD and infertility, can be corrected by weight loss surgery. It helps in the regularisation of menstrual cycles and the resolution of PCOD in women, as well as increasing the chances of a normal conception. For Males,  Weight loss surgery improves sperm count and natural libido due to increased testosterone levels. As a result, weight loss surgery may be regarded as a fertility enhancer procedure rather than the contrary.

Relation Between Obesity and Depression

Relation Between Obesity and Depression

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Obesity is a complicated condition characterized as excessive fat deposition in the body that puts a person’s health at risk. One of them is depression. Obese persons, compared to healthy ones, have a higher risk of depression, according to studies.

Obesity commonly begins in childhood, with the main player being a lack of exercise, an irregular dietary pattern, and poor food choices. Obesity is developed by a high diet of fast foods, fried foods, and other high-energy foods. Obese adolescent girls are more likely to develop depression than obese adolescent boys, according to studies.

Some of the handpicked reasons which may trigger depression in the obese can be their struggle to complete the daily activities, low self-esteem or self-image, their unsuccessful attempts to reduce their body weight and the raising health problems that would pose a challenge in the future.

According to recent studies, those with a higher BMI have a thinning of the cortex in the brain, which leads to Alzheimer’s disease. To avoid this, it is recommended that you need to maintain a normal BMI from childhood, and if you are already fat, than losing weight should be a top goal.

Ref: https://www.dossindia.com/what-is-body-mass-index-bmi-how-it-is-calculated/

Obesity and depression, two important health issues that today’s adolescents are facing, both increase the risk of developing cardiovascular disease at a young age if not addressed. Intensive research on the link between the two has concluded the following reason why depression is more common in the obese.

Peer victimisation is more common in obese people than in non-obese people, according to research, and it is a predictor of depression. Obese teenagers are at a higher risk of developing it.

Body dissatisfaction is another major predictor of depression which plays a significant role in escalating depression among the college students especially among females.

Low self-esteem as a result of being unable to accomplish daily activities, teasing by others, social isolation, and constant dissatisfaction with their own appearance all contribute to depression among obese teens.

People who underwent weight loss surgery for obesity were shown to be successful in losing weight and overcoming depression, according to a study.

The message to all fat people is to see a doctor as soon as possible about their health problems and to follow the doctor’s recommendations to get back to normal.

If you’re healthy, avoid overeating, eating too much fast food, etc., stick to a dietary plan, and exercise your body to digest the food you eat. Stay healthy by eating well.

Bariatric Surgery Improves Heart Health

Bariatric Surgery Improves Heart Health

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Obesity, as well as related disorders including type 2 diabetes, hyperlipidemia, and hypertension, raise the risk of heart disease. Obesity leads to atherosclerosis (plaque buildup in blood vessel walls, resulting in vessel narrowing and decreased blood supply), sleep apnea, and thromboembolic disease (blood clotting tendency). This, in turn, contributes to the development of heart disease.

Heart disease, heart attack, arrhythmias, and heart failure are all considerably reduced after bariatric surgery.

Surgery leads to long-term control of the weight, blood sugar, serum fat levels, and blood pressure, as well as a reduction in inflammatory markers like CRP, resulting in a healthy heart.

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What is Body Mass Index (BMI)

What is Body Mass Index (BMI) & How it is Calculated?

Body Mass Index (BMI) is a calculated value from the mass (weight) and height using BMI Calculator.

BMI is defined as the body mass over body height square, and is universally expressed in units of kg/m2, resulting from mass in Kgs and height in mts.

The BMI is widely used to categorize a person as underweight, normal weight, overweight, or obese based on muscle, fat, height, and bone of an individual person.

Mostly Body Mass Index (BMI) ranges are underweight (under 18.5 kg/m2), normal weight (18.5 kg/m2 to 25 kg/m2), overweight (25 kg/m2 to 30 kg/m2), and obese (over 30 kg/m2).

BMI provides an easy numeric measurement of a person’s thickness or thinness.

Why it’s important?

BMI (Body Mass Index) is an important factor because it is widely regarded that your chances of having a longer and healthier life are improved if you have a healthy BMI.

If your BMI is at high level, then you may also have an increased risk of developing type 2 diabetes, as well as other metabolic diseases such as heart related disease, hypertension and high cholesterol.


Obesity is classified in 4 different ways which are as follows,

  • Underweight
  • Normal weight
  • Overweight
  • Heavily overweight (Obese)

BMI of less than >18.5

A BMI of less than 18.5 kg/m2 indicates that you are underweight and you definitely need to add some weight. Adopting a good diet is really important for you. You may need to consult the dietitian for an advice.

BMI of 18.5 – 24.9

A BMI of 18.5 kg/m2 – 24.9 kg/m2 indicates that you have a healthy weight for your height. By maintaining this weight, you can lower the risk of developing serious health related issues.

BMI of 25 – 29.9

A BMI of 25 kg/m2 – 29.9 kg/m2 means that you are slightly overweight. You may be advised to lose some weight for health reasons. It’s recommended to you that you need to talk to the doctor or a dietitian for an advice.

BMI of over 30

A BMI of over 30 kg/m2 tells that you are heavily overweight. You may be at risk if you don’t lose your weight. You must have a visit to the doctor for a good advice on your health.


Use this BMI calculator to find out what’s your number

Your BMI is

Heart related issues

  • Diabetes (Type 1 and Type 2)
  • Hypertension
  • Sleep apnea
  • Stroke
  • Infertility
  • Gallbladder disease
  • Dyslipidemia
  • Cancers (At least 8 different type and more)
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About Us

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Diabetic and Obesity Surgical Solutions

Dr. Neeraj Rayate and Dr. Satish Pattanshetti – Bariatric Surgeon in Pune have derived inspiration from their own aspiration to help people, secure healthier tomorrow & touching lives. With the strong belief in the thoughts and passion,  for laparoscopic surgery the duo is determined and committed to the cause of helping obese patients for weight loss and reclaim life in its desired form, giving a second chance of living life – the ideal way it meant to be.

DOSS India is amongst the recognized center for Obesity, Morbid Obesity , Hernia surgery and Gall stone surgery by means of laparoscopy located in Pune (Maharashtra- India). It primarily aimed at providing services to reduce obesity by means of weight loss, restore ideal body weight, and cure obesity-related disorders such as Type II diabetes, joint pain, high blood pressure, PCOD and many more.

It is the only IEF(International Excellence Federation) certified facility in Pune headed by a Team of enthusiastic and energetic duo – Dr Neeraj Rayate and Dr. Satish Pattanshetti., it is all set to raise standards of excellence in Obesity and Morbid Obesity treatments & cure. IEF is an International Organization that supports Bariatric surgeons across the globe for updated inputs on latest Technology, Research, Developments, Techniques and Procedures. It has a Specific Code of Conduct for Standard Clinical pathways from Pre to post Operative procedures and Handling complication & revision procedures.

Other Services:-

At DOSS apart from Bariatric and Metabolic surgeries, Its health care verticals span from diagnostics, primary care, day care and many more to offer a wide range of Laparoscopic surgical & clinical services – to diagnose, treat and cure cases of appendicitis, removing the gallbladder to treat gallstones, repairing hernias by open hernia surgery, 3 D mesh system or by laparoscopic hernia surgery using 3D mesh for hernia.

Team DOSS is expert in obesity in women, and does lot of work in fat reduction, abdominal obesity reduction and weight loss.

Laparoscopic surgery is a very common medium of surgery and is generally regarded as safe.

The advantages of minimally invasive surgery are:

  • Less post-operative pain,
  • Reduced risk of Infection,
  • Very tiny incisions,
  • Minimal blood loss,
  •  Shorter hospital stays,
  • Quick Recovery for resuming normal activities.
  • A leading Center of Excellence in Bariatric and Laparoscopic GI Surgeries based in Pune, India
  • Only IEF(International Excellence Federation) certified facility in Pune and Western Maharashtra. IEF is an International Organization based at Taiwan that supports Bariatric surgeons across the globe via updated inputs on latest Technology, Research, Developments, Techniques and Procedures. IEF follows a Specific Code of Conduct for Standard Clinical pathways from Pre to post Operative procedures and Handling complicated revision procedures.
  • Expert Center for treating morbid obesity and permanently cure/ reverse obesity-related diseases such as type II diabetes, joint pain, high blood pressure, sleep disorders, infertility induced by obesity, etc. with a large number of patients treated across Pune and Maharashtra.
  • Our unique EMI facility for financing Bariatric surgery, On-time consultation assurance and Free of cost post surgery support- to help maintain weight loss for decades to come- are hallmark features of our center.
  • Eminent Laparoscopic GI Surgery Center offering comprehensive diagnosis, minimally invasive treatment and cure for appendicitis, gallstones, hernia (with option of 3D mesh), colorectal diseases etc. In Laparoscopic surgery, miniature incisions are made and thus there is minimal blood loss, reduced risk of infection, minimal post-operative discomfort, shorter hospital stay and speedy recovery compared to open surgeries.
  • DOSS is available at multiple locations at Pune for patient convenience, our practice locations include the prestigious Ruby Hall Clinic Main Campus on Station Road, Ruby Hall Clinics at Hinjewadi and Wanowarie, MJM Hospital Shivajinagar and 7 Orange Hospital Chinchwad.

DOSS is founded by Dr. Satish Pattanshetti and Dr. Neeraj Rayate- leading minimally invasive, obesity and metabolic surgeons of India, who have operated on a large number of patients across Maharashtra. DOSS is a team of top-notch surgeons and multi disciplinary clinicians complementing one another to ensure the best clinical outcomes to each one of our patients and to raise treatment excellence for Obesity and Morbid Obesity.


Dr. Satish Pattanshetti – Bariatric Surgeon in Pune

(Laparoscopic Bariatric & Metabolic Surgeon) M.B.B.S (Seth G.S. Medical College & K.E.M. Hospital, Mumbai) M.S (B.J. Medical College, Pune) Fellow in Minimal Access Surgery from A M A S I Fellow in Bariatric and Metabolic Surgery from E-Da Hospital, Taiwan Dr Pattanshetti is the Founder of DOSS and a leading Bariatric and GI Minimally invasive surgeon. He is also an expert in single incision laparoscopic obesity surgery who has so far operated on more than 1000 patients. Dr Pattanshetti’s academic landmarks include:

  • Publishing his Bariatric experience in internationally reputed journal “Obesity Surgery”,
  • Presenting scientific paper and poster at San-Diego US at ASMBS world congress on resolving Type 2 diabetes in low BMI patients with Bariatric Surgery and 2 year results of his patients respectively.
  • Co-authoring a chapter on scarless Bariatric Surgery with world renowned Bariatric Surgeon Dr C K Huang who is also the Bariatric mentor of Dr Pattanshetti.

Dr Pattanshetti is a distinguished faculty at

  • MUHS (Maharashtra University of Health Sciences) for Basic Course in Laparoscopic Skills for PG students and Practitioners.
  • Johnson & Johnson Institute for MIPH and Laparoscopic Surgery skills
  • Various international, national and state congresses and workshops from time to time in Bariatric, Metabolic and Laparoscopic Surgery training.

Dr. Neeraj V Rayate – Bariatric Surgeon in Pune

(Laparoscopic & Robotic Surgeon) M.B.B.S. (Dr. V. M. Medical College, Solapur) M.S. (Government Medical College & Civil Hospital, Sangli) DNB Surgery (Sir Gangaram Hospital, Delhi) Fellowship in GI and Onco Surgery (Athens Medical Center, Greece) Fellowship in Gynae Endoscopy (Giessen School of Endoscopic Surgery, Germany) Training in Robotic Surgery (Galaxy Care Hospital, Pune) Dr Rayate is Co-Founder of DOSS and Head of Laparoscopic, Robotic and Bariatric Surgery Unit at Ruby Hall Clinic, Pune. Dr Rayate is an author of several books, publications and paper presentations on laparoscopy and robotic surgery. Dr Rayate’s academic achievements include:

  • Video presentation at European Association of Endoscopic Surgery Meeting at Berlin, Germany
  • Best Video Presentation Award at ELSA (Endoscopic Laparoscopic Surgeons of Asia)
  • Co-author of several books and chapters in robotic surgery, laparoscopy and novel surgical techniques
  • 1st and 2nd prize winner of several scientific paper presentations at national and state surgical conferences in recognition of his novel treatments, findings and experiences.

Dr Rayate has been an invited faculty at:

  • Indo- German course in Laparoscopic Surgery, Germany
  • Johnson & Johnson Institute for MIPH and Laparoscopic Surgery skills
  • More than 25 conferences and workshops across India in Bariatric, Metabolic and Laparoscopic Surgery.

The DOSS Multi-disciplinary Team consists of:

  • A specialist weight loss surgery clinical nurse
  • A dietitian experienced in providing dietary advice to weight loss surgery patients
  • Anaesthetists with experience of handling overweight patients with co-morbidities (eg sleep apnea).
  • A clinical psychologist and counselor to help patients address pre and post surgery journey smoothly

Dr. Rohit Sachitanand Shool

(General and Laparoscopic surgeon)

  •  M.B.B.S :Feb .2007 B. J. Medical college and Sassoon hospital Pune. 
  • DNB[General Surgery]:June 2012 , Deenanath mangeshkar hospital and Sanjeevan hospital, Pune.
  • Fellowship IAGES ( Minimal access surgery.)

Surgical Experience:

  1. DNB training in General surgery, DMH pune
  2. Junior registrar (JR) in SKN medical college and hospital. 
  3.  Senior Registrar (SR) in SKN medical college and hospital. 
  4. Senior registrar(SR) PDVVPF’S Medical college and Hospital. 
  5. Asst. Professor –PDVVPF’S Medical college and Hospital. 
  6.  Consultant General, Laparoscopic Surgeon and endoscopist  (Galaxy hospital Ahmednagar). 
  7.  Consultant General,Laproscopic surgeon and endoscopist at Saishree hospital, Aundh Pune. 

Special interests: Laparoscopic minimal access surgery, Gastroscopy, colonoscopy, Surgical Gastroenterology ,Trauma surgery, coloproctology.


Dr. Mandar Dhamangaonkar

(General & Laparoscopic Surgeon) M.B.B.S. M.S. F.M.A.S. F.I.C.S. P.G.D.M.L.S.


Dr. Pratik D. Ajagekar

(General Surgeon)

  1. Krishna Institute of Medical sciences  Karad-Assistant Professor: Jun -19-Till Now
  2. Performed several types of general surgeries.
  3. Over 100 open Appendectomy and inguinal hernias.
  4. Over 50 laparoscopic Appendectomy.
  5. 20-25 Laparoscopic cholecystectomy and hernia.
  6. More than 100 Laparotomies for various reasons like Perforation peritonitis, Intestinal obstruction, NEC, Billroth 1 & 2. Right & Left Hemicolectomy  APR.
  7. I also performed Coloplasty for Esophageal bypass.
  8. Vascular surgery like Varicose veins, Arteriotomy & Vascular anastomosis.
  9. Pediatric surgery like congenital hernia, CHPS, Intestinal atresia, Malrotation of Gut.
  10. Thyroid and Breast surgery.
  11. Skin grafting, Flaps, Tendon repair, etc.

Also, Experience in the following

  1. Nephrectomy (Partial and Radical).
  2. Triple bypass surgery and Hepatobiliary surgery.
  3. Simple Hysterectomy & Panhysterectomy, Laparoscopic ovarian cyst drilling, and Excision.
  4. OPD, Ward and ICU management, pre-operative assessment and postoperative management
  5. .Provided care as a first responder in a variety of emergency medical situations.
  6. Organizing committee member of various state & national level Conference and CME at KIMS.  Conducting Postgraduate Seminars & CME.
  7. Management of Departmental & academic work.

SKILLS:

  1. Laparoscopy.
  2. Upper and Lower GI Endoscopy.
  3. Pediatric GI surgery.
  4. Basic and Advanced Life support training.
  5. Proficiency in diagnosing conditions that require general surgery.
  6. Good communication skills – for speaking to the medical team, Patients and their families; for listening to and understanding the concerns of a wide range of people and earning their trust.
  7. Harmonious interpersonal relations with fellow physicians and other healthcare professionals.
  8. Ability to organize and prioritize workload effectively.
  9. Brilliant decision-making capabilities especially during emergency situations.

Dr. Amol Mulay

(Consultant & Laparoscopic Surgeon) M.B.B.S. from Rajiv Gandhi Medical College Thane DNB (Gen. Surgery) from Ruby Hall Clinic.


Dr. Suhas Sudhakar Patil

(Consultant General & Laparoscopic Surgeon) Laser Proctology M.B.B.S. – B.J. Medical College & Sasoon Hospital (2004) DNB – Mahatma Gandhi Institute of Medical Science, Sevagram, Vardha (2012) F.M.A.S. – Fellowship in Minimal Access Surgery (MUHS) (2017) Areas of special interests…. Laparoscopic surgery, minimally invasive Proctology including laser piles, laser fissure, laser fistula and anorectal diseases


Dr. Pranav Mene

  • Dr. Pranav Mene

    (Consultant General & Laparoscopic Surgeon)

  • DNB – Ruby Hall Clinic, Pune (2019)
  • M.B.B.S. – B.J. Medical College, Pune (2013)

WORK EXPERIENCE:

Currently working as Consultant General & Laparoscopic Surgeon at DOSS since Dec 2019.

We Cut Surgery Time by Half:

Surgeons at DOSS are known for their expertise in complicated obesity, revision and laparoscopic surgeries. Every patient has a personal consultation with the independent surgeon.

During surgery, team of Dr Pattanshetti and Dr Rayate, two advanced laparoscopic surgeons, work together for each surgery. Thus, reducing the time taken for each surgery by half and creating a superior outcome than in a single surgeon centre.

Our Personalized Care

Patients go through an individual assessment with all DOSS Team members so that the DOSS team can understand each patient’s specific needs and prepare him or her well for the transformed life as a result of surgery. Such specialized attention helps patients achieve their desired goal of sustained weight loss and improved quality of life in the long run.

Comprehensive Offerings:

Besides Bariatric surgery, DOSS offers healthcare services in diagnostics, primary care, day care and a wide range of Laparoscopic surgical clinical services.

Consult one of our surgeons to understand the specifics of the procedures and determine the procedure most appropriate for you.

Location as per your choice

Schedule the surgery at a location convenient to you to eliminate the discomfort of long travel post-surgery. Visit our partners’ page to determine the hospitals as per your convenience and budget.

Robust Support Program from the first appointment to after-care:

At DOSS your dietitian will structure a diet plan, based on your pre-surgery dietary pattern. After surgery, your dietitian will guide you to help you manage your diet.

Your package includes appointments with your surgeon and specialist weight loss coordinator and a dedicated telephone number to access support after surgery for life time.

Mission

Provide quality and compassionate patient-centered care that focuses on the physical remedy as well as peace of mind and heart.

Develop a comprehensive, multidisciplinary program, tailor-made to suit individual needs, to address the issues related to digestive diseases, and obesity disorders,

Educate and support patients to enable them to successfully incorporate lifestyle changes towards an improved state of health

Vision

To be the center of choice for patients suffering from diabetes and other endocrine and metabolic diseases, digestive diseases, nutritional disorders and obesity, through preeminent patient care, clinical outcomes, affordable excellence, education and support.

Values

We Do the Kind Thing

Every DOSS member endeavors to impact the lives of the patients and families in our care. We treat those we serve and each other with kindness and compassion and strive to better understand the needs of a diverse community and respond accordingly.

We Do the Safe Thing

At DOSS we recognize that patients and families have placed their lives and health in our hands. Our first priority – and the rule of medicine – is to protect them from harm. We strive hard to maintain the highest safety standards a to deliver high-quality care in a safe and secure workplace.

We do the Best Thing

In DOSS, only the best will do. Our team combines skill, experience, advanced technology and best practices to provide the highest-quality care for our patients and their families. We devote ourselves to continuous improvement, excellence, professionalism and innovation in our work.

We Do the Right Thing

Our actions tell the world what DOSS stands for. We act ethically and responsibly and hold ourselves accountable for our behavior. We are committed towards bringing respect, openness and honesty in our encounters with patients, families and among our coworkers and support the well-being of the communities we serve.