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REVIEW ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 22-29

Obesity and surgical management in indians: A literature review


Medical Affair and Clinical Operations, Johnson and Johnson Medical India,Mumbai, Maharashtra, India

Correspondence Address:
Anish Desai
Director - Medical Affairs and Clinical Operations, Johnson and Johnson Medical India, Arena Space, Off JVLR, Behind Majas Depot, Jogeshwari East, Mumbai - 400 060, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2347-9906.148607

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The prevalence of obesity and related co morbid conditions are on an exponential growth globally as well as in developing countries like India encompassing children to elderly population with disregard to socioeconomic status. This review is an attempt to evaluate the published work on obesity and bariatric/metabolic surgery in Indian obese patients to identify gaps in evidences. Based on the current literature research, it can be concluded that there is a need for updated information on the prevalence of obesity in Indian sub-continent. The latest National Family Health Survey is of 2007/2008 and WHO data is of 2010. The increasing prevalence of obesity and metabolic syndrome and perception of disease emphasizes that there is a need for effective communication and education to mothers to bring awareness and reduce the burden in India. Effective outcome with respect to weight loss was observed with Roux-en-Y Gastric Bypass (RYGB), laparoscopic sleeve gastrectomy (LSG), like adjustable gastric banding and also mini-gastric bypass. This weight loss was stable over long follow-up for majority of patients with a reduction of body mass index ranging from 10 to 14 kg/m 2 3 years after bariatric surgery (BS). With respect to treating type 2 diabetes mellitus (T2DM) RYGB and LSG are the two most published metabolic procedure in Indians for surgical treatment of T2DM. No mortality has been recorded so far in published literatures for any types of procedures. BS offers economic benefit to patients in the long run however further studies are warranted.


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