CUTTACK: The SCB Medical College and Hospital is set to start Bariatric Surgery soon to deal with the problems of morbid obesity, which is marking an alarming increase in the population.
As a first step, surgeons have successfully conducted a Laparoscopic Sleeve Gastrectomy to remove an intestinal tumour by resecting a major portion of the stomach. A 45-year-old man from Bhadrak was admitted to the Surgery wing of the hospital for treatment of upper gastrointestinal bleeding.
Endoscopic examination revealed a tumour in his stomach, which on biopsy was proved to be gastrointestinal stromal tumour (GIST). The surgeons led by Associate professor Manas Ranjan Sahoo decided to conduct laparoscopic sleeve gastrectomy to remove the tumour.
Sleeve gastrectomy is a procedure to reduce the size of the stomach by surgically removing a major portion of the pouch. Around 75 per cent of the stomach is cut out leaving only a narrow gastric sleeve or tube. The surgical outcome is permanent and irreversible.
While the procedure is adopted worldwide to treat morbid obesity, the surgeons here used it to deal with GIST. "In this case, we reduced the stomach to a 100 cc tube. The affected part along with adjoining areas in the stomach were removed. The patient has recovered satisfactorily," Dr Sahoo said.
The surgery was conducted for the first time in a Government set-up and laid the stepping stone for Bariatric surgery services at SCBMCH. Obesity has assumed epidemic proportions across the globe with research showing as high as 70 per cent of population in urban areas as overweight. More than 30 per cent are categorised as obese and five percent morbidly obese.
Obesity brings along several complications like diabetes, hypertension, cardiac ailments, obstructive sleep apnea, respiratory problems, liver, kidney ailments and arthritis joint pains. Morbidly obese bariatric surgery has proved fruitful by enabling loss of 40 to 70 per cent weight loss in patients.
The Technique
Sleeve gastrectomy is a procedure to reduce the size of the stomach by surgically removing a major portion of the pouch
Around 75 pc of the stomach is cut out leaving only a narrow gastric sleeve or tube
The surgical outcome is permanent and irreversible
The surgery was conducted for the first time in a Government set-up