Transforming Weight. Restoring Health. Renewing Life.Bariatric Surgery

Our Bariatric Surgery programme combines minimally invasive procedures with personalised medical, nutritional and lifestyle support. A multidisciplinary team evaluates each patient, plans the most appropriate treatment and provides long-term follow-up to support sustainable weight loss, improved metabolic health and a more active life.

Highlights

When Should You Consider Bariatric Surgery?

Consider a bariatric consultation when obesity affects your health despite sustained attempts with diet, exercise and medical management. An evaluation may be appropriate if you have:

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Severe obesity or obesity associated with diabetes, hypertension or another medical condition

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Difficulty achieving sustained weight loss through supervised diet and exercise programmes

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Obstructive sleep apnoea, fatty liver disease, joint pain or metabolic syndrome linked to obesity

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Reduced mobility, lower quality of life or weight-related limitations in daily activities

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A Body Mass Index (BMI) that may meet accepted criteria for metabolic and bariatric surgery

Our ServicesA personalised path from assessment to healthier weight

The programme combines surgery with metabolic assessment, nutrition, rehabilitation and long-term lifestyle support.

collaboration between departments

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Bariatric Procedures

Sleeve Gastrectomy; Roux-en-Y Gastric Bypass; Revision Bariatric Surgery for selected patients.

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Metabolic & Obesity Care

Medical evaluation for obesity-related conditions; diabetes and metabolic disease optimisation; pre-operative nutritional and psychological assessment; personalised dietary counselling and lifestyle modification.

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Long-Term Weight Management

Post-operative nutritional monitoring; Vitamin and micronutrient supplementation; exercise and rehabilitation guidance; regular follow-up to support sustained weight loss and improved metabolic health.

Our Specialists

Dr. Sharad Jagdishchandra Sharma

General Surgery, Laparoscopic Surgery General

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Facilities & Infrastructure

Minimally invasive surgery supported by integrated hospital care

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Laparoscopic Surgical Systems

Modern platforms for minimally invasive bariatric procedures.

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High-Definition Imaging

Clear intraoperative visualisation for surgical precision.

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Advanced Energy Devices

Specialised technology supporting controlled tissue management.

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Modular Operation Theatres

Dedicated environments for complex surgical care.

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Specialised Anaesthesia Workstations

Equipment designed to support safe perioperative care.

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Comprehensive Monitoring

Systems for continuous perioperative observation.

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Smaller-Incision Techniques

Minimally invasive laparoscopic approaches designed for faster recovery when clinically appropriate.

Patient Care & Follow-Up

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Pre-Operative Preparation

Comprehensive risk assessment, medical optimisation, nutritional evaluation and anaesthesia assessment.

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Informed Decision-Making

Clear counselling on benefits, risks, expected outcomes, dietary changes, physical activity and lifelong follow-up.

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Regular Clinical Reviews

Ongoing nutritional assessment and personalised dietary guidance.

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Progress Monitoring

Review of weight loss, obesity-related conditions, nutritional status and overall well-being.

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Lifestyle Guidance

Support for vitamin supplementation, exercise and sustainable daily change.

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Integrated Recovery Support

Psychological, physiotherapy and rehabilitation care when required.

FAQs

What are the causes of obesity?

Basically there is calorie accumulation. If one start accumulating 100 Kcal extra every day in 10 years I will be 40 Kgs overweight! It is about lifestyle; as someone would say ‘everyone in my family is overweight’ as they all have similar dietary habits. One important cause is a sedentary daily routine which is due to a lifestyle of convenience. When we work a lot I ‘exhaust’ not ‘exercise’. Abundance of high calorie, cheap ready to eat food (fast foods) in today’s world is one significant factor.

SEVERE OBESITY: The causes of morbid obesity are multiple and complex. Research has indicated that underlying cause of morbid obesity may be genetic.

How to know if one is obese?

BMI is calculated by the formula Wt (in Kgs)/Height (in mt) 2 (BMI chart, BMI calculator). Obesity is measured in several ways. ‘Body Mass Index’ is the most popular way of doing so though waist circumference is also a good measure of obesity to risk ratio

What is the treatment of obesity?

The main stay of obesity control or weight reduction is to reduce calorie intake. Exercise helps in maintaining the weight reduction over long term. This can be achieved through control of dietary intake. It is a good idea to meet a qualified expert in nutritional sciences and follow their advice. Carefully note your daily food consumption and calculate the calories you consume. Try to reduce the calories consumed but at the same time maintain adequate intake of proteins, carbohydrates, fats, vitamins and micronutrients. The important thing to remember is that while on diet and exercise regimen one has to achieve a change in lifestyle for a long time so as to have a good sustained weight loss. Several drugs have been used to achieve weight loss but many of them were found to have side effects and are now banned. There are several drugs in experimental phase the long term outcome of which needs to be studied.

What is the nutritional effect of Bariatric surgery?

After bariatric surgery a person eats a fraction of what one would normally eat. In such a case it is important to eat intelligently. The patient is counselled before the surgery and constantly monitored after surgery about what one eats. The right quantity of nutrients is needed to balance the diet after bariatric surgery. A good expert nutritional counselling and regular check up insures that the person eats the right kind of food. Also bad eating habits should be discouraged as it may give poor weight loss. Special care is taken to supplement iron, vitamins, calcium and proteins and prevent deficiencies. Care is also taken to avoid sudden rapid weight loss and prevent protein energy malnutrition.Common causes of nasal obstruction include a deviated nasal septum, nasal turbinate enlargement and nasal polyps (benign growths).

What can be the cause for insufficient weight loss or sometimes weight regain after Bariatric surgery?

If the person who has undergone bariatric does not follow the diet pattern advised by the bariatric nutritionist and resorts to consuming high calorie liquids like coke, ice creams, sweet liquid or semi-liquid food then this defeats the purpose of bariatric surgery.

What is ‘Metabolic Syndrome’?

A large waistline.
High triglyceride (or you’re on lipid lowering medications).
Low level of HDL (or you’re on lipid lowering medications).
High blood pressure (or you’re on medicine to treat high blood pressure).
High fasting blood sugar (or you’re on medicine to treat high blood sugar).

When two or more of the above factors are present then the person is said to be suffering from ‘Metabolic Syndrome’. Obese people have a very high risk of developing metabolic syndrome. People suffering from metabolic syndrome have a significantly higher risk of developing heart diseases and Diabetes.

What is ‘Metabolic Surgery’?

Bariatric surgery which reverses diseases like Diabetes, Hypertension, Dyslipidemia (high cholesterol) is called metabolic surgery.

What are the surgeries that can reverse Metabolic Syndrome?

Literally most of the bariatric surgeries have a potential to improve, cure or reverse metabolic syndrome. Some bariatric surgeries may work better than the other. In the order the surgery with least metabolic effects is the ‘Adjustable Gastric Band’ better than that is the Vertical Sleeve Gastrectomy. ‘Gastric Bypass & Mini Gastric Bypass are bariatric surgeries with excellent metabolic reversal, it means that these surgeries have extremely good cure rate for Type2 Diabetes Mellitus, Dyslipidemia, Hypertension & Ischemic heart disease. There are other surgeries like the Bilio-pancreatic diversion & Duodenal switch which work well too but have severe nutritional problems hence are not preferred as primary operations. Lately surgeries like the ‘Ileal interposition’ are being performed which are supposed to be ‘purely metabolic’ with less weight loss effect and are being done for diabetics who are not morbidly obese.