Bariatric Surgery in Delhi

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Delhi?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Delhi as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Delhi

Introduction

Delhi is officially known as the National Capital Territory of Delhi (NCT). It is home to the capital of India, New Delhi. With a population of over 18 million, it is the second most populous city in the country. The city is brimming with vibrant modern life but also still steeped in history. People come to the city for its cultural richness and gastronomic scene.

Recently, Delhi has emerged as a medical tourists’ favorite destination. It’s the perfect place for those who seek low cost high-quality, world-class healthcare. India continues to expand its medical tourism sector with Delhi as one of the top hubs for medical facilities. Among the leading hospitals in Delhi are Max Super Specialty Hospital, Apollo Hospital Indraprastha, and BLK Super Specialty Hospital. Breast Augmentation and heart surgery procedures are two of the most popular procedures in the city. Patients come to Delhi for the following reason:

• State of the art medical facilities with international and local accreditation
• Skilled doctors, many of which trained in the UK
• English speaking doctors and staff
• Wide range, cost-effective procedures
• Traditional healthcare therapies and practices such as Ayurveda and yoga

Popular Areas in Delhi

Delhi is overflowing with enchanting history and colorful modern life. The city is made of layers of history, temples, monuments, markets, and UNESCO World Heritage Sites. Many tourists come to witness its charm and discover its hidden treasures. Go to Old Delhi and visit the Red Fort where a load of people fell in love with its beautiful structure influenced by Islamic, Persian, Hindu, and Timurid traditions. Learn Islamic history in one of the largest mosque in India, Jama Masjid. Shop in Chandni Chowk Market, the largest shopping hub in Delhi. Pay your respect in Raj Ghat, a memorial dedicated to Mahatma Gandhi.

There is also New Delhi, India’s capital, where you can stroll around India Gate, a war memorial that was inspired by the Arc de Triomphe. Humayun’s Tomb, the tomb of the Mughal Emperor Humayun, is also worth a visit for anyone who loves history. Don’t forget to go to the Gandhi Museum (Gandhi Smirti) to learn more about the leader of Indian independence’s life. Tourists can also visit an enthralling historical site known as Purana Qila. In your spare time, you can shop in Janpath Market and Sarojini Market.

South Delhi has many sites to enjoy such as the unique Lotus Temple, the soaring tower of victory Qutab Minar, and the thriving nightlife of Hauz Khas Village. This district also has a famous shopping paradise including Dilli Haat, Shahpur Jat, GK 1 N-block market, and Dastkar Nature Bazaar.

Weather and Climate in Delhi

Delhi has a high variation of temperature between summer and winter. Summer in Delhi can get really hot with an average temperature of around 32°C. The season starts in April to June and the temperature can reach as high as 46°C. It is advisable to avoid this season if you’re planning to do a lot of outdoor activities. The monsoon starts in late June to mid-September. The temperature usually falls to an average of 29°C, but it’s rainy and humid.

The temperature plummets during winter, ranging between 6°C to 7°C. This season starts in November and lasts until March. October to March is the best time to visit Delhi because the weather is neither too hot or too cold.

Getting Around in Delhi

Indira Gandhi International Airport, located 16 km from New Delhi city center, is the busiest airport in India. This airport serves domestic and international flights that connect the city with almost every country across the globe. Terminal 1 is used by budget airlines such as IndiGo and SpiceJet, while Terminal 3 is mainly used for international operations and several domestic flights.

The city center can be reached by bus, airport taxi, and metro. The bus is the most affordable option although it can be very crowded. Taxi is a good way to travel but always use licensed taxis such as WTi Cabs, Meru, and Mega Cabs. App-based taxis like Ola and Uber is another choice of travel. The fastest way to travel to Delhi’s city center is by The Delhi Metro. The travel time is less than 25 minutes and should cost around 10 INR to 60 INR.

There are several transportation modes to get around Delhi. The Delhi Metro is the best option to travel around because it offers comfort and fast travel. Taxis are widely available in the city. The easiest way to call a taxi is by the Ola app. It’s usually cheaper to use Ola than a local taxi stands.

For shortstops, opt for auto rickshaws. They’re affordable and easy to find. Make sure to negotiate the fare before getting in because most drivers will refuse using the meter. The drivers are also known to overcharge foreign visitors. Driving around Delhi is not recommended since the traffic can be time-consuming and there is a lot of bad driving. You can always hire a local driver if you want to get around by car.

Tourist Visas in Delhi

Citizens of Nepal and Bhutan can enter India without a visa. Citizens of Japan and South Korea can apply for a visa on arrival. Citizens of 150 countries can apply for e-Visa which is valid for 60 days. There are medical and medical attendant e-visas for tourists who come for healthcare. Other nationalities are required to apply and obtain a visa before entering the country.

All visitors must hold a passport valid for at least 180 days after their entry to India and should have at least two blank pages.

Additional Information

1. Local Currency: the official currency is the Indian rupee (INR). 1 USD converts to 70 INR.
2. Money & Payments: Major currencies such as US dollars, euros, and pounds sterling are easy to change throughout the city. The easiest way to exchange money is by using ATMs. Some shops, restaurants, and hotels will accept credit cards. It is advisable to always carry cash since a lot of places still accept cash only. Restaurants sometimes add a 10% service fee to the bills.
3. Local Language: Hindi is the official language of Delhi. Urdu and Punjabi are widely spoken. Most people will be familiar with English. Many young people shop keepers, and tour guides can speak English very well.
4. Local Culture and Religion: The major religion is Hinduism, followed by Islam, Christianity, Sikhism, Jainism, Buddhism, and Judaism.
5. Public Holidays: The city celebrates major religions (Hindus, Muslims, and Christians) holidays. The city hosts many festivals all year round such as The Grub Fest, The Palate Fest, and Holi Festival.