Bariatric Surgery in Mumbai

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 Mumbai?

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 Mumbai 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 Mumbai

About Mumbai

Mumbai, formerly known as Bombay, is a big cosmopolitan city. It’s the wealthiest city in India with the highest number of millionaires and billionaires. It’s the perfect place for anyone who wants to immerse in tradition and modernity, as the city is a grand mixture of old and new. The city is also home to Bollywood, India’s film industry. Tourists flock to the city for its historical sites, amazing food, unique bazaar, and recently, for its medical tourism.

In line with India’s growing medical tourism, Mumbai has gained a lot of attention as a medical destination. In 2017, 27 percent of medical tourism activities in India took place in the state of Maharashtra. Armed with advanced medical technology, world-class doctors, hospitals with the highest-quality, affordable cost, and a wide range of healthcare, Mumbai is the leading city in the state with 80 percent of patients choose to have a medical procedure there.

Most hospitals are accredited by Joint Commission International (JCI) or National Accreditation Board for Hospitals & Healthcare Providers (NABH). Hospitals like Kokilaben Dhirubhai Ambani Hospital, Global Hospitals Mumbai, and Wockhardt Hospital South Mumbai are patients’ favorite. Among the most popular procedures are cosmetic and plastic surgery as well as eye surgery.

Popular Areas in Mumbai

Tourists are drawn to the city for various reasons. Some want to indulge in its energetic vibe, others want to be fascinated by its history.

• Gateway of India was built in 1924 and is the most valued structure in India. It’s located at the tip of Apollo Bunder, overlooking the Mumbai harbor. The structure is designed in Indo-Saracenic style with traces of Muslim architectural style. It was built to welcome King George V and Queen Mary to Mumbai. Tourists can take a stroll and learn the history of this unique landmark.
• Siddhivinayak Temple will leave anyone in awe. Built-in 1801 by Laxman Vithu and Deubai Patil, it is a Hindu temple dedicated to Lord Shri Ganesh. The temple evolved from a small place of worship to a grand temple. Politicians and Bollywood film stars frequently visit this temple. Tourists can find many interesting facts and cultural insight here.
• Elephanta Caves are a collection of cave temples mostly dedicated to the Hindu god Shiva. The caves are a UNESCO World Heritage Site. People visit to see its fine specimens of the ancient Hindu culture and tradition as well as for their rock-cut sculptures. The statue of Trimurti Sadasiva form of Lord Shiva is the most famous sculpture in this cave. The caves were named Elefante (morphed to Elephanta) by the colonial Portuguese because they found elephant statues on it.
• Marine Drives is an important destination for tourists visiting Mumbai. It’s a 3km long road in southern Mumbai which forms a natural bay. Its fantastic sunset view is very popular among locals and international tourists. People also come for its perfectly lined palm trees that offer scenic beauty.
• Film City is where most iconic scenes from India’s film were shot. It’s located near Sanjay Gandhi National Park at Goregaon East. With all the essential equipment and world-class facilities, it’s one of the largest indoor shooting facilities in India. This attraction offers tourists a world of wonder.

Weather and Climate in Mumbai

Mumbai has a tropical, wet, and dry climate. Summer starts approaching the city in late March and ends in May. It might not be the best time to visit since the temperature can get as high as 40 °C and the humidity can also be very high. If you can bear hot temperatures and high humidity, there are many festivals worth visiting during these months.

June to October is the monsoon season which sees continuous rain showers, making traveling more difficult. The temperature is not as high as the Summer.

Winter has the most pleasant weather. It starts in November and lasts until February. The temperature is not too hot or too cold and the humidity is very low, so tourists can enjoy many outdoor activities and sightseeing. The coolest month in Mumbai in January, with the temperature ranging between 13 °C to 30 °C.

Getting Around in Mumbai

Chhatrapati Shivaji International Airport is the main international airport in Mumbai. It’s the second busiest airport in India. The airport serves domestic and international flights to major cities in Asia and Europe. Budget airlines such as GoAir, flydubai, and AirAsia India.

Taxis, auto-rickshaws, and car rentals are available to travel from the airport to Mumbai’s city center. Taxis will take tourists around 25 minutes (depending on the traffic) to the city center. There are two taxi options; metered taxis and pre-paid taxis. Auto-rickshaws are metered and available from Terminal 1, they are cheaper than taxis. Car rentals are the best option if you want to have more flexibility and independence, you can rent directly at the airport.

There are various transportation modes to get around Mumbai. The local Train has 120 stops so you can get off on your nearest destination easily, trains start at 4.00am and stop at 2.00am. While the second class ticket is very cheap, it’s usually very crowded and uncomfortable. Tourists can buy a tourist ticket for 275 INR which allows them to travel in first class for the whole day.

The Mumbai Metro is a cheaper option, with the fares ranging from 10 to 40 INR. The train leaves every 4 minutes during busy hours and 8 minutes on non-busy hours. Buses in Mumbai are known as Brihanmumbai Electric Supply and Transport (BEST), they run from 5.00am to midnight.

Taxis are cheap and easy to find. The minimum fare is 21 INR for the first 1.5 km and then 1 INR for every 100 meters. Make sure to check the meter yourself before paying because some drivers are known to cheat. Auto-rickshaws are widely available, the base fare should be 18 INR and 1 INR to 2 INR for every 100 meters.

Tourist Visas in Mumbai

Citizens of Nepal and Bhutan are granted visa-free entry. Visa on arrival is available for citizens of Japan and South Korea. India provides e-Visa for 150 countries, the visa is valid for 60 days. If you come for medical treatment, you can apply for the medical attendant e-visa. Citizens of other countries are required to apply and obtain a visa to enter the country.

Additional Information

1. Local Currency: The local currency is the Indian rupee (INR). 1 USD is equivalent to 70 INR.
2. Money & Payments: tourists can find ATMs everywhere. Credit cards are accepted in most hotels and restaurants but it is advisable to always bring cash. Tipping is optional.
3. Local Language: Marathi is the state and city official language. Hindi is widely spoken. English is widely used in most places and many locals speak broken English.
4. Local Culture and Religion: Due to the growth of various communities and migrants, there are many religions in the city. Most people are Hindus, Muslims, Zoroastrians, Christians, Jains, and Buddhist.
5. Public Holidays: Mumbai celebrates almost all major religious holidays. The city hosts several annual festivals such as Ganesh Chaturthi and Holi Festival.