If there's one metabolic disorder impacting millions worldwide cutting across boundaries of country, race, and ethnicity - it is Morbid Obesity. A chubby child may receive endless compliments and be tagged as "adorably cute," but if those excess kilos persist into adulthood, they often signal a looming health crisis.
Obesity defined as an abnormal or excessive body weight relative to height and gender can trigger a cascade of comorbid conditions including Hypertension (high blood pressure), Diabetes Mellitus (elevated blood glucose levels), hyperlipidemia (abnormal fat levels), fatty liver, sleep apnea, PCOD / infertility, joint pains, and spine-related issues. Over time, obesity severely compromises the function of major organs such as the heart, liver, and kidneys. The obese population faces significantly higher risks of heart disease, kidney failure, cancer, and a host of other chronic health concerns, all of which can drastically impair quality of life.
Beyond the physical burden, obesity also inflicts profound psychological distress. Individuals often struggle with depression, mood fluctuations, social withdrawal, poor self-esteem, and even suicidal thoughts largely stemming from body image issues and societal pressure. This raises a vital question for those grappling with excess weight or their loved ones seeking to support them: what is the solution for obesity? While lifestyle modifications such as balanced nutrition, disciplined exercise, and dietary restrictions play a key role in weight management, these efforts alone may not yield significant or sustainable results quickly.
To combat stubborn fat and its underlying causes, a more advanced medical intervention is often essential one that is best delivered by a specialized team comprising bariatric surgeons, clinical nutritionists, and expert support personnel.
The Department of Bariatric & Metabolic Surgery at MASSH addresses the multifaceted challenges of obesity through state-of-the-art surgical interventions. These not only facilitate effective weight loss but also help in reversing many obesity-related health conditions:
1. 3D Laparoscopic Sleeve Gastrectomy
2. 3D Laparoscopic Roux-en-Y Gastric Bypass (RYGB)
3. Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy (SADI-S)
4. Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
Bariatrics is a dynamic and highly specialized field of medicine focused on the surgical management of obesity. It encompasses a range of procedures designed to facilitate weight loss by altering the structure and function of the digestive system.
Performed by skilled bariatric surgeons, these operations are broadly classified into three categories: restrictive, malabsorptive, and hybrid (a combination of both). Though this classification has long been established, these evidence-based methods remain the standard of care for delivering measurable outcomes for weight loss. While all procedures induce favorable hormonal changes and aid in weight loss, certain surgical techniques specifically intended for diabetes remission are best suited for patients with a BMI falling under Class 1 Obesity.
Bariatric surgery is performed to help individuals shed excess weight and significantly lower the risk of serious, potentially life-threatening health conditions associated with obesity, including:
Typically, weight-loss surgeries like bariatric procedures are considered only after individuals have made medically supervised efforts to lose weight through improved diet and regular physical activity, but have not achieved the desired results.
One of our key areas of expertise is minimal access surgeries also known as minimally invasive or laparoscopic procedures. These advanced techniques involve performing surgical interventions with smaller incisions, using specialized instruments and cameras to visualize and access the affected area. Minimal access surgeries offer several benefits, including reduced post-operative pain, faster recovery times, shorter hospital stays, and minimal scarring. Our state-of-the-art facilities are equipped with cutting-edge technologies including:
At MASSH Hospital, we pride ourselves on offering advanced surgical solutions, such as 3D laparoscopy. This minimally invasive surgical technique uses 3D imaging that allows our surgeons to perform delicate procedures with enhanced precision, providing several benefits:
At MASSH Hospital, we have a team of highly skilled Bariatric surgeons who are experts in their field. Our doctors are not only trained in advanced medical techniques but also have a wealth of experience in handling complex and challenging cases. Their expertise, combined with a compassionate approach to patient care, ensures the best possible outcomes for our patients.
A minimally invasive weight loss surgery that uses advanced 3D visualization for enhanced precision. In this procedure, about 75–80% of the stomach is removed, creating a tube-like "sleeve." The 3D view improves depth perception, allowing surgeons to operate more safely and accurately, resulting in faster recovery, less pain, and improved outcomes.
A minimally invasive weight loss surgery that uses 3D imaging for enhanced precision. It involves creating a small stomach pouch and rerouting the small intestine to bypass part of the digestive tract. The 3D view improves surgical accuracy, reduces complications, and supports faster recovery with long-term weight loss and metabolic benefits.
Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy (SADI-S) is a bariatric surgery combining sleeve gastrectomy with a single-loop intestinal bypass. It reduces stomach size and reroutes food from the duodenum to the lower small intestine, limiting absorption. This procedure offers significant weight loss and Type 2 diabetes remission, with fewer complications than traditional duodenal switch surgeries.
Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is a complex bariatric surgery that combines sleeve gastrectomy with extensive intestinal bypass. It limits food intake and significantly reduces calorie and nutrient absorption. BPD/DS offers the highest weight loss and Type 2 diabetes remission rates among bariatric procedures but requires strict lifelong vitamin supplementation and monitoring due to malabsorption risks.
Mini Gastric Bypass is a simplified, minimally invasive weight loss surgery that involves creating a small stomach pouch and connecting it directly to the small intestine. This restricts food intake and reduces nutrient absorption. The procedure is quicker than traditional bypass, with effective weight loss, Type 2 diabetes improvement, and fewer complications, though long-term vitamin supplementation is essential.
At MASSH Hospital, We offer advanced and personalized metabolic and bariatric surgery options to help patients achieve long-term weight loss, improved metabolic health, and a better quality of life. Our expert team of surgeons, dietitians, and support staff ensures safe procedures, comprehensive post-surgery care, and sustained lifestyle changes. Whether you're managing obesity or obesity-related conditions like type 2 diabetes or hypertension, MASSH provides trusted, evidence-based solutions tailored to your needs.
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MASSH is a leading destination for metabolic (bariatric) surgery, offering advanced treatments like SADI-S, sleeve gastrectomy, and mini gastric bypass that not only ensure significant weight loss but also deliver up to 92% remission in Type 2 Diabetes. From pre-surgery evaluation to post-operative support, nutrition, and lifestyle counselling, we offer an end-to-end program designed to transform your health journey.
At MASSH Hospital, your well-being is our priority whether you're undergoing gastric bypass, sleeve gastrectomy, or ballooning, our expert team is dedicated to helping you achieve sustainable weight loss in a supportive, patient-focused environment.
MASSH Group of Hospitals is a trusted name in delivering advanced healthcare solutions with a network of premier super speciality hospitals, committed to providing ethical, compassionate, and innovative care. Our expanding network ensures that cutting-edge medical services are always within your reach.
Metabolic surgery refers to surgical procedures like sleeve gastrectomy, SADI-S, or mini gastric bypass that alter the digestive system to promote weight loss and improve metabolic diseases such as Type 2 Diabetes, high cholesterol, and fatty liver.
While both aim to reduce weight, metabolic surgery focuses on improving or reversing metabolic diseases, particularly Type 2 Diabetes, even in patients who are not extremely obese.
Metabolic surgery can lead to remission of Type 2 Diabetes in up to 92% of patients, meaning blood sugar levels return to normal without medication—but continued follow-up and lifestyle changes are essential to maintain results.
Yes, if you have uncontrolled Type 2 Diabetes or metabolic syndrome, newer guidelines allow metabolic surgery even at BMI 30–35, especially if medical treatment has failed
Many patients notice improvement in blood sugar levels within days, even before significant weight loss occurs, due to hormonal changes triggered by the surgery
Procedures like Sleeve Gastrectomy, Mini Gastric Bypass (MGB), and SADI-S are commonly used, chosen based on your health, weight, and specific metabolic goals.
Some metabolic procedures like adjustable gastric banding are reversible, but most, like sleeve gastrectomy and bypass surgeries, are permanent anatomical changes.
Many patients stop or reduce their medications soon after surgery, but your diabetes status will be monitored closely. Some may need low-dose medications temporarily during the transition phase.
As with any surgery, there are risks like bleeding, infection, or nutritional deficiencies. However, modern minimally invasive techniques have made these procedures very safe with high success rates at experienced centers like MASSH.
While diabetes improvement is often rapid, full weight loss and metabolic benefits usually unfold over 6–12 months, supported by regular follow-ups, dietary adjustments, and exercise.