The bariatric surgery in India has evolved over the last two decades. Experts say that endoscopic bariatric surgery will evolve a lot more in future. But at the same time, it is difficult for experts to predict on how much endoscopic bariatric surgery will replace all the conventional options.
With obesity being a widespread disease and many people coming forward for surgical intervention, the question of whether bariatric endoscopy will replace bariatric surgery was therefore being debated by the esteemed doctors at the Mumbai Live Endoscopy 2018 conference held in Grand Hyatt, Mumbai.
Dr Shashank Shah, bariatric surgeon from Pune who was a part of the debate said, “The distant future will be more of endoscopic. But we can’t say that conventional methods will not be practised. Like nowadays, doctors are doing both bypass procedure and angioplasty for heart. Similarly, bariatric surgeons will keep on doing surgeries with different methods.” He said while it is difficult to predict future, endoscopic will evolve to a great extent.
Dr Amit Maydeo, the director of the Baldota Institute of Digestive Sciences, Global Hospital and the course chairman of Mumbai Live Endoscopy 2018 said bariatric endoscopy is a classic example how endoscopy is replacing surgery.
“Till now, we used to put laparoscope from outside and cut the stomach and the procedure was called as sleeve gastrectomy. Today, we demonstrated sleeve gastroplasty, a newer type of weight loss procedure that reduces the size of stomach using an endoscopic suturing device,” said Dr Maydeo.
He said this procedure will help in weight loss of around 30 kg, over six months.
Dr Aparna Govil Bhaskar, bariatric surgeon at Global Hospital, Mumbai, said technological advances has added a lot more to patient’s safety.
“In open surgery, the chances of infection were high. Then came the laparoscopic surgery and it became a boon for patients as they were discharged the next day of surgery. Now endoscopic method will evolve a lot more in future,” said Dr Aparna.
Experts said that for some who want to lose just 20 to 25 kg of weight, bariatric endoscopy is the best option for them.
“People who are weary about incisions and want to shed around 20 kgs endoscopic bariatric surgery is the best method for them. It is difficult to say that what will be the future for bariatric surgery, but conventional methods will not get eliminated so soon and endoscopy will see many advances in future,” she added.