Dr. R.K. Mishra's Lecture on Laparoscopic Management of Morbid Obesity at CAMLS, University of South Florida, United States of America. This lecture was delivered during the Fellowship of Minimal Access Surgery Course, Organized by the World Laparoscopy Training Insitute, Florida, USA.

This lecture explains, Sleeve Gastrectomy, Gastric Plication, and Mini Gastric Bypass procedures. Morbid obesity is defined as a BMI score of 40 or more. You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea, or high blood pressure. A BMI of 40 or higher also is a qualifying factor.

Bariatric surgery is a surgical procedure used to treat morbid obesity, which is defined as having a body mass index (BMI) of 40 or higher. The goal of bariatric surgery is to reduce the size of the stomach and/or reroute the digestive system, which can result in significant weight loss. Here is an overview of the most common types of bariatric surgery:

Roux-en-Y gastric bypass: This procedure involves dividing the stomach into a small upper pouch and a larger lower pouch and rerouting the small intestine to the small upper pouch. This limits the amount of food that can be eaten and reduces the amount of calories and nutrients that can be absorbed.

Sleeve gastrectomy: This procedure involves removing a large portion of the stomach and leaving behind a sleeve-shaped tube. This reduces the amount of food that can be eaten and also affects the hormones that control hunger.

Adjustable gastric banding: This procedure involves placing an inflatable band around the upper part of the stomach to create a small pouch. The band can be adjusted over time to control the amount of food that can be eaten.

Biliopancreatic diversion with duodenal switch: This procedure involves removing a large portion of the stomach and rerouting the small intestine to the remaining stomach pouch. This limits the amount of food that can be eaten and reduces the amount of calories and nutrients that can be absorbed.

Bariatric surgery is typically performed under general anesthesia and may require a hospital stay of several days. After the surgery, patients will need to follow a strict diet and exercise plan and may require additional support from healthcare providers, such as nutritionists or mental health professionals.

Bariatric surgery can be an effective treatment for morbid obesity and can result in significant weight loss and improvement in associated health conditions, such as type 2 diabetes, high blood pressure, and sleep apnea. However, as with any surgical procedure, there are potential risks and complications, such as bleeding, infection, and blood clots. It is important to discuss the risks and benefits of bariatric surgery with your healthcare provider to determine if it is the best option for you.