Breast and Obesity Surgery

Sakra Institute of Breast and Bariatric Surgery*

Obesity (Bariatric) Surgery

Obesity is a major health problem affecting men, women and children in recent times. Though the term 'obese' is loosely used to refer to anyone who looks fat, medically obesity is quantified by one's Body Mass Index  (BMI). Anyone with a BMI >25 Kg/square metre is considered overweight and >30 is considered obese. 

The problem of obesity has to do a lot with sedentary lifestyles and eating habits. The body's weight is a maintained by a tight balance between how many calories one eats and how many calories one burns. For instance, if one consumes 3000 kcal per day and utilise 2400 kcal, the remaining 600 kcal get stored as fat in the body, to be used later. In the absence of physical activity, this excess body fat never gets burnt. The problem of eating excess calories is the most common cause of obesity. However, there are other factors also that control the body weight - namely, hormones like leptin and ghrelin, genetic risks. There are some medical conditions like hypothyroidism and Cushing's syndrome which can lead to obesity. 

Obesity is not merely a problem of external appearance. It is a true medical problem with extreme effects on one's health. A 25-year-old morbidly obese man has a 22% reduction in life expectancy, or 12 years of life lost, compared with a normal-sized man.Untreated, obesity is responsible for a significant proportion of non-communicable diseases (NCDs) including heart disease, diabetes, liver disease, stroke, osteoarthritis and many types of cancer. Excess fat gets deposited in the blood vessels, form an atheroma and can block blood supply. Fat in the cells of the body makes them resistant to the action of insulin - leading to diabetes. Fat releases free radicals which damage cells, cause mutations and lead to cancers. 

Obesity needs to be considered as a serious health problem and one has to take measures to reduce weight. Brisk exercise like walking or jogging for at least 30 mins a day can go a long way in reducing weight. A conscious effort is needed to make sure you eat only healthy, freshly cooked food with zero trans fat. Some people who are morbidly obese ( BMI > 40) will need bariatric surgery to reduce weight. Medical causes of obesity need to be evaluated by a specialist and managed efficiently. However, whatever the situation may be healthy eating habit is a must and if combined with a bit of daily dose of exercise, then it can do wonders.
Surgery is known to bring multiple benefits. It is very important that your doctor monitors you regularly post surgery.

Breast cancer

Human Biology is far more complicated than we imagine. Cells in our body are supposed to function and grow in a particular manner. In the process, they are likely to become abnormal. Cancer is the unrestricted growth of abnormal cells. Cells get into an abnormal cycle in two stages(medically 'two hit theory'). One abnormal cell formation wherein there is a genetic change in the cell (called mutation). These cancer cells have changes in the gene. These changes are related in 10 to 15% with an inherent genetic abnormality, and 80 to 85% with environmental mainly lifestyle related risk factors.With mutation, there are initiation processes. At any given point of time, it is scary to think  that there are many initiated cells in the body. In the presence of good body immunity, these cells are either killed or made to remain in static phase. In the absence, good immunity or presence high risk factors ( poor lifestyle) these cells get into promotion phase to get into cancer cycle. Once these cells grow excessively they start spreading through blood vessels and lymphatics. 

It sounds bizarre, but lifestyle could be a secret weapon against cancer. We humans have the capacity to control our lifestyle for better, than any other living beings. There is a need to restrict environmental influence on us with knowledge. We need to give space and time to maintain our body and mind. We need to be focused on maintaining our own body like how we take care of anything we are passionate about. It is easy to get addicted to the bad lifestyle. But if we make good lifestyle a part of our routine the body gets good at everything we do. The lifestyle related factors include cigarette smoking, diet ( fried foods and red meat), alcohol, sun exposure, infections, stress, obesity, environmental pollutants, and physical activity. Therefore Cancer prevention requires smoking cessation, increased ingestion of fruits and vegetables, moderate use of alcohol, calorie restriction, exercise, minimal meat consumption, use of whole grains, use of vaccination, and regular check-ups. By choosing the healthiest lifestyle options possible, you can empower yourself and make sure your cancer risk is as low as possible.


Dr. Nanda Rajneesh.

Breast and Obesity Surgeon
Book Appointment With Dr. Nanda Rajaneesh,General Surgeon,Oncoplastic Breast Surgery

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