“Being obese is traumatic…”

…says Saba Ansari, who went from being morbidly obese and depressed patient to a confident, happy woman, after losing 50 kgs in 2 years

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Faye Monteiro

Posted On Friday, November 27, 2009   

Society constantly demands that you adhere to a certain stereotype in order to be accepted. However, what is most important is that you seek that joy and solitude in your self, something no one can provide you with.

Saba Ansari (BEFORE)
This was Saba Ansari’s belief when she opted for bariatric surgery to battle her 110kgs. “I was extremely low on self-confidence as you are constantly reminded by society that you are different whilst shopping or just meeting up with friends. Obesity started hampering my studies and family life. I tried short-term weight loss programmes, but nothing worked.

 

“Relatives from abroad told me about bariatric surgery. I had no clue what this surgery was about. Surfing the internet increased my awareness of this surgery. I believed it would benefit me. However, my immediate family was skeptical about it. My mother even asked me what if the surgery killed me. I told her that I had nothing to lose as being overweight was killing me everyday.

 

“My family then took an appointment with Dr Prashant Rao, laparoscopic surgeon. The surgery involved tying a silicon band around my stomach creating a small pouch that would control my appetite.

The surgery is reversible and the band could be removed whenever I wanted too. But my main concern was whether it would affect my reproductive organs. I was relieved when I was told that since this surgery is done to the upper part of the abdomen and the reproductive organs and much below, I would have no problem conceiving. Also, I could expand the band when I become pregnant, in order to eat more. It was only then that my parents felt comfortable about this surgery.

 

For a month after the surgery, I was on a liquid diet. A month later, mashed food followed and after that normal food. This is done so that the stomach adjusts to the band. I started keeping tabs on my diet. I had normal home food in small proportions and I started gymming. For six days in a week, I would follow my diet whilst on the seventh day I would indulge in a brownie.

 

Saba Ansari (AFTER)
Being motivated

 

“As I took a year off to deal with this ailment, I was aware of the money, energy and time put in, not only by me but also by my parents. Family support is of tremendous importance and I am very grateful to their support. There were times when I would feel hopeless, even after the surgery, as weight loss for the first few months is slow (1 kg per month) and requires lots of perseverance in fitness and diet.

 

“However, I put all my energy into losing weight, taking keen interest in my diet and weight training. I exercised without a fitness trainer and went on a diet without consulting a dietician. This is not a guideline for people to follow, however, I knew that only if I took interest in what I wanted would I lose weight. I made sure I didn’t overdo my exercise regime or my diet. However, my doctor has now advised me to visit a nutritionist to make sure I have enough intake of nutrients.

 

Battling Indian mentality

 

“Indians always tend to make comparisons as opposed to our neighbours in the west. We thrive on comparing each other and living up to each other’s expectations. Even after losing weight, the feedback I would get from neighbours was negative 70% of the time. I was told to lose more weight and this would disturb me most of the time. However, I believed that barring the negative comments, no matter how much people sympathised with me, it was only I who could help myself.

 

I now weigh 68 kgs and I wish to maintain this weight because at 5 feet 9 inches, the weight is evenly distributed. Losing weight has brought my irregular menstruation under control. I do not wish to take off the silicon band as it has no side-effects, and it keeps my appetite under control. If it does not affect my rigorous exercise regimen, which includes running and abdominal exercises, I don’t think it would be an obstacle to anything else later in life,” states Ansari, confidently.

 

 

 

Dr Prashant Rao, laparoscopic surgeon, answers some queries:

 

Why are Indians skeptical about this surgery?

Indians are still very skeptical about bariatric surgery. The number of operations in India, barely touches 100 per year, as opposed to Sweden (a country the size of Maharashtra) which provides 2000 gastric bands per year. I believe that acceptance, lack of awareness and illiteracy are the main reasons for this statistic.

 

As opposed to the west, where people go for such a consultation by themselves, the whole Indian family comes for consultation; the nana, nanis, brothers, sisters.

 

Are there any types of bariatric surgery? If so, what are they?

There are two types of Bariatric surgery:

  1. The purely restrictive surgery
    This restricts the capacity of the stomach by tying a silicon band around the stomach thus creating a small pouch. This reduces the patient’s appetite and thus the capacity of food consumption. It creates a feeling on ‘fullness’.
  2. Sleeve operation
    In this surgery, two-third of the stomach is cut off leaving 30 per cent of the stomach. This has the capacity of 100-150ml i.e 1 glass of water. The stomach looks like a narrow tube after that.
  3. Combined procedure which creates restriction and well as malabsorption
    Here not only a small pouch of the stomach is created but the intestines are re-rooted so that fats are not absorbed. However, you could develop a lack of nutrients and you would need to be on supplements all your life.

However, with operations 1 and 2, nutrient supplements are not required and nutrients from food are absorbed in to the system.

 

Are there any complications with bariatric surgery?

Bariatric surgery is like any other major surgery. However, the percentage of complications after the surgery is negligible. It is a completely safe procedure.

 

What are the benefits to patients?

Patients who are obese usually have other health problems like diabetes, hypertension and cholesterol problems. It is usually after the Sleeve operation that several patients have seen these problems, especially diabetes, resolved. This is because the part of the stomach that’s removed contains peptites and hormones involved with satiety and glucose regulation in the body. Removal of this part resolved diabetes in 80% of the cases.



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