Gastric Bypass Surgery Cost in India – Procedure, Best Hospitals & Doctors

Posted on December 12th, 2019 by Ganesh Gopakumar

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What is the cost of Gastric Bypass Surgery in India?

The cost of Gastric Bypass Surgery in India varies from USD 3500-7000.

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The huge margin in cost depends upon

  • Method of surgery
  • Choice of Hospital
  • Choice of City

Method of Surgery

The method of surgery can determine the cost drastically. Laparoscopy is considered cheaper than open surgery. But in certain cases open surgery is inevitable. 

Choice of Hospital

The overall costs can hike by huge margins across different tiers of hospitals. A premium hospital provides a luxury stay and care but it is also reflected in the bill. The cost of accommodation, treatment, and care are much higher in a premium hospital. 

Choice of City

The city in which you are choosing for your surgery has a great impact on the total cost. The accommodation, food, and travel add up to the total cost. So if you’re looking to save some bucks choose your city wisely. The medical care in metro cities are higher.

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Hospital stay3 days
Surgery time45 mins – 3 hours
Outside the hospital7 days

Table of Contents

Cost comparison

How does Gastrointestinal tract work?

What is Gastric Bypass Surgery?

Types of Gastric Bypass Surgery

Who needs Gastric Bypass Surgery?

What to expect during the surgery?

Advantages of Gastric Bypass

Risks of Gastric Bypass

Disadvantages of Gastric Bypass

Best hospitals for Gastric Bypass in India

Best doctors for Gastric Bypass in India

Cost comparison

CountryCost (USD)Savings (USD)
US25,00018,000
Colombia12,0004000
Israel24,00017,000
Thailand16,50011,500
South Korea11,0004000
Mexico11,5004,500

The cost in India is lower because of the low cost of living and the low cost of healthcare services. 

How does the Gastrointestinal (GI) tract work?

Normally, the chewed food goes down the esophagus (food pipe) and reaches the stomach by peristalsis. The food is mixed with HCl present in the stomach. When it is time, the stomach slowly empties its contents, called chyme, into the small intestine. In the small intestine, the food mixes with various digestive enzymes from the liver, pancreas, and intestines. The digestion is mostly completed and the energy is assimilated through villi present in the small intestine. The remaining is pushed down to the large intestine for water absorption. 

What is Gastric Bypass Surgery?

Gastric Bypass Surgery is a type of Bariatric Surgery, done on an obese patient with weight-related problems to reduce the weight. This is done by changing how your stomach and small intestine handle the food you eat. Post-surgery your stomach will be smaller and food won’t go to some parts of the small intestine that absorb food. You will feel full with less food and feel hungry less often.

In Gastric Bypass Surgery, the stomach is made into two segments, the small upper pouch, and a larger lower pouch. The small intestine is made to connect to both pouches separately. Thereby, the size of your stomach is reduced, so you can’t eat as much as you used to. The surgeon will also re-route, or bypass, part of your digestive system so you don’t absorb as much food.

Types of Gastric Bypass Surgery

Roux-en-Y gastric bypass 

This is the most common type of gastric bypass surgery where the whole surgery is carried out through small cuts on the belly. The smaller cuts helps in quicker recovery and lower complications.

 Firstly, the surgeon makes the stomach into a small pouch by stapling parts of the stomach together or vertical banding. This will considerably reduce the amount of food you can eat.

 Next, the surgeon attaches a Y-shaped section of the small intestine to the pouch. That creates a bypass for food, so it skips part of your digestive system. As a result, you absorb fewer calories and nutrients.

Extensive gastric bypass (biliopancreatic diversion)

A much more complicated type of gastric bypass in which the lower part of the stomach is removed. The small pouch of the stomach is connected to the last part of the small intestine. The first two parts are totally bypassed. Even though it helps in weight loss it causes complications. It can also lead to insufficient absorption of nutrients. 

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Who needs a Gastric Bypass Surgery?

  • Your Body Mass Index (BMI) is above 40. 
  • The BMI is between 35 and 39.9 along with other weight-related health problems such as type 2 diabetes, obstructive sleep apnea, and high blood pressure.
  • Your efforts for weight loss by diet and exercise is unsuccessful
  • In certain cases, you might be referred for the surgery even if your BMI is between 30 and 34 after an examination if you have serious weight-related problems. 

But you might not necessarily qualify for bypass surgery just because you are overweight. The patient should meet certain medical guidelines, such as:

  • You should have a low liver volume.
  • You should not have unstable coronary artery disease.
  • The patient should not have severe heart failure

Better meet your doctor to take an extensive screening test on whether you need surgery or not.

Check your BMI here. 

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Pre-surgery

  • Various lab tests and X-rays are required prior to the surgery.
  • Eating and drinking will be restricted prior to surgery and a diet plan will be given to you.
  • Certain medications may be restricted.
  • The doctor will prescribe certain medicines, vitamins, minerals to have a few days prior to the surgery.
  • If you are on blood-thinning medications do tell your doctor prior to the surgery. 
  • The doctor will ask to start physical activity a few days before the surgery.
  • Avoid all forms of tobacco. 

What to expect during the surgery?

  • An IV is inserted into the vein.
  • Anesthesia is given and by the time it sets in, the doctors prepare for the surgery.
  • The doctor makes incisions, based on the condition and requirements. He can either do an open surgery where a large incision is made.
  • But nowadays, laparoscopy is mostly done with smaller incisions and equipments inserted through it. The smaller cuts lead to less pain and faster recovery.
  • After getting access to your stomach, he reduces the top of the stomach to a pouch to the size of a walnut. This pouch can hold one ounce of food while the normal stomach can hold 48 ounces. 
  • The surgeon cuts the small intestine and sews it to the pouch.
  • The food bypasses most of the stomach and first part of the small intestine. 
  • The surgeon sews the cuts on your abdomen and moves you to the recovery room. 

Post-surgery

  • Diet is the main factor that you should look into after the surgery.
  • Immediately after the surgery, you can have liquid foods but avoid solid foods.
  • You will have to follow a diet plan given by the doctor.
  • The diet will have to slowly have a transition from liquid to soft solid food to firm foods.
  • You will have to stay at the hospital for 3-5 days before you are discharged.
  • Avoid strenuous physical activity until your doctor tells you to. 
  • Vitamins and minerals will be prescribed, including vitamin B12, iron, and calcium.
  • You will have to do frequent checkups, lab tests for a few months.
  • You will still have to maintain a healthy lifestyle, diet and also exercise lightly. 

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Advantages of Gastric Bypass Surgery

  • Improved quality of life
  • Loss of excess weight
  • Better heart health.
  • Eliminates obstructive sleep apnea
  • Improvement is type 2 diabetes.

Risks of Gastric Bypass Surgery

  • Excessive bleeding
  • Infection
  • Adverse reactions to anesthesia
  • Blood clots
  • Leaks in the GI tract
  • Breathing problems

These complications can happen although it is very rare and in most cases, none of it happens.

Disadvantages of Gastric Bypass Surgery

  • Pouch stretching: The pouch into which the stomach has been reduced to with the help of staples stretches and becomes bigger over time. They return back to their original size.
  • The staple falls apart
  • Lack of absorption of minerals and nutrients: The bypass can cause insufficient absorption of nutrients and minerals which leads to other problems. 
  • Stomal stenosis: Nausea, vomiting, reflux can be caused by the narrowing of the junction between the stomach and the small intestine. 
  • You may get gallstones quickly
  • Dumping syndrome: Food moves quickly from the stomach into the small intestine. It could lead to nausea, vomiting and occasional diarrhea. 

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Top 10 Hospitals in India for Gastric Bypass Surgery

  1. Paras Hospitals
  2. Safdarjung Hospital
  3. Max Balaji Hospital
  4. Rockland Hospital
  5. Medanta – The Medicity
  6. Sukhda Hospital
  7. Bhatia Global Hospital
  8. Primus Super Speciality Hospital
  9. Dr. Malathi Manipal Hospital
  10. Fortis Obesity Surgery Clinic

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Top 10 Doctors in India for Gastric Bypass Surgery

  1. Dr. Muffazal Lakdawala
  2. Dr. Randeep Wadhawan
  3. Dr. Paritosh Gupta
  4. Dr. Ramen Goel
  5. Dr. Ajay Kumar Kriplani
  6. Dr. Pradeep Chowbey
  7. Dr. Ahsan Badar
  8. Dr. Mahendra Nawaria
  9. Dr. Sanjay Borude
  10. Dr. Vikas Singhal

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