Is there no way to stop this?’: Hit by hereditary blood disorder across 3 generations, Pune family wonders how many more

Six-year-old Anvika Nevse has changed out of her hospital gown and into a white frock, waiting eagerly for the doctor’s go-ahead to leave. It has been a week since her spleen and gallbladder were removed at Dr Shashank Shah’s Laparo-Obeso Centre in Pune and she is ready to go home. Her father Akshay, 33, who had his spleen removed at the age of 8, stands by her side and tells the little girl that his father, Kailas, too, had the same surgery in his early 20s.

Not just these three, Akshay’s sister Disha Pawar also underwent a splenectomy (surgical procedure to remove the spleen) when she was 10 years old, and her five-year-old son, too, may need it. In a rare case, one family has been affected by an inherited blood disorder called hereditary spherocytosis. This condition causes abnormally shaped red blood cells to become trapped in the spleen, leading to its enlargement and, in most instances, requiring surgical removal.

Talking to The Indian Express, Dr Shashank Shah, a noted general and bariatric surgeon, says, “Data varies on how many people have this hereditary disorder but according to estimates, 1 in 2,000 to 5,000 people worldwide have hereditary spherocytosis.”

I have treated 20 patients with this rare genetic disorder so far, but this is the first case where it has been passed down three generations in a single family,” adds Dr Shah.

Both Akshay Nevse and his sister Disha Pawar vividly remember the surgery they had to undergo then at Poona Hospital and feel helpless that their children now have to face a similar fate.

“It was sometime in the 1970s when my father’s spleen was removed at Mission Hospital, Wai. We were staying at Akluj in Solapur then, and my father would tell us about the episode when he would often remain listless and unable to work at the farm. My grandmother would also suffer abdominal pain and had low haemoglobin levels. But in those days, she was not immediately diagnosed with spherocytosis,” Askhay recalls. Little did Akshay’s father Kailas know that his children would inherit this disorder. “I was diagnosed with spherocytosis at Ruby Hall in Pune and then later surgically treated at Wai’s Mission hospital. Two to three days after my spleen was removed, the haemoglobin (Hb) levels shot up. However, when my children started showing similar symptoms, I decided to consult the doctors immediately. Imagine my distress then that their spleen also had to be removed,” says Kailas, 71, who now stays in Baramati with son Akshay and his family.

कोल्हापूरच्या रुग्णाला पुण्यातील डॉक्टरांनी दिले जीवनदान

पुणे, ता. १८ : “काही लोकांना बसल्या-बसल्या झोप लागते. पण मला गाडी चालवतानाही डोळ्यावर गुंगी येत होती. वजन १४० पर्यंत वाढले होते. नंतर तर मला श्वास घ्यायला त्रास होऊ लागला. ऑक्सिजनचे प्रमाण ७३ टक्क्यांपर्यंत कमी आले. त्यावेळी डॉक्टरांनी व्हेंटिलेटर लावला,” वयाची पन्नाशीही न ओलांडलेले प्रकाश तासगावकर ‘सकाळ’शी बोलत होते.

कोल्हापूरच्या डॉक्टरांनी तातडीने वजन कमी करण्याचा सल्ला दिला. त्यामुळे ऑक्सिजनवर असलेल्या तासगांवकर यांनी पुण्याचा रस्ता धरला. ते पुण्यातील लेपरो ओबेसो सेंटरमध्ये (एलओसी) उपचारासाठी दाखल झाले. त्यावेळी त्यांच्या रक्तातील ऑक्सिजनचे प्रमाण कमी होते. श्वास घ्यायला त्रास होत होता. रक्तादाब वाढलेला होता. त्यांना बेडसोर्स झाले होते. त्यांच्या शरीरात मोठ्या प्रमाणात पाणी झाल्याचे निदानही येथील डॉक्टरांनी केलेल्या प्राथमिक तपासणीत दिसून आले. दिवसभर ते झोपाळलेला असायचे. अशा स्थितीत त्यांच्यावर उपचार सुरु केले. त्यांच्यावर वजन कमी करण्याची बेरियाट्रिक शस्त्रक्रिया करणे अपरिहार्य होते. मात्र, शस्त्रक्रियेच्या तयारीपूर्वी त्यांच्या शरीरातील पाणी काढले. तसेच, औषधे आणि आहार सुरु केला. त्यातून शस्त्रक्रियेपूर्वीच रुग्णाचे २० किलो वजन अवघ्या सात दिवसांमध्ये कमी झाले.

या बद्दल माहिती देताना ‘एलओसी’तील बेरियाट्रिक सर्जन डॉ. शशांक शहा म्हणाले, “रुग्णावर फेब्रुवारीच्या शेवटच्या आठवड्यात शस्त्रक्रिया करण्यात आली. त्यानंतर तीन महिन्यांमध्ये आतापर्यंत ४४ किलो वजन कमी झाले आहे. त्यांचे वजन उंचीचे प्रमाण (बीएमआय) शस्त्रक्रियेपूर्वी ५१ होते. ते आता ३४ पर्यंत कमी झाले आहे. म्हणजे अतीस्थूल ते सामान्य माणूस असा यशस्वी प्रवास त्यांनी या दरम्यान केला आहे.”

शस्त्रक्रियेतील आव्हान

“वजन कमी करण्याची शस्त्रक्रिया ही नियोजित असते. त्यात शस्त्रक्रियेपूर्वीची तयारी व्यवस्थित केली जाते. हा रुग्ण शस्त्रक्रिया करण्यापूर्वी काही दिवस व्हेंटिलेटर होता. रक्तदाब वाढला होता. शरीरातील कार्बन डायऑक्साईडचे प्रमाण बेसुमार वाढले होते. या स्थितीत शस्त्रक्रिया करणे हे मोठे आव्हान होते. मात्र, रुग्णाची सकारात्मक मानसिकता असल्याने ही शस्त्रक्रिया यशस्वी करता आली,” असे डॉ. शहा यांनी सांगितले.

“कोल्हापूरमध्ये व्हेंटिलेटर होतो. आता पुण्यातील डॉक्टरांनी योग्य निदान आणि उपचार करून नवीन जीवन दिले. त्यामुळे माझ्या कुटुंबासोबत मी आनंदाने राहात आहे,”

प्रकाश तासगावकर, रुग्ण

Health Wishlist: Here’s what Pune is wishing for in 2024

Improving traffic control to reduce accidents in the city, creating a supportive environment for doctors in all hospitals, making insurance rules clearer, and increasing the number of beds in government hospitals are among the top priorities on the medical community’s wish list for 2024. In addition there is a growing emphasis on developing strategies to mitigate birth defects, address obesity-related issues and ageing problems.

Better traffic, fewer accidents

Dr Chetan Pradhan, Associate Medical Director and head of trauma care at Sancheti Hospital underlines the need for better traffic management that can help bring down the number of accidents in Pune, as well as increasing the network of free ambulance service 108 to cover the entire city and peripheral areas. “We also need a fearless atmosphere for doctors who feel sandwiched between legal concerns and hostile relatives,” Dr Pradhan adds. The orthopaedic surgeon has also flagged concerns about the need for standardisation, transparency in insurance rules and government schemes ‘to ensure benefits reach the needy and not just those who have political access.’

More paediatric surgeons

“Every day 3,000 children are born in India with birth defects, having a cumulative impact if left untreated,” says Pune-based Dr Dasmit Singh, Professor and Head, Department of Pediatric Surgery, B J Government Medical College. Dr Singh who is the immediate past president, Indian Association of Pediatric Surgeons emphasises the critical need for pediatric surgeons across the country. “These services play a pivotal role in reducing infant mortality and hence our focus remains on bolstering pediatric surgery services nationwide with a hash tag #IndiaNeedsPediatricSurgeons in every district.” he says.

Treat obesity as a disease

Dr Shashank Shah, Pune based bariatric surgeon points out that physical inactivity and aging are associated with obesity. “My concern is that people should take obesity as a disease and not treat it on their own by ad-hoc diets and exercise,” Dr Shah who is the former President of Obesity and Metabolic Surgery Society of India adds.

More beds in govt hospitals; 24/7 grievance redressal cell for patients

Pune based Dr Avinash Bhondwe, former President of Indian Medical Association (Maharashtra) is passionate about each citizen getting proper medical treatment.”Health should be a priority,” says Dr Bhondwe who feels that bed strength in government-run hospitals is insufficient. “A sizable chunk of the population has to avail medical treatment at private healthcare facilities and most of them can’t afford it. Considering the rise in population we need more government-run hospitals here,” Dr Bhondwe urges.

With more than 600 private hospitals in Pune, city-based Dr Abhay Shukla who is the national co-convenor of Jan Swasthya Abhiyan, hopes that in 2024 each of these healthcare facilities is able to display the charter of patients’ rights and list of charges as legally mandated in Maharashtra Nursing Homes Registration Act. “The grievance redressal cell for patients should also be made fully functional 24/7 across all hospitals,” he says.

The government should compulsorily take up vaccination drives for the adolescent age group against diseases like rubella and cervical cancer. These vaccines are important in averting life-threatening diseases such as cervical cancer. There should also be zero tolerance of violence against doctors, and stern measures must be promptly enforced against the errant lot, says Dr Sunita Tandulwadkar, Federation of Obstetric and Gynaecological Societies of India- President-Elect 2025.

Around 1000 stones removed from 30-year-old Pune woman’s gallbladder

A 30-year-old woman from Pune suffered severe abdominal pain during her pregnancy and tests indicated she had developed gallstones that interfered with the normal functioning of her organs. While a surgery was postponed due to her pregnancy, she eventually underwent a 20 minute procedure involving three punctures to remove as many as 1,000 tiny stones, measuring 1-2 mm, from the gallbladder.

“This is an unusual case mainly as the patient was young and healthy,” laparoscopic and bariatric surgeon Dr Shashank Shah told The Indian Express.

“She had small 1 to 2 mm greenish yellow stones; most likely cholesterol stones,” Dr Shah said. Genes that influence the production of cholesterol have a role to play in gallstone risk and in her case there could have been a genetic tendency of condensation of cholesterol in the bile.

Gallstones are hardened deposits of digestive juice called bile that form in the cavity of the gallbladder. The causes of gallstones can be attributed to a high fat diet, heredity, obesity and a sedentary lifestyle.

“The woman suffered from excruciating abdominal pain due to the presence of gallstones that interfered with her daily routine. She would cry out loudly in pain and struggled a lot as there was a significant obstruction in the outlet of her gallbladder due to the significant accumulation of stones. We had to perform a 20 minute laparoscopic cholecystectomy (laparoscopic removal of gallbladder) with only three punctures,” Dr Shah told The Indian Express.

बापरे! प्रसूती झालेल्या महिलेच्या पित्ताशयातून १०-१२ नाही तब्बल हजाराहून अधिक खडे काढले

काही दिवसांपूर्वीच प्रसूती झालेल्या एका तीस वर्षीय महिलेच्या ओटीपोटात तीव्र वेदना होत असल्याने डॉक्टरांनी 'सोनोग्राफी' केली. या महिलेच्या पित्ताशयात खडे तयार झाल्याचे 'सोनोग्राफी' मध्ये दिसून आले. बाळाला नियमित स्तन्यपान करावे लागत असल्याने शस्त्रक्रिया पुढे ढकलण्याचा निर्णय डॉक्टरांनी घेतला. मात्र, ओटीपोटात वारंवार तीव्र वेदना जाणवू लागल्याने डॉक्टरांनी शस्त्रक्रिया करण्याचा निर्णय घेतला आणि अवघ्या २० मिनिटांत पित्ताशयातील सुमारे एक हजारहून अधिक खडे काढून या महिलेला वेदनामुक्त करण्यात डॉक्टरांना यश आले. 'लॅपरो ओबेसो सेंटरचे 'लॅपरोस्कोपिक आणि बॅरिएट्रिक सर्जन डॉ. शशांक शहा यांनी सांगितले, 'महिलेच्या पित्ताशयात खडे झाल्याने तीव्र वेदना, पोटदुखीचा त्रास जाणवत होता. पित्ताशयावर ताण येत असल्याने त्यांना जास्त प्रमाणात अस्वस्थपणा जाणवत होता. वारंवार तीव्र वेदना होत असल्याने लॅप्रोस्कोपिक कोलेसिस्टेक्टॉमी शस्त्रक्रिया करण्याचा निर्णय घेण्यात आला. शस्त्रक्रिया सुरू असताना पित्ताशयामध्ये मोठ्या प्रमाणावर खडे आढळून येत होते.शस्त्रक्रिया पूर्ण झाल्यावर खडे मोजले असता एक हजारहून अधिक खडे आढळून आले. पित्ताशयात हिरव्या, पिवळ्या रंगाचे खडे बाहेर काढण्यात आले आहे. शस्त्रक्रियेनंतर महिलेला २० तासांच्या आत घरी सोडण्यात आले असून, ही महिला दैनंदिन कामे करण्यास सक्षम झाली आहे.' देशात पित्ताशयात खडे होण्याच्या प्रकरणांमध्ये वाढ होत असून, हे प्रमाण २० टक्क्यांपर्यंत गेले असल्याचे वैद्यकीय तज्ज्ञांचे म्हणणे आहे.

बेरियट्रिक सर्जरीने 30 किलो वजन घटले आणि अन्नाची अलर्जीही पळाली

प्रिती सेखसारियाचा प्रेरणादायी प्रवास शोधा कारण तिने डॉ. शशांक शाह यांच्यासोबत बॅरियाट्रिक सर्जरीबद्दलची तिची वैयक्तिक गोष्ट शेअर केली आहे. शस्त्रक्रियेपूर्वी, तिला तिच्या वजनामुळे उच्च BMI, उच्च रक्तदाब, चक्कर येणे आणि गुडघेदुखी यासारख्या अनेक आव्हानांचा सामना करावा लागला. पण डॉ. शहा यांच्या पाठिंब्याने तिने प्रक्रिया पार पाडण्याचा निर्णय घेतला. शस्त्रक्रियेनंतर, तिची तब्येत नाटकीयरित्या सुधारली आणि तिने अवघ्या 3 महिन्यांत 30 किलो वजन कमी केले! प्रितीचा आत्मविश्वास वाढला, ज्यामुळे तिच्या आयुष्यावर शस्त्रक्रियेचा अद्भुत प्रभाव दिसून आला.

Effective strategies for parents to tackle uncontrolled obesity in children

According to the World Health Organization (WHO), the prevalence of overweight and obesity among children and adolescents aged 5-19 has risen dramatically from just 4 per cent in 1975 to just over 18 per cent in 2016. The problem is even more grievous in India with a predicted 27 million children to be diagnosed with obesity by 2030, as per UNICEF’s World Obesity Atlas 2022.

On the face of it, the numbers may seem small because of the size of the Indian population but is a major worry for health experts.

“The worldwide guidelines for bariatric surgery for childhood obesity have been revised and early intervention for morbid obesity in children has been recommended in view of the early onset of diseases like diabetes, high blood pressure, sleep apnea, and fatty liver disease seen at an early age,” Dr Shashank Shah, Consultant, Bariatric Surgery, P D Hinduja Hospital & Medical Research Centre, Khar told indianexpress.com.

Causes of childhood obesity<

There are three main categories of causes for childhood obesity, explained Dr Uday Phadke, Director-Dept. of Endocrinology & Diabetes, Sahyadri Hospitals. “Firstly, genetic obesity stems from a genetic fault in the child, often associated with genetic disorders or syndromic conditions that lead to weight gain and other abnormalities,” he said.

The paramount cause of childhood obesity can be attributed to environmental factors, notably diet and exercise. “Factors such as the consumption of calorie-dense foods, the preference for formula diets over breastfeeding, and the powerful influence of enticing advertisements promoting high-calorie foods contribute to excessive eating habits,” Dr Phadke noted.

Furthermore, he explained that sedentary behaviours, such as excessive screen time and reduced outdoor play, significantly contribute to the prevalence of childhood obesity. Similarly, the impact of family behaviour cannot be ignored as parents’ busy schedules and the adoption of a Western lifestyle, often characterised by dining out and relying on fast food, exacerbate this issue.

Although less common, Dr Phadke said that hormone-related diseases such as growth hormone deficiency or excessive cortisol production can contribute to obesity in some cases. Additionally, factors such as excessive maternal weight gain during pregnancy and maternal diabetes can contribute to obesity in children.

“By understanding and addressing these various causes, we can effectively tackle childhood obesity and promote healthier outcomes for our young patients,” he said.

Signs to look out for

Recognising signs that can indicate childhood obesity is very important. Primary indicators of childhood obesity are family history and the child’s growth patterns.

Explaining this, Dr Phadke said, “It is essential to assess syndromic factors or single gene disorders as they may contribute to mental abnormalities. Moreover, paying attention to the timing of weight gain is crucial.”

For example, he said that if a child who was previously within a normal weight range suddenly becomes overweight, it could signify an underlying disease or problem. Children with underlying diseases often exhibit a short and fat body shape, whereas those who are overweight due to overeating and lack of exercise may have a tall and fat physique. Additionally, certain medical conditions or the use of drugs like steroids can contribute to obesity and should be taken into consideration during the evaluation process.

By recognising these signs and factors, one can effectively identify and address childhood obesity, leading to better outcomes for our young patients.

Precautions

Dr Shah recommended the following strategies to combat childhood obesity:

• Awareness about a healthy diet, excess calories, and activity among children and parents is extremely necessary.
• Education about healthy diet and lifestyle is necessary in schools.
• Junk food should be an option to enjoy occasionally and not become a staple diet.
• A close watch on a child’s weight as a part of overall health is very important. A weight gain of just 5 to 10 kg should alert the parents.

Concluding, he said, “Childhood obesity is growing exponentially. It is time that the government declares childhood obesity a new pandemic and starts taking action.”

Surgeon recommends lifestyle modification over quickfix solutions for weight loss

Luckily for overweight people, modern science has now recognised 'obesity' as a lifestyle disease that can affect anyone from the middle to the upper-middle classes of society, in any age group.

Dr. Sushil Kharat, senior bariatric surgeon, Laparo Obeso Centre, Pune, said that obesity usually comes with company -- of various other diseases -- that can make life miserable for the patient and at times can be fatal, if not treated properly in time.

"Contrary to perceptions, obesity is not community-specific or related to any particular Indian community, though the incidence is higher among Gujaratis and Rajasthanis," Kharat said.

This is owing to the diet which is rich in fat with ghee-oil-sugar, plus the tendency to munch on junk foods with all the unhealthy saturated fats, along with a sedentary lifestyle.

"Though there is no scientific data available, we have found that obesity is higher among people of Gujarat-Rajasthan, and middle and upper-middle classes of the society," said Kharat.

He referred to the trend seen a few decades ago, when the so-called 'fatsos' around did not seem to have any other co-morbidities and apparently enjoyed an active, healthy though heavyweight life -- akin to the lovable comic character, Obelix.

"But, even they suffered from obesity, and later on in life could develop other problems related to the heart, diabetes, bones, etc.," he pointed out.

Emphasising that obesity is a disease that can be treated, Kharat said even the IRDA has recognised it, so it is now permitting and covering certain forms of treatment including surgeries, pertaining to this condition.

In the modern era, though obesity has been reported from toddlers to senior citizens, the 20-50 age group comprises the major chunk who suffer from and need treatment for this gross malady.

"While we have seen more or less equal incidence among the genders, it seems to be marginally higher among women, owing to various issues, and timely treatment is a must to avoid more complications in the long run," Kharat cautioned.

Obese girls or women can suffer in many ways including bone problems, disturbed menstrual cycles, hormonal issues, which in turn can result in infertility unless treated, besides psychological challenges.

Though modern treatment is complex and multi-pronged ranging from pills, capsules to surgeries of various kinds depending on the patients, fortunately, it is also giving long-lasting and nearly permanent results to those suffering from obesity.

"The complete treatment cost can range around Rs 500,000 and the outcome is definitely long-lasting, though not permanent, if the patient discards compliance and discipline to maintain his/her new slim self," Kharat said.

As a message, the bariatric surgeon suggests that all, particularly the youth and middle-aged people, should maintain a healthy lifestyle, eat a balanced diet, include a lot of daily physical activity and most importantly, "trash all types of junk food to keep that bulge on the waistline under control".

काही वर्षात जगातील 90 टक्याहून अधिक लोकांना जडणार लठ्ठपणा, तज्ज्ञांनी केला दावा

Obesity Causes Disease : सध्या लठ्ठपणा हा आपल्या देशात होणाऱ्या मृत्यूंच्या संभाव्य कारणांपैकी एक महत्वाचे कारण आहे.

Obesity Causes and Effects : जंकफूड, खाण्यापिण्याची बदलेली शैली व योग्य वेळी आहार न घेण्याच्या चुकीमुळे आपल्याला आरोग्याच्या अनेक समस्यांना सामोरे जावे लागू शकते. सध्या लठ्ठपणा हा आपल्या देशात होणाऱ्या मृत्यूंच्या संभाव्य कारणांपैकी एक महत्वाचे कारण आहे.

लठ्ठ रुग्णांपैकी ९०% रुग्ण हे डॉक्टरांनी सूचित केलेले उपचार अवलंबविण्यास विलंब करतात आणि त्यामुळे येत्या काळात मधुमेह, स्ट्रोक, हृदयविकाराचा झटका, किडनी, फॅटी लिव्हर तसेच गुडघेदुखी आणि मणक्याच्या आजारासारख्या गंभीर आजारांना सामोरे जावे लागू शकते.

एकदा का हा आजार (Disease) जडल्यानंतर हेच रुग्ण कालांतराने विविध व्याधी सोबत घेऊन उपचारासाठी येत असल्याचे देखील समोर आले आहे असे मत लँपरोस्कोपिक बँरिएट्रीक सर्जन डाँ.शंशाक शहा यांनी नोंदविले आहे.

वर्ल्ड ओबेसिटी फेडरेशनच्या २०२३ अॅटलसनुसार जगातील ५१% किंवा ४ अब्जाहून अधिक लोक पुढील १२ वर्षांत लठ्ठ किंवा जास्त वजनाचे (Weight) असतील. त्यांनी सादर केलेल्या अहवालानुसार २०३५ पर्यंत जगातील निम्म्याहून अधिक लोकसंख्या ही जास्त वजन किंवा लठ्ठपणाने ग्रासलेली असेल, असेही या अहवालात स्पष्ट केले आहे.

डॉ. शशांक शाह, संचालक आणि प्रमुख लॅपरोस्कोपिक बॅरिएट्रिक सर्जन, लॅप्रो ओबेसो सेंटर यांनी सांगितले की, लठ्ठ रुग्णांपैकी ९०% रुग्ण डॉक्टरांनी सुचविलेल्या उपचारांना उशीर करतात आणि भविष्यात गंभीर समस्यांना बळी पडतात. विविध अहवालांनुसार मुलांमधील लठ्ठपणाचे प्रमाण २०४० पर्यंत म्हणजेच त्यांच्या प्रौढावस्थेत दुप्पट होईल. लठ्ठपणाच्या वाढत्या प्रकरणांमागील घटक म्हणजे गॅझेटचे व्यसन, शारीरिक हालचालींचा अभाव, तणाव आणि चुकीच्या आहाराच्या सवयी.

जास्त वजन असलेल्या मुलांची संख्या दिवसेंदिवस वाढत असून भारत लवकरच लठ्ठपणाची राजधानी बनेल ही शक्यता नाकारता येत नाही.लठ्ठपणा एखाद्याच्या शारीरिक आणि मानसिक आरोग्यावर परिणाम करू शकतो. यामुळे तणाव (Stress), नैराश्य, चिंता, निराशा, एकाकीपणा आणि आत्मसन्मान कमी होऊ शकतो.

डॉ.शाह पुढे सांगतात की, आम्ही १० वर्षांपासून लठ्ठ व्यक्तींना पाठींबा देणारा सपोर्ट ग्रुप तयार करण्याचा प्रयत्न करत होतो. यामध्ये रुग्ण उघडपणे चर्चा करता येते त्यांचे वजन कमी करण्याच्या प्रवासाबाबत व्यक्त होता येते ज्यामुळे इतरांनाही प्रेरणा मिळते. तसेच, आम्ही असे रुग्ण पाहिले आहेत ज्यांनी लठ्ठपणाच्या उपचारांसाठी यापुर्वी सल्ला घेतला होता मात्र त्याकडे दुर्लक्ष केले. काही वर्षांनंतर हेच रुग्ण सांधेदुखी, मधुमेह आणि हृदयाशी संबंधित समस्या, फॅटी लिव्हर, स्लीप एपनिया आणि इतर आरोग्याच्या समस्यांमी त्रासून याठिकाणी परत आले.

स्लीप एपनिया असलेल्या २८ वर्षांच्या ग्योडेन डी आल्मेडा या तरुण रुग्णाला C-PAP मशीन, डायबिटीस हायपरटेन्शनचा सल्ला देण्यात आला होता. बैठ्या जीवनशैलीमुळे त्याचे वजन १५८ किलो आणि बीएमआय ५३.४ इतका होता. रुग्णाच्या आईच्या म्हणण्यानुसार, लहानपणी त्याला दम लागणे आणि चालताना त्रास होणे अशी लक्षणे दिसून आली मात्र त्याकडे गांभीर्याने लक्ष न दिल्याने भविष्यात त्याचे लठ्ठपणासारख्या आजारात रुपांतर झाले.

४६ वर्षीय रुग्ण प्रिती सेखसारिया हिचे वजन १३७ किलो इतके होते बीएमआय हा ५०.३ इतका उच्च होता. प्रख्यात डायबेटोलॉजिस्ट डॉ शशांक शाह यांच्याकडे तिला पाठवण्यात आले. तिला गेल्या १० वर्षांपासून चक्कर, गुडघेदुखी, मधुमेह आणि उच्च रक्तदाबाचा त्रास होता. ती तणावाखाली वावरत होती आणि भावनीकदृष्ट्या खचली होती. चक्कर येऊन तोल गेल्याने पडण्याची, अपघात होण्याची भीती वाटत होती. तिने जानेवारीत शस्त्रक्रिया करण्याचा निर्णय घेतला.

तिला अन्नाची ऍलर्जी होती आणि तिने अनेक डॉक्टरांचा सल्ला घेतला पण शस्त्रक्रिया करण्यास घाबरत होती आणि पोस्ट-ऑप केअरबद्दलही तिला चिंता वाटत होती. तिने गुगलवर शस्त्रक्रियेचे फायदे-तोटे शोधले. शस्त्रक्रियेनंतर ४ महिने झाले असून तिने ३० किलो वजन कमी केले आहे. अन्नाची ऍलर्जी दूर झाल्या आहेत, आणि मधुमेह आणि उच्च रक्तदाब विरोधी औषधांचे डोस देखील कमी झाले आहेत. अहवालानुसार तिची शस्त्रक्रियापूर्व HBA1C पातळी ७.८ आणि शस्त्रक्रियेनंतरची पातळी ५.७ होती. ती आता आनंदी जीवन जगत आहे आणि तिचा आत्मविश्वास देखील वाढला आहे.

Mumbai reports a concerning 13% obesity rate among government employees

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Ignoring the treatment of obesity can have serious consequences

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Don't delay your obesity treatment until it's too late

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http://epaper.lokmat.com/articlepage.php?articleid=LOK_HPUN_20230708_3_5

१३६ किलोचे वजन घटवून केले १०१, वयाच्या ६२ व्या वर्षी तिने पूर्ण केलं जगन्नाथ मंदिर चढण्याचे स्वप्न

Weight Loss Success Story: मुंबईतील एका ६२ वर्षीय महिलेनं एका वर्षात तब्बल ३५ किलो वजन कमी घटवले आहे. या महिलेचं वजन १३६ किलो इतके होते. आता या महिलेचं वजन १०१ किलो इतके झाले आहे.

वजन प्रमाणापेक्षा बाहेर वाढल्यानंतर प्रचंड त्रास होतो आणि बैठी जीवनशैली, व्यायामाचा अभाव आणि जंकफूडचं सेवन यामुळे लठ्ठपणाची समस्या सध्या वाढताना दिसून येत आहे. यामुळे अनेकांना त्रास सहन करावा लागतो. अशीच एका महिलेची वजन कमी करण्याची ही यशस्वी गोष्ट आहे.

वयाच्या ६२ व्या वर्षी वृद्ध महिलेवर बॅरिएट्रिक शस्त्रक्रिया यशस्वी झाल्याची ही Success Story आहे. मुंबईतील एका ६२ वर्षीय महिलेनं बॅरिएट्रिक शस्त्रक्रियेद्वारे एका वर्षात तब्बल ३५ किलो वजन कमी केले आहे. शस्त्रक्रियेपूर्वी या महिलेचं वजन १३६ किलो इतके वाढले होते आणि आता या महिलेचं वजन १०१ किलो इतके झाले आहे. लिलावती रूग्णालयातील बॅरिएट्रिक सर्जन डॉ. शशांक शहा यांनी ही यशस्वी शस्त्रक्रिया केली आहे. याविषयी अधिक जाणून घ्या

पार्वती वेणुगोपालन या महिलेनं वजन कमी करण्यासाठी अनेक प्रयत्न करूनही त्यांना यश आले नाही. वजन वाढल्याने त्यांना चालताही येत नव्हतं. २०२० मध्ये घरच्या घरी आधाराच्या मदतीने चालण्याचा सवय केला. परंतु, घरात चालतानाही तिला अडचणी येत होत्या. दैनंदिन कामे करण्यासाठीही त्यांना कुटुंबियांवर अवलंबून रहावे लागत होते.

बॅरिएट्रिक शस्त्रक्रिया अवघड

प्रकृती बिघडत असल्याचं लक्षात आल्यानंतर पार्वती यांनी लिलावती रूग्णालयातील डॉ. शशांक शहा यांच्याशी संपर्क साधला. डॉक्टरांनी त्यांना बॅरिएट्रिक शस्त्रक्रिया करण्याचा सल्ला दिला. त्यानुसार या शस्त्रक्रियेनंतर या महिलेनं सुमारे ३५ किलो वजन कमी केले आहे. जास्त वयात बॅरिएट्रिक शस्त्रक्रिया करणं हे खूपच अवघड आहे. कारण वृद्ध लोकांसाठी वजन कमी करणे तरुणांपेक्षा खूप कठीण आहे

गंभीर स्वरूपाचा एप्निया

पार्वती यांना गंभीर स्वरूपाचा स्लीप एपनिया आणि पायाला सूज होती. अतिरिक्त वजनामुळे त्यांना बसता किंवा उभं राहता येत नव्हतं. स्वतःच्या पायावर ती कुठल्याही आधाराविना चालू शकत नव्हती. अशा स्थितीत वजन कमी करण्यासाठी बॅरिएट्रिक शस्त्रक्रिया हाच एक पर्याय होता.

शस्त्रक्रियेनंतर ३५ किलो वजन कमी

पहिल्या १० दिवसांत तिने १० किलो वजन कमी केले आहे. आणि त्यानंतर या महिलेनं तब्बल ३५ किलो वजन कमी केले आहे. या शस्त्रक्रियेनंतर महिलेचा स्लीप एप्निया नियंत्रणात आला आहे. इतकंच नाहीतर आता ही महिला कुठल्याही आधाराविना स्वतःच्या पायावर चालू लागली आहे.

वजनामुळे काय होऊ शकते?

डॉ. शहा यांनी सांगितले की, “सध्या लठ्ठपणाची समस्या वाढताना दिसून येत आहे. ताणतणाव हे सुद्धा वजन वाढण्याचे कारण असू शकते. लठ्ठपणामुळे हृदयविकार आणि स्ट्रोकचा धोका वाढू शकतो. याशिवाय लठ्ठपणामुळे गंभीर आजार होऊन मृत्यू होण्याचीही दाट शक्यता असते. त्यामुळे इतकं अधिक वजन कमी करण्यासाठी बॅरिएट्रिक शस्त्रक्रिया हा एकमेव पर्याय होता.”

पार्वती यांनी सांगितला आपला अनुभव

रूग्ण पार्वती वेणुगोपालन यांना विचारले असता त्यांनी सांगितले की,, “वाढलेल्या वजनामुळे दैनंदिन कामं करणंही कठीण झालं होतं आणि खूप निराशही झाले. शस्त्रक्रियेनंतर वर्षभरात ३५ किलो वजन कमी केले असून जगन्नाथ मंदिरातही चढून जाऊ शकले आहे, जे माझ्यासाठी कायम एक स्वप्न होते. आता अजून वजन मी कमी करण्याचा प्रयत्न करणार आहे.”

काय आहे डाएट प्लॅन

शस्त्रक्रियेनंतर पार्वती यांचा डाएट प्लॅन हा अत्यंत नॉर्मल असून त्यांनी नियमित व्यायाम, चालणे याकडेही लक्ष दिले आहे.

• नाश्ता - चहा, पोहे, उपमा, साऊथ इंडियन पदार्थ
• दुपारचे आणि रात्रीचे जेवण - चपाती, भाजी, भात, आमटी (हेल्दी पदार्थांचा केवळ समावेश)
• तेल आणि साखरेचा वापर कमी प्रमाणात

वयाच्या ६२ व्या वर्षी अत्यंत स्ट्रिक्ट डाएट करणे योग्य नाही असंही डॉ. शशांक शहा यांनी यावेळी आवर्जून सांगितले.

Know how eating high fat and high calorie foods can rewire your brain to eat for pleasure, cause obesity

Researchers from Penn State College of Medicine, US, found that after being continuously fed a high fat/high calorie diet, the brain adapts to what is being ingested and forgets to balance calorie intake. The study proves junk foods are endocrine disruptors, say experts

Next time you pop that biscuit absent-mindedly or reach out for the packet of chips out of habit while hammering away at your keyboard, know that you are not only loading up on calories, you are also delaying their digestion as fatty, junk foods dull your gut responses. Continuously eating a high fat/calorie diet can reduce the brain’s ability to regulate food intake, as it seems to disrupt the signalling pathway between the brain and the gut, according to new research. In short, mindless snacking rewires the brain and reduces its ability to regulate appetite or switch on the satiety button.

What the research says

The study on rats, published in The Journal of Physiology, found that after being continuously fed a high fat/high calorie diet, the brain adapts to what is being ingested and forgets to balance calorie intake. Researchers from Penn State College of Medicine, US, suggest that calorie intake is regulated in the short-term by cells called astrocytes (large star-shaped cells in the brain that regulate many different functions of neurons) that control the signalling pathway between the brain and the gut. “Continuously eating a high fat/calorie diet seems to disrupt this signalling pathway,” Dr Kirsteen Browning, Penn State College of Medicine, US, lead author, said. Astrocytes stimulate neurons that ensure the stomach contracts correctly to fill and empty in response to food passing through the digestive system. When they go awry, this natural process gets disrupted. “After 10-14 days of eating a high fat/calorie diet, these astrocytes fail to react and the brain’s ability to regulate calorie intake seems to be lost. This disrupts the signalling to the stomach and delays how it empties,” the researchers have said. However human studies will need to be carried out to confirm if the same mechanism occurs in humans, they add.

This finding is important because it nails the reason why we become gluttons and could encourage development of anti-obesity pills that target neurons.

Normal vs hedonic hunger

Explains Dr Uday Phadke, Director of Diabetes and Endocrine Services, Sahyadri Group of Hospitals, Maharashtra, “Normal hunger is when one has not eaten for a long time and the body is craving for energy. This typical metabolic hunger triggers certain hormones in the gut that signal the brain to feed the body. But when one eats foods high in carbs and fats, they activate the reward mechanism whereby the brain starts feeling nice and asks for more of this pleasurable sensation. This is called hedonic hunger. Normally, the stomach is supposed to signal the brain that it is time to stop. On the other hand, the brain derives pleasure by eating fatty and sugary foods, stops responding to small amounts and asks for more. For instance, one may have had a full dinner but is tempted to have dessert despite not being hungry. Or one may eat a burger with cheese and meat that is akin to a thousand-calorie bomb. One may feel satiated but addicted to pleasurable sensation, the brain may generate a craving for more. It has nothing to do with hunger. The sight, smell and taste of the food can make you overeat. If one is not careful, this pleasure-eating can progressively lead to obesity.” Dr Phadke advises patients about restricting calorie-dense foods. “The goal is not to stop eating but to have alternatives, say a chapati instead of a biscuit that has so many calories and fat content,” he adds.

Junk foods are endocrine disruptors: Study authenticates that

“The research gives a scientific rationale. It’s high time that a warning should be written on all junk food preparations,” says Dr Shashank Shah, Consultant Bariatric Surgeon at Lilavati Hospital, Mumbai. “Short-term junk food load is compensated by astrocytes and hypothalamic cells but chronic exposure to junk food and excess fatty acids can induce obesity,” he adds. “The hypothalamus is the area of the brain where neuronal control of obesity occurs. Foods rich in free fatty acids increase their flow to the hypothalamus. Excess deposited fatty acids then disturb the function of astrocytes, inducing what is called reactive astrogliosis. This increases secretion of Gamma-aminobutyric acid (GABA), which impacts neurotransmitters. This also increases inflammation and destroys the ability of surrounding cells of the hypothalamus to protect the body from excess weight. The result is reduction of energy expenditure and increase in body weight, followed by all other hormonal changes of obesity,” says Dr Shah. He feels it would be interesting to understand that bariatric surgeries like bypass procedures reduce the flow of such free fatty acids to the astrocytes, reduce inflammation and obesity.

Obesity is a global public health concern because it is associated with increased risk of cardiovascular diseases and Type 2 diabetes. According to Unicef’s World Obesity Atlas for 2022, India is predicted to have more than 27 million obese children, representing one in 10 children globally, by 2030.

Giant tumour in goldsmith’s belly stays hidden for a year in Pune

PUNE: Doctors took almost a year to figure out that a Satara goldsmith’s prominent belly had a massive tumour weighing 6.2kg. All this while, they kept suspecting that his complaints of constant bloating, constipation, weight loss and high blood sugar levels stemmed from obesity and pre-existing diabetes as well as hypertension.

The biopsy investigation confirmed it as atypical lipomatous tumour. Doctors claimed that a giant tumour was extremely rare and the goldsmith’s case was only the second reported instance.

Soft-tissue tumours, called lipomas, can easily hide in the abdomen and get passed off as belly fat. “There was no space available to dissect or go around the tumour as it was almost like a 6.2kg soft fluid bag tightly packed into the abdominal cavity,” said chief surgeon Dr Shahshank Shah , who led the team of doctors for the complex surgery.

Dr Shah performed the complex surgery at the Lapara Obeso Centre in Pune on November 11.

The tumour grew from the back of the abdomen. “Due to the tumour, all his intestines were pushed to the left side and were totally compressed in just less than 30% space of the left side of the abdomen,” Dr Shah said.

The tumour had also besieged the main vessels providing blood supply to the legs and the organs in the pelvic region and testis. Besides, the man’s body weight had gone down to just 40kg since he could not eat well. The tumour had compressed the stomach to an extent that it could not accommodate food.

The control of diabetes had become a challenge since the intake and absorption of food were unpredictable.

“That also explained why despite taking anti-diabetic medications, the man’s blood sugar levels would remain above 300mg/dL prior to the surgery,” Dr Shah said.

The procedure took around three hours. “Blood loss was less than 100ml. Due to this, his haemoglobin level dropped by 1.5 since the tumour itself contained about 500-700ml of blood and fluid in it,” associate surgeon Dr Sushil Kharat said.

The patient started walking after 24 hours of the surgery and went home on fourth day. “After the removal of the massive tumour, his BP normalized without medications. This is because the surgery has leased the tumour’s compression on kidney vessels which raised his BP,” Dr Sandip Mutha , part of the team, said.

“I am feeling way better and my food intake has also improved after the surgery,” the patient said.

Andhra Pradesh man, 80, oldest person in India to undergo obesity surgery

PUNE: An 80-year-old man from Anantapur in Andhra Pradesh has become the oldest person in India to undergo weight-loss surgery.

KM Safiullah, who weighed 115 kg, underwent a laparoscopic sleeve gastrectomy at Poona Hospital and Research Centre on September 8.

He's lost five kilos in the three days since surgery and is expected to lose 40 more over the next 8-9 months," said bariatric surgeon Dr Shashank Shah, who performed the procedure

An eminent educationist and founder of several academic institutions in Anantapur, Safiullah had been suffering from uncontrolled diabetes and severe knee and back pain for the last five to six years. He also had trouble breathing. "The surgery took just 30 minutes. He was up and about an hour after the procedure," Dr. Shah said

Dr Shah said the oldest person to have undergone a weight-loss procedure was an 83-year-old woman in the United States. She's now 91. Advancements in anesthesiology and surgical equipment have made such delicate procedures safer even in morbidly obese elderly, experts said. "Safiullah's extremely elevated blood sugar levels have started to normalise. The weight loss over the next few months will also help resolve his diabetes problem," Dr Shah said.

A very happy and relieved Safiullah was discharged on Sunday morning. "I'm already feeling lighter. My high dose of insulin has been cut down post-surgery. I was taking 42 unit and now, the dose is down to eight units daily," he told TOI.

He, along with a few relatives, had met with Dr Shah in Pune a few days ago.

"Dr Shah has performed the procedure on some of my relatives. So I knew of the surgery's benefits," he said.

His sole concern was his age. "Life had become extremely difficult due to the severe backache, knee pain and breathlessness. The uncontrolled diabetes, despite the high insulin dosage, had made me absolutely miserable Orthopaedic surgeons I had consulted said weight loss waskey as I had no bone or spine problems," he said

Doctors said it was Safiullah's strong will to live a better life that ultimately helped. "His family were keen to have him evaluated and considered a candidate for bariatric surgery," Dr Shah said.

TOI also spoke to relatives who said September 8, the date set for Safiullah's surgery, was no coincidence

"It's his birthday. We thought this would be the best gift," his daughter said.

Anaesthesia specialist Dr Sandeep Mutha, who was part of the surgical team, said, "Thirty minutes of anesthesia can be tolerated even by the elderly."

Dr Shah has performed surgeries on seven morbidly obese patients over 75 years of age in the recent past. "The last patient was a 78-year-old, who is living a much healthier life now," he said

Felicitation for Hon Mrs. Sunetra Ajit Pawar

Felicitation for Hon Mrs. Sunetra Ajit Pawar Vahini, Founder at Environmental Forum of India who inspired us to take the initiative to improve the environment by giving saplings to the discharged patients at Laparo Obeso center which can help in bringing awareness of planting trees among people.

A Social initiative has been taken by Laparo obeso centre

A Social initiative has been taken by Laparo obeso centre along with Hon Public Health minister, Shri Rajesh Tope, Govt of Maharashtra to spread awareness about obesity and diabetes and it will be implemented through digital platform to educate people at grassroot level by providing health and diet tips

Hernia surgery conducted on dog for first time in India

Dr Shashank Shah, Chief Surgeon and Founder at Laparo Obeso Centre has successfully conducted Hernia Surgery on a dog for the first time in India featured in indian express and decanherald. Hiatus Hernia surgery is a complex and skilled laparoscopic procedure. It is more delicate when we operate in a smaller space on a dog and with more liver lobes

Laparoscopic sleeve gastrectomy surgery on Pet Dog

Dr. Shashank Shah performed laparoscopic sleeve gastrectomy surgery on a 50 kg 7-year-old Pet dog named Deepika. This was the first and one-of-a-kind operation done on an animal in India. You can read the complete article regarding this surgery which has been published in different newspapers and as showcased on many Television channels.

श्वानाचे वजन कमी करण्यासाठी भारतात पहिल्यांदा केलेली यशस्वी शस्त्रक्रिया

पुण्यातील कर्वेनगरयेथील दारूवाला ह्यांच्या दीपिकाचे (श्वानाचे) वजन जास्त वाढल्यामुळे तिच्यावर यशस्वी शस्त्रक्रिया करण्यात आली, त्याबद्दलचा हा व्हिडिओ. पुण्यातील पाळीव प्राण्यांचे डॉक्टर नरेंद्र परदेशी आणि माणसांवरील लठ्ठपणा शस्त्रक्रिया करणारे डॉक्टर शशांक शहा ह्यांनी ही शस्त्रक्रिया केली.

श्वानाचे “weight loss” | जगातील पहिली श्वानावर केलेली यशस्वी शस्त्रक्रिया

पुण्यातील कर्वेनगरयेथील दारूवाला ह्यांच्या दीपिकाचे (श्वानाचे) वजन जास्त वाढल्यामुळे तिच्यावर यशस्वी शस्त्रक्रिया करण्यात आली, त्याबद्दलचा हा व्हिडिओ. पुण्यातील पाळीव प्राण्यांचे डॉक्टर नरेंद्र परदेशी आणि माणसांवरील लठ्ठपणा शस्त्रक्रिया करणारे डॉक्टर शशांक शहा ह्यांनी ही शस्त्रक्रिया केली.

लठ्ठपणा सतावतोय बॅरिऍट्रिक सर्जरी एक वरदान

लठ्ठपणामुळे तुम्ही ग्रस्त असाल किंवा तुम्हाला तुमचा लठ्ठपणा/वजन कमी करायचे असेल तर बॅरिऍट्रिक सर्जरी हा एक चांगला उपाय तुमच्यासमोर आहे. ह्या सर्जरीमुळे लठ्ठपणामुळे पुढे उद्भवू शकणाऱ्या कॅन्सरची शक्यता कमी होते तसेच हृदयरोग, स्लीप अप्निया, टाइप २ मधुमेह, उच्च रक्तदाब, फॅटी लिव्हर, ब्रेन स्ट्रोक यांसारख्या विविध आजारांचा धोका कमी होतो. याव्यतिरिक्त अजूनही बरेच आजार लठ्ठपणाशी निगडित आहेत त्यांचाही धोका कमी होतो. लठ्ठपणा हा प्रमुख आजारांपैकीच एक आहे पण लोकं तसे मानत नाहीत ही खरंतर दुर्दैवी बाब आहे.

हा लेख डॉक्टर शशांक शहा ह्यांचा आहे, ह्यामध्ये त्यांनी बॅरिऍट्रिक सर्जरी विषयी काही महत्वाच्या बाबी स्पष्टं केल्या आहेत, ह्या सर्जरीची गरज काय, त्याचे प्रकार कोणते आणि ह्याबद्दल लोकांच्या मनात असलेल्या सामान्य प्रश्नांना उत्तरे दिली आहेत, लठ्ठपणा बाबतीत महत्वाच्या असलेल्या गोष्टीही त्यांनी इथे सांगितल्या आहेत. त्यामुळे प्रत्येकाने ही माहिती जरूर वाचा आणि जास्तीत जास्त लोकांपर्यंतपण पोचवा.

Knee Pain and its Relation to Excessive Weight

Did you know ? Excess weight can have adverse effects on our bone strength which causes joint pain while doing simple activities like walking or climbing stairs. Knee pain happens when you are overweight. Immense pressure is exerted on your knees with each step while walking on the non-inclined surface. Read Dr Shashank Shahs article in Times of India and Learn more on knee pain and its relation to Excessive weight.

स्थूलतेच मूळ कशात आहे - डॉ. शशांक शहा, बेरियाट्रिक सर्जन

लहान मुलांमध्ये छातीचे प्रमाण वाढताना दिसतं, मुलींमध्ये चेहऱ्यावर केस येतात. त्यावरच्या उपचारांचे प्रमाण वेगाने वाढताना आपल्या दिसते. चेहऱ्यावर पिंपल्स येतात. पॉलिसिस्टीक ओव्हरियन डिसिज (पीसीओडी) वाढतोयं. पूर्वी प्रसूतीनंतर महिलांना येणारे स्ट्रेच मार्क आता लहानपणीच मुलांच्या अंगावर दिसत आहे. या सगळ्याच्या उपचारांसाठी पालक वेगवेगळ्या ठिकाणी धावताना दिसत आहे. ही सगळी लक्षणे म्हणजे शरीरातील चयापचयाची क्रिया बदल असल्याची ठळक लक्षणे आहेत. त्यातून स्थूलता वाढत असल्याचे संकेत यातून शरीर देत असते. हीच रुग्णाला शास्त्रिय उपचार देण्याची योग्य वेळ असते.

सध्या कोणत्याही शाळेतील 35 ते 40 मुलांच्या वर्गात डोकावलं की, जाणवते निम्मी मुलं ही जाड आहेत. जाड म्हणजे सुदृढ असा याचा अर्थ होत नाहीत. तर, त्याचा अर्थ स्थूल असा होतो. आणि नेमकी हिच समस्या वयाच्या चाळिशी-पंचेचाळीशीच्या पालकांना भेडसावत आहेत. पण, या समस्येचं मूळ नेमकं कशात आहे, हा प्रश्न आपल्याला पडतो नं? खरंतर, जगभरात लहान मुलांमधील स्थूलता ही एक लाट निर्माण होत आहे. त्याचा थेट संबंध हा त्यांच्याशी करियरशी जोडला जातोय. मुलांच्या डोक्यावर करियर नावाचं ओझं ठेवलं जातं. त्यात त्यांचं बालपण कोमेजून जातंच, तसेच त्यांचे शरीराचेही मोठं नुकसान होतं. हे कसं काय, असा पुढचा प्रश्न तुम्हाला पडला असेल नं?

इयत्ता सातवी, आठवीपासून "आयआयटी फाउंडेशन' कोर्स सुरू होतात. एकीकडे शाळेचा अभ्यास, दुसरीकडे करियरची तयारी यात मुलं अडकतात. शाळा, क्लास, फाउंडेशन कोर्स यात एक-एक दिवस जातो. एकेका परीक्षेच्या अभ्यासात वेळ जातो. खेळणे, व्यायाम यापासून मुलं दूर राहातात. या सगळ्याचा परिणाम दहा-बारा वर्षांनंतर मुलांवर दिसायला लागतो. त्यामुळे या वर्गातील मुलं आपल्याला जाड दिसतात.स्थूलता हा एक आजार आहे. घरातील दोनपैकी एक मुलगा लठ्ठ असले. तर, तो त्याचा दोष कसा समजायचा? दुसरा मुलगा घरात जे खातो, जे पितो, जशी त्याची जीवनशैली आहे, तशीच या लठ्ठ मुलाचीही आहे. मगं फरक कुठे पडतो? फरक पडतो, तो आपल्या शरीरामध्ये! त्यातूनच स्थूलता या आजाराची जगभर लाट निर्माण होत आहे.

कृत्रिमपणे पिकविण्यात येणारी फळे, उत्पादन वाढीसाठी सर्रास वापरली जाणारी औषधे, गाईचे दूध वाढविण्यासाठी दिली जाणारे इंजेक्शने या सर्वांचे परिणाम आता आपल्याला दिसू लागला आहे. वर्गातील स्थुलांची वाढणारी संख्या हे त्याचेच एक दृष्य रूप आहे!

लठ्ठपणा-आणि-मधुमेह

भारतामध्ये मधुमेहाच्या ९० टक्के रुग्णांना ‘टाइप २’ प्रकारचा मधुमेह असतो. या रुग्णांमध्ये चरबीचे प्रमाण जास्त असते. लठ्ठपणा आणि मधुमेह एकत्र आला, की व्यक्तीला खूप भूक लागते. गोड खाण्याची इच्छा होऊ लागते. अतिलठ्ठ व्यक्तीला मधुमेह झाल्यानंतर वेगवेगळ्या संप्रेरकाच्या प्रभावामुळे आहाराची शिस्त पाळणे अत्यंत अवघड किंबहुना अशक्यल होते. त्यामुळे, मधुमेहाची भविष्यात होणारी गुंतागुंत लवकर उद्भघवण्याची शक्यअता असते. आधुनिक काळात वैद्यकशास्त्रात झालेल्या नवीन संशोधनानुसार, तसेच अमेरिकन डायबेटिक असोसिएशनच्या नवीन मार्गदर्शन तत्त्वानुसार पोट अधिक सुटलेल्या अतिलठ्ठ व्यक्तीला टाइप २ प्रकारचा मधुमेह असेल, तर मेटॅबोलिक सर्जरी हाच त्यावरचा प्रभावी उपाय आहे. मधुमेह औषधांनी नियंत्रित होत नसेल, तसेच पुरुषांमध्ये मधुमेहाशी संबंधित गुंतागुंत वाढत असेल, तर या शस्त्रक्रियेचा फायदा होता. त्याचप्रमाणे, स्त्रियांमध्ये लघवी नियंत्रित न होणे, पायाच्या नसा बधिर होणे, डोळ्यांवर दुष्परिणाम होणे अशा वेगवेगळ्या समस्या तीव्र होऊ लागल्या, तर अशा रुग्णांना मेटॅबोलिक सर्जरीमुळे त्यांची तीव्रता कमी करता येते. मधुमेहामुळे अतिलठ्ठ व्यक्तीचे क्रियाटिन वाढू लागले तर मूत्रपिंडाच्या संरक्षणासाठी ही शस्त्रक्रिया उपयुक्त ठरते. मधुमेह तज्ज्ञांच्या म्हणण्यानुसार रुग्णाचा बीएमआय ३० पेक्षा जास्त असेल आणि त्याला टाइप २ मधुमेह असेल तर मेटॅबोलिक आणि बेरियाट्रिक सर्जरीमुळे रुग्ण या विकारापासून मुक्त होऊ शकतो. एकेकाळी टाइप २ मधुमेहावर उपचार नाही, असे मानले जात होते. पण, या शस्त्रक्रियांमुळे आता वैज्ञानिक पद्धतीवर आधारित उपचार शक्यह झाले आहेत.

लठ्ठपणा आणि हर्निया

हर्निया म्हणजे नाभीखाली किंवा जांघेत आलेला फुगा होय. हर्नियाचे वेगवेगळे प्रकार आहेत. हर्नियाने १४ वर्षांपूर्वी जागतिक विक्रम केला होता. तेव्हा एकूण रुग्णांपैकी ९० टक्के रुग्णांमध्ये लठ्ठपणाचे प्रमाण नव्हते. पण, आता हर्नियाबरोबर लठ्ठपणा प्रकर्षाने जाणवत आहे. लठ्ठ रुग्णावर हर्नियाची शस्त्रक्रिया केली आणि रुग्णाने वजन कमी केले नाही, तर पोटावरील चरबीच्या ताणामुळे परत हर्निया होण्याचा धोका असतो. अशा पुन्हा होणाऱ्या हर्नियाचे प्रमाणही वाढत आहे. आता असे दिसून येते, की पोटात वाढलेल्या चरबीमुळे पोटातील दाब वाढतो. त्यातून ‘हायाटस हर्निया’ नावाचा आजार होतो. या आजारावर वजन कमी करण्याबरोबरच उपचार करणे आवश्याक असते. या आजारात जठर हळूहळू अन्ननलिकेच्या जागेवर हर्निएट होऊ लागते. आजच्या काळात कोणत्याही स्थूल व्यक्तीवर हार्नियाचे उपचार करताना त्या रुग्णाचे वजन कमी करून मगच उपचार करणे आवश्य क झाले आहे. त्यामुळे हर्निया परत उद्‌भवण्याची शक्यपता कमी होते. स्थूल रुग्णांमध्ये अशा शस्त्रक्रिया दुर्बिणीतून करण्यास प्राधान्य द्यायला हवे. कारण, या रुग्णांमध्ये असलेल्या चरबीमुळे जखम भरण्यास त्रास होण्याची शक्यधता असते. त्यामुळे, मोठी चिरफाड न करता कमी छेदातून शस्त्रक्रिया करणे आवश्यनक असते. पोट वाढल्यामुळे नाभीच्या ठिकाणी, जांघेत हर्निया होऊ शकतो. हर्नियावर उपचाराबरोबरच वजन कमी करणेही आवश्यपक आहे.

Remove Obesity Operations From Elective List, says, surgeons

Elective surgeries are the ones which can be postponed or planned by the patient or the doctor as per their convenience. This can be done only because the diseases for which elective procedures are planned are not progressive nor life-threatening.

Bariatric surgeries, in fact, are medically necessary and essential and can not be postponed.

We at LOC are offering the best protocol of safety from COVID and offering Bariatric, cancer and all general and laparoscopic surgeries for those who need it.

Doctors and nutritionists encounter rise in consultations for weight gain

City-based bariatric surgeon Shashank Shah receives no less than 10 calls every day from patients seeking help to reduce their weight gained over the period of lockdown.

Even a normal healthy person has put on an average of 2-3 kg during the lockdown, he said..

"Patients said hunger and cravings are increasing, so is their weight. Many are not exercising due to various reasons or have constraints in exercising at home. Hedonic-driven hunger is on the rise as people do not have anything else to do or options to go out. I have noticed increased consumption of carbohydrate-rich food and packaged or readymade food. Automatically when one is away from all other work, one may start consuming more or the frequency of meals may increase. It is unfortunate as those with obesity and diabetes, which are now on the rise, are at risk for Covid-19 in the future," Shah said.

Avinash Bhondwe, president, Indian Medical Association, Maharashtra, said the unchecked increase in diet coupled with lack of exercise has led to an increase in sugar levels, cholesterol and weight gain among people. "Those who were out of home all day are now working from home and eating all meals or more. The daily food requirement of a person is 1,400 calories. However, since people are not going out of home for work and are not exercising enough, only about 1,100 or 1,200 calorie intake is required. People are eating sweets, mangoes and readymade foods with abandon. This has led to about 2kg weight increase in people. My clinic has received several cases of patients complaining about weight and increase in sugar levels," he said.

42-year-old Vasai woman loses 214 kg to discover new life!

MUMBAI: It took Vasai resident Amita Rajani four years and two surgeries to lose 214 kg and walk independently.

On Wednesday, Rajani spoke about her life-changing transformation from 300 kg to 86 kg and her quest to get into The Limca Book of Records.The surgeon who performed bariatric or weight-loss surgery on Rajani, Dr Shashank Shah, claimed 42-year-old Rajani was the heaviest woman in Asia until she reduced to 86 kg. Prior to surgery, life was a mess, said Rajani who needed help to perform even the most basic activities such as walking and changing clothes. I was bedridden for eight years. I never once left my house in all those years, never saw sunlight. I was depressed, she said. The sight of her would scare her six-month-old nephew who used to start crying on seeing her, she added. But his parents would make him spend time with me daily, & she said.

Apart from being obese, Rajani also had kidney dysfunction, type II diabetes and breathing problems. The pivotal moment came when Rajani met Dr Shah, who has performed 6,000 bariatric surgeries till date. Obesity is the mother of all diseases, including cancer, and is more common among women than men, said Dr Shah. Obesity now affects every third Indian, he added. Not surprisingly then, doctors say bariatric surgery, though complex and costing between Rs 3 and Rs 5 lakh, has takers in India.  Bariatric surgery involves reducing the size of the stomach so that it can hold a smaller portion of food, restricting the amount of food that can be consumed so that it results in weight loss. Considering it is a major surgery, it carries risks such as infections, blood clots, kidney failure due to diabetes and so on. Rajani admits she initially refused to undergo the procedure because of the side-effects. But Dr Shah eventually convinced me, she added. She underwent two bariatric surgeries at Lilavati and Hinduja hospitals. The medical team monitored her for 30 days after surgery, giving injections to prevent blood clots and carrying out physiotherapy and breathing exercises. I am in heaven now. I can wear what I want and eat normal food. After the surgery, I traveled across India, said Rajani.

Do catch complete article and video on:-

https://timesofindia.indiatimes.com/videos/city/mumbai/42-year-old-vasai-woman-loses-214-kg-gets-new-lease-of-life/videoshow/69249999.cms

https://timesofindia.indiatimes.com/city/mumbai/42-year-old-vasai-woman-loses-214-kg-to-discover-new-life/articleshow/69243286.cms

Laparo-Obeso Centre Becomes Pune's First Patient-Centric Digital Health Provider

Patient-Centric Digital Health Provider is an award to recognize excellence in patient-engagement & education activities of healthcare establishments. It is granted by AboutMyClinic to healthcare establishments which undertake consistent, sincere, transparent & measurable digital initiatives to serve, engage & educate patients better.

Laparo-Obeso Centre has become first healthcare establishment in Pune to be recognized as Patient-Centric Digital Health Provider. Professionally managed by world-renowned bariatric surgeon, Dr. Shashank Shah, Laparo-Obeso Centre is well known for its initiatives focused on patient education. Over last one year, Laparo-Obeso Center has embraced digital channels to effectively engage & educate patients. With its SmartSite, Laparo-Obeso Centre has now become virtually available 24/7 to its patients and offers them high quality health-information, quickly answers health questions & enquiries, offers treatment details & transparent price estimates and provides real-time updates to patients.

Every patient has been given a dedicated & secure account for free to interact & communicate with Laparo-Obeso Centre using their laptops, tablets or smartphones. These digital initiatives have garnered positive patient-feedbacks and are expected to positively impact patient's overall approach towards informed health management.

Sam Sanjivani TV Program on Obesity

A great program on Sam TV the Sam Sanjivani program on obesity.  Dr. Shashank Shah spoke about the various treatment options available for obese patients. He spoke about how Obesity is now considered a disease and there are some excellent surgical options like the Sleeve Gastrectomy (a procedure patented and mastered by Dr. Shah himself) or the Gastric Bypass Surgerywhich have been proven successful over years of experience.

Laparo Obeso Centre, where Dr. Shashank Shah is a director, today caters to patients from all districts from Western Maharashtra and international patients from Europe, Africa and the Middle East.

Indian Medical Association Belgaum Felicitates Dr Shashank Shah

Great honour for Dr Shashank Shah to be invited as a guest faculty for prestigious oration of the year 2016 , Belgaum Medical Association!!

Thank you IMA Belgaum and Dr Neeta Deshpande for this invitation and for the best choice for oration.
What a grand function and late Dr Metgud oration it was!!

Doctor adopts ten-month-old weighing 17 kg

It has been a harrowing time for Amol and Rupali Hingankar from Bhosari whose confusion over the abnormal weight gain of their new-born son Shreejit soon rose to despair when he weighed an unbelievable 17 kgs at just ten months. Even as they are bracing for a tough battle ahead, some relief has come in the form of bariatric surgeon Dr Shashank Shah, who has decided to take up the challenge of treating this rare genetic disorder and helping the baby for the next five years. The ten-month old child, who weighs 17 kg and is 75.5 cm tall, is the second child in the country to have been detected with a rare genetic disorder leptin gene mutation, that causes obesity. Doctors, who have been treating him in Pune, refrain from undertaking surgery while desperately trying to obtain leptin injection from NHS, UK as the sole treatment for the child.

Dr Vaman Khadilkar, pediatric endocrinologist at Jehangir hospital, who has set up a genetic laboratory in cooperation with a molecular biologist Dr Phadke, detected this rare case and told Newsline that there was a similar baby several years ago in Mumbai. Dr Shah, bariatric surgeon and former President of Obesity Surgery Society of India, said that due to leptin gene mutation /deficiency, the volume of food consumed is almost equal to an adult volume. There is no feeling of satiety and there is a continuous craving for food. Shreejit can neither sit on his own nor stand, says mother Rupali. Shreejit's father Amol works as a security guard at the D Y Patil medical hospital and the duo has been praying that their child stops gaining weight. Because of this condition, Shreejit has delayed milestones and cannot walk even with support. Valgus is a condition in which a bone or joint is twisted outward from the centre of the body. He also suffers from breathlessness, says Dr Shah. The ten-month old baby has a daily diet of 6-7 biscuits, two litres milk and three chapatis with dal, and this is a lot in terms of quantity and calories consumed, he added. I am not keen on operating the baby and am working on ways where we can offer the best available treatment, says Dr Shah. The baby's legs are already deformed and after searching for world literature on the possibility of a surgery, we could identify only one such case. But this is too less an evidence for performing surgery on the ten-month old, he added. The surgeon has more than 3,000 bariatric surgeries to his credit and has operated on both a seven-and-half year old child and also the heaviest British person (310 kg). Dr Shah has promised the parents to adopt the baby and take care of the child for the next five years. We will write to NHS, UK if the leptin injections are available,he said, adding that very little is known about this rare disease. More than that, the disease gives clear indication to the common man that Hunger is a function of the hormone and not someone's nature or will power! This would help everyone understand that obesity is also a complex multifactorial hormonal disease.

Source: http://indianexpress.com

Prestigious award for our contribution to the Health & Wellness Sector in the Idols of Maharashtra

It was such a great honour to receive this prestigious award for our contribution to the Health & Wellness Sector in the Idols of Maharashtra awards 2022 ceremony organized by Sakal Media Group on 18th April at JW MARRIOT, Senapati Bapat Road, Pune.

Free Awareness Programs On Myths & Facts about Obesity by Dr.Shashank Shah

LOC has organized a Free Awareness Program On Myths and Facts of Obesity by Dr.Shashank Shah in 19th December at Emerald Park Hotel, Saharanpur Link Road, Nashik.

Call us on +91 7947044472 for more queries.

1st International Nutribolism Conference

LOC has organized the 1st International Nutribolism Conference at Hotel Renaissance,Powai . Here are the glimpse of the team working behind the success of the Conference.

Obesity and mental health: understanding the correlation with dr. Shashank shah

Stigma is a fundamental cause of health inequalities, and obesity stigma is associated with significant physiological and psychological consequences, including increased depression, anxiety and decreased self-esteem. Watch Dr. Shashank Shah live on 20th December 2020 at 12 pm noon talking on the topic obesity and mental health at FbLive @obesityasia

#sciencesunday #loc #indiafightsobesity #mentalhealth #obesityandmentalhealth

Obesity and Gynecomastia understanding the correlation with Dr. Shasahank Shah, Leading Bariatric Surgeon

This is because being overweight can increase levels of oestrogen, which can cause breast tissue to grow. If you're overweight you're also more likely to have excess fat that can enlarge the breast tissue.

Catch Dr. Shashank Shah live on Sunday 13th December at 12 noon on topic obesity and gynaecomastia at FBLive @obesityasia #sciencesunday #Loc #Indiafightsobesity #obesity # gynaecomastia #obesityand gynaecomastia

Virtual Discussion on Obesity and Diabetes

Whether you are just starting to research about weight loss program or planning to undergo one. Watch Dr Shashank Shah, India’s leading bariatric surgeon along with other experts in the field of Endocrinology and Obesity in one of its kind Virtual Discussion on Obesity and Diabetes at www.facebook.com/Realize/ from 4 PM to 5 PM

Encourage Healthy Lifestyle

For most people trying to lose weight, it's a struggle. It takes more than good intentions and a lot of will power. Participating in a weight loss program with a group of friends may result in more weight loss than doing the same weight loss program alone.

In a study, involving 166 people, 76 per cent of those who were recruited alone completed the weight loss program. Only 24 per cent maintained their weight loss in full over the course of 10 months.

Among those recruited in groups, 95 per cent completed treatment and 66 per cent maintained their weight loss in full over 10 months.

A more recent review found that diet and exercise programs delivered in groups are more effective for promoting weight loss. On average, people in a group program lost about 7.7 pounds more than people who did't enrol in a group program.

We cordially invite you to LOC Support group in your neighbourhood at Courtyard Marriott Mumbai on 24th Nov 2019 at 12 pm to 2 pm. Encourage Healthy Lifestyle

Are you struggling to drop kilos ?

INDIA’S Topmost Bariatric surgeon
learn Scientific ways of losing and maintaining weight

Are you struggling to drop kilos ?

INDIA’S Topmost Bariatric surgeon
learn Scientific ways of losing and maintaining weight

Talk on Obesity-Myths and Fallacies

Know about myths and fallacies of obesity by Dr. Shashank Shah (Pune’s finest laparoscopic bariatric surgeon) live on IBN LOKMAT

Walk on fitter lifestyle with Dr. Shashank Shah’s Enriching Session

Newer ways of losing weight. The support group from 11 AM with Zumba Session + Dietician Session